Roscommon County Hospitalhttp://hdl.handle.net/10147/2212062024-03-26T23:05:36Z2024-03-26T23:05:36ZResearch, recovery and mental health: challenges and opportunities.Collins, PádraigCrowe, Sahttp://hdl.handle.net/10147/6247932019-08-30T12:13:48Z2016-01-01T00:00:00ZResearch, recovery and mental health: challenges and opportunities.
Collins, Pádraig; Crowe, Sa
Efforts to demonstrate the validity and effectiveness of interventions in mental health
have historically used traditional research paradigms. The development of such paradigms
has predominately involved academics and health professionals, commonly with limited to no
involvement of those who avail of the interventions and those who support them (e.g. family
members). The Recovery movement in mental health has, in contrast, highlighted the
importance and value of developing partnerships, at all levels of service provision, between
those who provide and those who use mental health services. The nature of the research
undertaken in the mental health disciplines, its interpretation and its use, may benefit from an
examination from this perspective.
2016-01-01T00:00:00ZRecovery and practice-based evidence: reconnecting the diverging discourses in mental health.Collins, PádraigCrowe, Sarahhttp://hdl.handle.net/10147/6247922019-08-30T12:13:32Z2017-01-01T00:00:00ZRecovery and practice-based evidence: reconnecting the diverging discourses in mental health.
Collins, Pádraig; Crowe, Sarah
Mental health professionals and those that use mental health services commonly begin from a
similar position. Both parties seek the alleviation of mental health distress and believe that
receiving support from others can be important in achieving this. From this point onward,
however, mental health professionals have diverged from service users in (a) their ways of
understanding distress, (b) their ways of seeking solutions for mental distress and
consequently (c) in the type of solutions they promote.
2017-01-01T00:00:00ZSee and Treat Model of Care Department of Plastic and Reconstructive Surgery In Roscommon HospitalDepartment of Plastic and Reconstructive Surgery In Roscommon Hospitalhttp://hdl.handle.net/10147/6213662019-08-30T12:26:09Z2015-10-01T00:00:00ZSee and Treat Model of Care Department of Plastic and Reconstructive Surgery In Roscommon Hospital
Department of Plastic and Reconstructive Surgery In Roscommon Hospital
2015-10-01T00:00:00ZImproving the uptake of systematic reviews: a systematic review of intervention effectiveness and relevance.Wallace, JohnByrne, CharlesClarke, Mikehttp://hdl.handle.net/10147/5750022019-08-30T12:26:11Z2014-01-01T00:00:00ZImproving the uptake of systematic reviews: a systematic review of intervention effectiveness and relevance.
Wallace, John; Byrne, Charles; Clarke, Mike
Little is known about the barriers, facilitators and interventions that impact on systematic review uptake. The objective of this study was to identify how uptake of systematic reviews can be improved.; Studies were included if they addressed interventions enhancing the uptake of systematic reviews. Reports in any language were included. All decisionmakers were eligible. Studies could be randomised trials, cluster-randomised trials, controlled-clinical trials and before-and-after studies.; We searched 19 databases including PubMed, EMBASE and The Cochrane Library, covering the full range of publication years from inception to December 2010. Two reviewers independently extracted data and assessed quality according to the Effective Practice and Organisation of Care criteria.; 10 studies from 11 countries, containing 12 interventions met our criteria. Settings included a hospital, a government department and a medical school. Doctors, nurses, mid-wives, patients and programme managers were targeted. Six of the studies were geared to improving knowledge and attitudes while four targeted clinical practice.; Three studies of low-to-moderate risk of bias, identified interventions that showed a statistically significant improvement: educational visits, short summaries of systematic reviews and targeted messaging. Promising interventions include e-learning, computer-based learning, inactive workshops, use of knowledge brokers and an e-registry of reviews. Juxtaposing barriers and facilitators alongside the identified interventions, it was clear that the three effective approaches addressed a wide range of barriers and facilitators.; A limited number of studies were found for inclusion. However, the extensive literature search is one of the strengths of this review.; Targeted messaging, educational visits and summaries are recommended to enhance systematic review uptake. Identified promising approaches need to be developed further. New strategies are required to encompass neglected barriers and facilitators. This review addressed effectiveness and also appropriateness of knowledge uptake strategies.
OBJECTIVE:
Little is known about the barriers, facilitators and interventions that impact on systematic review uptake. The objective of this study was to identify how uptake of systematic reviews can be improved.
SELECTION CRITERIA:
Studies were included if they addressed interventions enhancing the uptake of systematic reviews. Reports in any language were included. All decisionmakers were eligible. Studies could be randomised trials, cluster-randomised trials, controlled-clinical trials and before-and-after studies.
DATA SOURCES:
We searched 19 databases including PubMed, EMBASE and The Cochrane Library, covering the full range of publication years from inception to December 2010. Two reviewers independently extracted data and assessed quality according to the Effective Practice and Organisation of Care criteria.
