Title The Mental Health of Adolescents Living with Potentially Fatal Arrhythmia: A Systematic Review of the Literature

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Title The Mental Health of Adolescents Living with Potentially Fatal Arrhythmia: A Systematic Review of the Literature"

Transcription

1 PROSPERO Registration of Systematic Review Title The Mental Health of Adolescents Living with Potentially Fatal Arrhythmia: A Systematic Review of the Literature Registration to be registered in PROSPERO Authors Longmuir PE 1, 3, Weekes M 1, Sampson M 2, Patel B 1, Ham J 1, Gow R 2, 3. 1 Children s Hospital of Eastern Ontario Research Institute 2 Children s Hospital of Eastern Ontario 3 University of Ottawa, Faculty of Medicine, Department of Paediatrics Correspondence: Dr. P. Longmuir, CHEO Research Institute, 401 Smyth Road, RI#1-214, Ottawa, Ontario, Canada K1H 8L1 Authors Contributions Longmuir review of abstracts and manuscripts, synthesis and interpretation of results, preparation of manuscript Weekes review of abstracts and manuscripts, synthesis of results, review of manuscript Sampson literature searches, interpretation of results, review of manuscript Patel - review of abstracts and manuscripts, review of manuscript Ham - review of abstracts and manuscripts, review of manuscript Gow diagnostic population expert, interpretation of results, review of manuscript Support This review was completed without external funding. INTRODUCTION Rationale Genetic cardiac conditions, such as hypertrophic cardiomyopathy, Long QT Syndrome, Catecholamine Induced Polymorphic Ventricular Tachycardia (CPVT), Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC), or Wolff-Parkinson-White Syndrome, predispose individuals to potentially fatal arrhythmias. Individuals with these inherited conditions are often undiagnosed until adolescence, when episodes of syncope or cardiac arrest typically begin to occur. Based on their new diagnosis, these individuals must suddenly cope with a lifethreatening illness. Given that the onset of these conditions is typically during adolescence, a developmental period often characterized by mental health challenges, it is not surprising that the electrophysiology-specialist cardiologists who care for these patients suggest that, upon diagnosis, many of these adolescents become psychosocially distressed and/or begin to exhibit Revised / 1

2 behavioral problems. Such adjustments would be expected to have a significant impact on mental health. While little is known about what triggers the initial arrhythmic episode for these inherited conditions, coroner reports indicate that 24% of fatalities due to inherited arrhythmia syndromes among youth 10 to 18 years of age are associated with exercise participation1. Therefore, current treatment recommendations for individuals diagnosed with a genetic cardiac condition include significant restriction of their physical activity2. International guidelines for the physical activity participation of individuals with arrhythmias recommend physical activity limitations designed to maintain the heart rate at 150 beats per minute or less3, 4. The required restriction of physical activity may also have a negative impact on the individual s mental health. If they are required to eliminate or restrict their participation in the physical activities that they have previously enjoyed, it may lead to a loss of the ability to self-identify as an athlete. A physically active lifestyle is associated with lower anxiety symptoms, lower depression symptoms and a higher physical perception of self5. Physical activity is also an effective coping mechanism for dealing with situations of stress or feelings of distress. The sudden onset of a life-threatening condition would be expected to increase the risk for mental health disorders, such as anxiety, depression and lower self-efficacy6-8. It has been suggested that the onset of disease during adolescence can have a negative impact on typical developmental tasks, such as self-esteem, autonomy and future goal orientation9. The required restriction of physical activity participation removes a potential coping mechanism, and may exacerbate issues of self-efficacy in previously athletic adolescents. It has been suggested that younger patients who receive an ICD have a greater risk for adverse psychological outcomes because of the many more years that they will be required to cope with the device8, although a recent review concluded that the evidence remains mixed10. There is little empirical evidence describing the mental health of adolescents following the diagnosis of a life-threatening cardiac arrhythmia. The purpose of this systematic review was to summarize the current state of knowledge regarding the mental health of adolescents after the diagnosis of a life-threatening cardiac arrhythmia. Specifically, we sought to identify the type of mental health distress, the prevalence of mental health problems in this population, and evidence for effective methods to identify and treat mental health disorders among adolescents and pre-adolescents with a heart rhythm disorder. Objectives The aim of this review is to evaluate and summarize current evidence related to the mental health and quality of life among children and adolescents, 6 to 19 years of age, diagnosed with an inherited arrhythmia condition. To this end, the proposed systematic review will answer the following questions: 1. When compared to age- and sex-matched peers without an inherited arrhythmia condition, what is the quality of life of adolescents living with an inherited arrhythmia diagnosis? 2. When compared to age- and sex-matched peers without an inherited arrhythmia condition, what is the mental health of adolescents living with an inherited arrhythmia diagnosis? Revised / 2

