bluuebunny/crossref_metadata_2025_split huggingface dataset:
P02-36 - Socio-demographic Characteristic of Addict Treated at the Psychiatric Cilinic
Authors: Petrovic D. 
Published: June 2010

IntroductionThe spread of drug abuse in our country was influenced by many factors, and as the most important are the following social factors caused by changed conditions of life increase in delinquency and deviant behavior, and a new style of life, loss of cultural identity, conflict, feeling of insecurity and helplessness, which can be encouraged and by influential groups in the environment.The aim of1. The aim of this work is an indication of socio-demographic characteristics of addicts in our clinic, and view profiles addicts Šumadija district.Material and methodsWe used the following medical documentation:Øhistory of disease addictsØprotocols examined and treated addicts in this institution from 2002 - 2006. year.ConclusionsFollowing some socio-demographic characteristics of drug addicts treated in our clinic, we came to the profile of addicts Šumadija county:Øthese are the people in the age of 20 - 30 yearsØmaleØfrom the urban environmentØwithout rešenog marital statusØwithout the employment relationshipØhospital treated several times, who because of his behavior asocijalnog came into conflict with the law2. The obtained profile of addicts should provide adequate treatment of this disease and to point out that drug addiction is a medical, but also a sociological problem.3. Only adequate preventive measures such as teaching in elementary and secondary schools, in the form of various discussions, through the media where they would be included all the relative factors (SO, Red Cross, Center for social work, police, judiciary and others) can give results in the fight against this disease.
P02-58 - Sexual Misconduct Induced by Iatrogenic Hyperprolactinaemia
Authors: Nevely A. , Frei A. , Graf M. 
Published: June 2010

BackgroundDrugs which affect the level of dopamine have also an impact on the level of prolactine and hence influence the sexual conduct of patients. Hypersexuality is a well known side effect of the treatment of Parkinson's' disease, whereas hyposexuality is a side effect of the drug-treatment of schizophrenia by classical and some atypical antipsychotics. The novel antipsychotic drug Aripiprazole, however, has a partial dopaminergic effect, causes no hyperprolactinaemia and might alter the sexual conduct of some schizophrenic patients.MethodsThree case reports of patients with iatrogenic forensic-psychiatric relevant hypersexuality.Case 1: Comparatively young Parkinson-Patient with sexual desinhibition, frequent visits in brothels contracting debts and sexual harassment towards women after treatment with Ropinirol.Case 2: Chronic hebephrenic patient with homoerotic paedophilia, who only started molesting boys after changing medication from Olanzapine to Aripiprazole.Case 3: Chronic-paranoid young schizophrenic patient with no criminal record who seriously assaulted a foreign woman short time after changing from Amisulpiride to Aripiprazole.DiscussionHypersexuality as side effect of the treatment of Parkinson's disease is well known, it might be more important an issue, if the patient is young. Hypersexuality as side effect of the treatment with partial dopaminergic drugs should be considered in the drug treatment of schizophrenic patients.
P02-61 - Hospital Order for Mentally Disordered Offenders
Authors: Graipaspong D. 
Published: June 2010

ObjectivesThe purposes of this study were to determine criminal behaviors patterns, clinical diagnosis and to compare clinical features of a new after discharged care program to that of the regular program for the mentally disorders offenders under compulsory treatment order.Materials and methodsThe sample was consisted of 35 mentally disordered offenders sent by the court under a hospital order refer to the section 48 of Criminal Code. They were discharged during 1st October 2001 to 30th September 2007. Data were collected from medical records of Galya Rajanagarindra Institute. Quantitative data were analyzed by using descriptive statistics and Chi-square Test.ResultsMost of the samples, convicted to life and body-harm offenses which were taken places at houses and in the communities. The used weapons were knives. Their motivated to crime were psychosis symptoms with no planning. Most of the victims were acquaintances who had no active participation. Three quarters were diagnosed of schizophrenia. After these patients were discharged to the community, more than half were readmitted but only one was recidivist. Most could access to mental health services regularly. There was not statistical different between clinical features of the new after discharged care program and that of the regular one.ConclusionThe new after discharged care program showed that more than half of cases were readmitted but only one case for recidivist. Most patients could access to mental health services regularly. The new program did not differ from the previous one, therefore, the new program need to be revised.
P02-62 - Autism Spectrum Disorder and Ethnicity in a Forensic Psychiatric Assessment
Authors: Grochowska A. 
Published: June 2010

