Presented by: Sergeant Barry Armfield
St. Louis County Police Department,
Coordinator, St. Louis Area CIT Program
Richard Stevenson
Director of Special Projects,
Alliance on Mental Illness-NAMI St. Louis
David Prior: driving improvements in the quality of care across the systemThe King's Fund
David Prior, Chair, Care Quality Commission, explains how clinicians, providers, commissioners and service users all have a role in regulation. He highlights the new responsibilities of the CQC and how they can help to support integrated care in England.
Blazing New Trails: Shifting the Focus on Alcohol and Drugsnashp
Presented at the National Academy for State Health Policy's 20th Annual State Health Policy Conference in Denver, Colorado. Authors: Barbara Cimaglio, Sally Fogerty, BSN, M.Ed., John C. Higgins-Biddle, Ph.D.
Domestic Violence and Same-Sex Domestic Violence in an HIV Ambulatory Care Se...ACON
Ruth Hennessy, Psychology Unit Manager/Senior Clinical Psychologist, Albion Street Centre
In response to the gaps in the 2006 NSW Health Domestic Violence Screening Policy, Albion Street Centre developed a research project to explore clients’ experience of DV, helpseeking behaviours and whether HIV was a factor in any abuse experienced.
Anonymous surveys were completed by 102 clients attending the Albion Street Centre, over two separate four week periods. This
podium presentation will report the findings of the survey and contribute to improving health care worker’s understanding of
DV and SSDV within HIV positive clients’ relationships.
Presentation by Auditor General - Caroline Spencer, An audit of access to State-managed adult mental health services.
Presented at the Western Australian Mental Health Conference 2019.
David Prior: driving improvements in the quality of care across the systemThe King's Fund
David Prior, Chair, Care Quality Commission, explains how clinicians, providers, commissioners and service users all have a role in regulation. He highlights the new responsibilities of the CQC and how they can help to support integrated care in England.
Blazing New Trails: Shifting the Focus on Alcohol and Drugsnashp
Presented at the National Academy for State Health Policy's 20th Annual State Health Policy Conference in Denver, Colorado. Authors: Barbara Cimaglio, Sally Fogerty, BSN, M.Ed., John C. Higgins-Biddle, Ph.D.
Domestic Violence and Same-Sex Domestic Violence in an HIV Ambulatory Care Se...ACON
Ruth Hennessy, Psychology Unit Manager/Senior Clinical Psychologist, Albion Street Centre
In response to the gaps in the 2006 NSW Health Domestic Violence Screening Policy, Albion Street Centre developed a research project to explore clients’ experience of DV, helpseeking behaviours and whether HIV was a factor in any abuse experienced.
Anonymous surveys were completed by 102 clients attending the Albion Street Centre, over two separate four week periods. This
podium presentation will report the findings of the survey and contribute to improving health care worker’s understanding of
DV and SSDV within HIV positive clients’ relationships.
Presentation by Auditor General - Caroline Spencer, An audit of access to State-managed adult mental health services.
Presented at the Western Australian Mental Health Conference 2019.
Overview of the mental health system - for Older Leaders 4 ChangeRich Watts
An overview of the mental health system, for the Older Leaders 4 Change programme being run by NDTi.
Diagrams from JCPHM, King's Fund, NAO, Mental Health Strategies (for DH).
Evaluation Summary - Tom Harrison HouseMikeLloydWork
16 slides summarising the approach and findings from an evaluation of Tom Harrison House (an abstinence-based recovery hub for military veterans), by Michael Lloyd Research and VoiceBox Inc.
Health and social care integration and HIV - Gordon ScottHIVScotland
Presentation by Gordon Scott, on integration of health and social care and HIV. This was presented at the Scottish HIV and AIDS Group annual meeting on 26 June 2015. Copyright Gordon Scott.
2018 09-26 Texas Legislature County Affairs Testimony Rep ColemanGilbert Gonzales
Invited testimony for the 86th Texas Legislative Session on Interim Charge #3: Study how counties identify defendants' and inmates' behavioral health needs and deferral opportunities to appropriate rehabilitative and transition services. Consider models for ensuring defendants and inmates with mental illness receive appropriate services upon release from the criminal justice system.
Testimony reviews the Bexar County Texas Model for Behavioral and Criminal Justice Improvement by (in order) Mr. Kenny Wilson, Haven for Hope; Mr. Mike Lozito Judicial Services Director, Bexar County; Mr. David Pan, CHCS Community Initiatives Liasion and Mr. Gilbert Gonzales, Bexar County Mental Health Department Director.
