Pub Date : 2019-11-01DOI: 10.36811/ijpmh.2019.110005
Vitaly A Sidorenko, E. G. Ichetovkina, A. Soloviev
The aim - to develop a model for predicting the formation of borderline mental disorders (BMD) in combatants. The results of an experimental psychological study on the basic scales of the Standardized Multifactorial Method of Personality Research (SMMP) of 643 male combatants were analyzed. All respondents were divided into two groups by level of mental health: Group I - 338 people-healthy employees, Group II gr. - 305 persons, where there is a history of BMD were detected that arose after participating in the fighting. Analysis of premorbid profile of SMMP respondents Group II described an excitable type of personality with straightforwardness, categorical, perseverance, perseverance, lack of flexibility in behavior, with a gradual accumulation of discontent, which is manifested by an explosion of affect and aggression. On the basis of the basic scales of SMMP, the equations of the forecast of formation of BMD at combatants were developed. It is shown that the accuracy of the prediction of the formation of BMD in combatants only on the basis of indicators of SMMP scales is 77.0%, therefore, to improve the accuracy, it is necessary to develop a comprehensive diagnostic model, including psychosocial factors of anamnesis, taking into account the conditions of development and formation of personality. Keywords: Combatants; Borderline mental disorders; Assessment the possibility of prediction; Standardized multi-factor method of personality research
{"title":"Predicting the Formation of Borderline Mental Disorders in combatants using a standardized method of personality research","authors":"Vitaly A Sidorenko, E. G. Ichetovkina, A. Soloviev","doi":"10.36811/ijpmh.2019.110005","DOIUrl":"https://doi.org/10.36811/ijpmh.2019.110005","url":null,"abstract":"The aim - to develop a model for predicting the formation of borderline mental disorders (BMD) in combatants.\u0000\u0000The results of an experimental psychological study on the basic scales of the Standardized Multifactorial Method of Personality Research (SMMP) of 643 male combatants were analyzed. All respondents were divided into two groups by level of mental health: Group I - 338 people-healthy employees, Group II gr. - 305 persons, where there is a history of BMD were detected that arose after participating in the fighting. Analysis of premorbid profile of SMMP respondents Group II described an excitable type of personality with straightforwardness, categorical, perseverance, perseverance, lack of flexibility in behavior, with a gradual accumulation of discontent, which is manifested by an explosion of affect and aggression. On the basis of the basic scales of SMMP, the equations of the forecast of formation of BMD at combatants were developed. It is shown that the accuracy of the prediction of the formation of BMD in combatants only on the basis of indicators of SMMP scales is 77.0%, therefore, to improve the accuracy, it is necessary to develop a comprehensive diagnostic model, including psychosocial factors of anamnesis, taking into account the conditions of development and formation of personality.\u0000\u0000Keywords: Combatants; Borderline mental disorders; Assessment the possibility of prediction; Standardized multi-factor method of personality research","PeriodicalId":91283,"journal":{"name":"International journal of clinical psychiatry and mental health","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79448244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-10DOI: 10.36811/IJPMH.2019.110004
A. Soloviev, Yuri Bogdasarov, E. Ichitovkina
The drug situation monitoring system in Russia uses data on the number of drugs withdrawn from circulation in a weight indicator. However, this does not reflect the real extent of the danger, since differences in the activity of substances and population density of different administrative districts are not taken into account. Based on the analysis of statistical data, a methodology for calculating the prevalence of drugs based on the determination of conventional doses that are multiples of the size of the narcotic drugs, determining the onset of criminal liability and determining their prevalence in the territory of the administrative district per 100,000 population is proposed. Keywords: Narcotic drugs; Methodology for calculating seized psychoactive substances; Drug situation; Drug monitoring
{"title":"Justification of Calculation of Illegal Drug Consumption","authors":"A. Soloviev, Yuri Bogdasarov, E. Ichitovkina","doi":"10.36811/IJPMH.2019.110004","DOIUrl":"https://doi.org/10.36811/IJPMH.2019.110004","url":null,"abstract":"The drug situation monitoring system in Russia uses data on the number of drugs withdrawn from circulation in a weight indicator. However, this does not reflect the real extent of the danger, since differences in the activity of substances and population density of different administrative districts are not taken into account. Based on the analysis of statistical data, a methodology for calculating the prevalence of drugs based on the determination of conventional doses that are multiples of the size of the narcotic drugs, determining the onset of criminal liability and determining their prevalence in the territory of the administrative district per 100,000 population is proposed.\u0000\u0000Keywords: Narcotic drugs; Methodology for calculating seized psychoactive substances; Drug situation; Drug monitoring","PeriodicalId":91283,"journal":{"name":"International journal of clinical psychiatry and mental health","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84261138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-08-16DOI: 10.12970/2310-8231.2019.07.02
Jennifer Lyke, J. Kuti
Little is known about the demographic characteristics of classic hallucinogen users and few investigations address the frequency of their use. This study used five years of data from The National Survey on Drug Use and Health, an annual, nationally representative, cross-sectional survey, conducted by the Substance Abuse and Mental Health Services Administration of the United States government, to examine age, gender, marital status, race/ethnicity, income, education, employment status and health status and among low, medium, and high frequency users of classic hallucinogens ( N = 1323). Results indicated classic hallucinogen users were most likely to be White males between 18 and 25 years old, who had never been married, had some college, were employed full-time, had a family income less than $20,000 per year, and were in very good health. High frequency hallucinogen users were more likely to be males in the “Other†racial/ethnic category who were less well educated, and less healthy, but they did not differ from other users in age, marital status, family income, or employment. Limitations and suggestions for future research are discussed.
