Psychosocial conditions after occupational injury
|
|
- Vanessa Henderson
- 5 years ago
- Views:
Transcription
1 Psychosocial conditions after occupational injury Leon Guo, Judith Shiao, Weishan Chin National Institute of Environmental Health Sciences, NHRI, Taiwan EOM, National Taiwan University and NTU Hospital Nursing, NTU and NTU Hospital
2 Estimated work related injury in the world Prof. Takala, President International Commission of Occupational Health (ICOH) (3.0%) (18.5%) (2.8%) (12.2%) (8.5%) (13.5%) (13.5%) (10.6%) ~300 M out of ~3,000 M workers are injured per year (10.6%) (Takala et al., Journal of Occupational and Environmental Hygiene 2014)
3 A worker suffered from crushing injury due to collapse of soil while working underground: LeFort II and LeFort III facial bone fracture, months after the injury, posttraumatic stress disorder (PTSD) and major depression were diagnosed by psychiatrists Cannot go back to work due to fear Compensated for 15 days of hospitalization, and 30 days off work NOT compensated for treatments for mental diseases (not considered occupational) Lost his job because unable to return-towork PTSD in DSM5: Emotional distress after exposure to traumatic reminders
4 Follow-up study OI in 2009 N=4,403 3 months Psychological symptoms Return to work 12 months Psychological symptoms Return to work 6 years Psychological symptoms Work condition Quality of life
5 3 months after OI 12 months after OI 6 years after OI Injured workers hospitalized for 3 days or longer, Feb 1 ~ Aug 31, 2009 Injured workers who completed the questionnaire survey in 2009 Tier 1 Brief symptoms Rating Scale (BSRS) 50, posttraumatic Symptom Checklist (PTSC) High score in BSRS or PTSC Brief symptoms Rating Scale (BSRS) 5, posttraumatic Symptom Checklist (PTSC) WHO Quality of life (WHOQoL) High score in BSRS or PTSC Tier 2 Mini International Neuropsychiatric Interview (MINI) Mini International Neuropsychiatric Interview (MINI) Estimated % of psychiatric conditions Estimated % of psychiatric conditions 5
6 Psychiatric conditions at 3 months, 12 months, and 6 years after occupational injury 3mo 12 mo 6yr Taiwan survey Major depression 3.0% 2.0% 9.2% 1.2% PTSD or partial PTSD 6.8% 5.1% 7.2% Anxiety disorder 6.9% Alcohol dependence or abuse 5.4% Social phobia 2.9% (Lin et al. J Occup Health 2012; Lin et al. J Occup Rehabil 2013; Liao et al., Psychological Medicine 2012) 6
7 Policy impact Psychiatric disorders after occupational injury were included into compensable occupational diseases in late 2009 Ministry of Labor support screening and early intervention in injured workers seen in any occupational health clinic 7
8 Psychiatric conditions at 3 months, 12 months, and 6 years after occupational injury 3mo 12 mo 6yr Taiwan survey Major depression 3.0% 2.0% 9.2% 1.2% PTSD or partial PTSD 6.8% 5.1% 7.2% Anxiety disorder 6.9% Alcohol dependence or abuse 5.4% Social phobia 2.9% (Lin et al. J Occup Health 2012; Lin et al. J Occup Rehabil 2013; Liao et al., Psychological Medicine 2012; Chin et al., Eur Arch Psychiat Clin Neurosci 2017) 8
9 Psychiatric conditions after occupational injury adding suicidality 3mo 12 mo 6yr Taiwan survey Major depression 3.0% 2.0% 9.2% 1.2% PTSD or partial PTSD 6.8% 5.1% 7.2% Anxiety disorder 6.9% Alcohol dependence or abuse 5.4% Social phobia 2.9% Suicidality 5.6% 5.9% 10.2% (Chin et al., J Clin Psychiat, accepted) 9
10
11 Occupational Injury Raises Long Term Suicidality Risk, Study Finds Thursday, September 6, 2018 Occupational injury, particularly an injury which leaves workers severely harmed or results in work instability, may increase the long term risk of suicidality, according to study in the Journal of Clinical Psychiatry. For the study, Wei Shan Chin, Ph.D., a postdoctoral research fellow at the National Institute of Environmental Health Sciences in Taiwan, and colleagues recruited workers from Taiwan who sustained occupational injuries requiring hospitalization for three days or longer. Some 2,300 workers responded to questionnaires sent by mail at three months and 12 months after the injury; the questionnaires collected information on the workers demographics, work instability, injury severity, psychological symptoms (Brief Symptom Rating Scale [BSRS 5] and the Posttraumatic Symptom Checklist [PTSC]), and suicidal ideation. Workers with a high score on the BSRS 5 or PTSC were asked to take an in depth psychiatric evaluation administered by psychiatrists or trained nurses who used a structured clinical interview (a Chinese version of the Mini International Neuropsychiatric Interview [MINI]). Six years later, 1,715 of these workers completed a similar assessment. The estimated MINI diagnosed suicidality rates were 5.4%, 4.8%, and 9.5% at three months, 12 months, and six years after occupational injury, respectively, the authors reported. At six years, participants with an injury that had a major negative impact on their physical appearance had a 1.7 times greater risk of suicidal ideation; those with unstable employment had a 1.5 times greater risk; and those with reduced income within the past year compared with before the injury had a 1.6 higher risk. These results suggest that suicidality does not improve with time but remains a vital issue after occupational injury, the
