Abstract:
:This article describes a novel inter-professional curriculum designed to address the needs of homeless patients in a Midwestern region of the United States which has high rates of poverty. The curriculum is intended for healthcare trainees coming from undergraduate pre-medical programs, nursing, pharmacy, social work, clinical psychology, medical school and post-graduate medical training in family medicine, medicine-pediatrics, and psychiatry. The clinical component is specifically designed to reach destitute patients and the curriculum is structured to reverse commonly held myths about homelessness among the trainees, thereby improving their Homelessness Information Quotient, the ability to more fully understand homelessness. Participants across all disciplines and specialties have shown greater empathy and helper behavior as determined by qualitative measures. Learners have also developed a greater understanding of health-care systems allowing them to more consistently address social determinants of health identified by the authors as their Disparity Information Quotient. This article outlines the process of initiating a homeless service program, a curriculum for addressing common myths about homelessness and the effective use of narrative methods, relational connections, and reflective practice to enable trainees to process their experience and decrease burnout by focusing on the value of altruism and finding meaning in their work.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Chrisman-Khawam L,Abdullah N,Dhoopar Adoi
10.1177/0091217417730288subject
Has Abstractpub_date
2017-05-01 00:00:00pages
245-254issue
3eissn
0091-2174issn
1541-3527journal_volume
52pub_type
杂志文章abstract::Noncompliance in the taking of medication for a chronic disorder was related to emotional adjustment, psychosocial adjustment, ability to assume responsibility in life generally, and financial factors. Of 282 adults with epilepsy, eighty were identified by physicians' ratings as definitely compliant and forty-two as n...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/4ny4-3p1r-e2r9-mhcy
更新日期:1987-01-01 00:00:00
abstract:OBJECTIVE:The article seeks to provide an international perspective on the facilitating role of health services research in the treatment of psychiatric disorders in primary care. It builds on Goldberg and Huxley's model describing pathways to mental care for the psychiatrically ill in the community. METHOD:Seventy st...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/YLPG-RV5E-MCPW-FKTM
更新日期:1997-01-01 00:00:00
abstract::Patients who have both medical and psychiatric illnesses often present very difficult diagnostic and treatment problems. Cross referrals by the two or more specialties necessarily involved in their management are often perceived by these patients as rejection and not only may induce in them feelings of frustration, he...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/56ry-mccb-p7my-9mn3
更新日期:1977-01-01 00:00:00
abstract::Clonazepam, a unique benzodiazepine with anticonvulsant and serotonin enhancing capacity, can be used in conjunction with conventional psychopharmacologic agents to treat a variety of psychiatric conditions including schizophrenia, borderline personality disorder, and psychotic mania. Three representative case studies...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/6dk0-tpwy-mcdj-ddf9
更新日期:1985-01-01 00:00:00
abstract:OBJECTIVES:To examine the association between ethnicity, depression, quality of life, and diabetic control in Malaysian adolescents and young adults with type I diabetes mellitus. METHODS:Fifty-two outpatients with type I diabetes (mean age 15.5 years) who attended a Diabetes Clinic were included. The level of HbA1c w...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/EQ71-RMWV-6CEJ-1DGM
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVE:Although generalized social anxiety disorder (gSAD) is more prevalent in women, the role of female reproductive hormones in gSAD has never been investigated. Therefore, our aim was to make a first inventory of the influence of female reproductive hormones on gSAD symptoms. METHOD:Female patients with gSAD wh...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.39.3.e