ObjectivesThere is a growing knowledge about the prevalence and manifestations of autism spectrum disorder (ASD) in adults. However, major diagnostic problems are encountered in a forensic evaluation of persons from different social and cultural backgrounds.At the conclusion of this presentation, the participant should be able to1)apply diagnostic criteria for ASD in a forensic evaluation,2)recognize cultural differences in signs and symptoms presentation,3)apply risk assessment methods in non-native persons diagnosed with ASD.MethodsI performed a MEDLINE search of English-language literature from 1980 to 2009 to identify reports on autism and criminal behaviour in adults with emphasis on the role of ethnicity. Furthermore, I evaluated cultural differences in a series of illustrative vignettes of persons from different social and cultural backgrounds who met diagnostic criteria for ASD in a forensic evaluation.ResultsVery few studies examined whether environmental factors predict later outcomes of ASD. IQ is the strongest predictor of outcome. Psychiatric and somatic comorbidity, and poor accessibility of mental health services are associated with negative outcomes. The lack of empathy is a core symptom that accounts for a higher risk for criminal behaviour. The diagnostic process, as well as risk assessment, in non-native adults with ASD is affected by cultural factors.ConclusionsMore cross-cultural research on ASD is needed to further our understanding of forensic problems related to this disorder during the life course.
P02-65 - Battered Women Who Kill Their Children: the Cycle of Violence
Authors: Kachaeva M. , Dmitrieva T. , Satianova L. , Rusina V. 
Published: June 2010

Infanticide and neonaticide is a worldwide troubling phenomenon as well as in Russia. Researches found out that domestic abuse against women is often one of the main causes of crimes of violence in women.AimsTo find out clinical and social factors contributing to specific female crimes - infanticide and neonaticide.MethodsPsychopathological, psychological, statistical.ResultsA cohort of 16 females who had killed their children was examined. All women were victims of violence by their husbands or partners. Domestic abuse resulted in long-term mental problems of women. Clinical assessment has revealed depression, anxiety, fear, PTSD, alcohol abuse.There were two types of homicides. Women of the first subgroup (9) had committed infanticide and they displayed pathological altruistic motivation of the crime. Women of the second subgroup (7) had committed neonaticide. Alongside with clinical factors neonaticide reflects mostly social factors. Women of the second subgroup were younger and often exposed to psychogenic situations with high level of stress (financial and housing problems, concealment of illegitimate pregnancy, violence of the partner). In accordance with the Criminal Code of Russia the special article (106) governs infanticide and neonaticide. This law takes into account the psychogenic situation which caused the crime (battered women syndrome) and the fact that at the time of child murder the mental state of mother was affected by childbirth.ConclusionIn cases of infanticide and neonaticide the court is free to make verdict more lenient and its reflects more humane approach to such complicate phenomenon as child murder.
P02-66 - General Approach to Forensic Evaluation of Different Forms of Schizotypal Disorders
Authors: Klembovskaya E. 
Published: June 2010

