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Place De Lhospitalisation En Urgence A Ladolescence En Service De Psychiatrie Adulte
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Book Synopsis Place de l'hospitalisation en urgence à l'adolescence en service de psychiatrie adulte by : Clémence Haddad Drai
Download or read book Place de l'hospitalisation en urgence à l'adolescence en service de psychiatrie adulte written by Clémence Haddad Drai and published by . This book was released on 2016 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: L'adolescence est marquée par un bouleversement psychique, identitaire et physique, pouvant être à l'origine d'une angoisse importante, du fait d'une fragilité structurelle. Cette période est aussi caractérisée par l'émergence de pathologies psychiatriques adultes parfois difficilement repérables du fait de l'absence de spécificité des tableaux cliniques mais conduisant à des situations de crise et parfois à des hospitalisations en urgence. Or, les structures spécifiques ne pouvant faire face à l'afflux des demandes, il en revient aux service de psychiatrie adulte de prendre en charge ces adolescents. Qu'apporte alors l'hospitalisation en urgence en service psychiatrique adulte ? Après avoir repris le processus adolescent et les principaux troubles psychiatriques, nous abordons le parcours de soins de l'adolescent en décrivant les différents lieux d'accueil existants pour répondre à la nécessité de prise en charge en urgence. La dernière partie de notre travail reprend les résultats d'une étude rétrospective réalisée sur le secteur adulte 75G13 de l'Hôpital Sainte Anne décrivant les caractéristiques d'une population d'adolescents hospitalisés sur l'année 2015, âgés de 15 ans et demi à 18 ans, adressés par les services d'urgence. Nous discuterons l'intérêt de l'hospitalisation en milieu adulte, souvent préconisée par défaut en l'absence de disponibilité de structures spécifiques en urgence. La mise en place du projet de soins individualisé du jeune, en concertation avec son milieu (familial ou éducatif) apparaît alors essentielle afin de maintenir une continuité de la prise en charge, favoriser la rémission et l'insertion sociale et scolaire ou professionnelle.
Book Synopsis Perspectives historiques de l'adolescence by : Samuel Closon
Download or read book Perspectives historiques de l'adolescence written by Samuel Closon and published by . This book was released on 2005 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Urgence et crise, place de l'hospitalisation en urgence en psychiatrie by : Johann Jourson
Download or read book Urgence et crise, place de l'hospitalisation en urgence en psychiatrie written by Johann Jourson and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte : avec une fréquentation croissante des urgences psychiatriques et une diminution progressive du nombre de lits d'hospitalisation en psychiatrie. Il appartient au psychiatre de faire un choix et de correctement orienter le patient entre une hospitalisation ou un retour à domicile. Hypothèse : les critères d'hospitalisation en urgence en psychiatrie, ne reposent pas uniquement sur la nature et l'intensité des symptômes, mais aussi sur le contexte global et le mode de vie du patient. L'objectif de cette étude était de décrire les principales caractéristiques socio-démographiques associées à une hospitalisation en urgence en psychiatrie. Méthodes : dans une étude menée du 1er Mai au 31 juillet 2018, au sein du Pôle de psychiatrie centre est Vaucluse, les caractéristiques socio-démographiques et le parcours de soins des patients hospitalisés en urgence, ainsi que l'offre de soins ont été relevé. Résultats : les principaux facteurs associés à une hospitalisation en urgence en psychiatrie sont le statut civil, un âge supérieur à 42 ans, l'isolement, l'absence d'activité professionnelle, les antécédents d'hospitalisation psychiatrique et de passage à l'acte, la présence d'un trouble psychiatrique avéré, une demande initiale du patient, l'horaire et la durée de la consultation et le nombre de places disponibles sur l'hôpital. Discussion : ainsi, la décision d'hospitaliser dépend, autant, de la nature des symptômes présentés par le patient et de ses caractéristiques socio-démographiques, que de facteurs imputables au psychiatre examinateur et à l'offre de soins.
