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  1. Article ; Online: What Should Students and Trainees Learn About Patient-Centered Documentation?

    Chong, Nubia / Bodic, Maria Mirabela / Steen, Peter / Salamanca, Ludwing / LeMelle, Stephanie

    AMA journal of ethics

    2024  Volume 26, Issue 3, Page(s) E225–231

    Abstract: What clinicians document about patients can have important consequences for those patients. Paternalistic language in patients' health records is of specific ethical concern because it emphasizes clinicians' power and patients' vulnerabilities and can be ...

    Abstract What clinicians document about patients can have important consequences for those patients. Paternalistic language in patients' health records is of specific ethical concern because it emphasizes clinicians' power and patients' vulnerabilities and can be demeaning and traumatizing. This article considers the importance of person-centered, trauma-informed language in clinical documentation and suggests strategies for teaching students and trainees documentation practices that express clinical neutrality and respect.
    MeSH term(s) Humans ; Learning ; Students ; Documentation ; Health Records, Personal ; Patient-Centered Care
    Language English
    Publishing date 2024-03-01
    Publishing country United States
    Document type Journal Article
    ISSN 2376-6980
    ISSN (online) 2376-6980
    DOI 10.1001/amajethics.2024.225
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Digital Navigator Training to Increase Access to Mental Health Care in Community-Based Organizations.

    Alon, Noy / Perret, Sarah / Cohen, Amy / Partiquin, Michelle / LeMelle, Stephanie / Boyd, Chasee / Aguilera, Jacqueline / Reat, Cristen / Hough, Elise / Walsh, Jessica / Dwyer, Bridget / Hogan, Julianna / Smith, Ashley Helm / Torous, John

    Psychiatric services (Washington, D.C.)

    2024  , Page(s) appips20230391

    Abstract: Providing human support for users of behavioral health technology can help facilitate the necessary engagement and clinical integration of digital tools in mental health care. A team conducted digital navigator training that taught participants how to ... ...

    Abstract Providing human support for users of behavioral health technology can help facilitate the necessary engagement and clinical integration of digital tools in mental health care. A team conducted digital navigator training that taught participants how to promote patrons' digital literacy, evaluate and recommend health apps, and interpret smartphone data. The authors trained 80 participants from 21 organizations, demonstrating this training's feasibility, acceptability, and need. Case studies explore the implementation of this training curriculum. As technology's potential in mental health care expands, training can empower digital navigators to ensure that the use of digital tools is informed, equitable, and clinically relevant.
    Language English
    Publishing date 2024-04-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1220173-x
    ISSN 1557-9700 ; 1075-2730
    ISSN (online) 1557-9700
    ISSN 1075-2730
    DOI 10.1176/appi.ps.20230391
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Factors impacting the decision to participate in and satisfaction with public/community psychiatry fellowship training.

    Weinberg, Michael / LeMelle, Stephanie / Ranz, Jules

    Community mental health journal

    2014  Volume 50, Issue 7, Page(s) 765–770

    Abstract: During yearly meetings of the recently developed network of 15 public/community psychiatry fellowships, it has been noted that programs are having varying degrees of success with regard to recruitment. To understand factors that impact recruitment, a ... ...

    Abstract During yearly meetings of the recently developed network of 15 public/community psychiatry fellowships, it has been noted that programs are having varying degrees of success with regard to recruitment. To understand factors that impact recruitment, a quality improvement survey of fellows and alumni was conducted. Respondents were asked to rate overall satisfaction with their fellowship training as well as perceived benefits and obstacles to participating in a fellowship program, and impact on their careers. A total of 155 (57%) fellows and alumni responded. Factor analysis was used to condense the variables, and a multiple regression explored factors predicting overall fellowship program satisfaction. Factors that represented perceived benefits had higher means than did factors that represent obstacles. Respondents highly valued the extent to which these fellowships enhanced their careers, with regard to job opportunities, academics, networking and leadership.
    MeSH term(s) Career Choice ; Community Psychiatry/education ; Fellowships and Scholarships/organization & administration ; Fellowships and Scholarships/statistics & numerical data ; Female ; Humans ; Job Satisfaction ; Male ; United States
    Language English
    Publishing date 2014-01-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 215855-3
    ISSN 1573-2789 ; 0010-3853
    ISSN (online) 1573-2789
    ISSN 0010-3853
    DOI 10.1007/s10597-014-9701-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Outpatient training in public/community psychiatry and systems-based practices.