12 PTSD among residents after Chi Chi earthquake, 1999, Taiwan % PTSD 20 Different! month (Chen et al., 1999; Hsu et al., 2004; Kuo et al., 2003; Yang et al., 2003; Chang et al., 2003; Chou et al., 2005; Lai et al., 2004; Chang et al., 2004; Wu et al., 2006) 12
13 Although many cases remit within months, PTSD symptoms typically are quite persistent WHO Mental Health Surveys in 24 countries (n = 68,894) (Kessler et al., European Journal of Psychotraumatology 2017) 13
14 Chronic Probable PTSD in Police Responders in the World Trade Center Health Registry Years After 9/11 Half of police with probable PTSD in continued to have probable PTSD in Women had higher prevalence of PTSD than men (15.5% vs. 10.3%, P=0.008). Risk factors: decreased social support unemployment 2+ life stressors in last 12 months 2+ life-threatening events since 9/11 2+ injuries during the 9/11 attacks unmet mental health needs. (Cone et al., Am J Ind Med 2015) 14
15 Depression as a psychosocial consequence of occupational injury in the US working population 4 5 mo after an injury 8 10 mo after an injury mo after an injury (Kim, BMC public health, 2013)
16 Diagnosed Chronic Health Conditions Comparing Injured Workers to CCHS Respondents (Reference Group), Canada (~4 yr) (Casey and Ballantyne, JOEM 2017)
17 The authors views: (Casey and Ballantyne, JOEM 2017) Navigating the compensation system and fighting for the right to a claim could result in increased stress and depression among injured workers, suggesting that dealing with an adversarial compensation system may account for increases in stress and depression that is reported by some injured workers. (Lippel 2007; Storey 2009) Depression is common for individuals who report musculoskeletal pain a common outcome of workplace injury. (Alcantara et al., 2013)
18 Whom should we be worried about? Identifying risk factors will allow identifying susceptible people, for early intervention and prevention of poor outcomes 18
19 Mental conditions 3 months after occupational trauma, Taiwan Mental condition % PTSD 2.7% partial PTSD 4.1% major depression 3.0% PTSD/PPTSD and major depression 2.3% PTSD/PPTSD or major depression 7.5% (Lin et al., JOH 2012) PTSD/PPTSD or major depression Nature of trauma % intracranial injury 10.4% fracture 6.9% burn 5.9% crushing injury 5.8% open wound of upper limbs 0%
20 Mental conditions 12 months after occupational trauma, Taiwan Mental condition % PTSD 3.2% partial PTSD 1.9% major depression 2.0% PTSD/PPTSD and major depression 2.0% PTSD/PPTSD or major depression 5.1% (Lin et al., 2014) PTSD/PPTSD or major depression Nature of trauma % intracranial injury 9.6% burn 7.4% fracture 4.8% open wound of 1.6% upper limbs crushing injury 0%
21 Factors psychological symptoms scores, 6 yr after OI Family condition Injury severity Job status (Chin et al., Eur Arch Psychiatry Clin Neurosci 2016)
22 Adjusted RR for suicidal ideation at different time point Factors 3 months 6 years Marriage, Divorced/separated/widowed vs. 2.4 ** ( ) others Injury type, intracranial vs. others 2.0 ** ( ) Self-rated injury severity, serious vs. less 1.9 ** ( ) Hospital stay, 8 days vs. <8 days 1.5 * ( ) Change in physical appearance, major vs. 1.8 ** ( ) 1.7 ** ( ) others Additional OI vs. no 1.4 * ( ) Employment status, unstable vs. 1.5 * ( ) stable/retired Reduced salary vs. unreduced 1.6 ** ( ) (Kuo et al., J Psychiat Res 2012; Chin et al., J Clin Psychiat 2018)
23 Non_injury DAFW NDAFW DAFW: days away from work National Longitudinal Survey of Youth, 1979 cohort (n=12,686) by the U.S. Bureau of Labor Statistics ( Dong et al., American Journal of Industrial Medicine, 2016 )
24 What likely happened? Lost wages and disability following injury contributed to income loss for injured workers (Dong et al., 2016) Some injured workers had lowered capability of work after OI, and had to take lower wages, or whatever is available (observed in clinical patients)
