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  1. Article ; Online: A Psychiatric Residency in the Era of COVID-19: A Bionian Perspective.

    Lim, Christopher T / Harris, Zachary B / Caan, Marissa P

    Psychodynamic psychiatry

    2020  Volume 48, Issue 3, Page(s) 259–270

    Abstract: Coronavirus disease 2019 (COVID-19) is currently ravaging health systems across the world. Psychiatric trainees are at risk of exposure to patients with COVID-19 given their clinical roles in emergency and inpatient psychiatric settings. This article ... ...

    Abstract Coronavirus disease 2019 (COVID-19) is currently ravaging health systems across the world. Psychiatric trainees are at risk of exposure to patients with COVID-19 given their clinical roles in emergency and inpatient psychiatric settings. This article represents a case study of group dynamics in which we reflect on our own experience as psychiatric residents at a Boston-area hospital system in the era of COVID-19 and apply Wilfred Bion's concepts of the "work group" and the "basic assumption group" processes of group operation. We assess dynamics between trainees and administrative leadership both at baseline and in the current pandemic. Since navigation through crises is more effective if group leadership recognizes and responds to basic assumption behaviors, we propose suggestions to enable health system administration to successfully lead health care organizations through periods of societal turmoil. We posit that these principles apply across settings, specialties, and provider types. In addition, we use our observations to indicate future directions for expanding Bion's theories in the contemporary context.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Group Processes ; Humans ; Internship and Residency ; Leadership ; Pandemics ; Pneumonia, Viral ; Psychiatry/education ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-09-30
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2633567-0
    ISSN 2162-2604 ; 2162-2590
    ISSN (online) 2162-2604
    ISSN 2162-2590
    DOI 10.1521/pdps.2020.48.3.259
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1454: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: A Case of Catatonia in a Man With COVID-19.

    Caan, Marissa P / Lim, Christopher T / Howard, Mark

    Psychosomatics

    2020  Volume 61, Issue 5, Page(s) 556–560

    MeSH term(s) Adult ; Anti-Bacterial Agents/adverse effects ; Azithromycin/adverse effects ; Betacoronavirus ; COVID-19 ; Catatonia/complications ; Catatonia/drug therapy ; Catatonia/physiopathology ; Catatonia/psychology ; Coronavirus Infections/complications ; Coronavirus Infections/drug therapy ; Coronavirus Infections/physiopathology ; Coronavirus Infections/psychology ; Delusions/complications ; Delusions/drug therapy ; Delusions/physiopathology ; Delusions/psychology ; Hallucinations/complications ; Hallucinations/drug therapy ; Hallucinations/physiopathology ; Hallucinations/psychology ; Humans ; Hypnotics and Sedatives/therapeutic use ; Lorazepam/therapeutic use ; Male ; Methocarbamol/adverse effects ; Muscle Relaxants, Central/adverse effects ; Pandemics ; Pneumonia, Viral/complications ; Pneumonia, Viral/drug therapy ; Pneumonia, Viral/physiopathology ; Pneumonia, Viral/psychology ; SARS-CoV-2 ; Spasm/drug therapy
    Chemical Substances Anti-Bacterial Agents ; Hypnotics and Sedatives ; Muscle Relaxants, Central ; Methocarbamol (125OD7737X) ; Azithromycin (83905-01-5) ; Lorazepam (O26FZP769L)
    Keywords covid19
    Language English
    Publishing date 2020-05-27
    Publishing country England
    Document type Case Reports
    ZDB-ID 209487-3
    ISSN 1545-7206 ; 0033-3182
    ISSN (online) 1545-7206
    ISSN 0033-3182
    DOI 10.1016/j.psym.2020.05.021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 440: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Clinical and Legal Considerations Regarding Breastfeeding on Psychiatric Units.

    Caan, Marissa P / Sreshta, Nina E / Okwerekwu, Jennifer A / Landess, Jacqueline S / Friedman, Susan Hatters

    The journal of the American Academy of Psychiatry and the Law

    2022  Volume 50, Issue 2, Page(s) 200–207

    Abstract: Women in the postpartum period are at especially high risk of developing psychiatric disorders, and in severe cases, they may require inpatient psychiatric hospitalization. Because of the lack of specialized units for peripartum mothers in the United ... ...

