Day 2 :
Keynote Forum
Iwona Sienko
University of British Columbia Okanagan Campus, Canada
Keynote: The need for disease
Time : 10:30-11:15
Biography:
Iwona Sienko has over 30 years of nursing and leadership experience in working in various healthcare systems and own business. Throughout her career, she developed a deep trust in a human capacity that became even more prevalent after spending time healing from chronic stress. During that time she explored the latest discoveries in neuroscience, epigenetics, and neuroplasticity. She has learned how to build resiliency in the body and mind. In a way, she bio hacked her life to overcome the adversities of her experiences. She witnessed first-hand how the body and mind can heal from chronic stress when given proper support in the right environment. She is an Adjunct Professor with the School of Nursing at UBCO; in her practice, she utilizes the power of mindfulness and its influence on our relationship with stress. She holds a Bachelor of Science in Nursing and Masters in Business Administration and is a certified smartUBC facilitator.
Abstract:
Stress is a natural part of our lives and healthy levels help us with creativity, reaching our goals and maintaining overall drive. Increased stress levels erode our health, productivity and overall happiness. Chronic stress is becoming an epidemic of the twenty-first century. To combat this state of affairs many began exploring the benefits of mindfulness as an antidote to chronic stress. Thirty years of research looking at the effects of mindfulness, as well as the neuroscience of mindfulness, offer compelling evidence to support the use of mindfulness practices. Some benefits of practicing mindfulness are stronger focus, better memory, staying calmer under stress, enhanced concentration and executive functioning, improved overall mental and physical health. In 2015, the School of Nursing at UBC Okanagan began offering a smartUBC to all first-year students in a mandatory Relational Practice course. The rationale was two-fold: to provide undergraduate students with mindfulness skills and capacities to help them navigate and succeed in their first year of university as well as stress management and resiliency techniques for their nursing practice. These students are currently part of a 6-year longitudinal study looking at the efficacy of smartUBC. First-year findings provide preliminary evidence that the smartUBC course offers coping techniques to nursing students to assist them with the demands of school. We offered smartUBC to our faculty and staff and have expanded the program into the community. Program evaluation into these sessions reports that the curriculum has a positive impact on both work and personal lives. The vast majority of participants would recommend the course to others and faculty members believe there is a benefit to offering smartUBC in the academic environment. The smartUBC (stress management and resiliency techniques) curriculum has its foundation in MBSR (mindfulness-based stress reduction) with added components of emotional theory and forgiveness and compassion training.
- Mental Health | Child Abuse and Neglect Addiction | Psychiatric Nursing
Location: Red Cedar Ballroom B
Chair
Sailaxmi Gandhi
National Institute of Mental Health & Neurosciences, India
Co-Chair
John Jacob Mundukottackal
Agape Mental Health and Research Institute, India
Session Introduction
Lucy Faranda
York Catholic District School Board, Canada
Title: The war within: Obsessive Compulsive Disorder / Complex Post-Traumatic Stress Disorder, the struggle, fight and recovery
Biography:
Lucy Faranda is 37 years old. In 2012, she was diagnosed with severe OCD and then CPTSD in 2013, Depression and eventually Suicidal Ideation in 2014. She is an educator and when she was diagnosed her world changed and fell apart. Being in and out of psychiatric hospitals, treatment centers and various OCD support groups that she was in for the biggest fight of her life. Fast forward seven years, and she is back to work, her mental illness is manageable so that she can date, see friends, do things in public, and mostly enjoy her life. She had fought hard to get where she was, but not without help from a very supportive psychiatric team at Sunnybrook Hospital. Her story isn't over yet!
Abstract:
For years, I had suffered from OCD. I have been in and out of many psychiatric facilities both in the United States and in Canada. My experiences are complicated but also very informative for those seeking help with OCD. I have been in many crisis situations and have endured many treatments like CBT, mindfulness, guided meditation, ERP, hospitalization, and withstanding a very intense OCD and CPTSD residential treatment programs. In time, with the right medical team, support groups, medication and self-motivation to fight against the debilitating symptoms OCD, I have gone from being on LTD for the inability to function and complete daily tasks like showering and dressing without compulsions, to reclaiming back my life and returning back to teaching. I hope to be able to pay it forward and speak to the great resources and staff available at Sunnybrook Hospital. I hope to share my story of struggle and recovery to help bring resource information and hope for those suffering from any mental illness. I have seen the good, the bad and the ugly. But, I have also seen hope and light. I now am able to know how it feels to be able to function again, as well as acknowledge a strength that I could never have known I had if it was not for the experiences I endured. I have the authority to now say OCD is not a life sentence, OCD can, in fact, be managed. I can be the voice that I so desperately needed years ago, when all I wanted to do was end my life because I had a lack of experience around me of seeing those who made it, those who survived and not just survived, but thrive into productive individuals who are able to manage their OCD and be successful.
