Prise en charge des patients schizophrènes par les médecins généralistes français

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ISBN 13 :
Total Pages : 158 pages
Book Rating : 4.:/5 (897 download)

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Book Synopsis Prise en charge des patients schizophrènes par les médecins généralistes français by : Sabine Nizery

Download or read book Prise en charge des patients schizophrènes par les médecins généralistes français written by Sabine Nizery and published by . This book was released on 2014 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt: INTRODUCTION : Avec une prévalence estimée à 1%, la schizophrénie est la psychose chronique la plus fréquente. Son apparition précoce et les troubles qu'elle engendre en font une maladie coûteuse pour la société. Elle est associée à des comorbidités somatiques importantes, expliquant en grande partie la diminution de l’espérance de vie des patients schizophrènes. Les soins en ambulatoire se sont développés pour ces patients dans les dernières années, et les médecins généralistes ont été amenés à les prendre en charge. La baisse programmée du nombre de psychiatres dans les prochaines années laisse présager une prise en charge de plus en plus fréquente de ces patients par les généralistes. Notre objectif était d’étudier les modalités de prise en charge de la schizophrénie par les médecins généralistes français, ainsi que la perception de leur rôle et compétence dans cette prise en charge. METHODES : après étude de la littérature, nous avons élaboré un court questionnaire en ligne. Les médecins ont été recrutés par mail ou par téléphone. RESULTATS : Au total, 266 généralistes ont répondu à notre questionnaire. La répartition du nombre de patients schizophrènes suivis par an était hétérogène : 14% n’en suivaient aucun, 36% en suivaient 1 ou 2 et 50% 3 ou plus. 20% des généralistes interrogés avaient des patients qu’ils suivaient seuls. Environ 95% des généralistes considéraient que c’était à eux de s’occuper de la santé physique des patients schizophrènes et se sentaient compétents dans ce rôle. Les généralistes estimaient être dans leur rôle pour le soutien et l’information de l’entourage. En revanche, ils estimaient que la prise en charge de la santé mentale (gestion des crises, suivi, reconduction du traitement antipsychotique) de ces patients incombait plutôt aux services de psychiatrie. Ce résultat était fortement corrélé à une compétence qu’ils jugeaient faible en la matière. CONCLUSION : Les rôles des généralistes et des psychiatres dans la prise en charge de la schizophrénie sont intriqués compte tenu de l'interaction importante entre psychique et somatique, de l’importance de leur entourage dans la vie de certains patients, mais aussi du refus des soins psychiatriques par beaucoup d’entre eux. Il parait une nouvelle fois essentiel de développer la collaboration entre ces différents acteurs.

Prise en charge du patient schizophrène au cabinet

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ISBN 13 :
Total Pages : 107 pages
Book Rating : 4.:/5 (115 download)

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Book Synopsis Prise en charge du patient schizophrène au cabinet by : Bernadette Drevon

Download or read book Prise en charge du patient schizophrène au cabinet written by Bernadette Drevon and published by . This book was released on 2019 with total page 107 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction La schizophrénie est un trouble mental sévère et chronique qui touche plus de 23 millions de personnes dans le monde et 0,5 à 1% de la population française. L'espérance de vie des patients schizophrènes est réduite de 15 ans par rapport à la population générale, en raison de la surmortalité en particulier par suicides, cancers, maladies cardiovasculaires, pathologies respiratoires et addictions. Le suivi par les médecins généralistes est jugé difficile. Il existe une réticence d'une partie des médecins généralistes (MG) à prendre en charge ces patients, et une difficulté des patients à adhérer aux soins somatiques. Objectif Obtenir un consensus sur les difficultés prioritaires rencontrées par les médecins généralistes dans la pratique du suivi des patients schizophrènes. Méthode Une étude Delphi a été menée auprès de 29 médecins généralistes en France. Les problématiques ont été obtenues à partir d'une revue de la littérature. Au cours des trois tours, les participants ont évalué chaque problématique en fonction de sa pertinence dans leur pratique. Résultats Au terme des trois tours, 9 propositions ont atteint un consensus. Il s'agit de : «Ges-tion des addictions », «Accès à un avis psychiatrique diagnostique et thérapeutique, adressage pour suivi conjoint», «Informations sur l'hospitalisation: entrée, courrier de sortie, projet de suivi», «Contact avec le psychiatre référent : connaissance du psychiatre référent, communi-cation au cours du suivi »,« Prévention somatique »,« Surveillance somatique des traitements antipsychotiques »,« Gestion des urgences psychiatriques »,« Prise en charge sociale »et« Observance médicamenteuse ». Conclusion Cette étude nous a permis d'identifier les difficultés auxquelles sont confrontés les médecins généralistes dans leur suivi des patients schizophrènes. Les neuf problématiques identifiées serviront de support à la recherche de solutions à l'aide d'un groupe nominal pour l'élaboration d'un guide pratique.

