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Relevant bibliographies by topics / Nursing of Psychiatric and Mental Health

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Academic literature on the topic 'Nursing of Psychiatric and Mental Health'

Author: Grafiati

Published: 4 June 2021

Last updated: 11 February 2022

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Journal articles on the topic "Nursing of Psychiatric and Mental Health"

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Shattell, Mona. "“Psychiatric/Mental Health Nursing” or “Psychiatric-Mental Health Nursing”?" Issues in Mental Health Nursing 31, no. 9 (August 2010): 614–15. http://dx.doi.org/10.3109/01612840.2010.506001.

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Antai-Otong, Deborah. "Psychiatric mental health nursing." Nursing Clinics of North America 38, no. 1 (March 2003): xi—xii. http://dx.doi.org/10.1016/s0029-6465(02)00091-9.

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&NA;. "Psychiatric-Mental Health Nursing." American Journal of Nursing 96, no. 4 (April 1996): 16T. http://dx.doi.org/10.1097/00000446-199604000-00017.

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Adams, Susie. "Psychiatric Mental Health Nursing." Journal of the American Psychiatric Nurses Association 21, no. 1 (January 2015): 34–37. http://dx.doi.org/10.1177/1078390314567945.

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Slade, Maureen. "Psychiatric-Mental Health Nursing." Psychiatric Services 49, no. 10 (October 1998): 1372. http://dx.doi.org/10.1176/ps.49.10.1372.

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Jones, Alun. "Psychiatric Mental Health Nursing." Journal of Clinical Nursing 12, no. 1 (January 2003): 153. http://dx.doi.org/10.1046/j.1365-2702.2003.07215.x.

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Frampton, AL. "Psychiatric mental health nursing." Nurse Education Today 8, no. 5 (October 1988): 310–11. http://dx.doi.org/10.1016/0260-6917(88)90143-8.

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Munjas, Barbara. "PSYCHIATRIC MENTAL HEALTH NURSING." Journal of Psychosocial Nursing and Mental Health Services 25, no. 8 (August 1987): 34. http://dx.doi.org/10.3928/0279-3695-19870801-16.

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Moller, Mary D. "Leader Interview: A Vision for Mental Health Care." Creative Nursing 7, no. 1 (January 2001): 7–16. http://dx.doi.org/10.1891/1078-4535.7.1.7.

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This interview is with Jane A. Ryan, RN, MN, CNAA, immediate past president of the American Psychiatric Nurses Association. She began her nursing career in 1959 and spent 27 years in psychiatric nursing at the University of California at Los Angeles (UCLA) Medical Center Neuropsychiatric Institute, and eventually was responsible for nursing systems. Now she consults with the U.S. Justice Department on psychiatric nursing in state psychiatrist hospitals. Lisa Legge, managing editor of Creative Nursing Journal, interviewed Ms. Ryan.

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LOOMIS, MAXINE E. "Psychiatric-Mental Health Nursing Education." Annual Review of Nursing Research 6, no. 1 (September 1988): 153–66. http://dx.doi.org/10.1891/0739-6686.6.1.153.

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Dissertations / Theses on the topic "Nursing of Psychiatric and Mental Health"

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Rice, Judy A. "Mental Health Clinicians." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/7616.

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Rice, Judy A. "Mental Health Clinicians." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/7617.

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Aflague, John M. "Suicide assessment by psychiatric-mental health nurses : a phenomenographic study /." View online ; access limited to URI, 2004. http://0-wwwlib.umi.com.helin.uri.edu/dissertations/dlnow/3135890.

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Rice, Judy A. "Assessing the Physical Health of Psychiatric Patients." Digital Commons @ East Tennessee State University, 2001. https://dc.etsu.edu/etsu-works/7619.

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Basson, Marina. "Professional nurses’ attitudes and perceptions towards the mentally ill in an associated psychiatric hospital." Thesis, University of Western Cape, 2012. http://hdl.handle.net/11394/3302.