Sailaxmi Gandhi
National Institute of Mental Health and Neurosciences, India
Title: Challenges in initiating and supporting vocational training for persons with mental illness in India
Biography:
Dr Sailaxmi Gandhi is an Additional Professor & Head, Department of Nursing at NIMHANS (National Institute of Mental Health & Neurosciences) which is an INI (Institute of National Importance) at Bengaluru, India. She has 32 yrs. Of service in nursing and is the recipient of the prestigious President’s award of the Best Nursing Teacher in 2014 bestowed in the Rashtrapathi Bhavan, New Delhi on International Nurses Day as well as various other awards such as the Dr Radha Krishnan Gold Medal Award for ‘Excellence in individual achievements & National Development, by Global Economic Progress & Research Association in 2012. She is a PhD and post-graduate guide and a nursing consultant in the psychiatric rehabilitation services as well as the adult psychiatry unit V. She has published many articles in PubMed and other indexed journals as well as books, the most recent being a book on ‘ADL for Persons with Mental Illness: A Book for Caregivers’. Her areas of interest are occupational stress and stress management programs, school mental health, psychiatric rehabilitation, holistic well-being, suicide prevention and maternal and infant mental health
Abstract:
The National Mental Health Survey (2014-2016), one of the largest mental health “Research and Action” oriented study undertaken in recent times across 12 states of India reported a high weighted lifetime prevalence of 5.25 in depressive disorders and 1.41 in severe mental illness (n=34802). The WHO also states that by the year 2020, Depression will be the most prevalent condition in the world. With this high rise in NCDs (Non-communicable diseases), a large proportion of people with mental illness also have co-existing medical conditions such as obesity, diabetes mellitus, hypertension, etc. adding the disability. In this background, there exists a high level of stigma towards this illness. Individuals with mental illness recover better with lesser relapse rates when they are engaged in work. Symptoms, medications side effects and other skills deficits such as cognitive/social/assertive/communication skills can interfere with getting and maintaining a job. At a premier mental health institute in South India, a nurse-led initiative in a multi-disciplinary team (MDT) faced several challenges in initiating and maintaining a vocation training café named as the ROSes Café (Recovery Oriented Services). A caregiver who trained persons with mental illness (supervised by the MDT) in various stages commencing with cleaning vegetables, dishes, etc. and going up to account management operated the café. Interested persons with mental illness were invited to be part of this venture. Initial grading was done based on their competencies. Behavioral strategies such as re-enforcement were used as part of the training process. Challenged faced were many ranging from getting space, an instructor, administrative support, funding, etc. The onus was the instructor’s (caregiver) and the team’s satisfaction, placement of the recovering individuals and increasing popularity of this venture.
Lyren Chiu
Langara College, Canada
Title: Safety and mental health issues in chinese young international students: A canadian case study
Biography:
Dr Lyren Chiu is an educator, researcher, mental health clinician, and community advocate. Dr Chiu’s program of research focuses on immigrant health, traditional medicine, and integrative service, with its emphasis on cancer and mental health care. Dr Chiu has investigated concepts of spirituality, spiritual resources, spiritual choice, methodology (investigating spirituality), transcendence, the meaning of life, TCM practice in BC, use of CAM, an integrative healthcare service (ethnographic study), and others. As a consequence, she has published numerous articles in these areas. Dr Chiu has founded and actively participated in several not-for-profit organizations, community services, social enterprises, and political campaigns. Dr Chiu was recognized as both a “visionary” by Vancouver Women’s Magazine in 2009 and a “change agent” by the Diasporas Project led by SFU in 2012 for her work in educating Canadian society about the values and practices of integrated healing. Dr Chiu recently has involved in the psychology of murder investigations.