{"title":"Demographic Characteristics and Frequency of Use among Current Users of Classic Hallucinogens","authors":"Jennifer Lyke, J. Kuti","doi":"10.12970/2310-8231.2019.07.02","DOIUrl":"https://doi.org/10.12970/2310-8231.2019.07.02","url":null,"abstract":"Little is known about the demographic characteristics of classic hallucinogen users and few investigations address the frequency of their use. This study used five years of data from The National Survey on Drug Use and Health, an annual, nationally representative, cross-sectional survey, conducted by the Substance Abuse and Mental Health Services Administration of the United States government, to examine age, gender, marital status, race/ethnicity, income, education, employment status and health status and among low, medium, and high frequency users of classic hallucinogens ( N = 1323). Results indicated classic hallucinogen users were most likely to be White males between 18 and 25 years old, who had never been married, had some college, were employed full-time, had a family income less than $20,000 per year, and were in very good health. High frequency hallucinogen users were more likely to be males in the “Other†racial/ethnic category who were less well educated, and less healthy, but they did not differ from other users in age, marital status, family income, or employment. Limitations and suggestions for future research are discussed.","PeriodicalId":91283,"journal":{"name":"International journal of clinical psychiatry and mental health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46412295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-08-16DOI: 10.12970/2310-8231.2019.07.01
J. Lambe
The homicidal ideation that arose when risperidone was prescribed, was an entirely new symptom, and it resolved when risperidone was ceased. An extensive literature search found no similar case reports. The response to clonidine was equally dramatic.
{"title":"Homicidal Ideation Associated with Low Dose Risperidone in a 10-Year-Old Boy: Subsequently Rage Responded Very Well to Low Dose Clonidine – Case Report","authors":"J. Lambe","doi":"10.12970/2310-8231.2019.07.01","DOIUrl":"https://doi.org/10.12970/2310-8231.2019.07.01","url":null,"abstract":"The homicidal ideation that arose when risperidone was prescribed, was an entirely new symptom, and it resolved when risperidone was ceased. An extensive literature search found no similar case reports. The response to clonidine was equally dramatic.","PeriodicalId":91283,"journal":{"name":"International journal of clinical psychiatry and mental health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48929580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-15DOI: 10.36811/IJPMH.2019.110003
Iain W. McGowan
The Economic Burden of PTSD. A brief review of salient literature Studies examine the economic burden of disease can be used to help policy makers set priorities for healthcare research and service provision [1]. These study types seek to quantify the economic impact of disease regardless of its origin or presentation. As such, policy makers are afforded the information allowing them to make decisions across and within therapeutic fields. Health economics deals with the scarcity of resources. Having accurate information about the economic cost of an illness helps policy makers prioritize, eventually leading to the allocation of healthcare resources [2]. Classified as an anxiety disorder, Post- Traumatic Stress Disorder (PTSD) is a condition that can have a significant negative impact on a person’s life [3]. The symptoms of PTSD include flashbacks, intrusive thoughts and nightmares, rumination and avoidance of areas or circumstances (WHO 2017). Figure 1 shows the ICD-10 (WHO 1992) diagnostic criteria for PTSD. Psychological trauma is associated with a number of mental health issues including schizophrenia [4], eating disorders [5] and addictions [6]. In recent years a link between PTSD and physical illnesses such as Type II diabetes [7], cardio-vascular disease [8], certain cancers [9] and fibromyalgia [10] has been noted in the literature. General population studies estimated a prevalence rate of PTSD of 3.6% (WHO 2013). The lifetime prevalence of PTSD in Vietnam War veterans was 16.9% [11] and a study of Canadian service veterans of the Iran war showed a prevalence of 12.9% [12]. UK service personnel returning from Iraq and Afghanistan report PTSD in 4% of cases [13]. In counties that have experienced civil conflict, the rates of PTSD are reported as 8.8% [14]. Given the wide-ranging impact then of PTSD, it is appropriate to examine the economic impact that PTSD has.