25 Salary compared to that before OI, among those currently employed, yr after OI (Chin et al., in preparation)
26 Do psychosocial conditions after OI affect work capability?
27 With higher GSI score of BSRS 50 (more severe symptoms), injured workers were less likely return to work 0.80 likely RTW compared to those with less severe symptoms, adjusted for gender, age, education, total hospital days, and affected physical appearance (Lin et al., J Occup Rehabil 2013) 27
28 Injured workers with higher GSI score of BSRS 5 (more severe symptoms) with 1 yr after injury were less likely return to work 0.70 likely RTW compared to those with less severe symptoms, adjusted for gender, age, education, total hospital days, and affected physical appearance (Chu et al.,submitted)
29 A vicious cycle The injured workers with more psychological/psychiatric problems had more difficulty in return to work Those who did not return to work became more prone to psychological conditions
30 Looks like People who are injured had higher risk of having psychiatric diseases People who are injured at work (probably) had even higher risk of having psychiatric diseases
31 Some bottom lines
32 ILO List of occupational diseases (revised 2010) 2. Occupational diseases by target organ systems 2.1. Respiratory diseases 2.2. Skin diseases 2.3. Musculoskeletal disorders 2.4. Mental and behavioural disorders Post-traumatic stress disorder Other mental or behavioural disorders not mentioned in the preceding item where a direct link is established scientifically, or determined by methods appropriate to national conditions and practice, between the exposure to risk factors arising from work activities and the mental and behavioural disorder(s) contracted by the worker. Psychiatric diseases after OI are not clearly included, especially major depression
33 DALY (disability adjusted life years) loss due to occupational injuries 21.9 M globally in M globally in 2016 Basically unchanged! (GBD 2016 Risk Factors Collaborators. Lancet 2017)
34 Estimated work related injury in the world Prof. Takala, President International Commission of Occupational Health (ICOH) (3.0%) (18.5%) (2.8%) (12.2%) (8.5%) (13.5%) (13.5%) (10.6%) ~300 M out of ~3,000 M workers are injured per year (10.6%) A few M will suffer from psychiatric diseases after OI (Takala et al., Journal of Occupational and Environmental Hygiene 2014)
35 Global DALYs attributable to Level 2 risk factors for men in 2015 (DALYs=disability adjusted life years) (GBD 2015 Risk Factors Collaborators, Lancet 2016)
36 Global DALYs attributable to Level 2 risk factors for women in 2015 (DALYs=disability adjusted life years) (GBD 2015 Risk Factors Collaborators, Lancet 2016)
37 Recommendations For countries where psychiatric diseases are not compensable as occupational diseases establish PTSD/major depression (and other diseases) as compensable diseases after OI Adding psychiatric diseases into occupational risks in the estimate of global burden of diseases Strategy for identifying high risk workers for psychiatric diseases, early detecting the conditions, and preventing psychiatric conditions after OI Longer term assessment and care of psychiatric and psychological conditions after OI Primary prevention against OI is still needed, and cannot be overly emphasized!
38 Acknowledgment Dr. WS Chin, Dr. Judith Shiao, Dr. SC Liao, Dr. Tammy Lin, Dr. NW Guo, Dr. CY Kuo, Dr. SC Pan, Grants: Institute of Occupational Safety and Health, Taiwan (IOSH98 M315) Ministry of Science and Technology, Taiwan (MOST B )
Northwest Territories and Nunavut 03.09
POLICY STATEMENT The Workers Safety and Compensation Commission (WSCC) may provide compensation benefits to workers who develop a psychiatric or psychological disability arising out of and during the course
More informationMental Health in Workplaces in Taipei
26 Taiwanese Journal of Psychiatry (Taipei) Vol. 25 No. 1 2011 Original Article Mental Health in Workplaces in Taipei Mei-Ju Chen, M.D. MPH 1,2, Tony Szu-Hsien Lee, Ph.D. 3, Huey-Mei Jeng, Ph.D. 3, Wen-Hsiang
More informationEarly Intervention and Psychological Injury
Early Intervention and Psychological Injury SISA Conference 22 July 2008 Dr Peter Cotton FAPS Clinical & Organisational Psychologist Session Overview Key drivers of psychological injury The difference
More informationPreventing delayed recovery by adopting a biopsychosocial approach
Preventing delayed recovery by adopting a biopsychosocial approach IFDM 2018 October 15, 2018 Vancouver, BC Marcos Iglesias MD, MMM, FAAFP, FACOEM OBJECTIVES 01. Review the importance of addressing disability
More informationARCHIVE. Alberta WCB Policies & Information
1. Under what circumstances is a psychiatric or psychological injury 2. How does WCB determine whether a psychiatric or psychological injury is WCB will consider a claim for psychiatric or psychological
More informationPractice Directive #C3-3
Practice Directive #C3-3 Mental Disorder Claims Objective This Practice Directive provides guidance in determining a worker s entitlement to compensation for a mental disorder that does not result from
More informationNoteworthy Decision Summary. Decision: WCAT Panel: Susan Marten Decision Date: September 8, 2004
Decision Number: -2004-04737 Noteworthy Decision Summary Decision: -2004-04737 Panel: Susan Marten Decision Date: September 8, 2004 Adjustment Disorder Mental Stress Distinction between Compensation for
More informationBroadcastMed Bipolar, Borderline, Both? Diagnostic/Formulation Issues in Mood and Personality Disorders
BroadcastMed Bipolar, Borderline, Both? Diagnostic/Formulation Issues in Mood and Personality Disorders BRIAN PALMER: Hi. My name is Brian Palmer. I'm a psychiatrist here at Mayo Clinic. Today, we'd like
More informationA compensable claim for psychological injury can arise as an injury by itself with no physical injury or as a result of a physical injury.
Section Policy 40 44.05.30 Section Title: Subject: Effective Date: Benefits Administration Adjudication and Compensation Adjudication of Psychological Injuries November 1, 2012, for all claims regardless
More informationMental Health Issues and Treatment
Mental Health Issues and Treatment Mental health in older age Depression Causes of depression Effects of depression Suicide Newsom, Winter 2017, Psy 462/562 Psychology of Adult Development and Aging 1
More informationIntroduction into Psychiatric Disorders. Dr Jon Spear- Psychiatrist
Introduction into Psychiatric Disorders Dr Jon Spear- Psychiatrist Content Stress Major depressive disorder Adjustment disorder Generalised anxiety disorder Post traumatic stress disorder Borderline personality
More informationPOSTTRAUMATIC STRESS DISORDER ACUTE AND LONG TERM RESPONSES TO TRAUMA AND DISASTER
POSTTRAUMATIC STRESS DISORDER ACUTE AND LONG TERM RESPONSES TO TRAUMA AND DISASTER page 1 / 5 page 2 / 5 posttraumatic stress disorder acute pdf Posttraumatic stress disorder (PTSD) is a mental disorder
More informationHospital Authority Convention -- Development of an Integrated Service in the Management of Childhood and Adolescent Depression in Hong Kong
Hospital Authority Convention -- Development of an Integrated Service in the Management of Childhood and Adolescent Depression in Hong Kong Dr. Tam Fung Ling Associate Consultant CAP, Castle Peak Hospital
More informationThe Perinatal Mental Health Project (PMHP)
Overview of the Hanover Park maternal mental health screening study The Perinatal Mental Health Project (PMHP) The PMHP is an independent initiative based at the University of Cape Town. It is located
More informationManaging Mental Health (at Work)
Managing Mental Health (at Work) So what do you hope to get from this session? Can you name some types of Mental Health Conditions? Depression Eating problems Phobias Anxiety Schizophrenia Stress Post-traumatic
More informationTHE HOSPITAL FOR SICK CHILDREN DEPARTMENT OF PSYCHIATRY PARENT INTERVIEW FOR CHILD SYMPTOMS (P. I. C. S.
