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NEW RESEARCH BOOK I a I 2011 H AW Photo By: Hawaii Tourism Authority Tourism By:Photo Hawaii NEW RESEARCH BOOK I I A AW 2011 H Photo By: Hawaii Tourism Authority Tourism By:Photo Hawaii American Psychiatric Association Transforming Mental Health Through Leadership, Discovery and Collaboration WWW.PSYCH.ORG NEW RESEARCH BOOK NEW RESEARCH RESIDENT POSTER SESSION 01 Chp.: Michel Burger M.D., Centre Hospitalier Erstein, May 14, 2011 13 route de Krafft BP 30063, Erstein, 67152 France, 10 – 11:30 AM Co-Author(s): Christelle Nithart, Ph.D., Luisa Weiner, Hawaii Convention Center, Exhibit Hall, Level 1 M.Sc., Jean-Philippe Lang, M.D. NR01‑01 PROMOTING HEALTH THROUGH THE SUMMARY: BEAUTIFUL GAME: ENGAGING WITH Introduction We present the psychiatric AND ADVOCATING FOR RESIDENTS OF rehabilitation program we are developing in VANCOUVER’S DOWNTOWN EASTSIDE Erstein, France, since September 2008. This THROUGH STREET SOCCER program is based on a residential facility located in the community, which is conceived as an Chp.:Alan Bates M.D., Psychiatry Dept., 11th Floor, interface between inpatient care and psychosocial Gordon & Leslie Diamond Health Care Centre, 2775 rehabilitation. Objective To evaluate the viability Laurel St., Vancouver, V5L 2V8 Canada, Co-Author(s): of the Courlis residential facility in facilitating Fidel Vila-Rodriguez, M.D., Siavash Jafari, M.D., patients’ psychiatric rehabilitation. Method Lurdes Tse, B.Sc., Rachel Ilg, R.N., William Honer, M.D. A comprehensive psychosocial and medical evaluation is undertaken at admission. Criteria for SUMMARY: admission are the following: functional disability Vancouver’s Downtown Eastside is one of the due to chronic psychiatric illness in symptomatic poorest neighbourhoods in North America. remission, and very low socioeconomic status. A Mental illness and addictions are prevalent and socio‑educative and a psychiatric team act together contribute significantly to marginalization and to improve independent social functioning, social disadvantage.Street Soccer for people affected symptomatic remission, and quality of life, according by homelessness re‑engages marginalized people to individual profiles and aims. Specific workshops, into communities (Sherry, 2010). Since 2002, the such as psychoeducation and cognitive remediation, Homeless World Cup has repeatedly demonstrated are proposed to residents. Results A total of 33 that, through soccer, over 70% of people affected patients (25 male), aged between 21 and 59 years by homelessness are able to significantly improve (mean=35.2) have been admitted. 82 % of them their lives (www.homelessworldcup.org). Following were Caucasian, and 82% single (18% divorced). this international movement, the Vancouver Street 67% were inpatients before admission (course of Soccer League provides friendship for the homeless, hospitalization mean=8.7 months), 24% homeless, physical fitness for the ill and addicted, direction for and 9% were living within their families; 91% at‑risk youth, and cultural focus for other unique of them suffered from schizophrenia‑spectrum populations such as inner‑city First Nations people. illnesses; 36% were independent concerning Over the last two‑and‑a‑half years of coaching Street medication; 95% were addicted to tobacco, 37% Soccer, the authors have seen players create lasting had a problematic use of alcohol or marijuana. 25% relationships, find jobs, get better housing, reconnect were multiple drug users in the past; 10% of them with heritage, and recover from illness. Qualitative were treated with Suboxone® or Methadone®. data collected through surveys from Street Soccer 39% presented with somatic comorbidities (i.e., 3 players in Vancouver also suggests that significant were HCV positive).Two years after its creation, benefits to Street Soccer participants include preliminary outcome results are the following: increased physical fitness, improved mental health, 61% of residents needed to be hospitalized due reduction of substance use, increased social contacts, to psychiatric relapse (less than a week for 70%). and improved housing. 8 residents left the Courlis: 2 of them now live elsewhere, 3 were excluded because they did not abide with community rules, 3 of them needed NR01‑02 long‑term inpatient care, and 5 others plan to leave LE COURLIS: AN INNOVATIVE in 2012. 4 residents found full‑time jobs during RESIDENTIAL‑SETTING their stay, and one of them started a college degree. REHABILITATION PROGRAM IN ERSTEIN All residents now consult regularly with a GP, 25% of them have started a nicotine cessation program. ‑ ALSACE (FRANCE) 1 patient out of 3 is no longer HCV positive. 