3 3. For the above questions, what clinical and study methodological characteristics explain the heterogeneity in results? METHODS Eligibility Criteria Study design: Cross-sectional or longitudinal, prospective or retrospective. Review articles, comments or case reports are excluded. Participants: Children/adolescents, 9 to 18 years or the mean age of study participants in this range, living with an inherited arrhythmia diagnosis Interventions: Description of patient status, study intervention not required Comparators: Healthy age- and sex-matched peers Outcomes: quality of life, health-related quality of life, emotional quality of life, physical quality of life, social quality of life, mental health, anxiety, depression, post-traumatic stress disorder Report characteristics: 1946 to 2015; all languages; published original research Information Sources Medline, PsycInfo and Embase databases Search Strategy MEDLINE EMBASE PsycINFO 1. exp arrhythmias, cardiac/ or 1. exp heart arrhythmia/ 1. exp "arrhythmias (heart)"/ arrhythmogenic right ventricular dysplasia/ or exp cardiomyopathy, hypertrophic/ 2. exp arrhythmias, cardiac/ 2. exp long QT syndrome/ 2. long QT syndrome*.tw. 3. Arrhythmogenic Right Ventricular Dysplasia/ 4. exp Cardiomyopathy, Hypertrophic/ 5. (Catecholamine Induced Polymorphic Ventricular Tachycardia or CPVT).tw. 6. (Arrhythmogenic Right Ventricular Cardiomyopathy or ARVC).tw. 7. or/ or/ catecholaminergic polymorphic ventricular tachycardia/ 3. (tachycard* or CPVT).tw. 4. exp hypertrophic cardiomyopathy/ 4. (Cardiomyopath* or ARVC).tw. 5. heart right ventricle dysplasia/ 5. (Wolff adj2 Parkinson).tw. 6. Wolff Parkinson White syndrome/ 8. exp Behavioral Symptoms/ 8. psychological aspect/ 9. Stress, Psychological/ 9. exp Anxiety Disorder/ 10. exp "Behavior and Behavior mechanisms"/ 10. Anxiety/ 11. Mental Health/ 11. Mental Stress/ Revised / 3

4 12. Resilience, Psychological/ 12. exp Depression/ 13. exp Anxiety Disorders/ 13. exp Suicidal Behavior/ 14. exp Eating Disorders/ 14. automutilation/ 15. exp Substance-Related Disorders/ 15. exp impulse control disorder/ 16. exp Depressive Disorder/ 16. impulsiveness/ 17. exp Sleep Disorders/ 17. Oppositional Defiant Disorder/ 18. exp Somatoform Disorders/ 18. Antisocial Behavior/ 19. exp Self-injurious Behavior/ 19. exp eating disorder/ and substance abuse/ 24. (child: or adolescent).mp. 21. alcohol abuse/ and drinking behavior/ 6. or/ exp Addiction/ 7. limit 6 to (180 school age or exp sleep disorder/ adolescence ) 8. 6 and (child* or adolesc*).mp. 25. exp somatoform disorder/ 9. 7 or exp "Quality of Life"/ 27. or/ and limit 28 to (school child <7 to 12 years> or adolescent <13 to 17 years>) 30. limit 29 to embase Study Records Data management: Reference Manager 11 databases Selection process: Two authors will independently screen titles and abstracts and determine eligibility of full manuscripts Data collection process: Data extraction done independently by two authors Data Items Age: Individual participants between 8.0 and years of age or mean study population age within that range Revised / 4

5 Cardiac Diagnoses: Long QT Syndrome, Catecholamine Induced Polymorphic Ventricular Tachycardia (CPVT), Hypertrophic Cardiomyopathy, Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC), Wolff-Parkinson-White Syndrome or Inherited arrhythmia Mental Health Diagnoses: Psychological problems classified as being of environmental origin: internalized and externalized behaviour, psychological limitations, stress, depression and suicidal tendencies, impulse control disorders, oppositional defiant disorders, eating disorders, substance abuse disorders, environmentally-derived sleep disorders, somatoform disorders, etcetera Exclusions: Psychological problems not of genetic origin. Learning disabilities, developmental disorders, psychotic disorders, bipolar disorder, personality disorders or any psychological sequelae of drugs used to treat arrhythmia or other conditions not resulting from the arrhythmia diagnosis were excluded. Outcomes and Prioritization Quality of Life Primary Outcomes: quality of life, emotional/psychological quality of life Secondary Outcomes: physical / social / health-related quality of life Mental Health Primary Outcomes: anxiety, depression, internalizing disorders Secondary Outcomes: post-traumatic stress disorder, externalizing disorders, behaviour problems Risk of Bias in Individual Studies Assessed at study level and outcome level. The Newcastle-Ottawa Scale will be used to assess the quality of non-randomized studies, including case-control and cohort studies. Studies will be synthesized based on level of risk for bias Data Synthesis Summary of studies addressing quality of life Summary of studies addressing mental health Strength of study design, population of study, quantitative/qualitative methods Revised / 5

Potential Causes of Sudden Cardiac Arrest in Children

Potential Causes of Sudden Cardiac Arrest in Children Potential Causes of Sudden Cardiac Arrest in Children Project S.A.V.E. When sudden death occurs in children, adolescents and younger adults, heart abnormalities are likely causes. These conditions are

More information

Presently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1

Presently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1 What is bipolar disorder? There are two main types of bipolar illness: bipolar I and bipolar II. In bipolar I, the symptoms include at least one lifetime episode of mania a period of unusually elevated

More information

Psychological outcomes for women following abortion. Dr Sharon Cameron Royal Infirmary of Edinburgh and Dean Terrace Centre, Edinburgh, UK

Psychological outcomes for women following abortion. Dr Sharon Cameron Royal Infirmary of Edinburgh and Dean Terrace Centre, Edinburgh, UK Psychological outcomes for women following abortion Dr Sharon Cameron Royal Infirmary of Edinburgh and Dean Terrace Centre, Edinburgh, UK Abortion Difficult decision Different reasons for abortion Different