    Le Melle, Stephanie / Clemmey, Philip / Ranz, Jules

    Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry

    2014  Volume 38, Issue 6, Page(s) 693–695

    MeSH term(s) Adult ; Community Psychiatry/education ; Curriculum ; Humans ; Internship and Residency/organization & administration ; Outpatients
    Language English
    Publishing date 2014-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1045331-3
    ISSN 1545-7230 ; 1042-9670
    ISSN (online) 1545-7230
    ISSN 1042-9670
    DOI 10.1007/s40596-014-0084-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Housing and use of leverage in mental health treatment

    Monahan John / LeMelle Stephanie

    BMC Psychiatry, Vol 7, Iss Suppl 1, p S

    2007  Volume 27

    Keywords Psychiatry ; RC435-571 ; Neurology. Diseases of the nervous system ; RC346-429 ; Neurosciences. Biological psychiatry. Neuropsychiatry ; RC321-571 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Psychiatry ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language English
    Publishing date 2007-12-01T00:00:00Z
    Publisher BioMed Central
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Is assertive community treatment coercive?

    LeMelle Stephanie / Appelbaum Paul

    BMC Psychiatry, Vol 7, Iss Suppl 1, p S

    2007  Volume 29

    Keywords Psychiatry ; RC435-571 ; Neurology. Diseases of the nervous system ; RC346-429 ; Neurosciences. Biological psychiatry. Neuropsychiatry ; RC321-571 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Psychiatry ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language English
    Publishing date 2007-12-01T00:00:00Z
    Publisher BioMed Central
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Psychiatry residents' perception of public/community psychiatry fellowship training.

    Weinberg, Michael / LeMelle, Stephanie / Ranz, Jules

    Community mental health journal

    2013  Volume 50, Issue 1, Page(s) 6–9

    Abstract: In order to improve recruitment into public/community psychiatry fellowships, a survey was administered to understand psychiatry residents' perception of benefits and obstacles to fellowship training. Using standard statistical methods, the responses of ... ...

    Abstract In order to improve recruitment into public/community psychiatry fellowships, a survey was administered to understand psychiatry residents' perception of benefits and obstacles to fellowship training. Using standard statistical methods, the responses of those residents who indicated interest in public/community psychiatry training were compared to those who were not. Residents who were interested in public/community psychiatry fellowships were earlier in their training. These same residents gave higher endorsements to items related to quality, location and flexibility of training program, recommendation of colleagues, opportunities for health policy training and networking as compared to residents who were not interested in pursuing a public/community. Those results attained statistical significance while philosophical approaches including emphasis on recovery and tailoring specific training experiences approached significance. Psychiatric residents appear to start residency training with some interest in public/community psychiatry and this interest can be nurtured if public/community psychiatry is emphasized during training.
    MeSH term(s) Adult ; Attitude of Health Personnel ; Career Choice ; Community Psychiatry/education ; Curriculum ; Fellowships and Scholarships ; Female ; Humans ; Internship and Residency ; Male ; United States
    Language English
    Publishing date 2013-08-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 215855-3
    ISSN 1573-2789 ; 0010-3853
    ISSN (online) 1573-2789
    ISSN 0010-3853
    DOI 10.1007/s10597-013-9637-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Integrating systems-based practice, community psychiatry, and recovery into residency training.

    LeMelle, Stephanie / Arbuckle, Melissa R / Ranz, Jules M

    Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry

    2013  Volume 37, Issue 1, Page(s) 35–37

    Abstract: Background: Behavioral health services involving multiple systems of care are increasingly being provided in community as well as hospital settings. Residents therefore should be familiar with multiple systems and the role of the psychiatrist in these ... ...