A Child s Name or ID: Date: 2013 THE HOSPITAL FOR SICK CHILDREN DEPARTMENT OF PSYCHIATRY PARENT INTERVIEW FOR CHILD SYMPTOMS (P. I. C. S. - 6) Revised for DSM-III - R (1989) and DSM-IV (1995, 2008) GENERAL
More informationSECOND AUSTRALIAN CHILD AND ADOLESCENT SURVEY OF MENTAL HEALTH AND WELLBEING HIGHLIGHTS
The Mental Health of Children and Adolescents 3 SECOND AUSTRALIAN CHILD AND ADOLESCENT SURVEY OF MENTAL HEALTH AND WELLBEING HIGHLIGHTS A second national survey of the mental health and wellbeing of Australian
More informationBUILDING A PTSD PREVENTION PLAN DR. ASH BENDER, MD, FRCPC KIM SLADE, DIRECTOR RESEARCH AND PRODUCT DEVELOPMENT PSHSA
BUILDING A PTSD PREVENTION PLAN DR. ASH BENDER, MD, FRCPC KIM SLADE, DIRECTOR RESEARCH AND PRODUCT DEVELOPMENT PSHSA 1 THIS SESSION IS DESIGNED TO HELP YOU Understand what PTSD is and how it might present
More informationCALIFORNIA STATE UNIVERSITY, SACRAMENTO
COLLEGE OF EDUCATION DEPARTMENT OF SPECIAL EDUCATION, REHABILITATION AND SCHOOL PSYCHOLOGY CALIFORNIA STATE UNIVERSITY, SACRAMENTO School Psychology Diagnostic Clinic 6000 J Street Sacramento, California
More informationAssessing Suicide Risk and Intervening with High Risk Patients. Acknowledgments 3/19/2019
Assessing Suicide Risk and Intervening with High Risk Patients 2019 Family Medicine Refresher Course Karla Hemesath, PhD, LMFT Acknowledgments Portions of this talk include information from: Suicide Prevention
More informationResponses to DSM-5. DSM-5 and Malingering. DSM-5: Development and Implementation. Oxford Medicine Online
Oxford Medicine Online You are looking at 1-10 of 2272 items for: DSM Responses to DSM-5 Joel Paris Print Publication Year: 2015 Published Online: Apr 2015 ISBN: 9780199395095 eisbn: 9780190243982 DOI:
More informationWorkshop I. Dialectical Behaviour Therapy Workshop Saturday March 12 th, About Dialectical Behaviour Therapy
Workshop I Dialectical Behaviour Therapy Workshop Saturday March 12 th, 2014 About Dialectical Behaviour Therapy Dialectical Behaviour Therapy, or DBT, is an innovative and comprehensive psycho-educational
More informationTHE ROLE OF UNEMPLOYMENT INSURANCE ON ALCOHOL USE AND ABUSE FOLLOWING JOB LOSS ROBERT LANTIS AND BRITTANY TEAHAN
THE ROLE OF UNEMPLOYMENT INSURANCE ON ALCOHOL USE AND ABUSE FOLLOWING JOB LOSS ROBERT LANTIS AND BRITTANY TEAHAN MOTIVATION 2013 National Survey on Drug Use and Health finds that 17% of unemployed have
More informationIncidence and Risk of Alcohol Use Disorders by Age, Gender and Poverty Status: A Population-Based-10 Year Follow-Up Study
Incidence and Risk of Alcohol Use Disorders by Age, Gender and Poverty Status: A Population-Based-10 Year Chun-Te Lee 1,2, Chiu-Yueh Hsiao 3, Yi-Chyan Chen 4,5, Oswald Ndi Nfor 6, Jing-Yang Huang 6, Lee
More informationCLAIMANT S FACTS ABOUT TRAUMATIC INCIDENT CAUSING PTSD These facts should be written in a narrative statement giving details about the following:
CLAIMANT S FACTS ABOUT TRAUMATIC INCIDENT CAUSING PTSD These facts should be written in a narrative statement giving details about the following: 1. The nature of the trauma such as military combat, sexual
More informationViolence, abuse and mental health in England
October 2015 Violence, abuse and mental health in England Population patterns Responding effectively to violence and abuse (REVA project) Briefing 1 Summary New analysis of national survey data shows that
More informationMethods-Sample. Using the population registry of the Ministry of Interior to ensure the best sample frame
Methods-Sample Using the population registry of the Ministry of Interior to ensure the best sample frame Large sample size- 904 mothers with at least one child between the ages of 2-6 205 Arab (22.7%)
More informationENTITLEMENT ELIGIBILITY GUIDELINE DEPRESSIVE DISORDERS
ENTITLEMENT ELIGIBILITY GUIDELINE DEPRESSIVE DISORDERS MPC 03000 ICD-9 296.2, 296.3, 300.4, 311 ICD-10 F32, F33, F34.1 DEFINITION DEPRESSIVE DISORDERS Depressive Disorders include: Major Depressive Disorder
More informationThis webinar is presented by
Webinar DATE: Working together to support people November who self-harm 12, 2008 Monday, 20 th June 2016 Supported by The Royal Australian College of General Practitioners, the Australian Psychological
More informationCase Management Approach for Posttraumatic Stress Disorder (PTSD): Overview
Case Management Approach for Posttraumatic Stress Disorder (PTSD): Overview Schedule 2 Employer Group October, 2017 Agenda Traumatic Mental Stress (TMS) overview PTSD overview PTSD case management approach
More informationThe Open Cybernetics & Systemics Journal, 2015, 9,
Send Orders for Reprints to reprints@benthamscience.ae The Open Cybernetics & Systemics Journal, 2015, 9, 1199-1206 1199 Open Access Study on Correlation Between Musculoskeletal Pain and Cleaning Pose