More information

Mended Hearts: Savings Lives of Heart Patients Through Genetic Testing

Mended Hearts: Savings Lives of Heart Patients Through Genetic Testing Mended Hearts: Savings Lives of Heart Patients Through Genetic Testing Amy Sturm, LGC Licensed Genetic Counselor Associate Professor Division of Human Genetics Department of Internal Medicine 1 Why Genetics

More information

Table of Contents. Preface...xv. Part I: Introduction to Mental Health Disorders and Depression

Table of Contents. Preface...xv. Part I: Introduction to Mental Health Disorders and Depression Table of Contents Visit www.healthreferenceseries.com to view A Contents Guide to the Health Reference Series, a listing of more than 16,000 topics and the volumes in which they are covered. Preface...xv

More information

Assessment of depression in adults in primary care

Assessment of depression in adults in primary care Assessment of depression in adults in primary care Adapted from: Identification of Common Mental Disorders and Management of Depression in Primary care. New Zealand Guidelines Group 1 The questions and

More information

County of San Diego Health and Human Services Agency (HHSA) Mental Health Services Policies and Procedures MHS General Administration

County of San Diego Health and Human Services Agency (HHSA) Mental Health Services Policies and Procedures MHS General Administration MHS FINAL Subject: Referenc Specialty for Clients with Co-occurring CCR Title 9; Co-occurring Psychiatric and Substance Abuse Disorders Consensus Document No: 01-02-205 Formerly: 01-06-117 Page: 1 of 7

More information

ADHD. & Coexisting Disorders in Children

ADHD. & Coexisting Disorders in Children ADHD & Coexisting Disorders in Children ADHD AND CHILDREN Attention-deficit/hyperactivity disorder (ADHD) is a recognized medical condition that often requires medical intervention. Establishing a diagnosis

More information

CRITERIA CHECKLIST. Serious Mental Illness (SMI)

CRITERIA CHECKLIST. Serious Mental Illness (SMI) Serious Mental Illness (SMI) SMI determination is based on the age of the individual, functional impairment, duration of the disorder and the diagnoses. Adults must meet all of the following five criteria:

More information

Depression and Mental Health:

Depression and Mental Health: Depression and Mental Health: A Psychiatrist s Perspective Peter M. Lake, MD Medical Director Rogers Memorial Hospital Oconomowoc Depression The Intersection of Hope, Medicine and Research Marquette University

More information

NEW YORK STATE TEACHER CERTIFICATION EXAMINATIONS

NEW YORK STATE TEACHER CERTIFICATION EXAMINATIONS NEW YORK STATE TEACHER CERTIFICATION EXAMINATIONS TEST DESIGN AND FRAMEWORK September 2014 Authorized for Distribution by the New York State Education Department This test design and framework document

More information

EXHIBIT D, COVERED BEHAVIORAL HEALTH DIAGNOSES

EXHIBIT D, COVERED BEHAVIORAL HEALTH DIAGNOSES EXHIBIT D, COVERED BEHAVIORAL HEALTH DIAGNOSES Part I- Mental Health Covered Diagnoses 295-298.9 295 Schizophrenic s (the following fifth-digit sub-classification is for use with category 295) 0 unspecified

More information

BOARD OF PHARMACY SPECIALITIES 2215 Constitution Avenue, NW Washington, DC 20037-2985 202-429-7591 FAX 202-429-6304 bps@aphanet.org www.bpsweb.

BOARD OF PHARMACY SPECIALITIES 2215 Constitution Avenue, NW Washington, DC 20037-2985 202-429-7591 FAX 202-429-6304 bps@aphanet.org www.bpsweb. BOARD OF PHARMACY SPECIALITIES 2215 Constitution Avenue, NW Washington, DC 20037-2985 202-429-7591 FAX 202-429-6304 bps@aphanet.org www.bpsweb.org Content Outline for the PSYCHIATRIC PHARMACY SPECIALTY

More information

www.irishheart.ie CARDIOMYOPATHY SUPPORT GROUP IRELAND

www.irishheart.ie CARDIOMYOPATHY SUPPORT GROUP IRELAND www.irishheart.ie CARDIOMYOPATHY SUPPORT GROUP IRELAND Cardiomyopathy Support Group This is a voluntary group of people, all of whom have cardiomyopathy. It was set up in association with the Irish Heart

More information

Behavioral Health Best Practice Documentation

Behavioral Health Best Practice Documentation Behavioral Health Best Practice Documentation Click on the desired Diagnoses link or press Enter to view all information. Diagnoses: DSM-5 and ICD-10 Codes Major Depressive Disorder Bipolar Disorder Eating

More information

DSM-5 to ICD-9 Crosswalk for Psychiatric Disorders

DSM-5 to ICD-9 Crosswalk for Psychiatric Disorders DSM-5 to ICD-9 Crosswalk for Psychiatric s The crosswalk found on the pages below contains codes or descriptions that have changed in the DSM-5 from the DSM-IV TR. DSM-5 to ICD-9 crosswalk is available

More information

Provider Training. Behavioral Health Screening, Referral, and Coding Requirements

Provider Training. Behavioral Health Screening, Referral, and Coding Requirements Provider Training Behavioral Health Screening, Referral, and Coding Requirements Training Outline I. Behavioral Health Screening Requirements and Referrals II. Healthy Behaviors Substance and Alcohol Abuse

More information

How to Recognize Depression and Its Related Mood and Emotional Disorders

How to Recognize Depression and Its Related Mood and Emotional Disorders How to Recognize Depression and Its Related Mood and Emotional Disorders Dr. David H. Brendel Depression s Devastating Toll on the Individual Reduces or eliminates pleasure and jo Compromises and destroys