BackgroundSchizotypal disorder comprises a wide spectrum of schizophrenic disorders from personality to sub-psychotic disorders. As a result, psychiatric evaluation of this psychopathology is ambiguous and a challenge to forensic psychiatry.AimsThe aim of study was to define criteria for forensic evaluation of schizotypal disorder according the form of disease by examining 82 patients who committed crimes and who had been diagnosed “schizotypal personality disorder”(12), “schizotypal disorder” (pseudopsychopatic (38), pseudoneurotic (13), schizophrenia with bare symptoms (16), schizophrenic reaction (3)ResultsThere was evidence of different forms of schizotypal disorders related to the degree of responsibility for the crime committed (9 patients with schizotypal personality disorders) compared with (46 patients with mild forms of schizophrenia) considered not responsible. The sample of patients were considered as having diminished responsibility (27 patients with different forms of mild schizophrenia). The criteria for psychiatric evaluation were: intensity of negative symptoms, quasi-psychotic symptoms during period of crime, dynamic aspects of disease, connection between psychopathology and character, motives, causes of crime, level of critical and prognostic abilities, intensity of personality disorders, level of social function and adjustment.ConclusionForensic conclusion depends on the form of schyzotypal disorder. The patients with schizoptypal personality disorder demonstrate integrity of cognitive sphere and singularity of emotions, rather high level of social adjustment. That's why the are mostly considered as responsible. The patients with mild forms of schizophrenia show pathology in sphere of thinking and emotions, social problems, so forensic conclusion can be different from irresponsibility to diminished responsibility.
P02-105 - Adherence to the Trust Guidelines for the Use of High Dose Antipsychotic Medication-completed Audit Cycle
Authors: Mehta G. , Kumar P. , Cullen C. 
Published: June 2010

Aim and backgroundTo establish the adherence of Assertive Outreach Service to the local protocol for the use of high dose antipsychotic (HDAT) medication. This audit cycle was started with an intention to minimise metabolic syndrome due to antipsychotic medication.Standard’Guidelines for the use of high dose antipsychotic (HDAT) medication’-February 2008. The following standards from the guidelines were measured from the sample:1.HDAT monitoring sheet should be completed for all HDAT patients2.ECG should be done for all HDAT patients3.Blood tests (LFTs and U&Es) should be done for all HDAT patients4.Physical examination should be done for all HDAT patients5.Consent should be obtained from all HDAT patients and filled on the monitoring sheet.6.Physical health risk factors should be filled for all HDAT patientsData sample and collectionOut of 179 patients under the team, 17 patients were prescribed HDAT. All the data were collected from the case notes of all HDAT patients and entered into the HDAT monitoring sheets in January 2009 as a baseline assessment by Dr. Praveen Kumar and re-audited in June 2009 by Dr. Gaurav Mehta.ConclusionsAs evidenced by the results of audit in January 2009 and re-audit in June 2009, all the parameters were up to the standards in June 2009 except the physical examination not performed on all 17 HDAT patients as revealed inthe re-audit.
P02-109 - Psychodiagnostics Professional Adaptation
Authors: Panchenko L. , Basarab I. , Garazha M. 
Published: June 2010

Objective of research is study reveal professional suitability of experts of the industrial enterprise with potentially dangerous working conditions.Objective107 persons (35-65 years old) working on chemical plant.MethodsThe tables Gorbova-Shulte, techniques «Proof test» B.Burbona and «10 words», a method of colour elections by Lusher, technique «State of health - Activity - Mood», a scale of uneasiness Spilberger-Hanin, a technique «Level neurotic and psychopathyz» were used.Conclusions about conformity or discrepancy of psychophysiological features of this or that examinee to certain kind of activity became on the basis of the complex analysis of results of psychodiagnostics.ResultsAmong all examinees of infringement of psychophysiological indicators cognetive functions, emotionally-strong-willed sphere and discrepancy to standard criteria for professional adaptation are fixed at 22 people (20,6%). Among persons at whom discrepancy to standard criteria at 14 people (13,1%) is fixed it is marked истощаемость mental activity; at 22 people (20,6%) - efficiency decrease mnestic functions; at 7 people (6,6%) - high level of emotional intensity with the tendency to increase; at 8 people (7,5%) - high level of alarm; at 5 people (4,7%) - high level neurotic and psychopatization (р < 0,05).ConclusionsTimely revealing of deviations cognetic and emotional indicators from standard criteria, and also timely reaction, allows to fix group of risk with high probability of erroneous actions, to prevent and essentially to lower level of professional disorganisation of activity.
P02-112 - Mechanical Restraint at a Greek Psychiatric Hospital
Authors: Papaliagkas V. , Teliousis T. , Saratsopoulou M. , Komitis M. , Mastrogianni A. , Karastergiou A. 
Published: June 2010