Abstract:
China has the largest number of international students in the world, which accounted for 25% of all international students. Canada is one of the four major countries where Chinese parents would send their children. According to China Counsel General, the number of Chinese overseas students in BC attained 50,000 in 2017. With the increased number of Chinese overseas students, many have involved in incidents. More than 31 oversea deaths around the world occurred in the last two years. Among them, Yu was announced that he died by suicide in 2017. Safety became a salient issue among Chinese young overseas students. The purpose of this study is to investigate 17-year-old student Yu Lin Hai case and discuss issues of mental health and safety in young overseas students.
Methods: A case study design was used. Seven interviews and field observation was conducted. Newspaper reports were collected. The case will be presented.
Discussion: It involves potential psycho-socio-cultural influencers.
Findings: Is Yu case a suicide or a murder? Recommendations for oversea young students include oversea preparation, safety education, cultural adaptation, rapid response to incidence, after crisis interventions and support from government and community.
Amanpreet Kaur
Khals College of Nursing, India
Title: Level of alcohol consumption and its affective correlates among hospitalized patients
Biography:
Amanpreet Kaur, PhD, is a Professor and has been teaching nursing research, psychiatric nursing and advanced nursing practice at Khalsa College of Nursing, Amritsar, Punjab (India) since 2007. Before coming to this institute, she has worked as an RN in Burns & plastics unit in Christian Medical College & Hospital, Ludhiana. She received her bachelor’s and master’s degree in psychiatric nursing from Baba Farid University, Faridkot and PhD from Rajiv Gandhi University of Health Sciences, Bangalore. Her primary research interests on mentally ill patients, drug addicts, baggers, slum dwellers and prisoners. She is passionate to study more about healthcare needs and challenges of vulnerable population. She received Mrs Sarla Kapoor award for best research paper presentation from ISPN (Indian Society of Psychiatric Nurses). She is the author of two books and book chapters. She has presented at both local and national levels and has authored several articles for publication.
Abstract:
Everybody now-a-days are facing stressful situations and are unable to cope with too much stress. They start taking support of substance and alcohol and get addicted. Due to which they meet with accidents and suffer with many medical problems in chronic condition and ultimately are admitted in hospitals. Even after they do not leave the alcohol drinks. Sometimes they increase the amount of alcohol to get relief from pain and other stressful conditions. The aim of the present study was to explore the level of alcohol consumption with its affective correlates among patients. Using purposive sampling, 100 patients admitted in orthopedic and medicine wards admitted in Guru Nanak Dev Hospital, Amritsar, Punjab were selected. Level of alcohol consumption is assessed by standardized tool i.e. AUDIT (Alcohol Use Disorder Identification Test) in patients and affective correlates are measured by IDTS (Inventory of Drug Taking Situations). The one third of patients (37%) had mild level of alcohol consumption whereas more than half (57%) had moderate hazardous affective correlates. Alcohol consumption and its affective correlates were positively correlated. Physical reasons were commonest affective correlates for alcohol consumption among them in comparison to psychological and social correlates. There was statistically significant relationship of education, religion, type of family and family income at p<0.05. Conclusively this study revealed that both level of alcohol consumption and affective correlates had positive relationship with each other.
Dale Hilty
Mount Carmel College of Nursing, USA
Title: Preliminary examination of the positive impact of affect on learning for nursing students
Biography:
Dale M. Hilty, Associate Professor, received his PhD in counseling psychology from Department of Psychology at the Ohio State University. He has published studies in the areas of psychology, sociology, and religion. Between April 2017 and April 2018, his ten research teams published 55 posters at local, state, regional, national, and international nursing conferences. His colleagues sharing the author line of this poster are Anne Hinze, MA, MS and Kali Clark, BSN Candidate.
Abstract:
In a number of preliminary studies using an educational intervention research design, nursing students completed the ADQFE and ADQ-SE. Coefficient alpha reliability findings for the ADQ-FE ranged from .803 to .911, and for the ADQ-SE ranged from .784 to .955. ANOVA Repeated Measures analysis found statistical significant for each of the ADQ-FE items. Accelerated nursing students affect was measured prior to a lecture, after the lecture, and after a faculty demonstration/prior to a student skill demonstration. Five statistically significant main effects were found (p=.001-.027) along with eight post hoc effects (p=.001-.031). Students were categorized into high and moderate-low groups based on course behavioral measures. Using the ADQ-SE, an independent t-test analysis found statistical significant differences between the two groups. Students performance in the high behavioral measure group were found to report statistically significant higher levels of positive affect (p=.004-.035).