More information

Schizoaffective disorder

Schizoaffective disorder Schizoaffective disorder Dr.Varunee Mekareeya,M.D.,FRCPsychT Schizoaffective disorder is a psychiatric disorder that affects about 0.5 to 0.8 percent of the population. It is characterized by disordered

More information

Beth Merriam, M.A., OATR, ATR-BC, CCC Email: bmerriam@rogers.com

Beth Merriam, M.A., OATR, ATR-BC, CCC Email: bmerriam@rogers.com Beth Merriam, M.A., OATR, ATR-BC, CCC Email: bmerriam@rogers.com EDUCATION 1992: M.A in, Art Therapy, Norwich University, Vermont, U.S.A, 1990: B.F.A., with major in art education, Concordia University,

More information

Co-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs

Co-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Co-Occurring Substance Use and Mental Health Disorders Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Introduction Overview of the evolving field of Co-Occurring Disorders Addiction and

More information

Drugs PSYCHOSIS. Depression. Stress Medical Illness. Mania. Schizophrenia

Drugs PSYCHOSIS. Depression. Stress Medical Illness. Mania. Schizophrenia Drugs Stress Medical Illness PSYCHOSIS Depression Schizophrenia Mania Disorders In preschool children imaginary friends and belief in monsters under the bed is normal (it may be normal in older developmentally

More information

Test Content Outline Effective Date: October 25, 2014. Psychiatric and Mental Health Nursing Board Certification Examination

Test Content Outline Effective Date: October 25, 2014. Psychiatric and Mental Health Nursing Board Certification Examination Board Certification Examination There are 175 questions on this examination. Of these, 150 are scored questions and 25 are pretest questions that are not scored. Pretest questions are used to determine

More information

Bipolar Disorder UHN. Information for patients and families. Read this booklet to learn:

Bipolar Disorder UHN. Information for patients and families. Read this booklet to learn: Bipolar Disorder UHN Information for patients and families Read this booklet to learn: what bipolar disorder is what causes it the signs or symptoms of bipolar disorder what treatments can help Please

More information

Optum By United Behavioral Health. 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines

Optum By United Behavioral Health. 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines Optum By United Behavioral Health 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines Therapeutic group care services are community-based, psychiatric residential treatment

More information

Applied Psychology. Course Descriptions

Applied Psychology. Course Descriptions Applied Psychology s AP 6001 PRACTICUM SEMINAR I 1 CREDIT AP 6002 PRACTICUM SEMINAR II 3 CREDITS Prerequisites: AP 6001: Successful completion of core courses. Approval of practicum site by program coordinator.

More information

TARGET DATE for completion of this MAPPING is November 30, 2011.

TARGET DATE for completion of this MAPPING is November 30, 2011. The Behavioral Health Planning Council s Adult and Substance Abuse Subcommittees have undertaken the task of putting together a statewide services directory. The goal of this project is to secure information

More information

What works for bipolar disorder and how should this be delivered in practice?

What works for bipolar disorder and how should this be delivered in practice? What works for bipolar disorder and how should this be delivered in practice? Daniel Smith daniel.smith@glasgow.ac.uk W4 Improving the diagnosis and management of bipolar disorder: screening, integrated

More information

ALCOHOL RELATED DISORDERS Includes Alcohol Abuse and Alcohol Dependence; Does Not Include Alcohol Use Disorders

ALCOHOL RELATED DISORDERS Includes Alcohol Abuse and Alcohol Dependence; Does Not Include Alcohol Use Disorders 1 MH 12 ALCOHOL RELATED DISORDERS Includes Alcohol Abuse and Alcohol Dependence; Does Not Include Alcohol Use Disorders Background This case definition was developed by the Armed Forces Health Surveillance

More information

CHAPTER 5 MENTAL, BEHAVIOR AND NEURODEVELOPMENT DISORDERS (F01-F99) March 2014. 2014 MVP Health Care, Inc.

CHAPTER 5 MENTAL, BEHAVIOR AND NEURODEVELOPMENT DISORDERS (F01-F99) March 2014. 2014 MVP Health Care, Inc. CHAPTER 5 MENTAL, BEHAVIOR AND NEURODEVELOPMENT DISORDERS (F01-F99) March 2014 2014 MVP Health Care, Inc. CHAPTER 5 CHAPTER SPECIFIC CATEGORY CODE BLOCKS F01-F09 Mental disorders due to known physiological

More information

Borderline personality disorder

Borderline personality disorder Borderline personality disorder Treatment and management Issued: January 2009 NICE clinical guideline 78 guidance.nice.org.uk/cg78 NICE 2009 Contents Introduction... 3 Person-centred care... 5 Key priorities

More information

CHAPTER 6 Diagnosing and Identifying the Need for Trauma Treatment

CHAPTER 6 Diagnosing and Identifying the Need for Trauma Treatment CHAPTER 6 Diagnosing and Identifying the Need for Trauma Treatment This chapter offers mental health professionals: information on diagnosing and identifying the need for trauma treatment guidance in determining

More information

Definition of Terms. nn Mental Illness Facts and Statistics

Definition of Terms. nn Mental Illness Facts and Statistics nn Mental Illness Facts and Statistics This section contains a brief overview of facts and statistics about mental illness in Australia as well as information that may be useful in countering common myths.