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Magister Curationis - MCur
Professional nurses, with additional training in mental health, report attitudes and perceptions of mental health nursing that are more positive, whilst those with less training report more negative attitudes and perceptions to mental health nursing. The primary aim of this research study was to describe the attitudes and perceptions of professional nurses towards the mentally ill in a psychiatric hospital in the Cape Metropole. The objectives of the study were: to explore the attitudes and perceptions of professional nurses towards the mentally ill; to identify common factors that influence the professional nurses’ attitudes and perceptions towards the mentally ill; to compare the attitudes and perceptions of professional nurses who have completed the Regulation 425, Regulation 808 and Regulation 212 training in mental health nursing towards the mentally ill. A quantitative, exploratory, descriptive design was employed and cross-sectional survey was carried out. Participants comprised all permanent professional nurses (n=60) at a governmental Associated Psychiatric Hospital in the Cape Metropole. Participants completed a demographic questionnaire and two self-report questionnaires, measuring attitudes to and perceptions of mental health problems. Nurses with a diploma report significantly higher role competency than those nurses with a degree. The ethnicity of nurses played a role in the stereotyping of the mentally ill. No significant differences were evident between those professional nurses who had completed the advanced mental health course and those whom had not. However, the combined effects of learning the appropriate course and experience in the practical field of the mentally ill are necessary for the task of impacting positively on the attitudes of the nurses towards the mentally ill.

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Murray, Bethany A. "The Use of High-fidelity Simulation in Psychiatric and Mental Health Nursing Clinical Education." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/ijhse/vol2/iss1/3.

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Background: High-fidelity simulation recreates real-life situations in a safe learning environment and encourages critical thinking in students. Published research in simulation in psychiatric/mental health nursing is sparse. Methods: Four scenarios exemplifying drug or alcohol abuse utilizing the computerized, mannequin SimMan® were implemented. Students evaluated their learning experience following completion of the simulation via a 20-item, Likert-scale survey which included open-ended questions. Results: Results were positive. Students rated all items on the survey as “agree” or “strongly agree” (Mean 4.77, SD=0.55). Conclusions: High fidelity clinical education simulations are an effective means of facilitating student learning of psychiatric and mental health clinical experiences. Students found simulation to be a useful and engaging means by which to learn to care for clients with drug or alcohol abuse disorders.

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Rosette, Joyce Flannigan 1953. "Clients' perceptions of the benefits of the Psychiatric Wellness Clinic." Thesis, The University of Arizona, 1994. http://hdl.handle.net/10150/291337.

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A descriptive qualitative research method was used in this study. In this study, five women were asked to describe their perceptions of how effective the Psychiatric Wellness Clinic interventions were in controlling their depression symptoms. With the decreased availability of state funding, the standard form of treatment was no longer available. This Psychiatric Wellness Clinic concept was developed as a mechanism to provide this patient population with skills that would empower them to take care of themselves and decreased dependency on the system. This researcher wanted to see if the clients felt that the program had make them feel less depressed. If so, it would be inferred that the clients were participating in controlling their own mental health well being. The findings in this study indicate that clients do perceive the Psychiatric Wellness Clinic as effective in decreasing depression symptoms.

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Bolton, Mychal. "Perceived Barriers to Obtaining Psychiatric Treatment at Johnson City Community Health Center." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/honors/223.

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The purpose of this study was to describe the perceived barriers to obtaining psychiatric treatment at the Johnson City Community Health Center. The context of the study was a rural area in Eastern Tennessee. Five patients with confirmed DSM-IV mental health diagnoses were recruited during treatment and interviewed at the Johnson City Community Health Center after their scheduled appointments with a Mental Health Nurse Practitioner (MHNP). The semi-structured interview focused on perceived barriers to obtaining treatment, perceptions of treatment received, and perceived availability of treatment. From those interviews, two themes were identified and each of which had two sub-themes identified: Realities of Treatment with the sub-themes of Therapy-Related Realities and Logistics Realities, The Way It Is with the sub-themes of Take Care of It Myself and Don’t Want People to Know. The findings indicate that there is a duality of positive and negative aspects of treatment at Johnson City Community Health Center. Understanding the needs and perceptions of those with psychiatric diagnoses will assist all staff and mental health providers in developing programs that are better suited for those with psychiatric diagnoses receiving treatment from Johnson City Community Health Center.

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Melrose, Sherri. "An exploration of students' personal constructs, implications for clinical teaching in psychiatric mental health nursing." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0024/NQ31052.pdf.

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Rice, Judy A. "Behind Bars: Providing Advanced Practice Psychiatric Nursing in Jail." Digital Commons @ East Tennessee State University, 2002. https://dc.etsu.edu/etsu-works/7612.