More informationHelping Children Cope After A Disaster
Helping Children Cope After A Disaster Penn State Milton S. Hershey Medical Center 2001 This booklet may be reproduced for educational purposes. Penn State Children s Hospital Pediatric Trauma Program
More informationPOLICY NUMBER: POL 01
Chapter: CLAIMS Subject: PSYCHOLOGICAL OR PSYCHIATRIC CONDITION Effective Date: April 1, 1993 Last Updated On: September 12, 2016 PURPOSE STATEMENT: The purpose of this policy is to describe how the Workers
More informationPsychiatric aspects of patients with the ICD. Post Implantable Defibrillator Shock Psychology Counselling
Psychiatric aspects of patients with the ICD Post Implantable Defibrillator Shock Psychology Counselling Brian Baker Department of Psychiatry, University Health Network and University of Toronto Trajectory
More informationDepression and PTSD in Orthopedic Trauma Basem Attum, MD, MS William Obremskey, MD, MPH, MMHC
Depression and PTSD in Orthopedic Trauma Basem Attum, MD, MS William Obremskey, MD, MPH, MMHC Vanderbilt University Medical Center Created September 2017 PTSD and Depression Objectives What is PTSD and
More informationPublic Mental Health. Benedetto Saraceno University Nova of Lisbon University of Geneva Chairman Global Initiative on Psychiatry, The Netherlands
Public Mental Health Benedetto Saraceno University Nova of Lisbon University of Geneva Chairman Global Initiative on Psychiatry, The Netherlands FIVE KEY POINTS IN PMH Mental disorders: high prevalence
More informationFuture Trend of Crisis Intervention in the Human Services Delivery System
Future Trend of Crisis Intervention in the Human Services Delivery System Introduction Strategies of crisis intervention are the methods through which short term and prompt support are offered to people
More informationAnnual Insurance Seminar. Tuesday 26 September 2017
Annual Insurance Seminar Tuesday 26 September 2017 Dublin Dublin London London New New York York San San Franscisco Francisco Welcome Emer Gilvarry, Chairperson Dublin Dublin London London New New York
More informationDrug Overdoses A Public Health Problem. Marianne Cloeren, MD, MPH, FACOEM, FACP 10/2/2013. Objectives
Drug Overdoses A Public Health Problem Marianne Cloeren, MD, MPH, FACOEM, FACP 10/2/2013 Objectives O Provide an overview of the trends in opioid prescriptions and impact O Consider implications for the
More informationAuthor's response to reviews
Author's response to reviews Title: Effect of a multidisciplinary stress treatment programme on the return to work rate for persons with work-related stress. A non-randomized controlled study from a stress
More informationSuicide Ideation, Planning and Attempts: Results from the Israel National Health Survey
Isr J Psychiatry Relat Sci Vol 44 No. 2 (2007) 136 143 Suicide Ideation, Planning and Attempts: Results from the Israel National Health Survey Daphna Levinson, PhD, 1 Ziona Haklai, MA, 1 Nechama Stein,
More informationThe Impact of Changes to the DSM and ICD Criteria for PTSD
The Impact of Changes to the DSM and ICD Criteria for PTSD Jonathan I Bisson Institute of Psychological Medicine and Clinical Neursociences Cardiff University What is PTSD? Question Diagnosing PTSD DSM-IV
More informationAnxiety Disorders: First aid and when to refer on
Anxiety Disorders: First aid and when to refer on Presenter: Dr Roger Singh, Consultant Psychiatrist, ABT service, Hillingdon Educational resources from NICE, 2011 NICE clinical guideline 113 What is anxiety?
More informationThe Psychology of Pain within the Biological Model. Michael Coupland, CPsych, CRC Integrated Medical Case Solutions (IMCS Group)
The Psychology of Pain within the Biological Model Michael Coupland, CPsych, CRC Integrated Medical Case Solutions (IMCS Group) Integrated Medical Case Solutions National Panel of Psychologists Biopsychosocial
More informationChapter 10 Suicide Assessment
Chapter 10 Suicide Assessment Dr. Rick Grieve PSY 442 Western Kentucky University Not this: Suicide is man s way of telling God, You can t fire me, I quit. Bill Maher 1 Suicide Assessment Personal Reactions
More informationPost-Traumatic Stress Disorder
Post-Traumatic Stress Disorder Teena Jain 2017 Post-Traumatic Stress Disorder What is post-traumatic stress disorder, or PTSD? PTSD is a disorder that some people develop after experiencing a shocking,
More informationBalancing the Challenges of Mental Health Claims in Insurance
Balancing the Challenges of Mental Health Claims in Insurance Jane Dorter, Michael Dermody, and Joshua Martin. 2017 KPMG, an Australian partnership and a member firm of the KPMG network of independent
More informationHow accurately does the Brief Job Stress Questionnaire identify workers with or without potential psychological distress?
