1 Interstitial Cystitis Client, CC: Treated With STSH over Skype: From Irvine, CA to Pine Brook, New Jersey, Sidman J* and Roohk V
We report successful treatment of acute interstitial cystitis (IC) with Short-Term Sidman Hypnotherapy (STSH).We previously reported successful long-term treatment of IC using STSH with more than five years permanence based on follow-up interviews with the client
2 Relational Ethics and Nurses-Client Relationship in Nursing Practice: Literature Review, Upasen R*
Background: This review focuses on exploring the concept of the nurse-client relationship as it may be informed by relational ethics. Relational ethics is a new approach to ethical practice in health care and can be a framework for nurses and other health professionals in considering how to help patients and families. Purpose: To review the basic elements of relational ethics prior to summarizing the existing literature related to the nurse-client relationship in psychiatric and mental health settings. Methods: Qualitative studies and other research were identified by using the PubMed, CINAHL, ScienceDirect, Academic search databases, and by hand search in the library. The search limited to the period 2000-2016. The exception to this is the inclusions of some articles that are considered as classic in this area of nurse-client relationship and ethics. Results: 45 studies that met the final inclusion criteria were selected to analyze theme. The argument is then made that relational ethics can inform therapeutic nurse-client relations in important ways and that it constitutes important knowledge for psychiatric and mental health nurses. The existing literature, however, does not identify strategies that support the practice of relational ethics in this way. This article described how relational ethics is a powerful guide to ethical and effective nursing practice. Conclusion and Recommendation: There is a growing need to better understand relational ethics within the nurseclient relationship in order to identify ways to support encountered situations.
3 Organizational Support as Increment in Employee Resilience: A Comparative Study among Public and Private Employees, Haider I1 and Abid M2*
Despite the fact that getting attention in clinical psychology, so far only a few known about the employee resiliency in organizational contexts. This study aimed to investigate the correlational aspects of organizational support and employee resilience. It was also determined the organizational support as predictor of employee resilience. 129 employees were selected through purposive sampling from private and public sectors. Employees were asked to fill two scales perceived organizational support scale and employee resilience scale along with demographic sheet. Results showed positive correlation between the organizational support and employee resilience. Regression analysis revealed that organizational support has impact on employee resilience. Finding depicts the significant differences on organizational support among public and private employees but no differences were founded on employee resilience. Implication were discussed.
4 A Short Review of Factors and Interventions for Reducing Depression, Stoyanova S*
This short review of some factors and interventions for reducing depression is focused on the role of multiple agents and activities in different kinds of relationships and various types of environment. It aims to reveal the complex co-action of such factors, not to point out the primary importance of one or few of them. Some research findings regarding the efficiency of some psychotherapeutic, school, family, community and activity-focused interventions for recovery from depression are described and summarized.
5 Promoting Campus Mental Health Literacy, Nsereko ND* and Basa V
Mental health service provision, service utilization and supervision are hinged on mental health literacy in the effort to promote mental health wellbeing of an individual or a given community
6 Gender Sensitivity, Mental Health Care Provision and Minority Communities in Ireland: A Realist Analysis, Bergin M*, Wells JSG and Owen S
The Irish Government has adopted “Gender Mainstreaming” as a strategy to promote equal opportunities between women and men in its National Development Plan. While current mental health policy addresses the principle of partnership and social inclusiveness as a way forward for mental health service provision, it still does not explicitly deal with the notion of gender and gender sensitivity. For some minority groups a lack of trust is a key issue that affects their uptake and meaningful use of services resulting in inadequate and gender insensitive care provision. Aim: The aim of this paper is to describe and analyse service providers’ views in relation to the gender sensitivity of mental health care provision particularly as it relates to minority (Traveller and gay) communities. Method: A qualitative social realist design was used guided by Layder’s adaptive theory and ontological theory of the social world – ‘social domains theory’. In-depth interviews with twenty eight service providers were conducted within one mental health service in Ireland. Data was analysed using NVivo software. Results: The findings are presented in relation to tolerance and responsiveness of service providers towards the gay and Traveller communities. Service providers suggested that prejudices were held in relation to both indigenous and immigrant minority groups and this impacted upon care provision. Categorical intersectional understandings of gender were used by service providers to describe Travellers. Conclusion: Belonging to a minority group was a potential or actual threat to gender sensitive care and service providers managed such threats within a lay socialisation context. Arguably, a move towards developing gender-sensitive mental health care provision requires greater collaboration, education and understandings in relation to minority groups, their cultural differences and gendered identities.
7 Love, Joy and Delight!, Paul Wilkins*
Your mind and emotion hold the key They’re the things to set you free What ‘er the day What ‘er the night Fulfill yourself with love, joy and delight
8 Quality of Life and Psychological Aspects of Diabetes, Nafiaa H*, Benchikhi L and Ouanass A
Diabetes occupies an important rank among chronic diseases. Its prevalence and severity increase significantly of both somatic and psychic consequences that impairs people’s quality of life. According to the International Diabetes Federation (IDF), in 2035, diabetes will affect 592 million people making it one of the leading causes of disability and death world wide. The prevalence of diabetes will increase then from 8.3% to 10.1% of the global population. The frequent use of insulin injections, the blood sugar control and treatment of hyperglycemia and hypoglycemia are all elements that are part of a diabetic daily life. This affects badly the psychological health. During recent decades, clinicians and researchers have gradually explored the psychological aspects of diabetes. A study in France of a sample of 50 diabetic patients found that 88% of participants reported that their life would be better if they were not diabetic. The items of quality of life most affected are: the overall quality of life, diet, psychological aspect, body image and self-esteem. As for health, diabetics often report physical and mental limitation, loss of energy, reduced social activities and entertainment, a frequency of occurrence of neuropathic pain and therefore an impaired general condition. The counseling can improve diabetic quality of life, treatment compliance, limit the patient’s disability and help maintain its autonomy. The psychological effects can be kind of depression, anxiety, addictive behavior, personality disorders with regression, relationship difficulties and even suicidalideation. Psycho education is the most important step of diabetic patient counseling: explain the disease to the patient’s family, its etiology, development, prognosis, therapeutic principles and possible side effects of treatment. Further more, a device that aims to improve self-esteem, to protect against the effects caused by the illness, and the perception that the subject has need to be developed. These negative effects are expressed in physical forms, physiological, or behavioral, evolving in terms of the degree of acceptance and disease control. This program will prevent and limit the effects of stress experienced daily, and there by improve the quality of life of diabetic patients.