More information

Master of Arts in Psychology: Counseling Psychology

Master of Arts in Psychology: Counseling Psychology Deanship of Graduate Studies King Saud University Master of Arts in Psychology: Counseling Psychology Department of Psychology College of Education Master of Arts in Psychology: Counseling Psychology 2007/2008

More information

2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member

2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member Co Occurring Disorders and the on Children: Effectively Working with Families Affected by Substance Abuse and Mental Illness Definition (Co-Occurring also called Dual Dx) A professional diagnosis of addictive/substance

More information

CARDIOMYOPATHY SUPPORT GROUP IRELAND

CARDIOMYOPATHY SUPPORT GROUP IRELAND www.irishheart.ie CARDIOMYOPATHY SUPPORT GROUP IRELAND Cardiomyopathy Support Group This is a voluntary group of people, all of whom have cardiomyopathy. It was set up in association with the Irish Heart

More information

Billing for other services for members in psychiatric residential treatment facilities

Billing for other services for members in psychiatric residential treatment facilities Billing for other services for members in psychiatric residential treatment facilities Summary: Psychiatric residential treatment facilities (PRTF) are an all-inclusive treatment program for children and

More information

TREATING ADOLESCENTS

TREATING ADOLESCENTS TREATING ADOLESCENTS A focus on adolescent substance abuse and addiction Center for Youth, Family, and Community Partnerships Presentation developed by: Christopher Townsend MA, LPC, LCAS,CCS, NCC Learning

More information

ABOUT US. and Expressive Therapy (Dance/Movement, Art, Drama) in addition to individual, group and family therapy by skilled therapists.

ABOUT US. and Expressive Therapy (Dance/Movement, Art, Drama) in addition to individual, group and family therapy by skilled therapists. ABOUT US n Riveredge Hospital maintains the treatment philosophy of Trauma Informed Care. n Our commitment to providing the highest quality of care includes offering Animal Assisted Therapy, and Expressive

More information

Query Reference MH1 HMHDB Hospital Mental Health Services in Canada

Query Reference MH1 HMHDB Hospital Mental Health Services in Canada Query Reference MH1 HMHDB Hospital Mental Health Services in Canada Interactive tables Pan-Canada Pan-Canadian Interactive Tables for Mental Illness or Addiction With Breakdowns by Diagnosis Grouping and

More information

Borderline personality disorder

Borderline personality disorder Issue date: January 2009 Borderline personality disorder Borderline personality disorder: treatment and management NICE clinical guideline 78 Developed by the National Collaborating Centre for Mental Health

More information

Abnormal Psychology PSY-350-TE

Abnormal Psychology PSY-350-TE Abnormal Psychology PSY-350-TE This TECEP tests the material usually taught in a one-semester course in abnormal psychology. It focuses on the causes of abnormality, the different forms of abnormal behavior,

More information

The Effect of Family Background on the Risk of Homelessness in a Cohort of Danish Adolescents

The Effect of Family Background on the Risk of Homelessness in a Cohort of Danish Adolescents The Effect of Family Background on the Risk of Homelessness in a Cohort of Danish Adolescents Lars Benjaminsen The Danish National Center for Social Research Problem What is the family background of young

More information

TEEN MARIJUANA USE WORSENS DEPRESSION

TEEN MARIJUANA USE WORSENS DEPRESSION TEEN MARIJUANA USE WORSENS DEPRESSION An Analysis of Recent Data Shows Self-Medicating Could Actually Make Things Worse Millions of American teens* report experiencing weeks of hopelessness and loss of

More information

opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380

opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 ed #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 effects of alcohol in the brain 100 Top 30 698 heroin addiction 100

More information

Diagnostic Scoring System for LQTS

Diagnostic Scoring System for LQTS Medical Coverage Policy Genetic Testing: Congenital Long QT Syndrome Device/Equipment Drug Medical Surgery Test Other Effective Date: 2/15/2011 Policy Last Updated: 2/21/2012 Prospective review is recommended/required.

More information

Amphetamines Addiction

Amphetamines Addiction Introduction Amphetamines, which are classified as stimulants, work by using the dopamine reward system of the brain. When these drugs are used, the user s central nervous system is simulated which causes

More information

Unit 4: Personality, Psychological Disorders, and Treatment

Unit 4: Personality, Psychological Disorders, and Treatment Unit 4: Personality, Psychological Disorders, and Treatment Learning Objective 1 (pp. 131-132): Personality, The Trait Approach 1. How do psychologists generally view personality? 2. What is the focus

More information

information for service providers Schizophrenia & Substance Use

information for service providers Schizophrenia & Substance Use information for service providers Schizophrenia & Substance Use Schizophrenia and Substance Use Index 2 2 3 5 6 7 8 9 How prevalent are substance use disorders among people with schizophrenia? How prevalent

More information

Welcome New Employees. Clinical Aspects of Mental Health, Developmental Disabilities, Addictive Diseases & Co-Occurring Disorders

Welcome New Employees. Clinical Aspects of Mental Health, Developmental Disabilities, Addictive Diseases & Co-Occurring Disorders Welcome New Employees Clinical Aspects of Mental Health, Developmental Disabilities, Addictive Diseases & Co-Occurring Disorders After this presentation, you will be able to: Understand the term Serious

More information

Knowledge of a generic model of adjustment to long-term health conditions

Knowledge of a generic model of adjustment to long-term health conditions Knowledge of a generic model of adjustment to long-term health conditions An ability to draw on knowledge that adjustment is not an end-point but a process of assimilation that takes place over time, and