Prise en charge d’un patient schizophrène au cabinet

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Prise en charge d’un patient schizophrène au cabinet by : Cindy Richard

Download or read book Prise en charge d’un patient schizophrène au cabinet written by Cindy Richard and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Résumé : Introduction : La schizophrénie est un trouble mental sévère et chronique qui touche plus de 23 millions de personnes dans le monde, 0,5 à 1% de la population. L’espérance de vie des patients est réduite de 15 ans par rapport à la population générale, en raison de la surmortalité en particulier par suicides, cancers, maladies cardiovasculaires, pathologies respiratoires et addictions. Le suivi par les médecins généralistes (MGs) est jugé difficile. Les problématiques rencontrées par les MGs dans le suivi des patients schizophrènes en ambulatoire ont été hiérarchisées par un consensus Delphi, composé de médecins généralistes, préalable. Neuf ont été jugées prioritaires. L’objectif de notre étude est de proposer des solutions à ces problématiques. Méthode : Un groupe nominal en deux séances réunissant 9 à 10 professionnels (MGs, psychiatres, infirmière, travailleuses sociales) expérimentés dans la prise en charge de patients schizophrènes a été organisé afin de trouver des solutions aux problématiques. Six vignettes cliniques illustraient les neuf problématiques. Les solutions proposées aux problématiques ont été exposées, discutées puis votées par ordre d’importance. Résultats : Cinq solutions ont été retenues par problématique. Les autres propositions et les commentaires des experts sont des résultats secondaires. D’une manière générale, les experts attachent beaucoup d’importance aux relations, médecin-malade et interprofessionnelles (travail en réseau). Ils accordent une grande valeur à la construction d’une alliance thérapeutique solide et préfèrent privilégier le choix du patient pour favoriser son implication dans les soins. Conclusion : Cette étude a permis de proposer des solutions concrètes, suggérées par des experts de terrain, aux problématiques rencontrées par les médecins généralistes dans le suivi des patients schizophrènes. Ces solutions seront évaluées lors d’une étude d’intervention et serviront à l’élaboration d’un guide pratique à destination des médecins généralistes.

La place du médecin généraliste dans la prise en charge des patients souffrant de schizophrénie

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Publisher :
ISBN 13 :
Total Pages : 266 pages
Book Rating : 4.:/5 (492 download)

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Book Synopsis La place du médecin généraliste dans la prise en charge des patients souffrant de schizophrénie by : Nathalie Breton

Download or read book La place du médecin généraliste dans la prise en charge des patients souffrant de schizophrénie written by Nathalie Breton and published by . This book was released on 2005 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Les antipsychotiques : Les médicaments psychotropes

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Publisher : Lavoisier
ISBN 13 : 2257705416
Total Pages : 266 pages
Book Rating : 4.2/5 (577 download)

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Book Synopsis Les antipsychotiques : Les médicaments psychotropes by : THOMAS Pierre