Book Synopsis Évaluation quantitative d'un dispositif départemental innovant de prise en charge de la crise psycho-comportementale à l'adolescence by : Raphaël Der Kasbarian
Download or read book Évaluation quantitative d'un dispositif départemental innovant de prise en charge de la crise psycho-comportementale à l'adolescence written by Raphaël Der Kasbarian and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : la crise psycho-comportementale est une modalité fréquente d'expression du mal-être des adolescents. Il est central de déterminer la gravité de cette crise et de mettre en place les modalités de prise en charge adaptées. C'est pourquoi les adolescents doivent avoir accès à un service de consultation spécialisé réactif. Les données actuelles montrent que de nombreux systèmes de santé sont en difficulté face à cette situation et les mesures prises en réponse restent variables et peu consensuelles. Dans un contexte de virage ambulatoire global dans le système de soin, le dispositif départemental réactif pour adolescents (DDRA31) a été mis en place progressivement depuis 2017 en Haute-Garonne. Il a pour vocation de permettre aux adolescents en crise un accès rapide à une consultation spécialisée et un accompagnement de sortie de crise d'une durée inférieure à trois mois. Dans ce contexte, un projet d'évaluation mixte quantitative-qualitative de ce dispositif a été élaboré. Nous en présentons ici la partie quantitative. L'objectif de cette évaluation était de mettre en évidence un effet de la mise en place du dispositif sur les consultations et hospitalisations d'adolescents, pour motif ou diagnostic psychiatrique, aux urgences du CHU de Toulouse. Méthodes : notre étude consistait en une analyse rétrospective selon un schéma d'étude quasi-expérimentale comparant des données avant/après issues des services d'urgences adulte et enfant du CHU de Toulouse. L'extraction des données a permis de caractériser les passages aux urgences des adolescents âgés de 12 à 17 ans révolus, résidant en Haute-Garonne, sur la période allant de 2014 à 2019. Le critère d'évaluation principal analysé était le taux d'incidence annuelle de passage aux urgences pour motif ou diagnostic psychiatrique. Les critères secondaires étaient le taux d'incidence annuelle d'hospitalisation en service psychiatrique et l'étude des motifs, diagnostics, et modes de sortie associés aux passages aux urgences des adolescents. L'analyse était descriptive dans un premier temps puis s'attachait à caractériser l'impact du dispositif étudié par une étude des taux d'incidence annuelle de passage aux urgences et d'hospitalisation ainsi que par une modélisation du risque d'hospitalisation par régression logistique à effets mixtes. Résultats : 6686 passages aux urgences pour motif ou diagnostic psychiatrique, réalisés par 4245 adolescents ont été étudiés entre 2014 et 2019. Le taux d'incidence annuelle de passage aux urgences pour motif ou diagnostic psychiatrique est resté stable au cours de l'étude, passant de 14,0 (IC 95 % : 13,2-14,9) pour cent adolescents, en 2014, à 13,9 (IC 95 % : 13,2-14,7), pour cent adolescents, en 2019. Les filles étaient sur-représentées dans notre échantillon (60,0%), de même que pour les adolescents âgés de 15 à 17 ans (62,7%). L'analyse des taux d'incidence annuelle d'hospitalisation en service psychiatrique après passage aux urgences pour motif ou diagnostic psychiatrique montrait une diminution de ce dernier, à partir de l'année 2017 inclue, passant de 38,3 (IC 95% : 34,1-42,8) pour cent adolescents, en 2014 à 24,2 (IC 95% : 21,2-27,4) pour cent adolescents, en 2019. La modélisation du risque d'hospitalisation en service psychiatrique après passage aux urgences pour motif ou diagnostic psychiatrique a mis en évidence un effet protecteur de l'année à partir de 2017 inclue avec un rapport de côtes passant de 0,63 (IC 95 % : 0,49-0,80), en 2017 à 0,52 (IC 95 % : 0,41-0,67), en 2019. Conclusion : aucun effet du dispositif n'a été mis en évidence sur l'incidence annuelle de passage aux urgences pour motif ou diagnostic psychiatrique, entre 2014 et 2019. En revanche, notre étude a montré un impact possible de l'implantation du DDRA31 sur la réduction de 37 à 48% du risque d'hospitalisation en psychiatrie d'adolescents. Une prolongation de l'étude pourrait être intéressante pour disposer de plus de temps de recul post mise en place du dispositif.