More information

Mayor s Round Table on Mental Health and Addictions

Mayor s Round Table on Mental Health and Addictions Mayor s Round Table on Mental Health and Addictions Addressing serious mental health and addictions and the health of our City October 2, 2013 Media Resource Part 1 Seriously Addicted & Mentally Ill (SAMI)

More information

SCHOOL MENTAL HEALTH RESPONSE GUIDELINES

SCHOOL MENTAL HEALTH RESPONSE GUIDELINES 1 SCHOOL MENTAL HEALTH RESPONSE GUIDELINES The School Mental Health Response Staff may consist of a variety of members of the school s SBSLT (School Based Support Learning Team), including but not limited

More information

Eating Disorders. Symptoms and Warning Signs. Anorexia nervosa:

Eating Disorders. Symptoms and Warning Signs. Anorexia nervosa: Eating Disorders Eating disorders are serious conditions that can have life threatening effects on youth. A person with an eating disorder tends to have extreme emotions toward food and behaviors surrounding

More information

Depression Assessment & Treatment

Depression Assessment & Treatment Depressive Symptoms? Administer depression screening tool: PSC Depression Assessment & Treatment Yes Positive screen Safety Screen (see Appendix): Administer every visit Neglect/Abuse? Thoughts of hurting

More information

ADVANCED BEHAVIORAL HEALTH, INC. Clinical Level of Care Guidelines - 2015

ADVANCED BEHAVIORAL HEALTH, INC. Clinical Level of Care Guidelines - 2015 The Clinical Level of Care Guidelines contained on the following pages have been developed as a guide to assist care managers, physicians and providers in making medical necessity decisions about the least

More information

Mental Health, Disability and Work: Inpatient Medical Rehabilitation

Mental Health, Disability and Work: Inpatient Medical Rehabilitation Mental Health, Disability and Work: Inpatient Medical Rehabilitation Prof. Michael Linden Head of the Rehabilitation Center Seehof of the German Pension Fund and Director of the Department of Behavioral

More information

Would you fly with this pilot? Psychiatric issues. Psychiatric illness

Would you fly with this pilot? Psychiatric issues. Psychiatric illness Would you fly with this pilot? Psychiatric issues Dr Anthony Evans Chief, Aviation Medicine Section ICAO, Montreal Lima, Peru, March 2009 Psychiatric illness 6.3.2.2 The applicant shall have no established

More information

ALCOHOL RELATED DISORDERS Includes Alcohol Abuse and Alcohol Dependence; Does Not Include Alcohol Use Disorders

ALCOHOL RELATED DISORDERS Includes Alcohol Abuse and Alcohol Dependence; Does Not Include Alcohol Use Disorders 1 MH 12 ALCOHOL RELATED DISORDERS Includes Alcohol Abuse and Alcohol Dependence; Does Not Include Alcohol Use Disorders Background This case definition was developed by the Armed Forces Health Surveillance

More information

THE OFFICE OF SUBSTANCE ABUSE SERVICES REQUIREMENTS FOR THE PROVISION OF RESIDENTIAL DETOXIFICATION SERVICES BY PROVIDERS FUNDED WITH DBHDS RESOURCES

THE OFFICE OF SUBSTANCE ABUSE SERVICES REQUIREMENTS FOR THE PROVISION OF RESIDENTIAL DETOXIFICATION SERVICES BY PROVIDERS FUNDED WITH DBHDS RESOURCES THE OFFICE OF SUBSTANCE ABUSE SERVICES REQUIREMENTS FOR THE PROVISION OF RESIDENTIAL DETOXIFICATION SERVICES BY PROVIDERS FUNDED WITH DBHDS RESOURCES PURPOSE: The goal of this document is to describe the

More information

Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center

Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center 1 in 4 Americans will have an alcohol or drug problems at some point in their lives. The number of alcohol abusers and addicts

More information

Washington State Regional Support Network (RSN)

Washington State Regional Support Network (RSN) Access to Care Standards 11/25/03 Eligibility Requirements for Authorization of Services for Medicaid Adults & Medicaid Older Adults Please note: The following standards reflect the most restrictive authorization

More information

Bipolar Disorder: Advances in Psychotherapy

Bipolar Disorder: Advances in Psychotherapy Bipolar Disorder: Advances in Psychotherapy Questions from chapter 1 1) Which is characterized by one or more major depressive episodes with at least one hypomanic episode in which the patient s functioning

More information

PhD. IN (Psychological and Educational Counseling)

PhD. IN (Psychological and Educational Counseling) PhD. IN (Psychological and Educational Counseling) I. GENERAL RULES CONDITIONS: Plan Number 2012 1. This plan conforms to the regulations of the general frame of the programs of graduate studies. 2. Areas

More information

Putting the smiles back. When Something s Wr ng o. Ideas for Families

Putting the smiles back. When Something s Wr ng o. Ideas for Families Putting the smiles back When Something s Wr ng o Ideas for Families Borderline Personality Disorder (BPD) Disorder is characterized by an overall pattern of instability in interpersonal relationships and

More information

[KQ 804] FEBRUARY 2007 Sub. Code: 9105

[KQ 804] FEBRUARY 2007 Sub. Code: 9105 [KQ 804] FEBRUARY 2007 Sub. Code: 9105 (Revised Regulations) Theory : Two hours and forty minutes Q.P. Code: 419105 Maximum : 100 marks Theory : 80 marks M.C.Q. : Twenty minutes M.C.Q. : 20 marks 1. A