- Adolescent Medicine and Care | Psychiatric Disorders | Mental Health Nursing
Location: Red Cedar Ballroom B
Session Introduction
Amanpreet Kaur
Khalsa College of Nursing, India
Title: Scrupulosity and anxiety among adults
Biography:
Amanpreet Kaur, PhD, is a Professor and has been teaching nursing research, psychiatric nursing and advanced nursing practice at Khalsa College of Nursing, Amritsar, Punjab (India) since 2007. Before coming to this institute, she has worked as an RN in Burns & plastics unit in Christian Medical College & Hospital, Ludhiana. She received her bachelor’s and master’s degree in psychiatric nursing from Baba Farid University, Faridkot and PhD from Rajiv Gandhi University of Health Sciences, Bangalore. Her primary research interests on mentally ill patients, drug addicts, baggers, slum dwellers and prisoners. She is passionate to study more about healthcare needs and challenges of vulnerable population. She received Mrs Sarla Kapoor award for best research paper presentation from ISPN (Indian Society of Psychiatric Nurses). She is the author of two books and book chapters. She has presented at both local and national levels and has authored several articles for publication.
Abstract:
Scrupulosity, the obsessional fear of thinking or behaving immorally or against one’s religious belief, is a form of obsessive compulsive disorder that has been understudied to data. It is coupled with the extreme guilt, depression and fear of
punishment from God. Scrupulous individuals are overly concerned that something they thought or did might be a sin or other violation of religious or moral doctrine. A correlational design was selected to assess scrupulosity and anxiety among 200 adults in selected rural areas of Amritsar, Punjab so as to take some corrective action to cope up with scrupulosity and anxiety using purposive sampling. The research tool included socio-demographic profile, Penn Inventory of Scrupulosity (PIOS) scale and Zung Self-rating anxiety scale (SAS). The study revealed that majority (60.5%) of adults had no/little scrupulosity. About 15% of adults had mild to moderate anxiety. There was a very week positive relationship (r=0.40) between scrupulosity and anxiety among adults which was found to be statistically non-significant at p<0.05.
Mahnaz Mehrabizadeh Honarmand
Shahid Chamran University of Ahvaz, Iran
Title: The effectiveness of cognitive-behavioral stress management intervention on general health and quality of life in patients with cardiovascular diseases
Biography:
Mahnaz Mehrabizadeh Honarmand is currently working as a faculty at Shahid Chamran University of Ahvaz, Iran.
Abstract:
The purpose of this study was to evaluate the effectiveness of cognitive behavioral stress management intervention on general health and quality of life in patients with cardiovascular diseases in Ahvaz. The available samples were used for selecting the subjects so that 30 individuals from the cardiovascular patients were selected to participate in the survey and were divided randomly into two groups, experimental and control every 15 persons. All the participants answered the General Health Questionnaire (GHQ-28) and the World Health Organization Quality of Life Brief Questionnaire (Who-QOL-BRIEF). The experimental group received 10 sessions of stress management training by the cognitive- behavioral method. At the posttest stage, the responses of both groups to the questionnaires were recorded again. The data was analyzed using MANCOA. The results showed that cognitive-behavioral stress management intervention had a positive significant effect on the general health and the quality of life of the treatment group. The findings show that cognitive-behavioral stress management intervention can be effective as a selective psychotherapy method and also as a supplement in the medical treatment of the cardiovascular patients.
Offer Cohen
Shekulo Tov Group, Israel
Title: Labour market inclusion, long-term employment and career development using the integrative model at Shekulo Tov Group, Israel
Biography:
Offer Cohen is the CEO of Shekulo Tov Group. He was the Vice President of Operations in Lehem Erez from year 2001 to 2006. Before he joined Lehem Erez he was the vice president in Piquanté Factories.
Abstract:
Statement of the problem: Literature indicates that the extent of employment mobility among people with psychiatric disabilities is low, even though most of them want and can work. Furthermore, while supported employment has significantly improved competitive work outcomes throughout the world, it leads to sustained work in only 25-35% of persons with psychiatric disabilities, while most person loss jobs within a few weeks/months after beginning them or never obtain competitive work.
