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  1. Article ; Online: Evidence-based practice in mental health.

    Moreno-Calvete, Maria Concepcion / Uriarte-Uriarte, Jose Juan / Penas, Patricia

    Enfermeria clinica (English Edition)

    2022  Volume 32, Issue 1, Page(s) 66–67

    MeSH term(s) Attitude of Health Personnel ; Evidence-Based Practice ; Mental Health
    Language English
    Publishing date 2022-01-22
    Publishing country Spain
    Document type Letter
    ISSN 2445-1479
    ISSN (online) 2445-1479
    DOI 10.1016/j.enfcle.2021.06.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Scoping review protocol on non-pharmacological interventions for interpersonal and self-directed violence in adults with severe mental illness.

    Moreno-Calvete, Maria Concepcion / Ruiz-Ibañez, Ivan / Uriarte-Uriarte, Jose Juan

    BMJ open

    2020  Volume 10, Issue 9, Page(s) e037006

    Abstract: Introduction: Violence committed by people with mental illness has implications for mental health policy and clinical practice. Several strategies to reduce the risk of aggressive and violent behaviour have been proposed, and these include non- ... ...

    Abstract Introduction: Violence committed by people with mental illness has implications for mental health policy and clinical practice. Several strategies to reduce the risk of aggressive and violent behaviour have been proposed, and these include non-pharmacological interventions. There is, however, a need to identify which of these interventions are effective, and as a first step, we will conduct a scoping review to identify non-pharmacological interventions for self-directed or interpersonal violence in adults with severe mental illness across different conditions and settings.
    Methods and analysis: This is a scoping review protocol. The review will include any randomised controlled trials (RCTs) and cluster RCTs that assess the efficacy of interventions on self-directed or interpersonal violence with no restrictions on the control treatment in people with severe mental illness in any setting. No restrictions will be applied in terms of language or date of publication. To identify studies, a search will be performed in the following databases: Embase, MEDLINE (via PubMed), PsycINFO, CINAHL, LILACS, SciELO, Cochrane Library, Web of Science, Scopus, ProQuest, Epistemonikos and databases of clinical trials. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement will be followed for reporting the findings, including the use of a PRISMA flow diagram. A standardised form will be used to extract data from studies. The findings will be classified using conceptual categories that will be specified in detail and a descriptive summary of the main results will be created. Moreover, it will be assessed whether the studies identified have been included in systematic reviews or meta-analyses and the results will be used to generate a conceptual map.
    Ethics and dissemination: No patients or other participants will be involved in this study. We will prepare a manuscript for publication in a peer-reviewed journal and the results will be presented at mental health conferences.
    MeSH term(s) Adult ; Humans ; Mental Disorders/therapy ; Mental Health ; Meta-Analysis as Topic ; Review Literature as Topic ; Systematic Reviews as Topic ; Violence/prevention & control
    Language English
    Publishing date 2020-09-13
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2020-037006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Discrepancy between experience and importance of recovery components in the symptomatic and recovery perceptions of people with severe mental disorders.

    Penas, Patricia / Uriarte, Jose-Juan / Gorbeña, Susana / Slade, Mike / Moreno-Calvete, María-Concepción / Iraurgi, Ioseba

    BMC psychiatry

    2021  Volume 21, Issue 1, Page(s) 277

    Abstract: Background: Personal recovery has become an increasingly important approach in the care of people with severe mental disorders and consequently in the orientation of mental health services. The objective of this study was to assess the personal recovery ...

    Abstract Background: Personal recovery has become an increasingly important approach in the care of people with severe mental disorders and consequently in the orientation of mental health services. The objective of this study was to assess the personal recovery process in people using mental health services, and to clarify the role of variables such as symptomatology, self-stigma, sociodemographic and treatment.
    Methods: Standardised measures of personal recovery process, clinical recovery, and internalized stigma were completed by a sample of 312 participants in a Severe Mental Disorder program.
    Results: Users valued most the recovery elements of: improving general health and wellness; having professionals who care; hope; and sense of meaning in life. Significant discrepancies between perceived experience and relative importance assigned to each of the components of the REE were observed. Regression modeling (χ
    Conclusions: An improvement in psychiatric services should be focused on recovery aspects that have the greatest discrepancy between importance and experience, in particular social roles, basic needs and hope. Personal and clinical recovery are correlated, but the relationship between them is mediated by internalized stigma, indicating the need for clinical interventions to target self-stigma.
    MeSH term(s) Humans ; Mental Disorders/therapy ; Mental Health Services ; Perception ; Self Concept ; Social Stigma
    Language English
    Publishing date 2021-05-31
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1471-244X
    ISSN (online) 1471-244X
    DOI 10.1186/s12888-021-03287-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Psychometric Adequacy of Recovery Enhancing Environment (REE) Measure: CHIME Framework as a Theory Base for a Recovery Measure.

    Penas, Patricia / Uriarte, Jose Juan / Gorbeña, Susana / Moreno-Calvete, Maria Concepcion / Ridgway, Priscilla / Iraurgi, Ioseba

    Frontiers in psychiatry

    2020  Volume 11, Page(s) 595

    Abstract: Purpose: The aim of this study was to assess to what extent the recovery elements of the Recovery Enhancing Environment (REE) instrument measured the dimensions proposed by the CHIME framework, (Connectedness, Hope and optimism about future, Identity, ... ...