More information

ANTISOCIAL PERSONALITY DISORDER

ANTISOCIAL PERSONALITY DISORDER ANTISOCIAL PERSONALITY DISORDER Antisocial personality disorder is a type of chronic mental illness in which your ways of thinking, perceiving situations and relating to others are dysfunctional. When

More information

Dual diagnosis: working together

Dual diagnosis: working together Dual diagnosis: working together Tom Carnwath RCGP conference Birmingham 2007 DSM-IV & cocaine Cocaine intoxication Cocaine withdrawal Cocaine-induced sleep disorder Cocaine-induced sexual dysfunction

More information

How to Read the DSM-IV A Tutorial for Beginners

How to Read the DSM-IV A Tutorial for Beginners How to Read the DSM-IV A Tutorial for Beginners By Dr. Robert Tippie, Ph.D. MARET Systems International Previously we explained the validity of pastors using the DSM-IV. In this article we will discuss

More information

Mental Health Needs Assessment Personality Disorder Prevalence and models of care

Mental Health Needs Assessment Personality Disorder Prevalence and models of care Mental Health Needs Assessment Personality Disorder Prevalence and models of care Introduction and definitions Personality disorders are a complex group of conditions identified through how an individual

More information

Symptoms of mania can include: 3

Symptoms of mania can include: 3 Bipolar Disorder This factsheet gives information on bipolar disorder. It explains the symptoms of bipolar disorder, treatments and ways to manage symptoms. It also covers what treatment the National Institute

More information

The Field of Counseling. Veterans Administration one of the most honorable places to practice counseling is with the

The Field of Counseling. Veterans Administration one of the most honorable places to practice counseling is with the Gainful Employment Information The Field of Counseling Job Outlook Veterans Administration one of the most honorable places to practice counseling is with the VA. Over recent years, the Veteran s Administration

More information

Specific issues for child and youth primary mental health care

Specific issues for child and youth primary mental health care Guides to specific issues 1 Specific issues for child and youth primary mental health care This issues guide is linked to the vignette Children should be seen and heard Consideration of Child and Youth

More information

Bipolar Disorder. in Children and Teens. Does your child go through intense mood changes? Does your child have

Bipolar Disorder. in Children and Teens. Does your child go through intense mood changes? Does your child have Bipolar Disorder in Children and Teens Does your child go through intense mood changes? Does your child have extreme behavior changes too? Does your child get too excited or silly sometimes? Do you notice

More information

Attachment 5 Arizona s Crosswalk for DC: 0-3R, DSM-IV-TR and ICD-10-CM 1

Attachment 5 Arizona s Crosswalk for DC: 0-3R, DSM-IV-TR and ICD-10-CM 1 Arizona Department of Health Services/Division of Behavioral Health Services Practice Tool, Working with the Birth to Five Population Attachment 5 Arizona s Crosswalk for DC: 0-3R, DSM-IV-TR and ICD-10-CM

More information

Background: Previous Research

Background: Previous Research OUTCOME TRAJECTORIES FOR YOUTH SERVED IN RESIDENTIAL TREATMENT FACILITY SETTINGS OR THE COMMUNITY THROUGH THE HOME AND COMMUNITY BASED SERVICES MEDICAID WAIVER Office of Performance Measurement & Evaluation

More information

Dating practices among youth in residential treatment

Dating practices among youth in residential treatment Evidence In-Sight: Dating practices among youth in residential treatment Date: July 2014 Updated October 2015 www.excellenceforchildandyouth.ca www.excellencepourenfantsados.ca Residential dating practices

More information

in young people Management of depression in primary care Key recommendations: 1 Management

in young people Management of depression in primary care Key recommendations: 1 Management Management of depression in young people in primary care Key recommendations: 1 Management A young person with mild or moderate depression should typically be managed within primary care services A strength-based

More information

Transitioning to ICD-10 Behavioral Health

Transitioning to ICD-10 Behavioral Health Transitioning to ICD-10 Behavioral Health Jeri Leong, R.N., CPC, CPC-H, CPMA Healthcare Coding Consultants of Hawaii LLC 1 Course Objectives Review of new requirements to ICD-10-CM Identify the areas of

More information

DSM-5: A Comprehensive Overview

DSM-5: A Comprehensive Overview 1) The original DSM was published in a) 1942 b) 1952 c) 1962 d) 1972 DSM-5: A Comprehensive Overview 2) The DSM provides all the following EXCEPT a) Guidelines for the treatment of identified disorders

More information

GUIDELINES FOR THE MANAGEMENT OF SELF INJURY Policy & Procedures Next review date: Currently under review

GUIDELINES FOR THE MANAGEMENT OF SELF INJURY Policy & Procedures Next review date: Currently under review GUIDELINES FOR THE MANAGEMENT OF SELF INJURY Policy & Procedures Next review date: Currently under review Last reviewed: June 2013 By: Dean of Students 1. RATIONALE We aim to provide a positive, safe and

More information

- UNDERSTANDING - Dual Diagnosis

- UNDERSTANDING - Dual Diagnosis - UNDERSTANDING - Dual Diagnosis TABLE OF CONTENTS Introduction 3 The Link Between Mental Illness and Substance Abuse 4 Characteristics of an Effective Dual Diagnosis Treatment Plan 6 Dual Diagnosis Treatment

More information

Antisocial personality disorder

Antisocial personality disorder Understanding NICE guidance Information for people who use NHS services Antisocial personality disorder NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases

More information

Bipolar Disorder. When people with bipolar disorder feel very happy and "up," they are also much more active than usual. This is called mania.