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Books on the topic "Nursing of Psychiatric and Mental Health"

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1946-, Fletcher J. Sue, and Fontaine Karen Lee 1943-, eds. Mental health nursing. 4th ed. Menlo Park, Calif: Addison-Wesley, 1999.

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Mental health nursing. 6th ed. Upper Saddle River, N.J: Pearson Prentice Hall, 2009.

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Psychiatric mental health nursing. Philadelphia: Lippincott, 2001.

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Psychiatric mental health nursing. 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2006.

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Psychiatric-mental health nursing. 4th ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2008.

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Psychiatric mental health nursing. 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2004.

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L, Davies Janet, ed. Psychiatric mental health nursing. 2nd ed. Boston, MA: Jones and Bartlett, 1989.

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L, Davies Janet, ed. Psychiatric mental health nursing. Boston: Jones and Bartlett Publishers, 1986.

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B, Payne Dorris, ed. Psychiatric-mental health nursing. 4th ed. [New Hyde Park, N.Y.]: Medical Examination Pub. Co., 1986.

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Fortinash, Katherine M. Psychiatric mental health nursing. St. Louis: Mosby, 1996.

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Book chapters on the topic "Nursing of Psychiatric and Mental Health"

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Martin, Peggy. "The multi-disciplinary team in mental health." In Psychiatric Nursing, 32–37. London: Macmillan Education UK, 1987. http://dx.doi.org/10.1007/978-1-349-09408-0_5.

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Maidment, Anne. "User Perspective — The Good Psychiatric Nurse." In Mental Health Nursing, 46–55. London: Macmillan Education UK, 2004. http://dx.doi.org/10.1007/978-1-4039-9756-2_4.

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Davis, B. D. "Research and psychiatric nursing." In Psychiatric and Mental Health Nursing, 434–67. Boston, MA: Springer US, 1990. http://dx.doi.org/10.1007/978-1-4899-3011-8_21.

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Mendagudli, Veerabhadrappa, and Viresh Mahajani. "Mental Health Nursing or Psychiatric Nursing." In Book: Best Before Exams—A Quick Review for Competitive Exams for Nursing Officers, 418. Jaypee Brothers Medical Publishers (P) Ltd., 2018. http://dx.doi.org/10.5005/jp/books/14187_10.

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Ernst, E. J., and Jennifer Spies. "Psychiatric Case Management." In Psychiatric-Mental Health Nursing. New York, NY: Springer Publishing Company, 2016. http://dx.doi.org/10.1891/9780826131294.0007.

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Jabar, Jeneesh. "Psychiatric Nursing Management." In Mental Health Nursing for RGNM Students, 38. Jaypee Brothers Medical Publishers (P) Ltd., 2012. http://dx.doi.org/10.5005/jp/books/11677_5.

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Basavanthappa, BT. "Nursing Process Applications in Psychiatric Mental Health Nursing." In Psychiatric Mental Health Nursing, 207. Jaypee Brothers Medical Publishers (P) Ltd., 2007. http://dx.doi.org/10.5005/jp/books/10682_7.

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Chambers, Mary, and Sarah Markham. "Nursing metrics and mental health nursing." In Psychiatric and mental health nursing, 799–806. Routledge, 2017. http://dx.doi.org/10.1201/9781315381879-71.

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Currid, Thomas J., and Carl Chandra. "Mental health promotion." In Psychiatric and mental health nursing, 787–98. Routledge, 2017. http://dx.doi.org/10.1201/9781315381879-70.

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Raj, D. Elakkuvana. "Historical Development of Psychiatry and Psychiatric Nursing." In Textbook of Mental Health Nursing, 21. Jaypee Brothers Medical Publishers (P) Ltd., 2011. http://dx.doi.org/10.5005/jp/books/11522_3.

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Conference papers on the topic "Nursing of Psychiatric and Mental Health"

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Aini, Khusnul, and Mariyati Mariyati. "Psychiatric Intensive Care Unit Nurse Experience in Providing Nursing Care to Mental Patients with Suicide Risk at A Psychiatric Hospital, Central Java." In The 5th Intenational Conference on Public Health 2019. Masters Program in Public Health, Universitas Sebelas Maret, 2019. http://dx.doi.org/10.26911/theicph.2019.01.56.

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Banjar, Hatim Abdulaziz. "Mental Health Nursing Quality Guide lines (An introduction)." In Annual Worldwide Nursing Conference. Global Science & Technology Forum (GSTF), 2014. http://dx.doi.org/10.5176/2315-4330_wnc14.13.