    Abstract Background: Behavioral health services involving multiple systems of care are increasingly being provided in community as well as hospital settings. Residents therefore should be familiar with multiple systems and the role of the psychiatrist in these systems. The authors describe a curriculum incorporating principles of systems-based practice (SBP), community psychiatry, and recovery.
    Methods: This curriculum was designed to include lectures, clinical rotations, specialized written/oral presentations, and supervision focused on SBP and recovery principles. Residents also participate in home and site visits for further immersion into the multiple systems that their patients have to navigate.
    Results/conclusion: The essential elements of this curriculum are the 1) consistent review and emphasis on the four researched-based SBP roles of the psychiatrist; 2) recovery principles of person-centered care and shared decision-making; 3) requirement that residents interact with patients in community and home settings; 4) integration of didactic courses and clinical rotations; and 5) focus on the supervisor/supervisee relationship.
    MeSH term(s) Adult ; Community Psychiatry/organization & administration ; Community Psychiatry/standards ; Curriculum/standards ; Humans ; Internship and Residency/organization & administration ; Internship and Residency/standards ; Psychiatry/education ; Psychiatry/standards ; Systems Integration
    Language English
    Publishing date 2013-01-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1045331-3
    ISSN 1545-7230 ; 1042-9670
    ISSN (online) 1545-7230
    ISSN 1042-9670
    DOI 10.1176/appi.ap.12030057
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Techniques used by assertive community treatment (ACT) teams to encourage adherence: patient and staff perceptions.

    Appelbaum, Paul S / Le Melle, Stephanie

    Community mental health journal

    2008  Volume 44, Issue 6, Page(s) 459–464

    Abstract: Assertive community treatment (ACT) has become a cornerstone of care for people with serious mental illnesses. But it has also been suggested that ACT is an inherently coercive approach, with a variety of techniques, including leverage, frequently ... ...

    Abstract Assertive community treatment (ACT) has become a cornerstone of care for people with serious mental illnesses. But it has also been suggested that ACT is an inherently coercive approach, with a variety of techniques, including leverage, frequently employed to encourage treatment adherence. Staff and patients of 4 ACT teams participated in focus groups exploring their experiences with and opinions about the use of these techniques in ACT. Little evidence was found of significant use of leverage or perceptions of coercion. Instead both groups reported that supporting patients and building relationships were the preferred mechanisms for promoting treatment goals. This study suggests that ACT need not appear to either staff or patients as an intrinsically coercive model for the delivery of mental health services.
    MeSH term(s) Adult ; Attitude of Health Personnel ; Coercion ; Community Mental Health Services ; Cooperative Behavior ; Female ; Focus Groups ; Home Care Services ; Humans ; Male ; Middle Aged ; New York City ; Patient Compliance ; Therapeutic Community
    Language English
    Publishing date 2008-05-31
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 215855-3
    ISSN 1573-2789 ; 0010-3853
    ISSN (online) 1573-2789
    ISSN 0010-3853
    DOI 10.1007/s10597-008-9149-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Heart transplant in a young man with schizophrenia.

    Le Melle, Stephanie M / Entelis, Charles

    The American journal of psychiatry

    2005  Volume 162, Issue 3, Page(s) 453–457

    MeSH term(s) Adult ; Comorbidity ; Heart Failure/epidemiology ; Heart Failure/surgery ; Heart Transplantation/ethics ; Heart Transplantation/standards ; Humans ; Male ; Mental Competency/standards ; Patient Compliance ; Patient Selection/ethics ; Schizophrenia/complications ; Schizophrenia/diagnosis ; Schizophrenia/epidemiology ; Schizophrenic Psychology
    Language English
    Publishing date 2005-03
    Publishing country United States
    Document type Case Reports ; Clinical Conference ; Journal Article
    ZDB-ID 280045-7
    ISSN 1535-7228 ; 0002-953X
    ISSN (online) 1535-7228
    ISSN 0002-953X
    DOI 10.1176/appi.ajp.162.3.453
    Database MEDical Literature Analysis and Retrieval System OnLINE

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