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Australasian Psychiatry : Bulletin of... Dec 2023The RANZCP recently released Position Statement 48 on the 'safety and wellbeing of psychiatrists and those in psychiatry training'. This article will examine the five...
OBJECTIVE
The RANZCP recently released Position Statement 48 on the 'safety and wellbeing of psychiatrists and those in psychiatry training'. This article will examine the five key domains highlighted by this statement and provide suggestions on how this guidance might relate to trainees. The domains covered are (i) safe workplaces free from discrimination, bullying, harassment, and violence; (ii) positive team cultures; (iii) positive professional peer relationships; (iv) supportive supervision and mentorship; and (v) work-life balance.
CONCLUSIONS
In the context of the significant and complex demands of psychiatry training, Position Statement 48 helps to provide a framework for trainees and the people and systems that support them to understand, anticipate, and successfully manage the potential risks to trainee wellbeing and safety.
Topics: Humans; Psychiatry; Internship and Residency; Workplace; Education, Medical
PubMed: 37906172
DOI: 10.1177/10398562231211135 -
Child and Adolescent Psychiatric... Jul 2024Children and youth in the United States are experiencing a mental health crisis that predates the COVID-19 pandemic. Child and adolescent psychiatrists have the... (Review)
Review
Children and youth in the United States are experiencing a mental health crisis that predates the COVID-19 pandemic. Child and adolescent psychiatrists have the knowledge and skillset to advocate for improving the pediatric mental health care system at the local, state, and federal levels. Child psychiatrists can use their knowledge and expertise to advocate legislatively or through regulatory advocacy to improve access to mental health care for youth. Further, including advocacy education in psychiatry and child psychiatry graduate medical education would help empower child psychiatrists to make an impact through their advocacy efforts.
Topics: Humans; Child; Child Psychiatry; Adolescent; Mental Health Services; United States; COVID-19; Adolescent Psychiatry; Mental Health; Child Advocacy; Patient Advocacy; Mental Disorders
PubMed: 38823806
DOI: 10.1016/j.chc.2024.03.003 -
Australasian Psychiatry : Bulletin of... Jun 2024
Topics: Psychiatry; Humans; Australasia; Periodicals as Topic
PubMed: 38652456
DOI: 10.1177/10398562241248937 -
Academic Psychiatry : the Journal of... Apr 2024
Topics: Child; Adolescent; Humans; Ethnicity; Adolescent Psychiatry; Child Psychiatry
PubMed: 37993762
DOI: 10.1007/s40596-023-01904-4 -
European Psychiatry : the Journal of... Oct 2023Despite efforts toward greater gender equality in clinical and academic psychiatry in recent years, more information is needed about the challenges in professional...
BACKGROUND
Despite efforts toward greater gender equality in clinical and academic psychiatry in recent years, more information is needed about the challenges in professional development within psychiatry, and how these may vary with gender.
METHODS
A cross-sectional 27-item online survey was conducted with psychiatrists and psychiatric trainee members of the European Psychiatric Association.
RESULTS
A total of 561 psychiatrists and psychiatric trainees from 35 European countries participated representing a response rate of 52.8% for women and 17.7% for men from a total sample of 1,580. The specific challenges that women face in their professional development fall into two categories. One comprised women's negative attitudes concerning their abilities in self-promotion and networking. The other identified environmental barriers related to lack of opportunity and support and gender discrimination. Compared to men, women reported higher rates of gender discrimination in terms of professional advancement. Women were less likely to agree that their institutions had regular activities promoting inclusion, diversity, and training to address implicit gender bias. Working in high-income countries compared to middle-income countries relates to reporting institutional support for career progression.
CONCLUSIONS
These findings are an open call to hospital leaders, deans of medical schools, and department chairs to increase efforts to eradicate bias against women and create safer, inclusive, and respectful environments for all psychiatrists, a special call to women psychiatrists to be aware of inner tendencies to avoid self-promotion and networking and to think positively and confidently about themselves and their abilities.
Topics: Humans; Male; Female; Sexism; Cross-Sectional Studies; Psychiatry; Schools, Medical; Awareness
PubMed: 37848403
DOI: 10.1192/j.eurpsy.2023.2462 -
European Child & Adolescent Psychiatry Jun 2024
Sustainable action is needed more than ever: the European Society for Child and Adolescent Psychiatry welcomes the efforts of the European Commission and the decisions of the European Parliament on mental health care for children, adolescents and young people and calls on the Member States to act...