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Marthoenis. "Cultural Background, Social Support and Mental Health of College Students." In Aceh International Nursing Conference. SCITEPRESS - Science and Technology Publications, 2018. http://dx.doi.org/10.5220/0008396702210227.

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Han, Joo Hee, and Eun Kwang Yoo. "A Study on Job Stress and Mental Health of Caregiver's." In Healthcare and Nursing 2016. Science & Engineering Research Support soCiety, 2016. http://dx.doi.org/10.14257/astl.2016.128.44.

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Jafarizadeh, Raana, Bahman Aghaie, Mehrdad Azarbarzin, and Narges Sadeghi. "Relationship between dysfunctional attitudes and mental health in psychiatric nurses." In Journal of Human Sport and Exercise - 2020 - Winter Conferences of Sports Science. Universidad de Alicante, 2020. http://dx.doi.org/10.14198/jhse.2020.15.proc2.34.

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Alicia Georges, Catherine, and Kermit G. Payne. "Minding the Gap: Eliminating Mental Health Disparities in African American Communities." In Annual Worldwide Nursing Conference. Global Science & Technology Forum (GSTF), 2014. http://dx.doi.org/10.5176/2315-4330_wnc14.60.

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Banjar, Hatim Abdulaziz. "Patient safety and risk management in mental health." In 1st Annual Worldwide Nursing Conference (WNC 2013). Global Science and Technology Forum Pte Ltd, 2013. http://dx.doi.org/10.5176/2315-4330_wnc13.11.

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Huiting, Xie. "Supporting Mental Health Recovery with Strengths-based Approach." In 1st Annual Worldwide Nursing Conference (WNC 2013). Global Science and Technology Forum Pte Ltd, 2013. http://dx.doi.org/10.5176/2315-4330_wnc13.21.

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Saithanu, Kesorn, Somchit Luprasong, and Sanguan Thanee. "Using the Objective Structured Clinical Examination for Evaluation Nursing Students’ Performances in Psychiatric Nursing Practicum." In Proceedings of the Third International Conference on Sustainable Innovation 2019 – Health Science and Nursing (IcoSIHSN 2019). Paris, France: Atlantis Press, 2019. http://dx.doi.org/10.2991/icosihsn-19.2019.34.

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Wallace, Elizabeth. "A Model worth Sharing: A Community Mental Health Clinic with an award winning integrated Physical Health Program." In Annual Worldwide Nursing Conference. Global Science & Technology Forum (GSTF), 2015. http://dx.doi.org/10.5176/2315-4330_wnc15.45.

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Reports on the topic "Nursing of Psychiatric and Mental Health"

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Carr, Nigel, Dennis Nagle, and Jared Taylor. Feasibility Analysis of Adopting Medicare's Mental Health Prospective Payment System for Tricare Beneficiaries Treated in Inpatient Psychiatric Facilities. Fort Belvoir, VA: Defense Technical Information Center, December 2005. http://dx.doi.org/10.21236/ada443277.

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Polusny, Melissa A., Christopher Erbes, Paul Arbisi, and Madhavi K. Reddy. Longitudinal Risk and Resilience Factors Predicting Psychiatric Disruption, Mental Health Service Utilization & Military Retention in OIF National Guard Troops. Fort Belvoir, VA: Defense Technical Information Center, April 2008. http://dx.doi.org/10.21236/ada484446.

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Polusny, Melissa A. Longitudinal Risk and Resilience Factors Predicting Psychiatric Disruption, Mental Health Service Utilization & Military Retention in OIF National Guard Troops. Fort Belvoir, VA: Defense Technical Information Center, April 2010. http://dx.doi.org/10.21236/ada529471.

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Madu, Laura, Jacqueline Sharp, and Bobby Bellflower. Efficacy of Integrating CBT for Mental Health Care into Substance Abuse Treatment in Patients with Comorbid Disorders of Substance Abuse and Mental Illness. University of Tennessee Health Science Center, April 2021. http://dx.doi.org/10.21007/con.dnp.2021.0004.