Methodology & Theoretical Orientation: Shekulo Tov is a non-profit organization and a service supplier for the Israeli Ministry of Health for more than 3,000 service users. Shekulo Tov’s integrative model represents an essential change of perception vis-à-vis vocational rehabilitation. It is a formative shift from the two sequential approaches of “train, then place” or “place then trains” to a simultaneous approach of “train and place”. The model’s continued development led to the formation of the Shekulo Tov Group which operates in a large number of businesses and organizations as “integrative units” based in the community, who all embedded the model. Among Shekulo Tov Group businesses: Rebooks (second-hand bookshops), Good Coffee (social cafes), God Dog (dog walkers).
Findings: The Integrative Model has successfully transitioned more than 25% of service users from vocational rehabilitation to open labor market placements. Furthermore, the Model has reduced service users’ preparative vocational training for open labor market placement from 4 years to 20 months.
Conclusion & Significance: Along ongoing support, job applicants are offered vocational rehabilitation, skills and career development, training programs and are provided with necessary preparation and support to measure their vocational progress. This gives them a security net, especially in cases, they did not hold their job in the free market. In these cases, service users can temporally return to vocational rehabilitation while looking for a new job in the free market.
- Workshop Session
Location: Red Cedar Ballroom B
Session Introduction
Brad Marsden
Suicide Prevention Facilitator, Canada
Title: The effects of oppression & historical trauma workshop
Biography:
Brad Marsden is from the Gitsegukla Indian Reservation within the Gitksan Nation in Northern British Columbia, Canada. He is an Inter-Generational Survivor of the Residential Schools in Canada. He believes his workshop will affect the way the service providers feel about these native impacts and as a result the way they see native people.
Abstract:
A powerful experiential workshop to help educate Non-Native Service Providers of the collective trauma that has impacted Native people throughout Canada’s history. After understanding that a collective trauma exists, participants will better understand how the feelings such as; fear, shame, learned helplessness, and anger began to infiltrate into our communities and led to the disempowering behaviors and social conditions that we see today. With this change in perception by having experienced these impacts during the workshop, participants will have a more accurate understanding of why Native people see, think, feel and behave the way they do. As a result, service providers will be better prepared to effectively communicate and empower the Native People of their community.
Mada Eliza Dalian
Dalian School for Health and Consciousness, Canada
Title: Awareness of the being – The master key for mental health and healing
Biography:
Mada Eliza Dalian is an award-wining best-selling author, scientists of the human condition, and founder of the Dalian Method for Health and Consciousness. Her findings and the success of this new methodology are based on: her childhood ability to “read” repressed thought-patterns in people’s body; her experience of awakening at age 33; explorations of human condition (interconnectedness of unconscious and conscious processes); experimentation and research, along with her work in the fields of social work and personal development over the past forty years. After developing and working with this powerful system with clients in her private practice for over eighteen years, in 2014, she devised the self-help version of the method for adults, followed by its variations for young adults, teens, and children. Due to consistent lasting results and increased interest from professionals, Mada also created Dalian Method Facilitator Training Programs to allow for seekers of one-on-one support to receive assistance from trained Dalian Method facilitators.
Abstract:
Problem: Challenges such as anxiety, depression, grief, PTSD, chronic pain, and disease are experienced in the body, yet our conventional treatments don’t go deep enough to identify the deeply rooted unconscious thought patterns, fears, and emotions working in the body. The purpose of this workshop is to demonstrate how the Dalian Method™ brings forth and transforms the repressed beliefs and emotions stored in the body without using cognitive therapy or expensive medications.
Methodology and theoretical orientation: The theory is that: (1) awareness of the being is beyond the body, thoughts, emotions, time, and space, and is the master key for mental and physical wellbeing. (2) healing is an alchemical process that spontaneously occurs in the body by transforming the unconscious beliefs and emotions repressed in the body’s cells into self-empowered consciousness of the being. The methodology of this workshop is to give participants a hands-on practical experience on how the Dalian Method™ (DM) by-passes the mind and works through the entire body (from feet to head) including; front/back and top of the head, the yin/yang energy polarities, front and back chakra points, knees, and bottoms of feet simultaneously, to access and transform the unconscious self-sabotaging thought patterns and emotions stored in the body’s epigenetic code. Transformation naturally takes place as a result of awareness of the inner being which is always healthy and whole.