Bipolar Disorder. When people with bipolar disorder feel very happy and up, they are also much more active than usual. This is called mania. Bipolar Disorder Introduction Bipolar disorder is a serious mental disorder. People who have bipolar disorder feel very happy and energized some days, and very sad and depressed on other days. Abnormal

More information

Borderline personality disorder

Borderline personality disorder Understanding NICE guidance Information for people who use NHS services Borderline personality disorder NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases

More information

www.irishheart.ie LONG QT SYNDROME SUPPORT GROUP IRELAND

www.irishheart.ie LONG QT SYNDROME SUPPORT GROUP IRELAND www.irishheart.ie LONG QT SYNDROME SUPPORT GROUP IRELAND Long QT Syndrome Support Group This is a voluntary group of people, all of whom have families with Long QT syndrome (LQTS). It was set up in association

More information

Bipolar Disorder. Mania is the word that describes the activated phase of bipolar disorder. The symptoms of mania may include:

Bipolar Disorder. Mania is the word that describes the activated phase of bipolar disorder. The symptoms of mania may include: Bipolar Disorder What is bipolar disorder? Bipolar disorder, or manic depression, is a medical illness that causes extreme shifts in mood, energy, and functioning. These changes may be subtle or dramatic

More information

I. Each evaluator will have experience in diagnosing and treating the disease of chemical dependence.

I. Each evaluator will have experience in diagnosing and treating the disease of chemical dependence. PREVENTION/INTERVENTION CENTER COBB COUNTY PUBLIC SCHOOL SAFE AND DRUG FREE PROGRAM www.cobbk12.org/~preventionintervention CONTRACT FOR SERVICE PROVIDERS As a member of the Cobb County Schools Coalition

More information

Co-Occurring Disorders

Co-Occurring Disorders Co-Occurring Disorders PACCT 2011 CAROLYN FRANZEN Learning Objectives List common examples of mental health problems associated with substance abuse disorders Describe risk factors that contribute to the

More information

Towards Developing a Manual for Residential Treatment Centers to Support Individuals with an FASD and Their Families

Towards Developing a Manual for Residential Treatment Centers to Support Individuals with an FASD and Their Families Towards Developing a Manual for Residential Treatment Centers to Support Individuals with an FASD and Their Families Presented By Dr. Pamela Gillen University of Colorado Anschutz Medical Campus and Dan

More information

Who We Serve Adults with severe and persistent mental illnesses such as schizophrenia, bipolar disorder and major depression.

Who We Serve Adults with severe and persistent mental illnesses such as schizophrenia, bipolar disorder and major depression. We Serve Adults with severe and persistent mental illnesses such as schizophrenia, bipolar disorder and major depression. We Do Provide a comprehensive individually tailored group treatment program in

More information

Behavioral Health Phase 3: Standards Under Review

Behavioral Health Phase 3: Standards Under Review Behavioral Health Phase 3: Standards Under Review Measure Number Title Description Measure Steward 0108 Follow-Up Care for Children Prescribed ADHD Medication (ADD) The percentage of children newly prescribed

More information

The Field of Counseling

The Field of Counseling Gainful Employment Information The Field of Counseling Job Outlook Veterans Administration one of the most honorable places to practice counseling is with the VA. Over recent years, the Veteran s Administration

More information

Coping Strategies and Resilience among Children affected by Parental Alcohol Problems

Coping Strategies and Resilience among Children affected by Parental Alcohol Problems Coping Strategies and Resilience among Children affected by Parental Alcohol Problems Michael Klein Katholische Hochschule NRW, Koeln Catholic University of Applied Sciences NRW, Cologne Symposium at the

More information

Genetic Basis of Cardiomyopathy

Genetic Basis of Cardiomyopathy Genetic Basis of Cardiomyopathy A GUIDE FOR PATIENTS AND FAMILIES LABORATORY FOR MOLECULAR MEDICINE This booklet has been prepared for patients, families and healthcare professionals who are interested

More information

B i p o l a r D i s o r d e r

B i p o l a r D i s o r d e r B i p o l a r D i s o r d e r Professor Ian Jones Director National Centre for Mental Health www.ncmh.info @ncmh_wales /WalesMentalHealth 029 2074 4392 info@ncmh.info Robert Schumann 1810-1856 Schumann's

More information

SLEEP DISTURBANCE AND PSYCHIATRIC DISORDERS

SLEEP DISTURBANCE AND PSYCHIATRIC DISORDERS E-Resource December, 2013 SLEEP DISTURBANCE AND PSYCHIATRIC DISORDERS Between 10-18% of adults in the general population and up to 50% of adults in the primary care setting have difficulty sleeping. Sleep

More information

Co-Occurring Disorders

Co-Occurring Disorders Presented by Pamela Messore LICSW, LCDP Co-Occurring Disorder - formerly Dual Diagnosis - was once a challenge to providers. Historically, clients were treated in separate modalities - even separate agencies.

More information

NEW STUDENT-ATHLETE MEDICAL HISTORY FORM

NEW STUDENT-ATHLETE MEDICAL HISTORY FORM Student-Athlete Information NEW STUDENT-ATHLETE MEDICAL HISTORY FORM Name Date Birth SSN Sport Student ID Number Academic Class 1 Personal Physician s Name Phone # Person to Contact In The Event of Emergency

More information