J Occup Health 2017; 59: 356-360 Brief Report How accurately does the Brief Job Stress Questionnaire identify workers with or without potential psychological distress? Akizumi Tsutsumi 1, Akiomi Inoue
More informationPolicy A worker is entitled to benefits for traumatic or chronic mental stress arising out of and in the course of the worker s employment.
A worker is entitled to benefits for traumatic or chronic mental stress arising out of and in the course of the worker s employment. A worker is not entitled to benefits for mental stress caused by decisions
More informationStress Reactions and. Depression After. Cardiovascular Events
Stress Reactions and Depression After Cardiovascular Events Kim G. Smolderen, PhD Tilburg University, the Netherlands Saint Luke s Mid America Heart Institute, Kansas City, MO ESC Munich 2012 Disclosures
More informationScreening & Assessment for Trauma in Drug Courts
Screening & Assessment for Trauma in Drug Courts Chanson Noether & Lisa Callahan NADCP Annual Meeting July 15 th, 2013 What is Trauma? Individual trauma results from an event, series of events, or set
More informationIntro to Concurrent Disorders
CSAM-SCAM Fundamentals Intro to Concurrent Disorders Presentation provided by Jennifer Brasch, MD, FRCPC Psychiatrist, Concurrent Disorders Program, St. Joseph s Healthcare There are all kinds of addicts,
More informationDisparity Data Fact Sheet General Information
Disparity Data Fact Sheet General Information Tobacco use is a well-recognized risk factor for many cancers, respiratory illnesses and cardiovascular diseases within Michigan. rates have continued to decline
More informationUnmanaged Behavioral Health Puts Your Company At Risk. Presented by: Dr. Sam Mayhugh Integrated Behavioral Health
Unmanaged Behavioral Health Puts Your Company At Risk Presented by: Dr. Sam Mayhugh Integrated Behavioral Health Behavioral Health Management Webinar Overview History of BH management Prevalence of behavioral
More informationSteve Barns & Associates The Counseling Center of Denton Bible Church Christian Counseling Services Individual, Marriage, & Family
: Last First MI Male Female / / Age Email: @ Home: ( ) - Cell: ( ) - Address: Street (or P.O. Box) Apt. # City State Zip Code Emergency contact: ( ) - Place of Employment: How long? yrs. mos. Current Marital
More informationDealing with crew mental health issues following a traumatic event
Dealing with crew mental health issues following a traumatic event Rachel Butlin Partner February 2019 Todays discussion Yachting industry continues to work hard Increased awareness - still some serious
More informationReferral guidance for Lincolnshire CAMHS
Referral guidance for Lincolnshire CAMHS The service is designed to meet a wide range of mental health needs in children and young people. This includes mild to moderate emotional wellbeing and mental
More informationPATHWAYS TO HEALING FOR VICTIMS AND THEIR FAMILIES
THE ATTACK ON THE WORLD TRADE CENTER PATHWAYS TO HEALING FOR VICTIMS AND THEIR FAMILIES Monica J. Indart, Psy.D. Rutgers University Graduate School of Applied and Professional Psychology Physical Facts
More informationPOST TRAUMATIC STRESS DISORDER ACUTE STRESS DISORDER
POST TRAUMATIC STRESS DISORDER ACUTE STRESS DISORDER DSM5 Trauma and Stress-Related Disorders Reactive Attachment Disorder Disinhibited Social Engagement Disorder Acute Stress Disorder Posttraumatic Stress
More informationPost Traumatic Stress Disorder (PTSD) (PTSD)
Post Traumatic Stress Disorder (PTSD) (PTSD) Reference: http://www.psychiatry.org/military Prevalence of PTSD One in five veterans of the Iraq and Afghanistan wars is diagnosed with PTSD. (http://www.psychiatry.org/military
More informationTRAUMA INFORMED CARE: THE IMPORTANCE OF THE WORKING ALLIANCE
TRAUMA INFORMED CARE: THE IMPORTANCE OF THE WORKING ALLIANCE Justin Watts PhD. NCC, CRC Assistant Professor, Rehabilitation Health Services The University of North Texas Objectives Upon completion of this
More informationMENTAL HEALTH DISORDERS: THE ECONOMIC CASE FOR ACTION Mark Pearson Head of Department, OECD Health Division
MENTAL HEALTH DISORDERS: THE ECONOMIC CASE FOR ACTION Mark Pearson Head of Department, OECD Health Division The costs of poor mental health Estimates of Direct and Indirect Costs of Mental Illness 1 All
More informationinterpretation Beck anxiety inventory score interpretation
Beck anxiety inventory score interpretation The Borg System is 100 % Beck anxiety inventory score interpretation Test-retest reliability (1 week) for the BAI = 0.75 (Beck, Epstein, Brown, & Steer, 1988)
More informationSustained employability in cancer survivors: a behavioural approach
Sustained employability in cancer survivors: a behavioural approach Dr. Saskia Duijts VU University Medical Center / Department of Public and Occupational Health The Netherlands Cancer Institute / Division
More informationEXTREME WEATHER EVENTS AND MENTAL HEALTH
University Hospital Munich Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine WHO Collaborating Centre for Occupational Health EXTREME WEATHER EVENTS AND MENTAL HEALTH
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) Biggs, Q. M., Fullerton, C. S., McCarroll, J. E., Liu, X., Wang, L., Dacuyan, N. M.,... Ursano, R. J. (2016). Early intervention for post-traumatic stress disorder, depression,