    Abstract Women in the postpartum period are at especially high risk of developing psychiatric disorders, and in severe cases, they may require inpatient psychiatric hospitalization. Because of the lack of specialized units for peripartum mothers in the United States, this treatment is usually relegated to general inpatient psychiatric units. Despite the clear benefit of breastfeeding for both mother and child, lactation can be a barrier to placement on a general inpatient psychiatric unit and often is not supported during the hospital stay. Limiting access to inpatient psychiatric care for postpartum mothers with mental illness could be considered sex discrimination under the Affordable Care Act (ACA) because of failure to accommodate lactation. With improvements in education and accommodations around breastfeeding, general inpatient psychiatric units could provide appropriate care for this population.
    MeSH term(s) Breast Feeding ; Female ; Humans ; Mental Disorders/psychology ; Mental Disorders/therapy ; Mental Health Services ; Mothers/psychology ; Patient Protection and Affordable Care Act ; United States
    Language English
    Publishing date 2022-03-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1381489-8
    ISSN 1943-3662 ; 0091-634X ; 1093-6793
    ISSN (online) 1943-3662
    ISSN 0091-634X ; 1093-6793
    DOI 10.29158/JAAPL.210086-21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1293: Show issues Location:
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    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
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    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: A Case of Catatonia in a Man With COVID-19

    Caan, Marissa P. / Lim, Christopher T. / Howard, Mark

    Psychosomatics

    2020  Volume 61, Issue 5, Page(s) 556–560

    Keywords Applied Psychology ; Arts and Humanities (miscellaneous) ; Psychiatry and Mental health ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 209487-3
    ISSN 1545-7206 ; 0033-3182
    ISSN (online) 1545-7206
    ISSN 0033-3182
    DOI 10.1016/j.psym.2020.05.021
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 440: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  6. Article: A Psychiatric Residency in the Era of COVID-19: A Bionian Perspective

    Lim, Christopher T / Harris, Zachary B / Caan, Marissa P

    Psychodyn Psychiatry

    Abstract: Coronavirus disease 2019 (COVID-19) is currently ravaging health systems across the world. Psychiatric trainees are at risk of exposure to patients with COVID-19 given their clinical roles in emergency and inpatient psychiatric settings. This article ... ...

    Abstract Coronavirus disease 2019 (COVID-19) is currently ravaging health systems across the world. Psychiatric trainees are at risk of exposure to patients with COVID-19 given their clinical roles in emergency and inpatient psychiatric settings. This article represents a case study of group dynamics in which we reflect on our own experience as psychiatric residents at a Boston-area hospital system in the era of COVID-19 and apply Wilfred Bion's concepts of the "work group" and the "basic assumption group" processes of group operation. We assess dynamics between trainees and administrative leadership both at baseline and in the current pandemic. Since navigation through crises is more effective if group leadership recognizes and responds to basic assumption behaviors, we propose suggestions to enable health system administration to successfully lead health care organizations through periods of societal turmoil. We posit that these principles apply across settings, specialties, and provider types. In addition, we use our observations to indicate future directions for expanding Bion's theories in the contemporary context.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #808784
    Database COVID19

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  7. Article ; Online: Care Management for Serious Mental Illness: A Systematic Review and Meta-Analysis.

    Lim, Christopher T / Caan, Marissa P / Kim, Clara H / Chow, Clifton M / Leff, H Stephen / Tepper, Miriam C

    Psychiatric services (Washington, D.C.)

    2021  Volume 73, Issue 2, Page(s) 180–187

    Abstract: ... psychiatric hospital days (Hedges' g=0.16, p=0.02).: Conclusions: Care management is associated with fewer ...

    Abstract Objective: Persons with serious mental illness face adverse psychiatric and medical outcomes, and their care is associated with a large burden of health care costs. Care management, in which assessment, care planning, and care coordination are provided, is a common model of support, yet the evidence supporting its use among psychiatric populations is mixed. A systematic review and a meta-analysis were undertaken to determine the impact of care management on clinical outcomes, acute care utilization, cost, and satisfaction among adults with serious mental illness.
    Methods: A multidatabase literature search was performed. Articles were included if they compared standard outpatient care plus care management with standard outpatient care alone for adults with serious mental illness and reported on one or more predefined outcomes. Randomized controlled trials (RCTs) and other study designs were permitted for inclusion in the systematic review. The meta-analysis included only RCTs.
    Results: For the systematic review, 34 articles representing 28 unique studies were included. Fifteen of these articles, representing 12 unique studies, were included in the meta-analysis, which indicated that care management was associated with small, statistically significant improvements in psychiatric symptoms, overall quality of life (QOL), and mental QOL (Hedges' g range 0.13-0.26). In addition, care management was associated with a small, statistically significant reduction in inpatient psychiatric hospital days (Hedges' g=0.16, p=0.02).
    Conclusions: Care management is associated with fewer psychiatric symptoms and greater QOL for persons with serious mental illness. Further work is needed to determine which components of the intervention are associated with effectiveness.
    MeSH term(s) Adult ; Ambulatory Care ; Humans ; Mental Disorders/therapy
    Language English
    Publishing date 2021-07-13
    Publishing country United States
    Document type Journal Article ; Meta-Analysis ; Research Support, Non-U.S. Gov't ; Review ; Systematic Review
    ZDB-ID 1220173-x
    ISSN 1557-9700 ; 1075-2730
    ISSN (online) 1557-9700
    ISSN 1075-2730
    DOI 10.1176/appi.ps.202000473
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 416: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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