Book Synopsis Accueil des adolescents dans un service de psychiatrie adulte de secteur :intérêts et limites by : Hervé Bardou
Download or read book Accueil des adolescents dans un service de psychiatrie adulte de secteur :intérêts et limites written by Hervé Bardou and published by . This book was released on 2002 with total page 85 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis PASCAL bibliographie internationale by :
Download or read book PASCAL bibliographie internationale written by and published by . This book was released on 1993 with total page 946 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Emergency Psychiatric Care by : H. L. P. Resnik
Download or read book Emergency Psychiatric Care written by H. L. P. Resnik and published by Brady Publishing. This book was released on 1975 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Computers and Games for Mental Health and Well-Being by : Yasser Khazaal
Download or read book Computers and Games for Mental Health and Well-Being written by Yasser Khazaal and published by Frontiers Media SA. This book was released on 2018-07-12 with total page 311 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recent years have seen important developments in the computer and game industry, including the emergence of the concept of serious games. It is hypothesized that tools such as games, virtual reality, or applications for smartphones may foster learning, enhance motivation, promote behavioral change, support psychotherapy, favor empowerment, and improve some cognitive functions. Computers and games may create supports for training or help people with cognitive, emotional, or behavioral change. Games take various formats, from board games to informatics to games with interactive rules of play. Similarly, computer tools may vary widely in format, from self-help or assisted computerized training to virtual reality or applications for smartphones. Some tools that may be helpful for mental health were specifically designed for that goal, whereas others were not. Gamification of computer-related products and games with a numeric format tend to reduce the gap between games and computers tools and increase the conceptual synergy in such fields. Games and computer design share an opportunity for creativity and innovation to help create, specifically design, and assess preventive or therapeutic tools. Computers and games share a design conception that allows innovative approaches to overcome barriers of the real world by creating their own rules. Yet, despite the potential interest in such tools to improve treatment of mental disorders and to help prevent them, the field remains understudied and information is under-disseminated in clinical practice. Some studies have shown, however, that there is potential interest and acceptability of tools that support various vehicles, rationales, objectives, and formats. These tools include traditional games (e.g., chess games), popular electronic games, board games, computer-based interventions specifically designed for psychotherapy or cognitive training, virtual reality, apps for smartphones, and so forth. Computers and games may offer a true opportunity to develop, assess, and disseminate new prevention and treatment tools for mental health and well-being. Currently, there is a strong need for state-of-the-art information to answer questions such as the following: Why develop such tools for mental health and well-being? What are the potential additions to traditional treatments? What are the best strategies or formats to improve the possible impact of these tools? Are such tools useful as a first treatment step? What is the potential of a hybrid model of care that combines traditional approaches with games and/or computers as tools? What games and applications have already been designed and studied? What is the evidence from previous studies? How can such tools be successfully designed for mental health and well-being? What is rewarding or attractive for patients in using such treatments? What are the worldwide developments in the field? Are some protocols under development? What are the barriers and challenges related to such developments? How can these tools be assessed, and how can the way that they work, and for whom, be measured? Are the potential benefits of such products specific, or can these additions be attributed to nonspecific factors? What are the users’ views on such tools? What are the possible links between such tools and social networks? Is there a gap between evidence-based results and market development? Are there any quality challenges? What future developments and studies are needed in the field?
Book Synopsis Le Pacifique Sud by : Frédéric Angleviel
Download or read book Le Pacifique Sud written by Frédéric Angleviel and published by Presses Univ de Bordeaux. This book was released on 1991 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Separating Parents and Adolescents by : Helm Stierlin
Download or read book Separating Parents and Adolescents written by Helm Stierlin and published by . This book was released on 1981 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Motherhood Constellation by : Daniel N. Stern
Download or read book The Motherhood Constellation written by Daniel N. Stern and published by Routledge. This book was released on 2020-06-16 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores the nature of parent-infant psychotherapies, therapies that are a major segment of the rapidly growing, sprawling field of infant mental health. It examines the different elements that make up the parent-infant clinical system.
