This commentary on a case considers consequences of a so-called "zero-risk" paradigm now common in psychiatric inpatient decision making. Iatrogenic harms of this approach must be balanced against promoting patients' safety and well-being. This article suggests how to collaboratively assess risk and draw on recovery-oriented goals of care.
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http://dx.doi.org/10.1001/amajethics.2024.212 | DOI Listing |
Psychiatr Serv
January 2025
Westat, Rockville, Maryland (Ghose, Beehler, Crocker, Hoey, Masiakowski, Karakus); National Association of State Mental Health Program Directors Research Institute, Falls Church, Virginia, and Department of Psychiatry, University of Michigan, Ann Arbor (Pinals); Department of Psychiatry, University of Maryland, College Park (Goldman); Center for Mental Health Services (Thomas) and Office of the Assistant Secretary for Mental Health and Substance Use (Patel), Substance Abuse and Mental Health Services Administration (SAMHSA), Rockville, Maryland.
Objective: Youth inpatient and residential treatment psychiatric services are essential components of the continuum of care. Concern has grown about the diminished availability of these services and the increasing need for them. This study aimed to examine the number of youths treated at inpatient and residential psychiatric facilities over a 12-year period and to assess the perceptions of state mental health authorities (SMHAs) about the reasons for changes in availability.
View Article and Find Full Text PDFJ Trauma Dissociation
January 2025
Department of Psychiatry, University of Arkansas Medical Sciences, Little Rock, Arkansas, US.
Purpose: Trauma disorders are prevalent and confer high rates of psychiatric comorbidity and functional impairment. Women are more likely to be affected by trauma disorders; however, rates and symptom burden in women's inpatient psychiatric units remains understudied. We hypothesized the prevalence of probable posttraumatic stress disorder (PTSD) would be higher among women admitted to a women's inpatient unit compared to women in the general population and mixed gender units.
View Article and Find Full Text PDFAlzheimer Dis Assoc Disord
January 2025
Department of Psychiatry, University of Michigan, Ann Arbor, MI.
Objectives: Many individuals with dementia with Lewy bodies (DLB) die of disease-related complications, but predicting the end of life can be challenging. We identified a phenotype associated with approaching end of life.
Methods: We present 4 exemplar cases where individuals with DLB experienced refractory psychosis before death.
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