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Abstract: Multiple studies have found that psychiatric disorders, like mood disorders and substance use disorders, are highly comorbid among adults with either disorder. Integrated treatment refers to the treatment of two or more conditions and the use of multiple therapies such as the combination of psychotherapy and pharmacotherapy. Integrated therapy for comorbidity per numerous studies has consistently been superior to the treatment of individual disorders separately. The purpose of this QI project was to identify the effectiveness of Cognitive Behavioral Therapy (CBT) instead of current treatment as usual for treating Substance Use Disorder (SUD) or mental health diagnosis independently. It is a retrospective chart review. The review examines CBT's efficacy for engaging individuals with co-occurring mood and substance u se disorders in treatment by enhancing adherence and preventing disengagement and relapse. Methods: Forty adults aged 26-55 with a DSM-IV diagnosis of a mood disorder of Major Depressive Disorder and/or anxiety and concurrent substance use disorder (at least weekly use in the past month). Participants received 12 sessions of individual integrated CBT treatment delivered with case management over a 12-week period. Results: The intervention was associated with significant improvements in mood disorder, substance use, and coping skills at 4, 8, and 12 weeks post-treatment. Conclusions: These results provide some evidence for the effectiveness of the integrated CBT intervention in individuals with co-occurring disorders. Of note, all psychotherapies are efficacious; however, it would be more advantageous to develop a standardized CBT that identifies variables that facilitate treatment outcomes specifically to comorbid disorders of substance use and mood disorders. It is concluded that there is potentially more to be gained from further studies using randomized controlled designs to determine its efficacy.

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Rancans, Elmars, Jelena Vrublevska, Ilana Aleskere, Baiba Rezgale, and Anna Sibalova. Mental health and associated factors in the general population of Latvia during the COVID-19 pandemic. Rīga Stradiņš University, February 2021. http://dx.doi.org/10.25143/fk2/0mqsi9.

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Description The goal of the study was to assess mental health, socio-psychological and behavioural aspects in the representative sample of Latvian general population in online survey, and to identify vulnerable groups during COVID-19 pandemic and develop future recommendations. The study was carried out from 6 to 27 July 2020 and was attributable to the period of emergency state from 11 March to 10 June 2020. The protocol included demographic data and also data pertaining to general health, previous self-reported psychiatric history, symptoms of anxiety, clinically significant depression and suicidality, as well as a quality of sleep, sex, family relationships, finance, eating and exercising and religion/spirituality, and their changes during the pandemic. The Center for Epidemiologic Studies Depression scale was used to determine the presence of distress or depression, the Risk Assessment of Suicidality Scale was used to assess suicidal behaviour, current symptoms of anxiety were assessed by the State-Trait Anxiety Inventory form Y. (2021-02-04) Subject Medicine, Health and Life Sciences Keyword: COVID19, pandemic, depression, anxiety, suicidality, mental health, Latvia

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Viswanathan, Meera, Jennifer Cook Middleton, Alison Stuebe, Nancy Berkman, Alison N. Goulding, Skyler McLaurin-Jiang, Andrea B. Dotson, et al. Maternal, Fetal, and Child Outcomes of Mental Health Treatments in Women: A Systematic Review of Perinatal Pharmacologic Interventions. Agency for Healthcare Research and Quality (AHRQ), April 2021. http://dx.doi.org/10.23970/ahrqepccer236.