Download or read book Les antipsychotiques : Les médicaments psychotropes written by THOMAS Pierre and published by Lavoisier. This book was released on 2013-12-16 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt: Le développement des antipsychotiques a marqué une nouvelle ère thérapeutique après la découverte du premier neuroleptique dans les années 1950. Leur principale indication demeure les symptômes psychotiques, même s’ils offrent également de nouvelles perspectives de traitement pour certains troubles de la personnalité ou du comportement. Cependant, l’image négative qu’ont longtemps eue les neuroleptiques n’est pas totalement effacée, et cet ouvrage a pour but d’apporter toutes les informations nécessaires aux prescripteurs pour rationaliser leur choix thérapeutique et favoriser le meilleur usage possible des antipsychotiques : - les bases fondamentales : pharmacologie, pharmacogénétique, effets métaboliques et cognitifs ; - les aspects cliniques : épisodes aigus de schizophrénie, troubles bipolaires, troubles affectifs non bipolaires, TOC et affections neurologiques, tolérance des antipsychotiques et molécules à action prolongée ; - les spécificités liées aux populations : enfants et adolescents, période périnatale, personnes âgées, situations d’urgence ; - le bon usage et l’éducation thérapeutique du patient. Réunissant une quarantaine de spécialistes reconnus, riche d’une cinquantaine de tableaux et schémas explicatifs et d’un index détaillé, cet ouvrage est la référence indispensable pour tous les praticiens devant prescrire des antipsychotiques.

Managing ADHD in the presence of substance use disorders

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Publisher : Gompel&Svacina
ISBN 13 : 946371023X
Total Pages : 162 pages
Book Rating : 4.4/5 (637 download)

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Book Synopsis Managing ADHD in the presence of substance use disorders by : Frieda Matthys

Download or read book Managing ADHD in the presence of substance use disorders written by Frieda Matthys and published by Gompel&Svacina. This book was released on 2018 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt: ADHD is a highly comorbid disorder in patients with substance use disorders (SUD). This comorbid patient population is, however, often undertreated. Diagnosing ADHD in patients with SUD is not easy due to the large overlap of the ADHD characteristics with symptoms of intoxication and withdrawal. These patients often disappear prematurely from the treatment services, on the one hand because their untreated ADHD symptoms make it more diffi cult to follow the therapy, on the other hand because the treatment programs do not take their limitations into account. Caregivers expressed a great need for concrete tools to work with these patients. Therefore, “Managing ADHD in the presence of substance use disorders” consists of a theoretical and a practical part. The different aspects of the treatment are described from various therapeutic perspectives, and elaborated in ten modules with downloadable worksheets. “This is a practical and insightful book that I highly recommend to both novice and experienced clinicians alike.” Frances R. Levin, MD PhD, Columbia University Medical Center/New York State Psychiatric Institute “For the fi rst time clinical and scientifi c knowledge is summarized and integrated in a handsome format. In addition, this book can be used by clinicians and patients in the context of psychoeducation and as a shared decision making aid.” Wim van den Brink, MD PhD, Professor of Psychiatry and Addiction, Academic Medical Centre, University of Amsterdam

Your Mindful Compass

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ISBN 13 : 9780615928791
Total Pages : 318 pages
Book Rating : 4.9/5 (287 download)

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Book Synopsis Your Mindful Compass by : Andrea Maloney Schara