更新日期:2009-01-01 00:00:00
abstract:INTRODUCTION:In patients with acute physical illness, symptoms used in the diagnosis of major depression such as sleep or appetite disturbance may be nonspecific for depression. This study was undertaken to examine the association of depressed mood with other depressive symptoms to determine which symptoms were most us...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/BWJA-KQP3-7VUY-D06T
更新日期:1997-01-01 00:00:00
abstract:OBJECTIVE:To seek possible relationships between psychological factors and survival after an intensive medical therapy, using bone marrow transplantation as a model. METHOD:Candidates for bone marrow transplantation underwent two to three psychodynamically-oriented psychiatric interviews that explored family functioni...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/1C24-H366-CGC9-V1PW
更新日期:1999-01-01 00:00:00
abstract::In August 2016, U.S. Surgeon General Vivek Murthy, MD, MBA, issued a letter to healthcare providers requesting aid in addressing "an urgent health crisis facing America: the opioid epidemic." In this article, we address some of the more poignant challenges that surface in treating patients with opiate addiction. We pr...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217417720897
更新日期:2017-03-01 00:00:00
abstract::This article challenges the belief that depression and anxiety are the inevitable consequences of medical illness. The authors describe how cognitive behavioral therapy can help individuals accept their disabilities and modify the distorted thinking patterns which may compound their suffering. Three case studies demon...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/aabl-pqm5-jyq9-uu9e
更新日期:1989-01-01 00:00:00
abstract::Approaching individuals in the emergency situation presenting with medical illness and depression requires an understanding of psychologic, biologic, social, and existential factors that converge to create alterations in mood, thought, and behavior. Clinicians must understand how these same factors may be used in mana...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/p2by-l94j-99p1-xaen
更新日期:1987-01-01 00:00:00
abstract:OBJECTIVES:The purpose was to: 1) determine which aspects of religious belief incompatibility were associated with husband-to-wife abuse; 2) determine whether religious coping was independently associated with functional status among victims of spousal abuse; and 3) whether degree of abuse correlated with degrees of re...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/G674-15N5-4626-W138
更新日期:2007-01-01 00:00:00
abstract::We present the case of a thirty-eight-year-old woman who developed a febrile illness which was associated with a rise of blood lithium and amitriptyline, and subsequently suffered permanent neurological impairment, implicating CNS dysfunction at several levels. Medical, laboratory, radiological and neuropsychological ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/t774-au51-l92t-2ra2
更新日期:1986-01-01 00:00:00
abstract::Sixty right-handed adult subjects, divided equally into three groups (mildly depressed, normal, and "low normal") on the basis of the Zung self-Rating Depression Scale, were exposed for forty seconds each to forty-eight imagery items designed to reflect happy, sad, angry, and fearful situations. Expressed emotion (fac...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/h3ax-k9nm-q2xl-6gr3
更新日期:1982-01-01 00:00:00
abstract:AIMS:A modified version of the Mental Adjustment to Cancer Scale (The Mental Adjustment to HIV Scale--MAHIVS) was used to evaluate patterns of psychological adjustment in response to HIV infection. METHODS:A sample of 164 HIV positive homosexual/bisexual men were recruited across three Australian centers (79 asymptoma...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/FK4E-B9VJ-K4UG-0H0R
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVE:Depression and co-morbid substance abuse disorders are a major public health problem. Information is limited for patients attending Polish primary care clinics. This article addresses 30-day and lifetime prevalence of major depression in a heavy drinking population from 12 Polish primary care clinics. METHOD...