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Background. Untreated maternal mental health disorders can have devastating sequelae for the mother and child. For women who are currently or planning to become pregnant or are breastfeeding, a critical question is whether the benefits of treating psychiatric illness with pharmacologic interventions outweigh the harms for mother and child. Methods. We conducted a systematic review to assess the benefits and harms of pharmacologic interventions compared with placebo, no treatment, or other pharmacologic interventions for pregnant and postpartum women with mental health disorders. We searched four databases and other sources for evidence available from inception through June 5, 2020 and surveilled the literature through March 2, 2021; dually screened the results; and analyzed eligible studies. We included studies of pregnant, postpartum, or reproductive-age women with a new or preexisting diagnosis of a mental health disorder treated with pharmacotherapy; we excluded psychotherapy. Eligible comparators included women with the disorder but no pharmacotherapy or women who discontinued the pharmacotherapy before pregnancy. Results. A total of 164 studies (168 articles) met eligibility criteria. Brexanolone for depression onset in the third trimester or in the postpartum period probably improves depressive symptoms at 30 days (least square mean difference in the Hamilton Rating Scale for Depression, -2.6; p=0.02; N=209) when compared with placebo. Sertraline for postpartum depression may improve response (calculated relative risk [RR], 2.24; 95% confidence interval [CI], 0.95 to 5.24; N=36), remission (calculated RR, 2.51; 95% CI, 0.94 to 6.70; N=36), and depressive symptoms (p-values ranging from 0.01 to 0.05) when compared with placebo. Discontinuing use of mood stabilizers during pregnancy may increase recurrence (adjusted hazard ratio [AHR], 2.2; 95% CI, 1.2 to 4.2; N=89) and reduce time to recurrence of mood disorders (2 vs. 28 weeks, AHR, 12.1; 95% CI, 1.6 to 91; N=26) for bipolar disorder when compared with continued use. Brexanolone for depression onset in the third trimester or in the postpartum period may increase the risk of sedation or somnolence, leading to dose interruption or reduction when compared with placebo (5% vs. 0%). More than 95 percent of studies reporting on harms were observational in design and unable to fully account for confounding. These studies suggested some associations between benzodiazepine exposure before conception and ectopic pregnancy; between specific antidepressants during pregnancy and adverse maternal outcomes such as postpartum hemorrhage, preeclampsia, and spontaneous abortion, and child outcomes such as respiratory issues, low Apgar scores, persistent pulmonary hypertension of the newborn, depression in children, and autism spectrum disorder; between quetiapine or olanzapine and gestational diabetes; and between benzodiazepine and neonatal intensive care admissions. Causality cannot be inferred from these studies. We found insufficient evidence on benefits and harms from comparative effectiveness studies, with one exception: one study suggested a higher risk of overall congenital anomalies (adjusted RR [ARR], 1.85; 95% CI, 1.23 to 2.78; N=2,608) and cardiac anomalies (ARR, 2.25; 95% CI, 1.17 to 4.34; N=2,608) for lithium compared with lamotrigine during first- trimester exposure. Conclusions. Few studies have been conducted in pregnant and postpartum women on the benefits of pharmacotherapy; many studies report on harms but are of low quality. The limited evidence available is consistent with some benefit, and some studies suggested increased adverse events. However, because these studies could not rule out underlying disease severity as the cause of the association, the causal link between the exposure and adverse events is unclear. Patients and clinicians need to make an informed, collaborative decision on treatment choices.

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Saavedra, Lissette M., Antonio A. Morgan-Lopez, Anna C. Yaros, Alex Buben, and James V. Trudeau. Provider Resistance to Evidence-Based Practice in Schools: Why It Happens and How to Plan for It in Evaluations. RTI Press, May 2019. http://dx.doi.org/10.3768/rtipress.2019.rb.0020.1905.

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Evidence-based practice is often encouraged in most service delivery settings, yet a substantial body of research indicates that service providers often show resistance or limited adherence to such practices. Resistance to the uptake of evidence-based treatments and programs is well-documented in several fields, including nursing, dentistry, counseling, and other mental health services. This research brief discusses the reasons behind provider resistance, with a contextual focus on mental health service provision in school settings. Recommendations are to attend to resistance in the preplanning proposal stage, during early implementation training stages, and in cases in which insufficient adherence or low fidelity related to resistance leads to implementation failure. Directions for future research include not only attending to resistance but also moving toward client-centered approaches grounded in the evidence base.

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Leavy, Michelle B., Danielle Cooke, Sarah Hajjar, Erik Bikelman, Bailey Egan, Diana Clarke, Debbie Gibson, Barbara Casanova, and Richard Gliklich. Outcome Measure Harmonization and Data Infrastructure for Patient-Centered Outcomes Research in Depression: Report on Registry Configuration. Agency for Healthcare Research and Quality (AHRQ), November 2020. http://dx.doi.org/10.23970/ahrqepcregistryoutcome.