Keynote presentation by Dr Sebastian Rosenberg, from the Centre for Mental Health Research ANU College of Health and Medicine. presented at the WA Mental Health Conference 2019.
Sex, Drugs & Scotland's Health- Working with front line staff in understandin...HIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Lesley Bon & Stephan Vargas.
More information about the virtual event is available here: http://ow.ly/YntW50GWhJ0
In 2010 Mercy Hospital sought community partnerships to assist in meeting the needs of individuals presenting to the hospital’s emergency room repeatedly who, due to their substance use disorders, mental health disorders, and/or co-occurring disorders, were not able to successfully access and engage in community-based services to address needs. This webinar will chronicle the process of development of the project by community stakeholders, implementation, highlight challenges and successes, delineate measurable one-year outcome data and return on investment.
Overview of the mental health system - for Older Leaders 4 ChangeRich Watts
An overview of the mental health system, for the Older Leaders 4 Change programme being run by NDTi.
Diagrams from JCPHM, King's Fund, NAO, Mental Health Strategies (for DH).
Evaluation Summary - Tom Harrison HouseMikeLloydWork
16 slides summarising the approach and findings from an evaluation of Tom Harrison House (an abstinence-based recovery hub for military veterans), by Michael Lloyd Research and VoiceBox Inc.
Health and social care integration and HIV - Gordon ScottHIVScotland
Presentation by Gordon Scott, on integration of health and social care and HIV. This was presented at the Scottish HIV and AIDS Group annual meeting on 26 June 2015. Copyright Gordon Scott.
2018 09-26 Texas Legislature County Affairs Testimony Rep ColemanGilbert Gonzales
Invited testimony for the 86th Texas Legislative Session on Interim Charge #3: Study how counties identify defendants' and inmates' behavioral health needs and deferral opportunities to appropriate rehabilitative and transition services. Consider models for ensuring defendants and inmates with mental illness receive appropriate services upon release from the criminal justice system.
Testimony reviews the Bexar County Texas Model for Behavioral and Criminal Justice Improvement by (in order) Mr. Kenny Wilson, Haven for Hope; Mr. Mike Lozito Judicial Services Director, Bexar County; Mr. David Pan, CHCS Community Initiatives Liasion and Mr. Gilbert Gonzales, Bexar County Mental Health Department Director.
Keynote presentation by Dr Sebastian Rosenberg, from the Centre for Mental Health Research ANU College of Health and Medicine. presented at the WA Mental Health Conference 2019.
Sex, Drugs & Scotland's Health- Working with front line staff in understandin...HIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Lesley Bon & Stephan Vargas.
More information about the virtual event is available here: http://ow.ly/YntW50GWhJ0
In 2010 Mercy Hospital sought community partnerships to assist in meeting the needs of individuals presenting to the hospital’s emergency room repeatedly who, due to their substance use disorders, mental health disorders, and/or co-occurring disorders, were not able to successfully access and engage in community-based services to address needs. This webinar will chronicle the process of development of the project by community stakeholders, implementation, highlight challenges and successes, delineate measurable one-year outcome data and return on investment.
Goals: The goal of this training is to help participants develop their knowledge, skills and abilities as Substance Use Screenng, Brief Intervention, and Referral to Treatment (SBIRT) Trainers.
At the end of this training participants will be able to understand the information screening does and does not provide,define brief intervention, describe the goals of conducting a BI, understand the counselor's role in providing BI, describe referral to treatment, identify SBIRT as a system change initiative, introduce the public health approach, and understand the continuum of substance use.
Audience: Social Workers, counselors and other behavioral health providers from all settings can benefit from understanding substance use across a continuum and its impact on clients behavioral health and other psychosocial interactions.
Chapter 14
Mental Health
Chapter Objectives
Outline issues inherent in the provision of mental health care in the correctional setting.
Understand when inmate participation in mental health care and treatment can be required.
Explore the right to privacy with regard to mental health records.
Introduction
Provision of mental health services is a necessary and complex part of any correctional operation.
Attention to planning and implementation of services to meet the mental health needs of population greatly contribute to a smooth running facility; inattention can lead to problems, negative publicity and litigation.
Correctional administrators must know the standards for care of mentally ill offenders.
Process for care of the mentally ill has changed significantly over the past fifty years. With the advent of psychopharmacology and focused therapies most people suffering from mental illness may be managed in outpatient settings.
Introduction
The management of most mentally ill patients as outpatients has resulted in the deinstitutionalization of people needing care.
However, the lack of community resources and existing support systems has led to the inadequate treatment of some mentally ill persons and has resulted in their placement in the criminal justice system.