RESULTS:
10 studies from 11 countries, containing 12 interventions met our criteria. Settings included a hospital, a government department and a medical school. Doctors, nurses, mid-wives, patients and programme managers were targeted. Six of the studies were geared to improving knowledge and attitudes while four targeted clinical practice.
SYNTHESIS OF RESULTS:
Three studies of low-to-moderate risk of bias, identified interventions that showed a statistically significant improvement: educational visits, short summaries of systematic reviews and targeted messaging. Promising interventions include e-learning, computer-based learning, inactive workshops, use of knowledge brokers and an e-registry of reviews. Juxtaposing barriers and facilitators alongside the identified interventions, it was clear that the three effective approaches addressed a wide range of barriers and facilitators.
DISCUSSION:
A limited number of studies were found for inclusion. However, the extensive literature search is one of the strengths of this review.
CONCLUSIONS:
Targeted messaging, educational visits and summaries are recommended to enhance systematic review uptake. Identified promising approaches need to be developed further. New strategies are required to encompass neglected barriers and facilitators. This review addressed effectiveness and also appropriateness of knowledge uptake strategies.
2014-01-01T00:00:00ZDeveloping a coordinated response to drug abuse in Pakistan.Khalily, Muhammad Tahirhttp://hdl.handle.net/10147/2212202019-08-30T12:48:38Z2010-03-01T00:00:00ZDeveloping a coordinated response to drug abuse in Pakistan.
Khalily, Muhammad Tahir
This paper describes moves towards the coordination of efforts to respond to the worsening drug abuse situation in Pakistan which affects all segments of society. The efforts reported seek to rectify inconsistencies in treatment policy resulting in unsatisfactory outcomes. Examples of collaborative strategies with encouraging results need further underpinning and expansion. There is, however, a lack of realization at the policy level of the need to effect changes in treatment formulated on a consistent and evidence-based approach. Policy has therefore been reviewed and proposals made for a comprehensive treatment strategy in line with international best practices to deal with this problem effectively and efficiently. Establishment of an addiction study centre at university level to continue professional and academic development is suggested.
2010-03-01T00:00:00ZManagement of traumatic head injuries in a rural Irish hospital: implications of the NICE guidelines.Kelly, J CO'Callaghan, AMc Mullin, LClinton, OBinchy, Jhttp://hdl.handle.net/10147/2212192019-08-30T12:48:38Z2010-12-01T00:00:00ZManagement of traumatic head injuries in a rural Irish hospital: implications of the NICE guidelines.
Kelly, J C; O'Callaghan, A; Mc Mullin, L; Clinton, O; Binchy, J
The NICE guidelines were published in 2003 in an effort to standardise the management of traumatic head injuries, and advise a CT brain in certain situations.; To evaluate the influence of the NICE guidelines on the management of head injuries in a county hospital.; Complete clinical data were obtained for all patients with traumatic head injuries attending the ED of a county hospital from 2001 to 2005. Symptoms, examination details and outcome data were made available. The influence of the NICE guidelines on their management was then evaluated.; Application of the NICE guidelines to these patients would have resulted in a 56% increase in the rate of CT brains being performed. No patient who did not have a CT brain had an adverse outcome.; It is possible with limited resources and normal neurological observations that patients over the age of 65 can be managed safely.
2010-12-01T00:00:00ZDeveloping an integrated approach to the mental health issues in Pakistan.Tahir Khalily, Muhammadhttp://hdl.handle.net/10147/2212182019-08-30T12:50:37Z2011-09-01T00:00:00ZDeveloping an integrated approach to the mental health issues in Pakistan.
Tahir Khalily, Muhammad
2011-09-01T00:00:00ZPsychological assessment through performance-based techniques and self-reports: a case study of a sexually abused girl at preschool age.Khalily, Muhammad TahirHallahan, Brianhttp://hdl.handle.net/10147/2212172019-08-30T12:48:38Z2011-05-01T00:00:00ZPsychological assessment through performance-based techniques and self-reports: a case study of a sexually abused girl at preschool age.
Khalily, Muhammad Tahir; Hallahan, Brian
We investigated the implicit psychological and behavioral consequences of sexual abuse in an adolescent girl who suffered child sexual abuse at preschool age in this case report. We report the manifestations of this abuse on her personality and psychological functioning using a structured clinical interview and a comprehensive psychological battery including the Beck Anxiety Inventory, the Beck Depression Inventory, the Standard Progressive Matrices, Rorschach Ink Blots, and the Schema Mode Inventory. These investigations were useful in formulating both a diagnosis and a management plan. The girl fulfilled diagnostic criteria for a major depressive episode and borderline personality disorder. This combination of psychological testing may be useful in establishing an accurate multiaxial diagnosis and for understanding the behavioral and psychological sequelae of child sexual abuse in similar cases. The study further suggests that schema-focused therapy is a useful therapeutic tool for individuals who have suffered child sexual abuse at an early age and who have borderline personality disorder.
2011-05-01T00:00:00Z