Pub Date : 2020-11-01DOI: 10.1016/j.psym.2020.07.006
Nicole Allen M.D. , Adrienne Mishkin M.D., M.P.H.
Background
When a patient is found to be lacking capacity to make a medical decision, the medical team is advised to turn to the patient's most appropriate surrogate decision maker (hereafter, surrogate) to make a choice on behalf of the patient. The assumption made by the medical team is that the surrogate will have the capacity to make appropriate medical decisions on behalf of the patient. At times though, the capacity of the surrogate himself may be called into question, leading to uncertainty in terms of how best to proceed in the care of the patient. Consultation-liaison psychiatrists are commonly consulted to assess a patient's capacity to make a particular medical decision, but their role assisting in cases of incapacitated surrogates is less clear.
Objective
In this article, we summarize the existing literature and current state laws regarding incapacitated surrogates and propose guidelines for the role the consultation-liaison psychiatrist can take when the surrogate may be incapacitated.
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Pub Date : 2020-11-01DOI: 10.1016/j.psym.2020.06.018
Andrew F. Angelino M.D. , Constantine G. Lyketsos M.D. , M. Shafeeq Ahmed M.D. , James B. Potash M.D. , Bernadette A. Cullen M.B., B.Ch., B.A.O.
Background
Patients with psychiatric illnesses are particularly vulnerable to highly contagious, droplet-spread organisms such as SARS-CoV-2. Patients with mental illnesses may not be able to consistently follow up behavioral prescriptions to avoid contagion, and they are frequently found in settings with close contact and inadequate infection control, such as group homes, homeless shelters, residential rehabilitation centers, and correctional facilities. Furthermore, inpatient psychiatry settings are generally designed as communal spaces, with heavy emphasis on group and milieu therapies. As such, inpatient psychiatry services are vulnerable to rampant spread of contagion.
Objective
With this in mind, the authors outline the decision process and ultimate design and implementation of a regional inpatient psychiatry unit for patients infected with asymptomatic SARS-CoV-2 and share key points for consideration in implementing future units elsewhere.
Conclusion
A major takeaway point of the analysis is the particular expertise of trained experts in psychosomatic medicine for treating patients infected with SARS-CoV-2.
{"title":"Design and Implementation of a Regional Inpatient Psychiatry Unit for Patients who are Positive for Asymptomatic SARS-CoV-2","authors":"Andrew F. Angelino M.D. , Constantine G. Lyketsos M.D. , M. Shafeeq Ahmed M.D. , James B. Potash M.D. , Bernadette A. Cullen M.B., B.Ch., B.A.O.","doi":"10.1016/j.psym.2020.06.018","DOIUrl":"10.1016/j.psym.2020.06.018","url":null,"abstract":"<div><h3>Background</h3><p>Patients with psychiatric illnesses are particularly vulnerable to highly contagious, droplet-spread organisms such as SARS-CoV-2. Patients with mental illnesses may not be able to consistently follow up behavioral prescriptions to avoid contagion, and they are frequently found in settings with close contact and inadequate infection control, such as group homes, homeless shelters, residential rehabilitation centers, and correctional facilities. Furthermore, inpatient psychiatry settings are generally designed as communal spaces, with heavy emphasis on group and milieu therapies. As such, inpatient psychiatry services are vulnerable to rampant spread of contagion.</p></div><div><h3>Objective</h3><p>With this in mind, the authors outline the decision process and ultimate design and implementation of a regional inpatient psychiatry unit for patients infected with asymptomatic SARS-CoV-2 and share key points for consideration in implementing future units elsewhere.</p></div><div><h3>Conclusion</h3><p>A major takeaway point of the analysis is the particular expertise of trained experts in psychosomatic medicine for treating patients infected with SARS-CoV-2.</p></div>","PeriodicalId":20746,"journal":{"name":"Psychosomatics","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.psym.2020.06.018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38277958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clonidine and Tizanidine for Management of Bipolar Disorder Due to Dengue Encephalopathy: A Case Report","authors":"Pornjira Pariwatcharakul M.D., M.Sc., M.A., M.R.C.Psych. (UK), F.R.C.Psych.T., Maytinee Srifuengfung M.D., F.R.C.Psych.T.","doi":"10.1016/j.psym.2020.08.001","DOIUrl":"10.1016/j.psym.2020.08.001","url":null,"abstract":"","PeriodicalId":20746,"journal":{"name":"Psychosomatics","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.psym.2020.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38370471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-01DOI: 10.1016/j.psym.2020.03.009
Sarah A. Reinstein M.D. , Kristina M. Deligiannidis M.D.
{"title":"Acute Bipolar Psychosis Limited to the Course of an Ectopic Pregnancy","authors":"Sarah A. Reinstein M.D. , Kristina M. Deligiannidis M.D.","doi":"10.1016/j.psym.2020.03.009","DOIUrl":"10.1016/j.psym.2020.03.009","url":null,"abstract":"","PeriodicalId":20746,"journal":{"name":"Psychosomatics","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.psym.2020.03.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37929645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-01DOI: 10.1016/j.psym.2019.12.002
James H. Powers B.S. , GenaLynne C. Mooneyham M.D., M.S.
{"title":"Psychiatric Symptoms in Pediatric Patients With Myelin-Oligodendrocyte-Glycoprotein-Immunoglobulin G-Antibody Positive Autoimmune Encephalitis: A Case Series","authors":"James H. Powers B.S. , GenaLynne C. Mooneyham M.D., M.S.","doi":"10.1016/j.psym.2019.12.002","DOIUrl":"10.1016/j.psym.2019.12.002","url":null,"abstract":"","PeriodicalId":20746,"journal":{"name":"Psychosomatics","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.psym.2019.12.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37579202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-01DOI: 10.1016/j.psym.2020.06.015
Lisa Hutchison M.D. , Anna M. Plichta M.D. , Yehuda Lerea M.D. , Marlee Madora M.D. , H. Michael Ushay M.D., Ph.D.
{"title":"Neuropsychiatric Symptoms in an Adolescent Boy With Multisystem Inflammatory Syndrome in Children","authors":"Lisa Hutchison M.D. , Anna M. Plichta M.D. , Yehuda Lerea M.D. , Marlee Madora M.D. , H. Michael Ushay M.D., Ph.D.","doi":"10.1016/j.psym.2020.06.015","DOIUrl":"10.1016/j.psym.2020.06.015","url":null,"abstract":"","PeriodicalId":20746,"journal":{"name":"Psychosomatics","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.psym.2020.06.015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38193573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-01DOI: 10.1016/j.psym.2020.07.001
Jonathan S. Constant D.O., Sheryl B. Fleisch M.D.
{"title":"Intravenous Misuse of Unsterilized Methamphetamine Bong Water Laced With Vape Juice","authors":"Jonathan S. Constant D.O., Sheryl B. Fleisch M.D.","doi":"10.1016/j.psym.2020.07.001","DOIUrl":"10.1016/j.psym.2020.07.001","url":null,"abstract":"","PeriodicalId":20746,"journal":{"name":"Psychosomatics","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.psym.2020.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38242117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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