ObjectiveThe aim of the study was to register all incidences of mechanical restraint imposed upon patients hospitalized at an Acute Psychiatric Ward during the year 2008. Associations with social and clinical characteristics of patients were explored.MethodsThe study was conducted at one of the five open Acute Wards of the Psychiatric Hospital of Thessaloniki, All incidences of mechanical restraint were recorded. For each incidence the reason, the duration, the severity and procedural aspects were documented. Socio-clinical characteristics of all patients admitted to the Ward during the year 2008 were registered and possible associations with the implementation of coercive measures were explored.ResultsDuring 2008 342 admissions were made to the D’ Acute Ward % involuntary. Overall, 157 incidents of mechanical restraint were documented (106 patients; 72 male, 34 female) and the most common diagnosis was ‘psychotic disorder’ (group 1). The main reason for the implementation of the measure was the patient not to leave the clinic However, it is interesting that a highly statistical significant difference was observed in the previous history of psychiatric disease between the two groups (Mann Whitney Z=-6.650, sig< 0.001).ConclusionsTwenty years after the initiation of the psychiatric reform in Greece the Psychiatric Hospitals still are the main recipient of patients with severe mental illness who are sometimes forced to be hospitalized many miles away from their place of residence. This raises their distress, leads to overcrowded under-staffed Wards and affects negatively the use of coercive measures.
P02-115 - Audit of Discussion About Contraception and the Risks of Pregnancy with Female Service Users
Authors: Reddy J. , Singh H. 
Published: June 2010

ObjectivesTo compare the current standards of clinical practice with the recommendations of NICE guidelines (CG 45).NICE guidelines (CG 45) on Antenatal and Postnatal Mental health suggest that Healthcare professionals should discuss contraception and the risks of pregnancy including relapse, risk to the foetus and risks associated with the stopping or changing medication with all women of child-bearing potential who have an existing mental disorder and or who are taking Psychotropic medication.MethodA standardised questionnaire was answered by 50 female patients out of 60, attending New bridge unit in Birmingham for the Outpatient appointment in the month of November -2007. The age group was between 18 and 50. The questionnaire was handed out at the reception and Doctors encouraged patients to fill out the questionnaire. Confidentiality was not compromised.Results12 (24%) patients were aware of contraception. 17 (34%) knew about the risks of relapse during pregnancy. 15 (30%) women recognised the risks of stopping or changing the medication and 13 (26%) agreed that the risks to foetus were informed to them. This indicated there was room for improvement.ConclusionsTo improve the standards of practice·The Audit report that highlighted standards, was disseminated to all the clinicians through formal power point Audit presentation and through emails.·The importance of passing on the relevant information to the patients was incorporated in Doctors Handbook for Junior Doctors.
P02-120 - “The Other Shore of Mental Illnes”: Improving Adherence and Insight in an Acute Psychiatric Unit of a General Hospital
Authors: Serrano Carton C. , Serrano Carton M.M. , Serrano Vázquez M. , Diaz del Valle J.C. 
Published: June 2010