Findings: Documented case studies and preliminary research findings demonstrate how the Dalian Method™ helps to eradicate the root causes of anxiety, depression, grief, PTSD, chronic pain and disease and achieve a lasting change. It helps to naturally increase understanding and clarity, build self-awareness and self-confidence, learn valuable lessons, and experience selfacceptance, inner peace, joy, and wellbeing.
Conclusion and significance: The Dalian Method™ is a unique system, which works with the entire body, and not just the cognitive mind, to access and transform the causes of anxiety, depression, PTSD, and disease repressed in the body’s cellular memory. The Dalian Method™ can be used with a trained facilitator or on one’s own, using the Self-Healing Dalian Method home practice kit (book and 2 CDs).
- Video Presentations
Location: Red Cedar Ballroom B
Session Introduction
Daphne Duncombe
Public Hospitals Authority, Bahamas
Title: Nurses knowledge, attitudes and practices related to the use of restrictive care interventions
Biography:
Daphne completed her Master’s Degree with distinction in Nursing Leadership/Management from The University of the West Indies, Trinidad in 2016. Her thesis was selected for oral presentation at the International Congress at King’s College, England and has since been published in the Journal of Clinical Nursing. She currently serves as the coordinator for nursing research and chair of the research committee at her institution. Her professional interests center on nursing research and the promotion of evidence-based practice in nursing.
Abstract:
Background: It is evident from previous research studies that a number of factors exist which can influence the uptake of restrictive practices in the management of challenging behavior. Variability in the use of restrictive interventions across countries has been found, suggesting that their continued use is likely to be driven by factors other than the behavior of patients. This study surveys the perceptions of nurses working in various settings in The Bahamas with respect to their knowledge, attitudes, and practices related to the use of restrictive care interventions.
Method: A convenience sample was used to self-administer questionnaires to 130 nurses working in the psychiatric, geriatric and emergency settings. The questionnaire examined nurses’ knowledge, attitudes, and practices related to the use of restrictive interventions including seclusion, physical restraints, forced medication and the removal of patient privileges.
Results: Participants were predominantly female (79.5%) and fell in the 41 to 50 years age group (32.8%). Of nurses surveyed, only 29.7% indicated that they fully understood the concept of using the least restrictive alternative in clinical practice. Nurses’ attitudes were found to generally reflect a tendency towards the use of restrictive interventions. There was also a high incidence of restraint use observed among emergency nurses.
Discussion and Conclusions: The findings of this research, revealed that nurses could benefit from additional training. The study also draws attention to the need for changing nurses’ attitudes if any strategy for reducing restrictive practice is to be successful.
Anna Lou Olivier
Independent Research University, Brazil
Title: Multitherapy treating autism (Autistic Spectrum Disorder) and down syndrome
Biography:
Anna Lou Olivier is currently working as a faculty at Independent Research University, Brazil
Abstract:
Purpose: The purpose of this study was to prove efficient of Multitherapy in treatment of Autism and Down Syndrome. In two period concluded, was attending 83 children , 60 with autism and 23 with Down Syndrome. All children Down Syndrome made good progress, especially in learning. Of the 60 children attended, 50 improved the communication with the external environment, being this the main objective of this treatment. In percentage, 100% Down Syndrome and 83% Autism made good progress.
Methods: The Multi-therapy has techniques that supplement this deficiency in the reception of the stimuli. In many cases, it is able to penetrate into the world of the autistic, arousing sensitivity, creativity and greater perception of the external world. Multitherapy seeks to treat not only Autism, but Hyperlexia which, in some cases, is characteristic of Autism and also treat cases in which mental retardation impedes learning. Lighter cases tend to have very fast responses. Very serious cases may not have a rapid response, but although in the long-term, they show improvement. MultiTherapy uses music therapy in a continuous and original way with specific sounds and rhythms that fit each brain and stimulate learning and awakening. So the first strong point is that each patient has a treatment developed only for their case. Considering that each organism has its own characteristics and reacts in a certain way to the stimuli and treatments, the method must be shaped in each case. In general, the various techniques adapted together in each case, make the treatment faster, more efficient and practical. For each case the best techniques and areas to be merged are stipulated. It is holistic, in the original sense of treating the individual completely and not only in one aspect (psychological, neurological, physical, etc.)
Results: Very serious cases are mitigated more quickly and efficiently than the treatments used today; Lighter cases are solved, usually with very positive results, especially in the stimulation of speech, hearing and in the development of artistic creativity.
