Frame Trade-Offs: On Some Therapeutic Implications of Telepsychiatry
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - September 1, 2021 Category: Psychiatry Tags: Disruptive Innovation Source Type: research
Miles Frederick Shore, M.D., Bullard Professor of Psychiatry Emeritus
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - July 1, 2021 Category: Psychiatry Tags: In Memoriam Source Type: research
Visual Release Hallucinations After Facial Allotransplantation
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - July 1, 2021 Category: Psychiatry Tags: Clinical Challenge Source Type: research
On a Quantitative Approach to Clinical Neuroscience in Psychiatry: Lessons from the Kuramoto Model
This article (aimed at the clinical psychiatrist who might not possess an extensive mathematical background) is intended to provide a brief and qualitative summary of studies that have used a specific, highly simplified computational model of coupled oscillators (Kuramoto model) for understanding brain dynamics—which might bear some relevance to clinical psychiatry. (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - July 1, 2021 Category: Psychiatry Tags: Perspectives Source Type: research
The Impact of Stress Within and Across Generations: Neuroscientific and Epigenetic Considerations
This article synthesizes the data on how stress shapes biological and behavioral dimensions, drawing from preclinical and human models. Advances in this field of knowledge should potentially allow for an improved understanding of how interventions may be increasingly tailored according to individual biomarkers and developmental history. (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - July 1, 2021 Category: Psychiatry Tags: Perspectives Source Type: research
Defining Heterogeneous Cognitive Trajectories in Bipolar Disorder: A Perspective
Bipolar disorder (BD) is a highly disabling mental illness that affects approximately 1% of the global population. Cognitive capacity is a strong predictor of “everyday” functional outcome in BD and should thus be considered a key treatment target. Interventions to improve cognition have been largely unsuccessful, likely due to the substantial heterogeneity inherent to the illness. It is known that 40%–60% of people with BD have cognitive impairment, yet impairment is not “one size fits all”; in fact, the literature supports discrete cognitive subtypes in BD (e.g., intact, globally impaired, and selectively impai...
Source: Harvard Review of Psychiatry - July 1, 2021 Category: Psychiatry Tags: Perspectives Source Type: research
Essential Elements of Forensic Assertive Community Treatment
Learning objective
After participating in this activity, learners should be better able to:
• Assess characteristics of forensic assertive community treatment programs
Forensic assertive community treatment (FACT) has emerged internationally as an intervention strategy for people with serious mental disorders who are involved with the criminal justice system. Studies to date have shown marked variability, however, in FACT program design and operation. Based upon a literature review and relevant experience, the authors present their perspective on the essential elements of FACT. Given that FACT is an adaptation ...
Source: Harvard Review of Psychiatry - July 1, 2021 Category: Psychiatry Tags: Perspectives Source Type: research
Leveraging Systems Science to Promote the Implementation and Sustainability of Mental Health and Psychosocial Interventions in Low- and Middle-Income Countries
Advancements in global mental health implementation research have revealed promising strategies for improving access to evidence-based mental health care. These advancements have not translated, however, into a reduced prevalence of mental disorders. In this review we examine the relationships between determinants (i.e., barriers and facilitators) and outcomes of mental health services in low- and middle-income countries to identify opportunities for improving the population-level impact and sustainability of innovations in global mental health. We identified three key implementation and services outcomes that influenced t...
Source: Harvard Review of Psychiatry - July 1, 2021 Category: Psychiatry Tags: Reviews Source Type: research
Neurodevelopmental Effects of Cannabis Use in Adolescents and Emerging Adults with ADHD: A Systematic Review
Conclusion
A dearth of evidence is available on the impact of cannabis use on the developing brain and functioning for individuals with ADHD, despite the elevated risk for substance use in this population. The limited, potentially underpowered evidence does not support the hypothesis that cannabis use has a deleterious impact on neuropsychological tasks in transitional age youth with ADHD. Larger and longer-term studies are needed, however, to better inform clinicians and patients as to the impacts of cannabis use in youth with ADHD. (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - July 1, 2021 Category: Psychiatry Tags: Reviews Source Type: research
Assessing Memory Loss in a Young Adult with Substance Use Disorder: Remember the Timing of Presentation
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - May 1, 2021 Category: Psychiatry Tags: Clinical Challenge Source Type: research
Evaluating Ineffective Treatments: A Proposed Model for Discussing Futility in Psychiatric Illness
Conclusions
Futility in psychiatric illness is a concept that the psychiatric community needs to understand and address, given the limited treatment options available to our field, as well as the limitations of health care resources. The proposed framework allows for ethically appropriate treatment decisions for treatment-resistant patients—respecting their individual wishes while ensuring appropriate care. (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - May 1, 2021 Category: Psychiatry Tags: Perspectives Source Type: research
Acquisition and Interpretation of Digital Information in Forensic Assessments
Despite the now ubiquitous presence of technology in everyday life, there is little written on the subject of personal digital data as it pertains to forensic mental health evaluations. Ethical concerns and limited consensus guidance on this issue have previously made it challenging to use this information in a responsible way. This Perspectives article elaborates on the different types of personal data that exist and the practical aspects of acquiring such information, including data location and legal considerations. Incorporation of personal digital information into the forensic assessment as a form of collateral inform...
Source: Harvard Review of Psychiatry - May 1, 2021 Category: Psychiatry Tags: Perspectives Source Type: research
Cannabis Use in Older Adults: A Perspective
The prevalence of cannabis use among older adults (aged 65 and above) for both recreational and medicinal purposes has significantly increased in recent years. Information regarding the safety of cannabis in this population is important since aging is associated with metabolic changes, multiple morbidities, increases in prescription medication use, and an overall decline in functioning. In this Perspectives article, we review special considerations pertinent to older adults—specifically, the impact of cannabis on cognition and on falls and injuries, its drug interactions, and its potential medicinal applications for trea...
Source: Harvard Review of Psychiatry - May 1, 2021 Category: Psychiatry Tags: Perspectives Source Type: research
A Perspective for Understanding Trauma and the Criminal Juvenile Justice System: Using a Trauma-Informed Lens for Meaningful and Sustained Change
This article explores current literature that operationalizes trauma-informed practices and approaches in the criminal and juvenile justice systems. Unfortunately, there is no shared understanding or definition of trauma and no predictability in trauma-informed practices and approaches in the criminal juvenile justice system. Despite the presence of written policies, the application and execution of such policies are limited and inconsistent throughout the system. These limitations contribute to ongoing, systemic institutional racism, lack of mental health or substance abuse treatment, limited diversion options, and unnece...
Source: Harvard Review of Psychiatry - May 1, 2021 Category: Psychiatry Tags: Perspectives Source Type: research
Universal and Selective Interventions to Prevent Poor Mental Health Outcomes in Young People: Systematic Review and Meta-analysis
Background
Much is not known about the efficacy of interventions to prevent poor mental health outcomes in young people by targeting either the general population (universal prevention) or asymptomatic individuals with high risk of developing a mental disorder (selective prevention).
Methods
We conducted a PRISMA/MOOSE-compliant systematic review and meta-analysis of Web of Science to identify studies comparing post-test efficacy (effect size [ES]; Hedges’ g) of universal or selective interventions for poor mental health outcomes versus control groups, in samples with mean age (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - May 1, 2021 Category: Psychiatry Tags: Reviews Source Type: research