{"title":"The Economic Burden of PTSD. A brief review of salient literature","authors":"Iain W. McGowan","doi":"10.36811/IJPMH.2019.110003","DOIUrl":"https://doi.org/10.36811/IJPMH.2019.110003","url":null,"abstract":"The Economic Burden of PTSD. A brief review of salient literature\u0000\u0000Studies examine the economic burden of disease can be used to help policy makers set priorities for healthcare research and service provision [1]. These study types seek to quantify the economic impact of disease regardless of its origin or presentation. As such, policy makers are afforded the information allowing them to make decisions across and within therapeutic fields. Health economics deals with the scarcity of resources. Having accurate information about the economic cost of an illness helps policy makers prioritize, eventually leading to the allocation of healthcare resources [2].\u0000\u0000Classified as an anxiety disorder, Post- Traumatic Stress Disorder (PTSD) is a condition that can have a significant negative impact on a person’s life [3]. The symptoms of PTSD include flashbacks, intrusive thoughts and nightmares, rumination and avoidance of areas or circumstances (WHO 2017). Figure 1 shows the ICD-10 (WHO 1992) diagnostic criteria for PTSD. Psychological trauma is associated with a number of mental health issues including schizophrenia [4], eating disorders [5] and addictions [6]. In recent years a link between PTSD and physical illnesses such as Type II diabetes [7], cardio-vascular disease [8], certain cancers [9] and fibromyalgia [10] has been noted in the literature. General population studies estimated a prevalence rate of PTSD of 3.6% (WHO 2013). The lifetime prevalence of PTSD in Vietnam War veterans was 16.9% [11] and a study of Canadian service veterans of the Iran war showed a prevalence of 12.9% [12]. UK service personnel returning from Iraq and Afghanistan report PTSD in 4% of cases [13]. In counties that have experienced civil conflict, the rates of PTSD are reported as 8.8% [14]. Given the wide-ranging impact then of PTSD, it is appropriate to examine the economic impact that PTSD has.","PeriodicalId":91283,"journal":{"name":"International journal of clinical psychiatry and mental health","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82544510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-02-08DOI: 10.36811/IJPMH.2019.110002
A. Naviaux, N. Zdanowicz
Both Wexford and Waterford Counties are badly suffering from the lack of Child and Adolescent Mental Health Services (CAMHS). This is directly connected to the lack of CAMHS consultants to lead these services. Accessing the existing CAMHS services, especially in emergency, is particularly difficult as the waiting lists are ever growing, and therefore delaying the possibility of an early first appointment. An emergency “out of hours” child psychiatric service has been developed, in order to provide help when the CAMHS services are not accessible. Providing a service for under 18 years old patients with mental health issues presenting in Accident and Emergency (A&E) or hospitalised on a Ward (Paediatric, psychiatric or other) and also sometimes “off-site”, it functions with extremely limited resources (a consultant psychiatrist and a doctor in psychiatric training), and therefore needs an efficient triage procedure. The triage tool that was chosen is the Irish Child Triage System (ICTS) that was launched in Ireland by the RCSI in 2016. It operates in Wexford General Hospital (WGH) and in University Hospital Waterford (UHW). Between February and August 2018, every intervention provided by the Consultant Psychiatrist responsible for this “emergency out of hours” service was recorded; this includes interventions on both sites (WGH and UHW), In A&E but also on the Wards (Pediatric, Psychiatric, Medical and Surgical), both face to face consultations with the Consultant but also phone supervisions provided by the Consultant to the Doctor in psychiatric training on call for Psychiatry (UHW). The purpose of this article is to review the first figures of attendance of this new service provided and to discuss its profitability. Within 7 months, a total of 675 interventions was provided by the Consultant Psychiatrist on call for this new out of hours CAMHS service. Keywords: Child and Adolescent Psychiatry- Emergency Department– Out of hours - Ireland- Triage- out of hours- Irish Children Triage System (ICTS)