42% 1 NEW RESEARCH BOOK now manage their medication independently. Volunteer residents from University of California, Discussion Preliminary results suggest that although San Diego and Naval Medical Center, San Diego half of the residents still needed short‑term inpatient have been attending monthly educational events care, most of them adjusted well to the residential open to all NAMI members from 2009 to present. setting, and became more active and independent The format is open with residents introducing regarding namely medication, and work – thus, themselves on first name basis. NAMI members quality of life was improved. It is worth noting that (patient or peer or family member) ask questions of patients whose functional abilities were probably the residents without any restrictions. The sessions insufficient left the Courlis early. In the future, often broaden residents’ perspectives and work to admission criteria should therefore be reevaluated. decrease barriers between physicians and patients, Additionally, other rehabitation tools, such as social peers and family members. Work with NAMI has skills training should be integrated, in order to resulted in active partnership with residents leading facilitate psychosocial recovery. to participation at a NAMI state conference and local branch board membership. The informal relationship building has contributed to the NR01‑03 advocacy and community outreach training for the BRIDGING RESIDENCY TRAINING residents. This poster will present the Ask‑A‑Doc WITH CONSUMER ADVOCACY GROUP: program, review survey results from residents ASK‑A‑DOC PROGRAM WITH SAN DIEGO who have participated in the program, and present NATIONAL ALLIANCE ON MENTAL perspectives from NAMI members who attend the ILLNESS meetings. Chp.:Steve Koh M.D., RTO 9116A, 9500 Gilman Dr, REFERENCES: La Jolla, CA 92093 1) 1) Kaas, Lee, and Peitzman, “Barriers to collaboration between mental health professionals SUMMARY: and families in the care of persons with serious In psychiatry practice and clinical services, there are mental illness,” Issues Ment Health Nurs, 2003 many barriers to effective collaboration between Dec;24(8):741‑56. mental health professionals, patients and families 2) Ascher‑Svanum, Lafuze, Barrickman, Van (1). There still exists mental health stigma and Dusen, and Fompa‑Lov, “Educational needs of misconceptions of psychiatric treatments and families of mentally ill adults,” Psychiatr Serv, 1997 care. Good therapeutic outcome can come from Aug;48(8):1072‑4. increasing patient and family member educational 3) McCann, “Building a community‑academic outreach (2). Furthermore, there continues to partnership to improve health outcomes in an be a need to build close working relationship underserved community,” Public Health Nurs, 2010 between academic institutions and the underserved Jan‑Feb;27(1):32‑40. community (3). The importance of community 4) Goetz, Cutler, Pollack, Falk, Birecree, McFarland, outreach and relationship can be taught best early in Keepers, and Walker, “A three‑decade perspective a psychiatrist’s career. Exposure to the community on community and public psychiatry training in setting and public psychiatry needs to happen early Oregon,” Psychiatr Serv, 1998 Sep: 49(9): 1208‑11.2) (4). During training, active engagement with the 5) Hufford, West, Paterniti, and Pan, community fosters better relationships and provides “Community‑based advocacy training: applying valuable advocacy training (5). Consumer advocacy asset‑based community development in resident group National Alliance for the Mentally Ill (NAMI) education,” Acad Med, 2009 Jun; 84(6): 765‑70. provides excellent models for close relationship 6) Lucksted, McNulty, Brayboy, and Forbes, “Initial building with community members with mental evaluation of the Peer‑to‑Peer program,” Psychiatr illness (6, 7). There exists evidence of mutual benefit Serv, 2009 Feb;60(2):250‑3. gained by providing advocacy with patients (8). It 7) Mohr, Lafuze, and Mohr, “Opening caregiver stands to reason that academic training programs minds: National Alliance for the Mentally Ill’s and local NAMI chapters can work together to (NAMI) provider education program,” Arch achieve common goals. In San Diego, residents have Psychiatr Nurs, 2000 Oct;14(5):235‑43. established a monthly community outreach program 8) Foulks, “Advocating for persons who are mentally with the local NAMI branch called Ask‑A‑Doc. ill: a history of mutual empowerment of patients 2 NEW RESEARCH BOOK and profession,” Adm Policy Ment Health, 2000 pursuit gain (r=0.57, p<0.05, n = 32). In a pilot study May;27(5):353‑67. in 6 subjects, we examined the effects of tiagabine, a GABA transaminase inhibitor, on SPEM and found an improvement in predictive pursuit with tiagabine NR1‑04 but not with placebo. However, this effect was VARIATION IN SUCCINIC statistically not significant (p<0.15). Conclusion: Our SEMIALDEHYDE DEHYDROGENASE data implicates ALDH5A1 gene in the etiology of (ALDH5A1) GENE IS
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