The Psychiatric Clinical Specialist: The Progression of a Specialty

Kuntz, Sandra W.; Stehle, Joan L.; Marshall, Ruth

doi:10.1111/j.1744-6163.1980.tb00060.x

Cited by 7 publications

(2 citation statements)

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“…Provider education on the risks of prescribing these highly potent medications may help to reduce prescribing and therefore help to prevent future misuse. Because of the stress on the behavioral health care system in the United States, patients with behavioral health complaints may increasingly seek care in the ED, which may influence these prescribing trends 16 . Studies have shown that, in recent years, prescribing of benzodiazepines from the outpatient setting has significantly increased 8,17 .…”

Section: Discussionmentioning

confidence: 99%

Benzodiazepine Discharge Prescriptions from Emergency Departments across the United States between 2012 and 2019: A National Analysis

Ramdin,

Mina,

Nelson

et al. 2024

J Addict Med

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Objectives Benzodiazepines are commonly misused medications frequently implicated in overdose deaths. Data show that benzodiazepine prescribing is associated with increased misuse. We sought to determine national trends in benzodiazepine prescribing from the emergency department (ED). Methods This is a retrospective review of the National Hospital Ambulatory Medical Care Survey from 2012 to 2019. Our primary outcome was to evaluate trends in ED visits where a benzodiazepine was prescribed at discharge. Secondarily, we identified commonly prescribed benzodiazepines and assessed trends over time. We examined demographic data and used descriptive statistics and Spearman rho or Pearson correlation coefficient as applicable. Results Between 2012 and 2019, there were 13,848,578 visits where benzodiazepines were prescribed at ED discharge. In 2012 and 2019, there were 1,407,478 visits (1.1% of all ED visits) and 1,361,372 visits (0.9%), respectively, where benzodiazepines were prescribed (mean [SD], 1,731,072 [287,623] [1.26%]), with no trend (P = 0.31). Common benzodiazepines prescribed were diazepam (5,980,279 visits, 43.2% of all prescriptions), alprazolam (3,306,549, 23.9%), and clonazepam (2,105,963, 15.2%), with no changes over time. Fifteen percent of prescriptions were for patients 65 years or older. Conclusion Despite reports of increased misuse, there was no change in ED discharge benzodiazepine prescribing. Concerningly, alprazolam, a benzodiazepine with high misuse potential, was frequently prescribed despite limited ED indications, and there was a large percentage of visits where benzodiazepines were prescribed to older adults despite warnings for adverse effects in this population. Future studies should assess rational prescribing and the role of targeted interventions to curb inappropriate use.

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Section: Discussionmentioning

confidence: 99%

Benzodiazepine Discharge Prescriptions from Emergency Departments across the United States between 2012 and 2019: A National Analysis

Ramdin,

Mina,

Nelson

et al. 2024

J Addict Med

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“…These complexities make it more challenging to address the underlying issue. While each of these consequences on the person is severe, the onset of suicidal thoughts may have the most impact [17].…”

Section: How Is Mental Health Lacking?mentioning

confidence: 99%

Mental Health Problems Due To COVID-19 In Low-Income Group

Tam¹

2023

HSET

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The changes in aggregate health indicators over eras of economic expansion and recession suggest that recent economic recessions trigger various mental health symptoms. A causal relationship between job loss and losses to one's psychological and physical health has also been demonstrated through studies. When there is a sharp macroeconomic fall, there are noticeable social class disparities in the frequency of mental health issues like depression, anxiety, and panic. The COVID-19 epidemic is shown from the viewpoint of mental health, and this article argues two of these causes; financial uncertainty and misery/depression/anxiety. The objective is to guide future psychiatric research on COVID-19 and mental well-being and to broaden the discussion of the differential impact. Scholars, mental health specialists, and community health workers are given recommendations on how to lessen the negative impact on it of vulnerable groups, especially those with lower incomes, those who need government assistance, and those with ongoing medical concerns. These persons might not have the appropriate social and financial resources to successfully deal with new social and psychological stressors. Anxiety, trauma, and Posttraumatic stress syndrome (PTSD) are among the mental health diseases that are most vulnerable in low-class society; these conditions are already the leading causes of disability globally, as per Global Burden of Disease research. Due to increasing exposure to established risk determinants, including economic burden, job uncertainty, and joblessness, the pandemic shows a spike in suicide rates globally.

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Recent Trends and Issues in Psychiatric—Mental Health Nursing

Pearlmutter¹

1985

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The Psychiatric Clinical Specialist: The Progression of a Specialty

Cited by 7 publications

References 0 publications

Benzodiazepine Discharge Prescriptions from Emergency Departments across the United States between 2012 and 2019: A National Analysis

Benzodiazepine Discharge Prescriptions from Emergency Departments across the United States between 2012 and 2019: A National Analysis

Mental Health Problems Due To COVID-19 In Low-Income Group

Recent Trends and Issues in Psychiatric—Mental Health Nursing

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