Download or read book Your Mindful Compass written by Andrea Maloney Schara and published by . This book was released on 2013-12-01 with total page 318 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Your Mindful Compass" takes us behind the emotional curtain to see the mechanisms regulating individuals in social systems. There is great comfort and wisdom in knowing we can increase our awareness to manage the swift and ancient mechanisms of social control. We can gain greater flexibility by seeing how social controls work in systems from ants to humans. To be less controlled by others, we learn how emotional systems influence our relationship-oriented brain. People want to know what goes on in families that give rise to amazing leaders and/or terrorists. For the first time in history we can understand the systems in which we live. The social sciences have been accumulating knowledge since the early fifties as to how we are regulated by others. S. Milgram, S. Ashe, P. Zimbardo and J. Calhoun, detail the vulnerability to being duped and deceived and the difficulty of cooperating when values differ. Murray Bowen, M.D., the first researcher to observe several live-in families, for up to three years, at the National Institute of Mental Health. Describing how family members overly influence one another and distribute stress unevenly, Bowen described both how symptoms and family leaders emerge in highly stressed families. Our brain is not organized to automatically perceive that each family has an emotional system, fine-tuned by evolution and "valuing" its survival as a whole, as much as the survival of any individual. It is easier to see this emotional system function in ants or mice but not in humans. The emotional system is organized to snooker us humans: encouraging us to take sides, run away from others, to pressure others, to get sick, to blame others, and to have great difficulty in seeing our part in problems. It is hard to see that we become anxious, stressed out and even that we are difficult to deal with. But "thinking systems" can open the doors of perception, allowing us to experience the world in a different way. This book offers both coaching ideas and stories from leaders as to strategies to break out from social control by de-triangling, using paradoxes, reversals and other types of interruptions of highly linked emotional processes. Time is needed to think clearly about the automatic nature of the two against one triangle. Time and experience is required as we learn strategies to put two people together and get self outside the control of the system. In addition, it takes time to clarify and define one's principles, to know what "I" will or will not do and to be able to take a stand with others with whom we are very involved. The good news is that systems' thinking is possible for anyone. It is always possible for an individual to understand feelings and to integrate them with their more rational brains. In so doing, an individual increases his or her ability to communicate despite misunderstandings or even rejection from important others. The effort involved in creating your Mindful Compass enables us to perceive the relationship system without experiencing it's threats. The four points on the Mindful Compass are: 1) Action for Self, 2) Resistance to Forward Progress, 3) Knowledge of Social Systems and the 4) The Ability to Stand Alone. Each gives us a view of the process one enters when making an effort to define a self and build an emotional backbone. It is not easy to find our way through the social jungle. The ability to know emotional systems well enough to take a position for self and to become more differentiated is part of the natural way humans cope with pressure. Now people can use available knowledge to build an emotional backbone, by thoughtfully altering their part in the relationship system. No one knows how far one can go by making an effort to be more of a self-defined individual in relationships to others. Through increasing emotional maturity, we can find greater individual freedom at the same time that we increase our ability to cooperate and to be close to others.

Guidelines for the Treatment of Alcohol Problems

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Publisher : Specialty of Addiction Medicine, Faculty of Medicine and Health, The University of Sydney
ISBN 13 : 1742104894
Total Pages : 408 pages
Book Rating : 4.7/5 (421 download)

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Book Synopsis Guidelines for the Treatment of Alcohol Problems by : Paul S. Haber

Download or read book Guidelines for the Treatment of Alcohol Problems written by Paul S. Haber and published by Specialty of Addiction Medicine, Faculty of Medicine and Health, The University of Sydney. This book was released on 2021-04-01 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Australian Guidelines for the Treatment of Alcohol Problems have been periodically developed over the past 25 years. In 1993, the first version of these guidelines, titled: ‘An outline for the management of alcohol problems: Quality assurance in the treatment of drug dependence project’ was published (Mattick & Jarvis 1993). The Australian Government commissioned an update a decade later (Shand et al. 2003) and a further edition in 2009 to integrate the Guidelines with the Australian Guidelines to Reduce Health Risks from Drinking Alcohol (National Health and Medical Research Council, NHMRC 2009; Haber et al., 2009). The present version of the Guidelines was also commissioned by the Commonwealth of Australia to remain current and integrated with the updated NHMRC consumption guidelines (2020). In order to ensure that guidelines remain relevant, the next set of guidelines should be updated in 2025, consistent with NHMRC recommendation that guidelines be updated every five years. These guidelines aim to provide up-to-date, evidence-based information to clinicians on available treatments for people with alcohol problems and are largely directed towards individual clinicians in practice, such as primary care physicians (general practitioners, nursing staff), specialist medical practitioners, psychologists and other counsellors, and other health professionals. Some chapters highlight service or system level issues that impact on clinicians and their patients. These include recommendations concerning Aboriginal and Torres Strait Islander peoples, culturally and linguistically diverse groups, stigma, and discrimination. Elsewhere, organisation capacity is implied, such as medical resources for withdrawal management where recommendations indicate use of medications. As all forms of treatment will not be readily available or suitable for all populations or settings, these guidelines may require interpretation and adaptation.