{"title":"Creation of an out of hours child and Adolescent Mental Health emergency service","authors":"A. Naviaux, N. Zdanowicz","doi":"10.36811/IJPMH.2019.110002","DOIUrl":"https://doi.org/10.36811/IJPMH.2019.110002","url":null,"abstract":"Both Wexford and Waterford Counties are badly suffering from the lack of Child and Adolescent Mental Health Services (CAMHS). This is directly connected to the lack of CAMHS consultants to lead these services. Accessing the existing CAMHS services, especially in emergency, is particularly difficult as the waiting lists are ever growing, and therefore delaying the possibility of an early first appointment. An emergency “out of hours” child psychiatric service has been developed, in order to provide help when the CAMHS services are not accessible. Providing a service for under 18 years old patients with mental health issues presenting in Accident and Emergency (A&E) or hospitalised on a Ward (Paediatric, psychiatric or other) and also sometimes “off-site”, it functions with extremely limited resources (a consultant psychiatrist and a doctor in psychiatric training), and therefore needs an efficient triage procedure. The triage tool that was chosen is the Irish Child Triage System (ICTS) that was launched in Ireland by the RCSI in 2016. It operates in Wexford General Hospital (WGH) and in University Hospital Waterford (UHW). Between February and August 2018, every intervention provided by the Consultant Psychiatrist responsible for this “emergency out of hours” service was recorded; this includes interventions on both sites (WGH and UHW), In A&E but also on the Wards (Pediatric, Psychiatric, Medical and Surgical), both face to face consultations with the Consultant but also phone supervisions provided by the Consultant to the Doctor in psychiatric training on call for Psychiatry (UHW). The purpose of this article is to review the first figures of attendance of this new service provided and to discuss its profitability. Within 7 months, a total of 675 interventions was provided by the Consultant Psychiatrist on call for this new out of hours CAMHS service.\u0000\u0000Keywords: Child and Adolescent Psychiatry- Emergency Department– Out of hours - Ireland- Triage- out of hours- Irish Children Triage System (ICTS)","PeriodicalId":91283,"journal":{"name":"International journal of clinical psychiatry and mental health","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90689264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-22DOI: 10.36811/IJPMH.2019.110001
Rui Li, Wai-Kin Mat, W. Chan, T. Ho, R. K. Yeung, Chi Him Poon, L. W. Wong, Ian D. Williams, Mingqi Qiao, H. Xue
The racemate dl-tetrahydropalmatine (dl-THP) is known for its analgesic and sedative effects, and has been shown by us to be a potential agent for the treatment of anxiety.Herein, to delineate the therapeutic potentials of its different isomeric forms, the behavioral effects of l-THP, dl-THP and d-THP were compared regarding their anxiolytic and antidepressant properties in mouse behavioral models using the elevated plus-maze test and tail suspension test respectively. The anxiolytic and antidepressant effects of both l-THP and dl-THP were evident in forty-five minutes following oral administration. Moreover, l-THP exhibited much greater anxiolytic potency in the elevated plus-maze (0.1-2.5 mg/kg) and antidepressant potency in the tail suspension test (0.5-5.0 mg/kg) than dl-THP, whereas d-THP was inactive in either of these tests. As well, l-THP enhanced sociability and preference for social novelty at 0.1-0.5 mg/kg in Crawley’s three-chamber behavioral tests, and inhibited the amphetamine-induced manic-like hyperactivity of amphetamine-sensitized mice at 0.05-0.2 mg/kg. These pharmacological actions of l-THP were unaccompanied by any significant locomotor or myorelaxant side-effects. Co-administration of flumazenil, a GABAA receptor antagonist, inhibited the anxiolytic and antidepressant effects of l-THP, even though the binding affinity of l-THP was higher for dopamine D2-like receptors than for GABAA receptors. On this basis, l-THP displayed potential as a fast-acting drug for the treatment of anxiety, depression and bipolar disorder. Keywords: l-THP; dl-THP; Anxiolysis; Antidepressant; GABAA receptor; Fast-acting
{"title":"Fast-acting effects of l-tetrahydropalmatine on depression and anxiety in mice","authors":"Rui Li, Wai-Kin Mat, W. Chan, T. Ho, R. K. Yeung, Chi Him Poon, L. W. Wong, Ian D. Williams, Mingqi Qiao, H. Xue","doi":"10.36811/IJPMH.2019.110001","DOIUrl":"https://doi.org/10.36811/IJPMH.2019.110001","url":null,"abstract":"The racemate dl-tetrahydropalmatine (dl-THP) is known for its analgesic and sedative effects, and has been shown by us to be a potential agent for the treatment of anxiety.Herein, to delineate the therapeutic potentials of its different isomeric forms, the behavioral effects of l-THP, dl-THP and d-THP were compared regarding their anxiolytic and antidepressant properties in mouse behavioral models using the elevated plus-maze test and tail suspension test respectively. The anxiolytic and antidepressant