Topics: Humans; Adolescent; Child; Mental Health Services; Adolescent Psychiatry; Child Psychiatry; European Union; Societies, Medical; Europe
PubMed: 38662059
DOI: 10.1007/s00787-024-02407-9 -
Journal of the American Academy of... Jul 2024As child and adolescent psychiatrists, it is our job to identify factors that influence the behaviors seen in front of us. Often the question is asked whether these...
As child and adolescent psychiatrists, it is our job to identify factors that influence the behaviors seen in front of us. Often the question is asked whether these factors are primarily due to nature or nurture: Is someone born a "bad kid," or are there environmental exposures that lead to less than ideal behaviors? Factors such as racism, poverty, bullying, social isolation, and even where we grow up could play a part in the behaviors seen. This is one of the most rewarding, but at times can be one of the most frustrating, parts of our job as child and adolescent psychiatrists. Hopefully we can explore the factors influencing behaviors seen by the children we work with, highlighting the good in them and the situations that have led to the concerns seen. At the same time, we can become frustrated knowing that some of these factors are difficult for us to change as an individual child and adolescent psychiatrist, such as racism, poverty, inequalities in education, or family support. Bearing witness to these societal issues and their impact on our patients hopefully sparks advocacy efforts toward larger system changes.
Topics: Humans; Adolescent; Child; Child Psychiatry; Adolescent Psychiatry; Racism; Bullying; Poverty
PubMed: 38575058
DOI: 10.1016/j.jaac.2024.03.014 -
Journal of Child Psychology and... Jan 2024In large parts of the Western world prevention is considered a necessary, core component of successful youth care practice. Yet, mental health problems in young people...
In large parts of the Western world prevention is considered a necessary, core component of successful youth care practice. Yet, mental health problems in young people do not appear to have declined over the past decades. How to explain this paradox? In this editorial for the Journal of Child Psychology and Psychiatry, several possible explanations are explored, one of which centers around how prevention is being operationalized-primarily, nowadays, as a screen-and-resolve 'troubleshooting' approach, rather than as an approach that supports the development of good health, competence, and resilience.
Topics: Adolescent; Child; Humans; Adolescent Health; Child Health; Mental Health; Psychiatry; Mental Disorders
PubMed: 38100680
DOI: 10.1111/jcpp.13916 -
Asian Journal of Psychiatry Feb 2024Our understanding of the brain basis of mental illness has evolved over three and half millennia. Early insights into the role of the brain in relation to the mind faded...
Our understanding of the brain basis of mental illness has evolved over three and half millennia. Early insights into the role of the brain in relation to the mind faded during the middle ages as mental illness became the province of religion, spirituality, and philosophy. Psychiatry became a medical discipline again as medical and scientific thinking evolved during the 17th century. However, progress in neuroscience and astute clinical observations were punctuated by setbacks due to lingering dualism, reductionistic thinking, and dogma. Accelerating neuroscience discoveries and methodological innovations are beginning to bring neuroscience and psychiatry closer than ever as we begin the 21st century, This pictorial article seeks to briefly highlight this journey for an early trainee in psychiatry and related professions in mind.
Topics: Humans; Neurosciences; Mental Disorders; Brain; Philosophy; Psychiatry
PubMed: 38157712
DOI: 10.1016/j.ajp.2023.103869 -
Current Psychiatry Reports Sep 2023The purpose of this review is to summarize factors contributing to the current state of pediatric mental health access in ED settings and synthesize the existing... (Review)
Review
PURPOSE OF REVIEW
The purpose of this review is to summarize factors contributing to the current state of pediatric mental health access in ED settings and synthesize the existing literature on the use of telepsychiatry to extend access to care, with particular focus on feasibility and sustainability.
RECENT FINDINGS
Children are presenting to emergency departments (EDs) with mental health concerns at an increasing rate, while ED capacity to treat psychiatric needs in children remains insufficient. This growing problem is compounded by decreased access to outpatient care and inpatient psychiatric beds, resulting in exorbitantly long waiting times, or "boarding," of children in crisis. Telepsychiatry has emerged as a strategy to decrease boarding of pediatric patients in ED settings by utilizing remote psychiatric professionals to provide consultation and assessment. Telepsychiatry in ED settings is an effective strategy to increase access to care and decrease length of stay for pediatric patients.
Topics: Humans; Child; Psychiatry; Telemedicine; Mental Disorders; Mental Health Services; Emergency Service, Hospital
PubMed: 37526863
DOI: 10.1007/s11920-023-01442-8