Teacher Stress Inventory

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Publisher : John Wiley & Sons
ISBN 13 : 9780884221029
Total Pages : 88 pages
Book Rating : 4.2/5 (21 download)

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Book Synopsis Teacher Stress Inventory by : Michael J. Fimian

Download or read book Teacher Stress Inventory written by Michael J. Fimian and published by John Wiley & Sons. This book was released on 1988-01-01 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Cognitive Remediation Therapy for Schizophrenia

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Publisher : Routledge
ISBN 13 : 1135444099
Total Pages : 336 pages
Book Rating : 4.1/5 (354 download)

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Book Synopsis Cognitive Remediation Therapy for Schizophrenia by : Professor Til Wykes

Download or read book Cognitive Remediation Therapy for Schizophrenia written by Professor Til Wykes and published by Routledge. This book was released on 2006-05-02 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: Could CRT provide the first structured method of alleviating cognitive deficits associated with schizophrenia? Cognitive Remediation Therapy for Schizophrenia describes the background and development of this new psychological therapy and demonstrates how it provides the first structured help to overcome the thinking problems associated with schizophrenia. In three sections, the book covers the theoretical and empirical underpinning of cognitive remediation therapy and explores its application. Part I, 'The Development of Therapy', provides the historical context and theoretical background to the therapy and emphasizes the value of rehabilitating cognitive deficits. In Part II, 'Improving Cognitive Processes', the process and effects of changing cognition are examined. Finally, in Part III, 'The Process of Therapy', the authors provide a clinical guide to the delivery of cognitive remediation therapy and use case examples to support its efficacy. This book is the first to describe an individual cognitive remediation therapy programme based on a clear model of the relationship between thinking and behaviour. It will be of both academic and clinical value to all those health professionals and clinical academics who want not only to understand the relationships between thought and action but also to intervene to improve therapy.

Altering Frontiers

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Publisher : John Wiley & Sons
ISBN 13 : 1786307073
Total Pages : 72 pages
Book Rating : 4.7/5 (863 download)

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Book Synopsis Altering Frontiers by : Corinne Grenier

Download or read book Altering Frontiers written by Corinne Grenier and published by John Wiley & Sons. This book was released on 2021-07-21 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: How can healthcare systems be transformed by reimagining their multiple silos to favor processes and practices that are more responsive to local, horizontal initiatives? Altering Frontiers analyzes numerous experiences, using a multidisciplinary approach, paying attention to certain actors, collectives and organizational arrangements. Through this work, levers are identified that promote lasting transformation: recognizing the legitimacy of the practices of many who are often "invisible"; trusting those who know their intervention territory; investing in methodological support; taking advantage of tools and procedures such as instruments for strategic and managerial discussion; and developing the capacity to absorb innovative ideas and experiences that circulate within the environment.

Clinical Pediatric Oncology

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Publisher :
ISBN 13 :
Total Pages : 982 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Clinical Pediatric Oncology by : Wataru Walter Sutow

Download or read book Clinical Pediatric Oncology written by Wataru Walter Sutow and published by . This book was released on 1984 with total page 982 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Patient Engagement

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Publisher : Springer Nature
ISBN 13 : 3030141012
Total Pages : 317 pages
Book Rating : 4.0/5 (31 download)

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Book Synopsis Patient Engagement by : Marie-Pascale Pomey

Download or read book Patient Engagement written by Marie-Pascale Pomey and published by Springer Nature. This book was released on 2019-10-10 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient-oriented approaches to healthcare management have been brought to the fore in recent years, yet this book underlines how even further change is needed in order to fully mobilise the experiential knowledge of patients, and ultimately improve our healthcare systems. With contributions from scholars and patients across the globe, this collection brings together a comprehensive overview of major achievements in patient engagement, analysing political, organizational and clinical contexts. By understanding the concept of care partnership, the authors explore how this patient revolution could transform, improve and innovate the ways in which care services are organized and delivered. Looking closely at the role of new technologies, this timely book will undoubtedly be of use to patients, managers and professionals within the healthcare industry, as well as those researching health policy and organization.

