The majority of patients who were discharged from a residential PTSD treatment program were nonadherent to antidepressant drug therapy. One in 5 veterans with PTSD was rehospitalized within 1 year; however, medication adherence did not affect this outcome.
The differences in drug therapy found in this study may indicate that patients with TBI and PTSD respond differently to treatment than patients with PTSD alone.
Public library staff are increasingly required to work with members of the public with high social needs. Public libraries are places of sanctuary and connection for people experiencing challenges such as homelessness, poverty, mental illness, domestic violence and substance abuses. In recognizing their role to serve the needs of all people who enter their buildings, public library staff are often asked to work outside their areas of expertise to meet the needs of community members. Public library staff can experience feeling overwhelmed and anxious when working with this community, often wanting to help but not knowing where the boundary between providing support and undermining the self-determination of the individual lies, and not knowing what resources and services would best meet the needs of these visitors. To assist patrons with high social needs and library staff, the City of Melbourne Libraries followed an approach now common in the United States of America, but largely untested in Australia by working with a local housing group to place a social worker in their City Library. This article explores the early work of the Library Social Worker as she engaged with library patrons and provided training to library staff. Using statistics and case notes that describe her activities and their outcomes, we can see that although this practice is new for the Australian public library system, the placement of a social worker into a busy urban library has significant benefits to both patrons in need and the staff who work with them.
This paper reviews studies of psychotropic drug use in Australia, analyses results from the Australian Health Surveys and compares the findings with those from other countries. It identifies subpopulations with high rates of drug use, which may consequently be at greater risk of drug-related harm. The levels 'of consumption of psychotropic agerjts in Australia wereestimated from the results of studies conducted in community and institutional settings between '1970 and 1986. In the absence of more recent data national prevalence rates were d&rived from analysis of data provided by 'the Australian Health Surveys (AHS) of 1977-1978 and 1983-1984, and comparisons were made with rates available from other countries. While the prevalence of current and frequent use of drugs,for nervous conditions was found to have decreased in most age groups over this period, it was consistently higher in females than in males,and increased with age. An analysis 'of the 1983~1984 AHS data revealed that the consumption Of "medicines for nervous conditions" fell by 35% but that no change occurred in the prevalence of persons taking sleeping medicines.· This fall appeared to occur in both rural and urban populations; Further analysis of data relating to the consumption of hypnotic agents revealed that changes occurred in the patterns of use within age and gender subgroups. Significant differences were observed ,between Australian States in consumption rates of sleeping' medicines (x 2 = 282.2; df = 7; P
Background There are varying dosing strategies for the administration of benzodiazepines in the setting of alcohol withdrawal. In October 2014, a symptom-based alcohol withdrawal protocol (AWP) using the Clinical Institute Withdrawal Assessment of Alcohol, Revised (CIWA-Ar) scale was implemented at one institution. Objective To evaluate the safety and efficacy of the AWP. Methods Retrospective chart review was completed, including patients receiving at least one dose of diazepam for alcohol withdrawal pre- and post-protocol. The primary outcome of this study was the average daily and cumulative dose of diazepam during hospital stay. Secondary outcomes included length of stay and occurrence of seizures or delirium tremens. Results The average daily dose and the average cumulative dose of diazepam were significantly lower in the post-protocol group (5.4 vs 12.1 mg, p < .001; 35.0 vs 77.6 mg, p < .001, respectively). Length of stay was similar between groups (6.5 vs 6.4 days, p = .91), however, duration of benzodiazepine use was decreased in the post-protocol group (2.2 vs 4.7 days, p < .001). Despite using reduced doses of benzodiazepines, there was no increase in adverse events. Conclusions The implementation of a symptom-based AWP using the CIWA-Ar scale was associated with a reduced average daily and cumulative dose of diazepam without any apparent safety issues.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.