    Abstract Purpose: The aim of this study was to assess to what extent the recovery elements of the Recovery Enhancing Environment (REE) instrument measured the dimensions proposed by the CHIME framework, (Connectedness, Hope and optimism about future, Identity, Meaning in life and Empowerment dimensions), so as to evaluate personal recovery in people with severe mental illness.
    Methods: Two processes were conducted. Firstly, five experts matched the elements of recovery evaluated by the REE items with the CHIME domains and subdomains. Then, the resulting structure from those experts agreement was analyzed with different confirmatory factor analyses (CFA) using responses to the recovery elements dimension of the REE of 312 mental health service users.
    Results: The percentage of agreements and the kappa coefficients were adequate taking into account the CHIME dimensions (κ = 0.57 to 0.69, total κ = 0.74); however, lower agreement was found at the subdimensions level. Some indexes of the CFA were acceptable for a second order factor analysis [
    Conclusions: Despite the subjective and complex nature of the personal recovery construct, the REE measure can be a valid instrument to verify the existing CHIME conceptual framework, since two of the models tested have resulted in adequate indexes and were also congruent with the theoretical framework and the statistical solution. Thus, REE can be used to obtain a global index of Personal Recovery dimension, and the five indicators proposed by the CHIME framework.
    Language English
    Publishing date 2020-06-30
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2564218-2
    ISSN 1664-0640
    ISSN 1664-0640
    DOI 10.3389/fpsyt.2020.00595
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Evidence of psychometric adequacy of the Spanish Adaptation of REE: Recovery Enhancing Environment.

    Uriarte, Jose-Juan / Penas, Patricia / Moreno-Calvete, M Concepción / Ridgway, Priscilla / Iraurgi, Ioseba

    Actas espanolas de psiquiatria

    2020  Volume 48, Issue 2, Page(s) 75–88

    Abstract: Introduction: In this study we present the process and results of the Spanish adaptation and validation of REE (Recovery Enhancing Environment), an instrument designed to assess the personal process of recovery and the recovery orientation of mental ... ...

    Abstract Introduction: In this study we present the process and results of the Spanish adaptation and validation of REE (Recovery Enhancing Environment), an instrument designed to assess the personal process of recovery and the recovery orientation of mental health services.
    Methodology: The Spanish REE version has been completed by a representative sample of the Severe Mental Disorder (SMD) program users in the Mental Health Services of Biscay (n=312).
    Results: The validity evidence of each section (importance of recovery elements, experience of recovery elements, organizational climate and recovery markers) of the REE has shown unidimensionality of the scale, with suitable indexes in the factorial analyses and Cronbach alphas greater than .90 for each dimension. Moreover, significant correlations have been found between REE and its dimensions, and with other instruments that measure severity, functionality and quality of life.
    Conclusions: The adequacy of the psychometric properties of the REE make it an interesting instrument to assess the different indicators related to the recovery model, especially if the scarcity of available instruments is taken into account.
    MeSH term(s) Female ; Humans ; Male ; Mental Disorders/therapy ; Mental Health Recovery ; Middle Aged ; Psychometrics/statistics & numerical data ; Reproducibility of Results ; Spain ; Surveys and Questionnaires/standards
    Language English
    Publishing date 2020-03-01
    Publishing country Spain
    Document type Journal Article ; Multicenter Study ; Observational Study
    ZDB-ID 1480971-0
    ISSN 1578-2735 ; 1575-071X ; 1139-9287
    ISSN (online) 1578-2735
    ISSN 1575-071X ; 1139-9287
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Pattern of use of clozapine in Spain. Variability and under-prescription.

    Sanz-Fuentenebro, Francisco Javier / Uriarte, Jose Juan Uriarte / Bonet Dalmau, Pere / Molina Rodriguez, Vicente / Bernardo Arroyo, Miquel

    Revista de psiquiatria y salud mental

    2018  Volume 12, Issue 3, Page(s) 151–162

    Abstract: Introduction: International studies on clozapine use usually show lower than expected prescription proportions, under-dosing and delayed initiation of treatment, which has led to a number of initiatives aimed at improving its use and reducing the ... ...

    Title translation Patrón de uso de clozapina en España. Variabilidad e infraprescripción.
    Abstract Introduction: International studies on clozapine use usually show lower than expected prescription proportions, under-dosing and delayed initiation of treatment, which has led to a number of initiatives aimed at improving its use and reducing the striking variability observed among practitioners. There are no similar studies on the Spanish population. Therefore we planned initial data collection from 4 territorial samples. We hypothesized that clozapine prescription would also be low and variable in our country. If this hypothesis were confirmed, a reflection on possible strategies would be necessary.
    Material and methods: We accessed data on clozapine prescription in Catalonia, Castile and Leon, the Basque Country and the Clinical Management Area of the Hospital 12 de Octubre (Madrid).
    Results: Patients diagnosed with schizophrenia under treatment in these territories comprise around .3% of their total population; treatment with clozapine ranges between 33.0 and 57.0 per 10000 inhabitants; patients diagnosed with schizophrenia on current treatment with clozapine range between 13.7% and 18.6% of the total number of patients with this diagnosis. The coefficient of variation between centres and prescribers is often higher than 50%.
    Conclusions: Although below the figures suggested as desirable in the literature, global prescribing data for clozapine in the areas we studied are not as low as the data collected in other international studies, and are in the range of countries in our environment. However, the variability in prescription is large and apparently not justified; this heterogeneity increases as we focus on smaller areas, and there is great heterogeneity at the level of individual prescription.
    MeSH term(s) Adult ; Antipsychotic Agents/therapeutic use ; Clozapine/therapeutic use ; Drug Utilization/statistics & numerical data ; Female ; Healthcare Disparities/statistics & numerical data ; Humans ; Male ; Practice Patterns, Physicians'/statistics & numerical data ; Schizophrenia/drug therapy ; Spain
    Chemical Substances Antipsychotic Agents ; Clozapine (J60AR2IKIC)
    Language Spanish
    Publishing date 2018-04-07
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5050
    ISSN (online) 2173-5050
    DOI 10.1016/j.rpsm.2018.02.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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