In the July issue Psychiatric Times® collaborates with experts in multiple psychiatric fields to bring you thoughtful articles on a variety of psychiatric topics, from early intervention in postpartum psychosis to ethical and legal principles of treatment for objections. doing. Here are some highlights of this issue.
988: The First Step on a Long Journey
A year ago, the National Suicide Prevention Lifeline switched to a new three-digit number, 988. Since its inception, Lifeline has received an astounding number of calls. That includes over 5 million calls, including over 1.43 million calls, 416,000 chats, and over 281,000. text. But is it effective in saving lives?
“The move to 988 Suicide & Crisis Lifeline has sparked a transformative moment in behavioral health care in this country. “We are in a state of emergency,” said Monica Johnson, director of the Substance Abuse and Mental Health Administration’s 988 and Behavioral Health Crisis Coordination Office. Service Management (SAMHSA). “We know there is still a lot of work to be done to establish robust response systems for managing mental health and substance use crises across the country, but we have achieved a lot in the past year. bottom.” keep reading
Postpartum Psychosis: Increasing Potential for Early Intervention
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“She never hurt her baby.” These are the words often heard by partners and families of women who visit our facility with symptoms of postpartum psychosis (PPP). Partners and family members of PPP patients are reluctant to accept the presence of mental illness and the risks associated with it, and their desire to move loved ones out of psychiatric facilities and return home with their babies has led to the minimization of the severity of PPP patients. It is often limited. They ignore the observed symptoms and are at odds with the inpatient psychiatric team who try to restrain and treat the patient. The reasons for doing so are myriad, but are often rooted in a lack of understanding of the course of a PPP episode and the potentially devastating consequences of not providing treatment.
At the Connections Health Solutions Psychiatric Crisis Center in Arizona, where I am Medical Director, we usually have at least one PPP patient. In contrast, many psychiatrists in the community have little or no encounter with her PPP. Nevertheless, it is important that we are all aware of the risk factors and early signs of an onset episode and ready to provide education and guidance to patients and their supports. keep reading
Prioritizing Treatment Over Disputes: Ethical and Legal Principles
Consultation psychiatrists and residents are often consulted to assess the performance of inpatients with a history of mental illness. Subsequent decisions regarding the provision of medical and psychiatric care (TOO) ignoring objections may involve hospital ethics committees and legal counsel.
We present a case where the problem of TOO for incapacitated patients was incompletely resolved due to the conflict between the most ethically appropriate and the most legally appropriate treatment. This conflict, along with uncertainty about the ethical and legal principles themselves and the roles of each team, caused significant moral distress for both the medical and psychiatric teams. keep reading
Adolescent Drug Use: Reasons for Optimism and Concern
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Given the consistent overall decline in drug use among this age group over the past two decades, there is reason to be optimistic about adolescent drug use. However, nicotine and cannabis use have fluctuated, and adolescents have been disproportionately affected by the development of e-cigarettes. Similarly, adolescents are being disproportionately affected by the rise of illegally manufactured counterfeit tablets containing fentanyl, and there has been a recent spike in drug overdose deaths.
For these reasons, child and adolescent behavioral health physicians are always on the lookout for early detection of substance use, as adolescents with problematic mental health conditions who use substances are at increased risk of developing substance use disorders (SUDs). is important to pay keep reading
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