More informationCBT+ Measures Cheat Sheet
CBT+ Measures Cheat Sheet Child and Adolescent Trauma Screen (CATS). The CATS has 2 sections: (1) Trauma Screen and (2) DSM5 sx. There are also impairment items. There is a self-report version for ages
More informationChapter 20 Psychosocial Nursing of the Physically Ill Client Psychosocial Assessment Interactive process that involves gathering data and evaluating
Chapter 20 Psychosocial Nursing of the Physically Ill Client Psychosocial Assessment Interactive process that involves gathering data and evaluating the past and current level of functioning of the client
More informationPsychological Impact of Motor Vehicle Crash: Preliminary findings from a territory-wide epidemiology study in Hong Kong
Psychological Impact of Motor Vehicle Crash: Preliminary findings from a territory-wide epidemiology study in Hong Kong Kitty Wu, Ph.D. President, Asian Society for Traumatic Stress Studies Convenor, Taskforce
More informationNew Criteria for Posttraumatic Stress Disorder in DSM-5: Implications for Causality
New Criteria for Posttraumatic Stress Disorder in DSM-5: Implications for Causality Paul A. Arbisi, Ph.D. ABAP, ABPP. Staff Psychologist Minneapolis VA Medical Center Professor Departments of Psychiatry
More informationCBT Intake Form. Patient Name: Preferred Name: Last. First. Best contact phone number: address: Address:
Patient Information CBT Intake Form Patient Name: Preferred Name: Last Date of Birth: _// Age: _ First MM DD YYYY Gender: Best contact phone number: Email address: _ Address: _ Primary Care Physician:
More informationTe Rau Hinengaro: The New Zealand Mental Health Survey
Te Rau Hinengaro: The New Zealand Mental Health Survey Executive Summary Mark A Oakley Browne, J Elisabeth Wells, Kate M Scott Citation: Oakley Browne MA, Wells JE, Scott KM. 2006. Executive summary. In:
More informationFunctional Assessment of Depression and Anxiety Disorders Relevant to Work Requirements
Functional Assessment of Depression and Anxiety Disorders Relevant to Work Requirements Paul S. Appelbaum, MD Dollard Professor of Psychiatry, Medicine & Law Columbia University Overview Depression and
More informationPain Psychology: Disclosure Slide. Learning Objectives. Bio-psychosocial Model 8/12/2014. What we won t cover (today) What influences chronic pain?
Disclosure Slide Pain Psychology: No commercial interests to disclose Screening for distress and maladaptive attitudes and beliefs Paul Taenzer PhD, CPsych Learning Objectives At the end of the session,
More informationAn event where a person is exposed to: death threatened death actual or threatened serious injury actual or threatened sexual violence
By Jo Lunn An event where a person is exposed to: death threatened death actual or threatened serious injury actual or threatened sexual violence Characterized by symptoms of: } Intrusion/re experiencing
More informationA Study of Anxiety among Hospitalized Patients of Orthopedics Ward of a Tertiary Care Hospital
The International Journal of Indian Psychology ISSN 2348-5396 (e) ISSN: 2349-3429 (p) Volume 5, Issue 1, DIP: 18.01.005/20170501 DOI: 10.25215/0501.005 http://www.ijip.in October-December, 2017 Original
More informationResilience in ourselves and our clients: Posttraumatic growth and lessons from the Canterbury earthquake sequence
Resilience in ourselves and our clients: Posttraumatic growth and lessons from the Canterbury earthquake sequence Virginia McIntosh University of Canterbury Clinical Psychology Training Programme Department
More information11/21/2007. Introduction to Psychological and Psychiatric Disorders. James M. Rice, RhD, CLCP Medical Psychology Associates, PC
Introduction to Psychological and Psychiatric Disorders James M. Rice, RhD, CLCP Medical Psychology Associates, PC Goals of this lecture/presentation To discuss, review, and understand the DSM IV multiaxial
More informationIMPORTANCE OF SELF-CARE. Dr. Heather Dye, LCSW, CSAC East Tennessee State University Johnson City, TN
IMPORTANCE OF SELF-CARE Dr. Heather Dye, LCSW, CSAC East Tennessee State University Johnson City, TN Define and differentiate: Vicarious Trauma Secondary Traumatic Stress/Compassion Fatigue Burnout Discuss
More informationMFS HEALTH & WELLBEING STUDY EXECUTIVE REPORT
MFS HEALTH & WELLBEING STUDY EXECUTIVE REPORT Centre for Traumatic Stress Studies October, 2017 1 Table of Contents 1 KEY FINDINGS...4 Mental Health... 4 12-month Mental Disorder:... 4 Lifetime Mental
More informationPsychological Studies in Taiwan
US-Taiwan Workshop on the Advancement of Societal Responses to Mega-Disasters afflicting Mega-Cities Group 4: Post-event Management Plans (05.06.2010) National Taiwan University Disaster-/Trauma-related
More informationSAMPLE OF LITERATURE REVIEW FOR PSYCHOLOGY CAPSTONE PROJECT
Abstract In the past one decade, there has been an increased concern about children being exposed to various traumatic events and violence. Most of them end up developing the post-traumatic stress disorder
More informationchapter 12 MENTAL HEALTH
chapter 12 MENTAL HEALTH Mental health problems are a significant cause of ill health and disability. They also are responsible for a substantial portion of the use of health care services. Unfortunately,