journal_title:International journal of psychiatry in medicine
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.2190/A736-FBBC-RBKC-Q0YM
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this review, which also includes the report of a new case, is to discuss the pervasive denial of responsibility among individuals who have engaged in Munchausen syndrome by proxy (MSBP) behavior. In MSBP, a caretaker (almost always the mother) fabricates or induces illness in her child; she the...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/1B42-9RD9-H1PE-7UVF
更新日期:1994-01-01 00:00:00
abstract:OBJECTIVE:Psychosocial associations have been observed with level of cervical dysplasia or "pre-cancer" and invasive cervical cancer [related to human papillomavirus (HPV) infection]. Psychoneuroimmunological relationships have been observed in human immunodeficiency virus type 1 (HIV-1) infection, which is being descr...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/F8F0-4UK8-XV79-EC6G
更新日期:1993-01-01 00:00:00
abstract:OBJECTIVE:Religious and spiritual factors in intimate partner violence have received increasing attention. But are such factors related to outcomes in violent relationships? The purpose of this study was to assess the relative impact of spiritual symptoms and religious coping on attitudinal/behavioral and clinical outc...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217415589297
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Autism spectrum disorder is a heterogenous neurodevelopmental condition accompanied by a variety of associated features. Case reports suggest one such associated feature, food selectivity, increases risk for nutritional deficiencies; however, little attention has been given to prevent and treat nutritional d...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217418791443
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:To report the results from a retrospective chart review looking at the combination of linezolid and serotonergic antidepressants and to report two cases of serotonin syndrome which were identified at our hospital. CASE SUMMARY:During the retrospective chart review one case of serotonin syndrome was identifie...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.38.1.h
更新日期:2008-01-01 00:00:00
abstract::Integrating behavioral health into primary healthcare offers multiple advantages for patients and health professionals. This model requires a new skill set for all healthcare professionals that is not emphasized in current educational models. The new skills include interprofessional team-based care competencies and ex...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.45.4.g
更新日期:2013-01-01 00:00:00
abstract::Forgiveness as a procedure has been gaining prominence. The objective of this article is to provide the basics of forgiveness as an intervention so primary care clinicians can facilitate its use. These clinicians include but are not limited to physicians, nurses, medical assistants, pharmacy professionals, physical th...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217419885468
更新日期:2020-03-01 00:00:00
abstract::Acquired immune deficiency syndrome (AIDS) has become a major public health problem with over 12,000 cases and 6,000 deaths reported to date. Although there has been an explosion of knowledge in the virology, immunology and pathology of AIDS, relatively little has been written on the neuropsychiatric aspects. This rep...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/nucl-gpka-gt8w-5grt
更新日期:1986-01-01 00:00:00
abstract::A study of patterns of communications in families with a terminal cancer patient being treated at three urban institutions revealed that may first-order relatives (spouses, children, siblings) of patients did not have a communication link to the physician, especially if direct communication was not established at the ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/7vny-wfnu-5510-v8bc
更新日期:1977-01-01 00:00:00
abstract::The epidemiological triad of host, agent and environment used conceptually in infectious disease may serve as a model for psychosomatic disorders, despite the involvement of many more variables. There are major problems with diagnosis and measurement, however, and the term "psychosomatic" has several meanings. The two...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:
更新日期:1975-01-01 00:00:00
abstract:OBJECTIVE:This study developed a Japanese self-rating anxiety scale, the Himorogi Self-rating Anxiety Scale (HSAS), and tested psychometric properties of its use in Japanese psychiatric patients. METHODS:The process of developing the scale consisted of an intensive literature review, assessment of existing instruments...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.41.1.d
更新日期:2011-01-01 00:00:00
abstract::A patient whose clinical presentation met criteria for schizophreniform disorder was ultimately found to have neurosarcoidosis, and the psychiatric symptoms responded to steroid treatment. The ongoing search for organic etiology was prompted by the presence of cognitive decline, perseveration and rare bizarre automati...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/4AHB-AH4N-URK2-T22J
更新日期:1992-01-01 00:00:00
abstract::This article explores the association between normal pressure hydrocephalus and psychiatric symptoms, such as depressed mood, delusions, and hallucinations. We are reporting a case of a 30-year-old female with a history of congenital hydrocephalus, is used to illustrate this association. Such patients may benefit from...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/HQXL-FV6T-03UF-XANH
更新日期:2001-01-01 00:00:00
abstract::Males with anxiety disorders appear to have increased mortality due to circulatory system disease, and Type A behavior is a risk factor for coronary heart disease (CHD). Thus, we determined Type A behavior in anxious patients. Fifty-seven DSM-III defined anxiety disorder patients completed the Jenkins Activity Survey ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/updt-4qcv-fhr3-lud6
更新日期:1986-01-01 00:00:00