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Background: Major depressive disorder is a common mental disorder. Many pressing questions regarding depression treatment and outcomes exist, and new, efficient research approaches are necessary to address them. The primary objective of this project is to demonstrate the feasibility and value of capturing the harmonized depression outcome measures in the clinical workflow and submitting these data to different registries. Secondary objectives include demonstrating the feasibility of using these data for patient-centered outcomes research and developing a toolkit to support registries interested in sharing data with external researchers. Methods: The harmonized outcome measures for depression were developed through a multi-stakeholder, consensus-based process supported by AHRQ. For this implementation effort, the PRIME Registry, sponsored by the American Board of Family Medicine, and PsychPRO, sponsored by the American Psychiatric Association, each recruited 10 pilot sites from existing registry sites, added the harmonized measures to the registry platform, and submitted the project for institutional review board review Results: The process of preparing each registry to calculate the harmonized measures produced three major findings. First, some clarifications were necessary to make the harmonized definitions operational. Second, some data necessary for the measures are not routinely captured in structured form (e.g., PHQ-9 item 9, adverse events, suicide ideation and behavior, and mortality data). Finally, capture of the PHQ-9 requires operational and technical modifications. The next phase of this project will focus collection of the baseline and follow-up PHQ-9s, as well as other supporting clinical documentation. In parallel to the data collection process, the project team will examine the feasibility of using natural language processing to extract information on PHQ-9 scores, adverse events, and suicidal behaviors from unstructured data. Conclusion: This pilot project represents the first practical implementation of the harmonized outcome measures for depression. Initial results indicate that it is feasible to calculate the measures within the two patient registries, although some challenges were encountered related to the harmonized definition specifications, the availability of the necessary data, and the clinical workflow for collecting the PHQ-9. The ongoing data collection period, combined with an evaluation of the utility of natural language processing for these measures, will produce more information about the practical challenges, value, and burden of using the harmonized measures in the primary care and mental health setting. These findings will be useful to inform future implementations of the harmonized depression outcome measures.

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Schnabel, Filipina, and Danielle Aldridge. Effectiveness of EHR-Depression Screening Among Adult Diabetics in an Urban Primary Care Clinic. University of Tennessee Health Science Center, April 2021. http://dx.doi.org/10.21007/con.dnp.2021.0003.

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Background Diabetes mellitus (DM) and depression are important comorbid conditions that can lead to more serious health outcomes. The American Diabetes Association (ADA) supports routine screening for depression as part of standard diabetes management. The PHQ2 and PHQ9 questionnaires are good diagnostic screening tools used for major depressive disorders in Type 2 diabetes mellitus (DM2). This quality improvement study aims to compare the rate of depression screening, treatment, and referral to behavioral health in adult patients with DM2 pre and post-integration of depression screening tools into the electronic health record (EHR). Methods We conducted a retrospective chart review on patients aged 18 years and above with a diagnosis of DM2 and no initial diagnosis of depression or other mental illnesses. Chart reviews included those from 2018 or prior for before integration data and 2020 to present for after integration. Sixty subjects were randomly selected from a pool of 33,695 patients in the clinic with DM2 from the year 2013-2021. Thirty of the patients were prior to the integration of depression screening tools PHQ2 and PHQ9 into the EHR, while the other half were post-integration. The study population ranged from 18-83 years old. Results All subjects (100%) were screened using PHQ2 before integration and after integration. Twenty percent of patients screened had a positive PHQ2 among subjects before integration, while 10% had a positive PHQ2 after integration. Twenty percent of patients were screened with a PHQ9 pre-integration which accounted for 100% of those subjects with a positive PHQ2. However, of the 10% of patients with a positive PHQ2 post-integration, only 6.7 % of subjects were screened, which means not all patients with a positive PHQ2 were adequately screened post-integration. Interestingly, 10% of patients were treated with antidepressants before integration, while none were treated with medications in the post-integration group. There were no referrals made to the behavior team in either group. Conclusion There is no difference between the prevalence of depression screening before or after integration of depression screening tools in the EHR. The study noted that there is a decrease in the treatment using antidepressants after integration. However, other undetermined conditions could have influenced this. Furthermore, not all patients with positive PHQ2 in the after-integration group were screened with PHQ9. The authors are unsure if the integration of the depression screens influenced this change. In both groups, there is no difference between referrals to the behavior team. Implications to Nursing Practice This quality improvement study shows that providers are good at screening their DM2 patients for depression whether the screening tools were incorporated in the EHR or not. However, future studies regarding providers, support staff, and patient convenience relating to accessibility and availability of the tool should be made. Additional issues to consider are documentation reliability, hours of work to scan documents in the chart, risk of documentation getting lost, and the use of paper that requires shredding to comply with privacy.

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Mood Disorders and ASD: What not to miss. ACAMH, March 2021. http://dx.doi.org/10.13056/acamh.15119.

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The autism community identified mental health as their top research priority in 2016.¹ Autistic children and adolescents are more likely than their general population counterparts to have psychiatric disorders.² For bipolar disorder, rates of 7% are seen in autistic children and adolescents versus 1% in their general population peers.

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