effects of both l-THP and dl-THP were evident in forty-five minutes following oral administration. Moreover, l-THP exhibited much greater anxiolytic potency in the elevated plus-maze (0.1-2.5 mg/kg) and antidepressant potency in the tail suspension test (0.5-5.0 mg/kg) than dl-THP, whereas d-THP was inactive in either of these tests. As well, l-THP enhanced sociability and preference for social novelty at 0.1-0.5 mg/kg in Crawley’s three-chamber behavioral tests, and inhibited the amphetamine-induced manic-like hyperactivity of amphetamine-sensitized mice at 0.05-0.2 mg/kg. These pharmacological actions of l-THP were unaccompanied by any significant locomotor or myorelaxant side-effects. Co-administration of flumazenil, a GABAA receptor antagonist, inhibited the anxiolytic and antidepressant effects of l-THP, even though the binding affinity of l-THP was higher for dopamine D2-like receptors than for GABAA receptors. On this basis, l-THP displayed potential as a fast-acting drug for the treatment of anxiety, depression and bipolar disorder.\u0000\u0000Keywords: l-THP; dl-THP; Anxiolysis; Antidepressant; GABAA receptor; Fast-acting","PeriodicalId":91283,"journal":{"name":"International journal of clinical psychiatry and mental health","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85394818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-04-30DOI: 10.12970/2310-8231.2015.03.01.3
C. Borba, B. Gelaye, Lazaro V. Zayas, Melissa Ulloa, J. Lavelle, R. Mollica, D. Henderson
Our program attempted to improve attitudes and confidence of Peruvian primary care physicians (PCPs) providing mental health care. The training program underwent an evaluation to determine impact of sustained confidence in performing medical and psychiatric procedures, and application of learned skills. Fifty-two Peruvian primary care practitioners were trained at the Harvard Program in Refugee Trauma (HPRT) over a two-week period. There was significant improvement in PCPs' confidence levels of performing psychiatric procedures (counseling, prescribing medications, psychiatric diagnosis, assessing the risk for violence, and treating trauma victims) when comparing baseline and post-two-week to one year follow-up. When comparing post-two-week and one-year follow-up quantitative measures, confidences levels went slightly down. This may be an implication that the frequency of trainings and supervisions are needed more frequently. In contrast, qualitative responses from the one-year follow-up revealed increase in victims of violence clinical care, advocacy, awareness, education, training, policy changes, accessibility of care, and sustainment of diagnostic tools. This study supports the feasibility of training PCP's in a culturally effective manner with sustainability over time.
{"title":"Making strides towards better mental health care in Peru: Results from a primary care mental health training.","authors":"C. Borba, B. Gelaye, Lazaro V. Zayas, Melissa Ulloa, J. Lavelle, R. Mollica, D. Henderson","doi":"10.12970/2310-8231.2015.03.01.3","DOIUrl":"https://doi.org/10.12970/2310-8231.2015.03.01.3","url":null,"abstract":"Our program attempted to improve attitudes and confidence of Peruvian primary care physicians (PCPs) providing mental health care. The training program underwent an evaluation to determine impact of sustained confidence in performing medical and psychiatric procedures, and application of learned skills. Fifty-two Peruvian primary care practitioners were trained at the Harvard Program in Refugee Trauma (HPRT) over a two-week period. There was significant improvement in PCPs' confidence levels of performing psychiatric procedures (counseling, prescribing medications, psychiatric diagnosis, assessing the risk for violence, and treating trauma victims) when comparing baseline and post-two-week to one year follow-up. When comparing post-two-week and one-year follow-up quantitative measures, confidences levels went slightly down. This may be an implication that the frequency of trainings and supervisions are needed more frequently. In contrast, qualitative responses from the one-year follow-up revealed increase in victims of violence clinical care, advocacy, awareness, education, training, policy changes, accessibility of care, and sustainment of diagnostic tools. This study supports the feasibility of training PCP's in a culturally effective manner with sustainability over time.","PeriodicalId":91283,"journal":{"name":"International journal of clinical psychiatry and mental health","volume":"3 1 1","pages":"9-19"},"PeriodicalIF":0.0,"publicationDate":"2015-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66309289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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