ObjectiveImproving adherence in mental patients, growing up insight and reducing stigmatization.Giving simple and clear messages to families and patients for learning about symptoms and the management of daily difficulties.MethodsThree were the main pillars of our work: patients’ opinion, professional knowledge and families contributions. First, patients were questioned about “What is for you mental illness?” “May you explain your illness?” and the answers were completed with a collage/picture. Those opinions were evaluated by the group and the therapist. We already made reunions with a mental patients association and family groups to expose their opinions and daily life difficulties.ResultsAnalyzing drawing-collage characteristics, medical histories and reflections from patients and families, we achieved an individual management for patients. Families could expose doubts and suggestions about patients care. We offered a multidisciplinary management to develop insight and adherence.“The other shore of mental illness” is a book with a psicoeducative propose about useful concepts of mental illness. It emerges from the professional need to approach to the other shore, families and patients’ opinions and feelings.ConclusionsDrawing has been used as worktherapy, becoming a benefit for diagnosis and evolution in mental illness. In this book we used them as a means in the improvement of insight and adherence.The work with families, patients and caregivers let therapists to attend the real difficulties in their daily lives.The book would be not only a vehicle to reduce stigma, but also a reflection on avoiding discriminatory politicals in mental patients assistance.
P02-121 - International Best Practice in Recovery-oriented Mental Health Services
Authors: Slade M. 
Published: June 2010

ObjectivesMental health policy in the English-speaking world emphasises the the importance of ‘recovery’ as a guiding philosophy. Translating this rhetorical consensus into reality has proved challenging, with some mental health service users reporting that the concept of recovery is being co-opted by professionals without substantive changes in practice. The aims of this talk are (a) to define personal recovery; (b) to present a theoretical framework for understanding personal recovery; and (c) to identify the four ways in which mental health professionals can support recovery.MethodsThe most widely cited definition of recovery will be elaborated, and key recovery domains identified from a systematic review of consumer narratives of recovery.ResultsA new theoretical framework for recovery - the Personal Recovery Framework - will be presented, which identifies the centrality of identity, the contribution of clinical models to recovery (and how they can be toxic to recovery), and why hope is necessary. The framework identifies four approaches which mental health professionals can use to support recovery: fostering relationships, promoting well-being, offering treatments, and improving social inclusion. Examples will be given of how actual services around the world are undertaking these tasks to support recovery.ConclusionsDeveloping recovery-supporting mental health services will involve a fundamental shift in power, values, attitudes, skills and behaviours. It will require system transformation, and genuine partnership between those using, working in and managing services.
P02-124 - The Need for Evaluation of Metabolic Parameters During Long Term Treatment with Clozapine
Authors: Steylen P. , Verhoeven W. , van der Heijden F. , Kok H. , Egger J. 
Published: June 2010

Treatment with psychotropic drugs is frequently associated with obesity, dislipidemia, hyperglycaemia and hypertension, resulting in the development of the metabolic syndrome which in turn is an important risk factor for cardiovascular disease and type 2 diabetes mellitus. The atypical antipsychotics clozapine and olanzapine have the most pronounced effect on metabolic parameters. Over the past years, several studies using the definitions of the so called Third Adult Treatment Panel (ATP-III) of the National Cholesterol Education Program, demonstrated a high prevalence of metabolic syndrome in schizophrenic patients treated with atypical antipsychotics.The present study includes a total of 96 clozapine-treated inpatients. A total of 34 patients had to be excluded because of refusal tot participate (n=23) or not meeting the DSM-IV criteria for psychotic disorders (n=11). Finally, 62 patients (male: 46; female: 16; mean age: 49 ± 14.2 years; mean duration of clozapine treatment: 9.2 years; current dose: 331.5mg daily) were evaluated according to ATP-III criteria. Other parameters that were collected comprised co-medication, smoking status and alcohol use.Metabolic syndrome was found in 60% of the patients and was associated with female gender. No association was found between metabolic syndrome and duration of clozapine treatment. Frequencies of the individual components were 92% for dyslipidemia, 43% for obesity, 36% for hypertension, 18% for impaired fasting glucose and 18% for diabetes mellitus type 2.Metabolic syndrome is highly prevalent among patients with psychotic disorders who are treated with clozapine. Additional factors like unhealthy life stile, inactivity and co-medication, emerge as major treatment targets.