Download or read book PASCAL explore written by and published by . This book was released on 1987 with total page 1088 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Biosocialities, Genetics and the Social Sciences by : Sahra Gibbon
Download or read book Biosocialities, Genetics and the Social Sciences written by Sahra Gibbon and published by Routledge. This book was released on 2007-07-20 with total page 387 pages. Available in PDF, EPUB and Kindle. Book excerpt: Biosocialities, Genetics and the Social Sciences explores the social, cultural and economic transformations that result from innovations in genomic knowledge and technology. This pioneering collection uses Paul Rabinow’s concept of biosociality to chart the shifts in social relations and ideas about nature, biology and identity brought about by developments in biomedicine. Based on new empirical research, it contains chapters on genomic research into embryonic stem cell therapy, breast cancer, autism, Parkinson’s and IVF treatment, as well as on the expectations and education surrounding genomic research. It covers four main themes: novel modes of identity and identification, such as genetic citizenship the role of institutions, ranging from disease advocacy organizations and voluntary organizations to the state the production of biological knowledge, novel life-forms, and technologies the generation of wealth and commercial interests in biology. Including an afterword by Paul Rabinow and case studies on the UK, US, Canada, Germany, India and Israel, this book is key reading for students and researchers of the new genetics and the social sciences – particularly medical sociologists, medical anthropologists and those involved with science and technology studies.
Book Synopsis Grief in Childhood by : Michelle Y. Pearlman
Download or read book Grief in Childhood written by Michelle Y. Pearlman and published by American Psychological Association (APA). This book was released on 2010 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Children vary in their response to the death of a loved one. Some children develop relatively few symptoms or problems, while others face significant or prolonged symptoms, such as posttraumatic stress disorder or anxiety. Similarly, children vary in their circumstances and preferences. Thus, clinicians who work with bereaved children must customize interventions to meet the specific needs of each individual child. This book presents Integrated Grief Therapy for Children--an evidence-based model for treating bereaved children that draws extensively on cognitive-behavioral, family systems, and narrative approaches to therapy. The model shows clinicians how to assess the needs of bereaved children, treat common distressing symptoms (depression, posttraumatic stress disorder, anxiety, and behavioral problems), and address the grief itself while fostering resilience. Because emotional and behavioral problems following grief are manifested in different ways, the model allows for flexibility based on the age, symptom presentation, and needs of the child. And because the inclusion of a surviving parent or caregiver is critical to working with grieving children, the model involves the parent in the interventions. With a thorough literature review on bereavement in childhood, extensive case examples and dialogues to illustrate therapeutic techniques, and over 20 activity handouts that therapists can photocopy and use in sessions, this book provides everything needed to treat bereaved children"--Publicity materials. (PsycINFO Database Record (c) 2010 APA, all rights reserved).
Book Synopsis The Power of Psychiatry by : Peter Miller (Ph. D.)
Download or read book The Power of Psychiatry written by Peter Miller (Ph. D.) and published by Wiley-Blackwell. This book was released on 1986-01 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Postpartum Depression and Child Development by : Lynne Murray
Download or read book Postpartum Depression and Child Development written by Lynne Murray and published by Guilford Press. This book was released on 1999-07-01 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: One in ten women suffers from an episode of significant depression following the birth of a baby. These depressions can have a profoundly negative effect on the quality of the mother infant relationship and, in turn, on the course of child development itself. The first book in a decade to deal exclusively with the impact of postpartum depression on child development, this groundbreaking volume brings together rigorous and sophisticated research from eighteen of the leading authorities in the field.
Book Synopsis Autism Spectrum Disorder in the Ontario Context by : Kimberly Maich
Download or read book Autism Spectrum Disorder in the Ontario Context written by Kimberly Maich and published by Canadian Scholars’ Press. This book was released on 2016-08-01 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: Autism Spectrum Disorder in the Ontario Context is the first book to offer a thorough introduction to Autism Spectrum Disorder (ASD) in Ontario. Highlighting examples, research, and interventions specific to Ontario, this manual provides an abundance of information in one central location, making it an indispensable tool for any Ontario professional working with individuals with ASD. This comprehensive text begins with a brief history of ASD and an overview of its contemporary understandings, including current diagnostic criteria. Covering a range of evidence-based interventions that have been shown to be effective for individuals with ASD—and supplemented with graphics, checklists, and hands-on strategies for application—this book provides essential information to inform practitioners. The concluding section on ASD across the lifespan explores how these interventions are delivered within agencies throughout Ontario, from preschool through to adulthood, and addresses relevant issues and topics for each age group. Featuring chapter summaries, definitions of key terms, lists of further resources, and reflective questions, this highly accessible and pedagogically rich text is vital reading not only for current and future practitioners, but also for parents of children with ASD.