More informationSection Claims - In the Course of and Arising Out of. Subject Chronic Mental Stress
WSIB P olicy, Doc ument,, A worker is entitled to benefits for chronic mental stress arising out of and in the course of the worker s employment. A worker is not entitled to benefits for chronic mental
More informationBehavioral Health Hospital and Emergency Department Health Services Utilization
Behavioral Health Hospital and Emergency Department Health Services Utilization Rhode Island Fee-For-Service Medicaid Recipients Calendar Year 2000 Prepared for: Prepared by: Medicaid Research and Evaluation
More informationResponding Effectively to BPD Challenges for the Service System. Katerina Volny Peter McKenzie
Responding Effectively to BPD Challenges for the Service System Katerina Volny Peter McKenzie Borderline Personality Disorder A common mental illness characterised by poor control of emotions and impulses,
More informationMembers Can Do. What Community. From the National Institute of Mental Health. Helping Children and Adolescents Cope with Violence and Disasters
Helping Children and Adolescents Cope with Violence and Disasters For Teachers, Clergy, and Other Adults in the Community What Community Members Can Do From the National Institute of Mental Health Violence
More informationAdult Psychiatric Morbidity Survey (APMS) 2014 Part of a national Mental Health Survey Programme
Adult Psychiatric Morbidity Survey (APMS) 2014 Part of a national Mental Health Survey Programme About the Adult Psychiatric Morbidity Survey (APMS) 2014 The Adult Psychiatric Morbidity Survey (APMS) 2014
More informationAlberta Motor Transport Association Industries
OCCUPATIONAL INJURIES AND DISEASES IN ALBERTA Lost-Time Claims, Disabling Injury Claims and Claim Rates Alberta Motor Transport Association Industries 2003 to 2007 Summer 2008 TABLE OF CONTENTS Highlights...2
More informationDomestic Violence in the Dominican Republic An assessment of an abused women s shelter
Domestic Violence in the Dominican Republic An assessment of an abused women s shelter Tara Trudnak,, MPH Wayne Westhoff,, Ph.D, MPH, MSW Ludovina Rodriguez, MD Domestic Violence Domestic violence: violence
More informationHaldimand County: Emergency Services Post-Traumatic Stress Disorder Prevention Plan
Report: CS-HR-04-2017, Attachment 4 Haldimand County: Emergency Services Post-Traumatic Stress Disorder Prevention Plan The Corporation of Haldimand County 45 Munsee Street North Cayuga, Ontario N0A 1E0
More informationTITLE: Practice parameters for the assessment and treatment of children and adolescents with posttraumatic stress disorder.
Brief Summary TITLE: Practice parameters for the assessment and treatment of children and adolescents with posttraumatic stress disorder. SOURCE(S): Practice parameters for the assessment and treatment
More informationIntroduction to Specific Phobias and Their Treatment
Introduction to Specific Phobias and Their Treatment Chapter 2 Specific Phobias: Phenomenology (Corresponds to chapter 1 of the workbook) Outline Provide information about specific phobias Help the client
More informationPost-traumatic Stress Disorder following deployment
Post-traumatic Stress Disorder following deployment Fact Sheet Introduction A substantial majority of the Dutch population (approximately 80%) will at some point experience one or more potentially traumatic
More informationAssertive Community Treatment Team
Assertive Community Treatment Team Badri Daneshamouz December, 2014 About CMHA Founded in 1918, CMHA is one of the oldest voluntary health organizations National office, provincial divisions, local branches
More informationA Comparative Study of Socio Demographic and Clinical Profiles in Patient with Obsessive Compulsive Disorder and Depression
American Journal of Psychiatry and Neuroscience 2018; 6(4): 99-103 http://www.sciencepublishinggroup.com/j/ajpn doi: 10.11648/j.ajpn.20180604.12 ISSN: 2330-4243 (Print); ISSN: 2330-426X (Online) A Comparative
More informationMODULE IX. The Emotional Impact of Disasters on Children and their Families
MODULE IX The Emotional Impact of Disasters on Children and their Families Outline of presentation Psychological first aid in the aftermath of a disaster Common reactions to disaster Risk factors for difficulty
More informationAddressing Mental Health in HIV Prevention and Treatment Research Kathleen J. Sikkema, Ph.D.
Addressing Mental Health in HIV Prevention and Treatment Research Kathleen J. Sikkema, Ph.D. Professor of Psychology and Neuroscience, Global Health, and Psychiatry and Behavioral Sciences Director, Social
More informationThe Journey to Social Inclusion (J2SI) program, implementing trauma informed care
The Journey to Social Inclusion (J2SI) program, implementing trauma informed care Cathy Humphrey, CEO, Sacred Heart Mission Professor Paul Flatau, Director CSI UWA About the J2SI Program Key workers with
More information13/04/2017 YORK REGIONAL POLICE. PTSD Prevention Plan
YORK REGIONAL POLICE PTSD Prevention Plan 1 PREVENTION Basic elements of occupational health and safety management Understanding legal responsibilities Recognizing, assessing and controlling the hazard
More information