Current data reflect more mentally ill persons in jails and prisons than in community mental institutions.
About half of the inmate population has been diagnosed with a mental health problem with approximately 16% diagnosed with serious mental illness.
The Diagnostic and Statistical Manual of Mental Disorders
Most commonly used classification system of mental illness and defects.
A mental disorder is a: “clinically significant behavioral or psychological syndrome or pattern that occurs in an individual and that is associated with present distress or disability.”
Major mental disorders include diagnosis of: schizophrenia, major depression, or bipolar disorder.
Many inmates demonstrate personality dysfunction and meet criteria for Antisocial Personality Disorder and other personality disorders, which remain difficult to treat.
Guidelines and Standards
The responsibility for provision of care to those who are denied the ability to choose their own care because of confinement has been defined in the Courts and standards of several organizations published to review.
The current standard of care requires basic and clinically relevant care. Problems arise when care falls below accepted standards and may result in deliberate indifference.
Deliberate indifference can be evidenced by: lack of access, failure to follow through with care, insufficient provision of staff resources, and poor outcomes due to negligent care.
Guidelines and Standards
Several organizations have established minimum guidelines for the treatment of mentally ill in correctional environments:
a. American Correctional Association (ACA)
b. American Medical Association (AMA)
c. American Public He.
Suicide Care in Systems Framework (National Action Alliance for Suicide Preve...David Covington
Co-led with Dr. Mike Hogan, the Clinical Care & Intervention Task Force published this National Action Alliance for Suicide Prevention road map for the Zero Suicide in Healthcare initiative.
Diversion First: Briefing, Progress-to-Date, and a Look to the FutureFairfax County
Diversion First: Briefing, Progress-to-Date, and a Look to the Future
Presentation to the Public Safety Committee of the Fairfax County Board of Supervisors
This presentation about ‘Valuing Mental Health’ by Dr Geraldine Strathdee, National Clinical Director of Mental Health, NHS England, was delivered to the Foundation Trust Network on 16 October 2013.
Geraldine covers:
- Why does the NHS need to value mental health: The impact of mental health on outcomes and costs
- Parity between mental health and physical health: What would it mean in practice
- Fast tracking Value in the NHS: What role can the Foundation Trust Network have in delivering it?
Similar to Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism (20)
Presented by: David Cozadd, Director of Operations with the Burke Center
Thomas Kerss, Sheriff of Nacogdoches County; Current President of the Sheriff’s Association for Texas
Anne Bondesen, Project Director for the Rural East Texas Health Network (RETHN)
Presented by: Dr. Melissa Graham, SAPD Psychologist
Jeanie Paradise, Clinical Director Crisis Care Center
Lt. Teri Neal, Director SAPD Communications Unit
Emile Clede, SAPD Communications Training Coordinator
Presented by: Michael R. Peterson MA LAMFT
Executive Director
Steve M. Wickelgren MA MFT
President
Minnesota CIT Officers Association
Jane Marie Sulzle, RN, CNS, MS
PrairieCare
Presented by: Melissa Reuland
Senior Research Consultant
Council of State Governments Justice Center
Mark Munetz, M.D.
Northeastern Ohio Universities Colleges of Medicine and Pharmacy
Louise Pyers
Connecticut Alliance to Benefit Law Enforcement (CABLE)
Detective Ron Bruno
Salt Lake City Police Department
A Co-response Model Mental Health and Policingcitinfo
Presented by: Mary C. Pyche, MSW, RSW Health Service Manager
Mental Health Mobile Crisis Team (MHMCT)
Susan Hare, BScOT, Program Leader, Crisis Supports, Capital District Mental Health Program
Constable Angela Balcom, Halifax Regional
Police, MHMCT dedicated police officer
Promoting CIT in Ohio: The Ohio Criminal Justice Coordinating Center of Excel...citinfo
Presented by: Mark R. Munetz, M.D.
Professor and Margaret Clark Morgan Foundation Endowed Chair of Psychiatry
Northeastern Ohio Universities Colleges of Medicine and Pharmacy
Presented by: Denise Curiel, Criminal Justice Liaison for Community Partnership of Southern Arizona
Diana Carino, Criminal Justice Assistant for Community Partnership of Southern Arizona
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivism
1. Post-Intervention Follow-up with Consumers & Families - Reducing CIT Recidivism Sergeant Barry Armfield St. Louis County Police Department, Coordinator, St. Louis Area CIT Program Richard Stevenson Director of Special Projects, Alliance on Mental Illness-NAMI St. Louis