儿童和青少年紧急精神病学:解决错误的阳性入院问题
Linda Isaac1, Tiphanie Sutton1, Jasmine Kahlon1
1Kaiser Permanente Mental Health Training Program, Oakland, CA, United States.
Frontiers in psychiatry
|February 15, 2024
概括
门诊危机组对于在精神病紧急情况到达急诊室之前评估精神病紧急情况至关重要. 这确保了适当的护理,并减少了不必要的ED负担.
科学领域:
- 精神病学是一个精神病学.
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 越来越多地认识到急诊室 (ED) 心理学家的作用.
- 目前的文献强调了ED心理学家的必要性.
- 然而,这种重点不足以提供最佳的危机护理.
研究的目的:
- 论证门诊危机组在精神病治疗中的重要作用.
- 要区分需要接受ED治疗的精神病危机和不需要接受ED治疗的精神病危机.
- 通过预先选患者来减轻急诊室的负担.
主要方法:
- 这是一个视角论文,而不是经验研究.
- 它借鉴了来自北加州多元化的年轻患者群体的发现.
- 这篇论文讨论了门诊危机小组在ED前评估中的功能.
主要成果:
- 门诊危机小组对于识别适当的ED入院 (真实阳性) 至关重要.
- 这些团队还确定了不需要ED护理的病例 (错误阳性).
- 在ED之前的评估确保了对护理水平的准确评估,并减少了ED过度拥挤.
结论:
- 虽然ED心理学家是必不可少的,但单靠他们是不够的.
- 门诊危机小组对于适当的精神病危机管理至关重要.
- 整合ED前评估优化了患者护理和医疗保健资源分配.
更多相关视频
05:52Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis
Published on: November 21, 2013
14.9K
05:48The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
Published on: June 12, 2020
5.7K
相关概念视频
01:18False Memories
89
False memories represent a cognitive distortion in which individuals recall events that did not happen, or remember them in an altered form. This phenomenon highlights the brain's constructive nature in processing and recalling memories, emphasizing that memory is not a perfect representation of past events but rather a dynamic reconstruction influenced by various factors.
One primary source of false memories is misattribution, where individuals incorrectly associate external information...
One primary source of false memories is misattribution, where individuals incorrectly associate external information...
89
01:26Psychosis: Goals of Pharmacotherapy
130
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
130
01:28Drug Therapy
44
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
44
01:24Revisionist Views of Adolescent and Adult Cognition
32
A revisionist approach to Jean Piaget's theory of cognitive development has brought new insights that challenge and reinterpret his established ideas. Piaget proposed that the formal operational stage, emerging in adolescence, represents the culmination of cognitive maturity. During this stage, individuals are said to develop abstract thinking, engage in systematic problem-solving, and show a form of egocentrism, believing others are as preoccupied with their behavior as they are...
32
01:27Diagnostic and Statistical Manual of Mental Disorders (DSM)
55
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
55
01:28Psychosis and Antipsychotic Drugs: Overview
255
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
255