Conclusion: In numbers, it was concluded that, of the 60 children with Autism attended, 50 improved the communication with the external environment, being this the main objective of this treatment. The children developed interaction with the external environment and could be socialized, according to their personal characteristics. The other 10 children had severe autism and did not have as satisfactory results as the others, but they had a slight improvement, especially in the control of the collapses, in a situation of stress. Therefore, it is considered that, even in the most severe cases of autism, there has been an improvement. As a complement to this research, the 23 children with Down Syndrome made good progress, especially in learning. This enhance the effectiveness of the method.
Puneet Kathuria
The Global Child Wellness Centre, India
Title: Integration of spiritual healers in the mental health team
Biography:
Dr. Puneet Kathuria has been blessed to serve humanity in the developing world, has been treating patients since 2006 as a practising Consultant Psychiatrist. Ha has held various positions in the Indian Psychiatric Society as well as the Indian Association of Private Psychiatry (IAPP). He is currently the National Chairperson of the Child and Adolescent Mental Health Committee of IAPP. He also runs a foundation of his own called the Elpis Welfare Society, working for the cause of mental health. He runs half marathons to keep him fit. He currently is the Director of Prem Neuropsychiatry Centre, K K Hospital and The Global Child Wellness Centre based at Ludhiana, Punjab, India.
Abstract:
Mental health is among the most vexing social and medical problems of our era. Medications are effective, though access, costs, stigma, side effects, and health risks may deter utilization. Likewise, professional psychotherapy helps yet is unaffordable and unavailable to many and, even when empirically based treatments can be accessed, relapse, mortality, and morbidity are the rule with mental disorders. Therefore, there is an urgent need for affordable and accessible treatment options. We all are baffled by the thought that the processes of non-pharmacological interventions that is so successful in the western, just does not find any takers in the eastern world. Despite so much evidence in favor of the number of therapies and techniques, still, these continue to be on the fringes of the eastern mental health treatment. Alternative or complementary medical and spiritual approaches are promising and are associated with excellent patient acceptance. There appears to be an upward trend toward acceptance and utilization of these ‘complementary’ practices. Evidence suggests that meditation practice is associated with neuro-plastic changes in various regions of the brain such as the anterior cingulate cortex, insula, and temporoparietal junction. Studies on long-term meditators suggest structural changes in the form of pre-frontal differences as well as insular differences in the form of increased grey matter. (Holzel et al., 2008; Luders, Toga, Lepore, and Gaser, 2009). We want to create a model of assimilation wherein the eastern practices are incorporated in such a way that the whole model is more acceptable to the developing world. We address the spiritual practices viz. Yoga and meditation as an alternative or complementary form of mind-body medicine.
Biography:
Cheryl Staal has extensive experience in suicide prevention, intervention, and postvention and has supported many clients affected by suicide as a witness, discovering a body or losing some they cared about. She presents unique evidenced-based best practice training she designed for workplaces to manage incidents and support staff exposed to suicide. Having been bereaved by suicide herself enables her to meld personal and practical experience, theories, and skills to guide practitioners, businesses, and others. Cheryl has spoken at many conferences regarding suicide, impacts on witnesses/discoverers, domestic violence, elder abuse and other societal issues. Along with advising organizations and government on designing and implementing integrated services suicide, domestic violence, and elder abuse fields. She is also highly skilled in providing professional supervision and professional development training for practitioners and workplaces.
Abstract:
Many of the 2,088 Australians who died by suicide in 2016 were employees of some type. Based on Cerel et al. research over a ¼ Million Australians could have been affected. However, if the deceased had a significant role within a business, lengthy collegial relationships, or strong relationships with clients/consumers the number exposed to, or affected by the death could be exponentially larger. Any workplace can be impacted by suicide through staff witness the incident, discovering a body, losing a client, another staff member or someone they cared about by suicide. Knowing trauma reactions and grief can impact on personal functioning and productivity, the impact of suicide and duty of care to prevent and mitigate psychological injury in any workplace is a significant issue for its management. Further, if an employee witnessed the suicide or discovered the body the complexity of trauma for the staff member/s is immense. There is little awareness of the potential impact among workplaces, so they generally are underprepared. Through practice, this presenter is aware of the diverse range of businesses and staff roles most likely to be impacted including hospitality, cleaning, medical, transport, legal and emergency services. Also of the personal impacts on teams and clients; and important aspects to manage according to best practice. Responding to suicide is a unique set of circumstances, not generally included in management courses or organizational policies. Therefore, this presentation will heighten awareness about the potential of such an event occurring and outline matters to core considerations when managing incidents for individual employees, customers and the business as a whole. It will suggest effective strategies and sources to build the business’s critical incident and response capacity. Also how best to support staff sensitively, assist them to return to work, and manage possible repercussions across the business.