Adverse Syndromes and Psychiatric Drugs

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Publisher : Oxford University Press
ISBN 13 : 0198527489
Total Pages : 334 pages
Book Rating : 4.1/5 (985 download)

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Book Synopsis Adverse Syndromes and Psychiatric Drugs by : Peter Haddad

Download or read book Adverse Syndromes and Psychiatric Drugs written by Peter Haddad and published by Oxford University Press. This book was released on 2004-05-27 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pharmacotherapy is an important part of the treatment of major phychiatric disorders. Although psychiatric drugs can have benefits for patients, adverse syndromes are common, causing distress for patients. This book will help psychiatrists, GPs pharmacists and nurses manage adverse syndromes associated with psychiatric drugs.

Circadian Rhythm Sleep-Wake Disorders

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Publisher : Springer Nature
ISBN 13 : 3030438031
Total Pages : 251 pages
Book Rating : 4.0/5 (34 download)

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Book Synopsis Circadian Rhythm Sleep-Wake Disorders by : R. Robert Auger

Download or read book Circadian Rhythm Sleep-Wake Disorders written by R. Robert Auger and published by Springer Nature. This book was released on 2020-05-26 with total page 251 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book resolves to bridge the communication gap between research and clinical practice for circadian rhythm sleep-wake disorders. Beginning with a scientific background on biological timekeeping, opening chapters describe the crucial nature of maintaining delicate temporal organization of physiological and molecular events within the body. Following this are discussions on circadian physiology and methods of circadian assessments. Subsequent chapters then relay comprehensive information regarding the International Classification of Sleep Disorders-defined circadian rhythm sleep-wake disorders (CRSWDs), specifically discussing etiology and epidemiology, but focusing on evidence-based treatment data. Concluding discussions provide guidance for the application of light therapy and discuss future roles for optimized lighting environments. Nuanced and market-demanded, Circadian Rhythm Sleep-Wake Disorders: An Evidence-Based Guide for Clinicians and Investigators is an invaluable resource for Sleep Medicine clinicians, circadian researchers, and other interested parties.

Cultural Anxieties

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Publisher : Rutgers University Press
ISBN 13 : 0813595398
Total Pages : 241 pages
Book Rating : 4.8/5 (135 download)

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Book Synopsis Cultural Anxieties by : Stéphanie Larchanche

Download or read book Cultural Anxieties written by Stéphanie Larchanche and published by Rutgers University Press. This book was released on 2020-03-13 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cultural Anxieties is a gripping ethnography about Centre Minkowska, a transcultural psychiatry clinic in Paris, France. From her unique position as both observer and staff member, anthropologist Stéphanie Larchanché explores the challenges of providing non-stigmatizing mental healthcare to migrants. In particular, she documents how restrictive immigration policies, limited resources, and social anxieties about the “other” combine to constrain the work of state social and health service providers who refer migrants to the clinic and who tend to frame "migrant suffering" as a problem of integration that requires cultural expertise to address. In this context, Larchanché describes how staff members at Minkowska struggle to promote cultural competence, which offers a culturally and linguistically sensitive approach to care while simultaneously addressing the broader structural factors that impact migrants’ mental health. Ultimately, Larchanché identifies practical routes for improving caregiving practices and promoting hospitality—including professional training, action research, and advocacy.

Students' Mental Health Needs

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Publisher : Jessica Kingsley Publishers
ISBN 13 : 9781853029837
Total Pages : 278 pages
Book Rating : 4.0/5 (298 download)

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Book Synopsis Students' Mental Health Needs by : Nicky Stanley

Download or read book Students' Mental Health Needs written by Nicky Stanley and published by Jessica Kingsley Publishers. This book was released on 2002 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt: Student life is a time of change and adjustment, and their families as well as staff need resources to help them provide support for students experiencing mental health difficulties. This book explores how the needs of students can best be met by student and community mental health services.