9 Predictive Psychiatric Disorders among Children and Adolescents Attending Pediatric Outpatient Department of a Tertiary Hospital in Dhaka, Mallik CI* and RadwanRB
Introduction: Psychiatric morbidity is now a burning issue in Bangladesh and the children and adolescents of Bangladesh are suffering increasingly. Psychiatric disorders are more common in children with chronic and acute pediatric disorders. Considerable numbers of children attending in pediatric outpatient department suffer from emotional and behavioral disorders. Objectives: The study had been designed to find out the proportion of emotional, conduct, hyperactivity and social difficulties among the children and adolescents attending pediatric outpatient department of a tertiary care hospital. Method: This was a quantitative, cross-sectional and descriptive study and was carried out from May 2016 to June 2016 in pediatric outpatient department of a prime tertiary level hospital of Dhaka, Bangladesh. Purposive and consecutive sampling technique had been used and sample size was 100. Both male and female children aged 4 to 18 years were included. Semi-structured questionnaire containing socio-demographic and other relevant clinical information and validated parent version of Bangla Strength and Difficulties Questionnaire (SDQ) for screening psychopathology had been applied to the consented parents or caregivers of the respondents. Version 15.0 of the SPSS had been used for statistical analysis. Results: Mean age of the subjects was 8.17 years. Majority (80%) of the subjects were 4 to 10 years. The male female ratio was1.3:1. Any form of predictive psychiatric disorder was 12%. Among them 9% was ADHD, 5% Emotional disorder and 5% was of Conduct disorder. Proportion of any predictive psychiatric disorder was significantly higher in adolescents than in children (25% Vs 8.8%). All the categories of psychiatric disorders were also highly prevalent in the adolescents. Overall, 20% of the cases had peer problem and they were significantly present in the cases with predictive psychiatric disorder.
10 The Perfect Storm: Difficulties in the Treatment of Early-Onset Schizophrenia in Transitional Age Youth, Vanessa M Schmidt* and Ravi Shankar
Background: Early-onset schizophrenia (EOS) is defined as schizophrenia symptom onset occurring prior to age 18.However, due to comorbid psychiatric conditions, substance use and the nonspecific nature of early psychosis, there is often a significant delay in accurate diagnosis and treatment. In addition, services available to those within the transitional-age community, defined as youth between the ages of 16-25, are often limited, and the interface between child and adult mental health services poorly defined. This deficit directly affects the establishment of clinical programs designed to provide early intervention for psychotic disorders. Case Presentation: A 17-year old male presented with paranoia, delusional thought content and disorganized behavior. The patient had previously been diagnosed with substance-induced psychosis due to similar presentations in the setting of cannabis use. However, following a 4-month incarceration with no psychiatric care, the patient demonstrated significant decompensation and an increase in duration of psychotic symptoms. Although the patient had previously demonstrated positive response to oral Aripiprazole, and had a well-documented history of medication non-compliance, insurance declined coverage of transition to Abilify Maintena due to patient age. Subsequently, the patient was initiated on oral Haloperidol. Following several episodes of dystonia, Haloperidol was slowly titrated based on response and tolerability, and transitioned to Haloperidol-Decanoate after several weeks. The patient gradually demonstrated clinical improvement in mood, behavior and delusional thought. Outpatient services were limited by current legal status, as the patient had been tried as an adult under state law. Management generally available through Children’s Division and the Juvenile Office were restricted. Following multiple meetings between both inpatient and outpatient providers, the patient was scheduled for Intensive Case Management Services through a local community behavioral health provider and subsequently discharged. Discussion: This case presents the obstacles frequently encountered in the diagnosis, treatment and outpatient management of EOS, specifically those within the transitional age community. Though services remain limited, a growing awareness of this disparity has resulted in the development of multiple early-intervention programs, as well as government-funded research initiatives designed to address the needs specific to this population.
11 Saving the Lost Generation of Syria, Kanawati Y*
The war in Syria has reached intolerable levels of human suffering and despair. Hundreds of thousands of Syrians have been killed, hundreds of thousands have been trapped in besieged areas, and tens of thousands have been tortured. Children living through wars and conflict suffer many consequences including post-traumatic stress symptoms, psychosomatic symptoms, depression, anxiety, disturbed play, and behavioral, emotional, and sleep problems, suicide risk, substance use and physical health risks. This paper sheds some light on the best practices for trauma recovery, including Psychological treatments to Syrian refugees carriedon by SAMS (Syrian American Medical Society).
12 Black Minds Matter Baltimore Rising: Summoning the Village, Shepherd JJ*
Baltimore Rising: Summoning the Village Call to Action Series was conceived and implemented July 2015 through June 2016 as a result of two Calls to Action meetings convened by the Black Mental Health Alliance immediately following the 2015 Baltimore uprisings as a result of the death of Freddie Gray