Gina Lladó Jordan
Universidad Isabel, Burgos, Spain
Title: Complications related to binge eating and purging behaviors in patients with Eating Disorders (ED)
Biography:
Gina Lladó Jordan has completed her PhD at the age of 27 years in Universidad Europea de Madrid, Spain. She works as an investigator and teacher in Universidad Isabel I, Burgos, Spain. She has completed 5 masters related to various aspects of health sciences. She has directed 20 Final Degree Projects and participated in multiple studies and research groups. Her main line of research is Eating Disorders and Nutrition.
Abstract:
Introduction.On physical examination, our patients with Eating Disorders (ED) may present fluctuations in weight, dehydration and mood changes. On the dermatological level, they may present pigmented and cracked skin and Russell's sign (in purging behaviors). Gastrointestinal or digestive tract complications are very common and diverse. Vomiting, as well as alterations in motility and gastric distension, can cause gastroesophageal reflux, achalasia, esophagitis, regurgitation, gastroparesis, constipation and anal fistula. In addition, after a binge episode they may have abdominal pain or discomfort with nausea and distension of the abdomen.
Objective. To evaluate the physical examination and blood test alterations in 169 girls diagnosed with ED, aged between 12 and 18 years old, attended at “Hospital Infantile Universitario Niño Jesus” of Madrid between 2013 and 2016.
Methods. The physical examination and blood tests were performed at the first visit due to suspicion of ED with binge eating and purging behaviors. The statistical study was assessed by contingency tables and Fisher's exact test. Significant differences for values of p <0.05. Statistical package used: SPSS version 23. We studied 73 blood test variables.
Results. The physical alterations described are presented. Aalterations related to binge eating and purging behaviors were: Increased levels of: Cholesterol, Triglycerides, insulin resistance, insulin, Prolactin and Testosterone. Decreased levels of: 25 Hydroxy vitamin D, Cortisol, T3, Leukocytes, hemoglobin.
Zihan Liu
Mental Health Center of West China Hospital , China
Title: The patient-doctor concordance on perceived psychological service needs in Chinese hospitalized patients
Biography:
Zihan Liu is a medical student who has a great interesting in mental health.Improving the mental health and wellbeing of human is her mission and passion of a lifetime. She graduated from West China Hospital, Sichuan University. She is going to pursue PhD majoring in clinical psychology in the U.S. She has a very good insight of clinical problems and outstanding creation ability among her peers. Her research about doctor-patient coherence on perceived psychological service needs in Chinese patients did a professional work on investigating and analysing the clinical psychological service situation in many non-psychiatry departments, which shed lights on the wellbeing improvement of inpatients.
Abstract:
Purpose To assess the subjective concordance on psychological service needs in hospitalized patients between patients and doctors in China.
Methods: A cross-sectional study was performed in one day. All hospitalized inpatients from selected departments of West China Hospital were recruited as potential participants. A questionnaire set including demographic variables as well as the PHQ-9 and GAD-7 questionnaires were completed by the included patients. They and their doctors in-charge were asked whether they perceived the patients need psychological services..
Results: The overall response rate in patients was 84.25% and the final sample consisted of 1273 patients. Among those, 605 patients (47.53%) believed that they needed psychological services, whereas only 345 patients (27.10%) were in need for psychological services according to the evaluation of their doctors. Kappa statistics showed that the concordance rate between patients and doctors was low in the total patient group (kappa=0.055) as well as in the group of patients with significant depression or anxiety (kappa=0.080). A logistic regression analysis showed that the ward where the patients were treated at the time was related to a consistent recognition of psychological needs(OR=1.667).
Conclusion: The concordance between psychological service needs perceived by patients and evaluated by doctors in Chinese inpatients was low. Therefore, it seems necessary to develop some effective strategies to improve the detection rate, such as the use of screening-instruments and the training of health professionals in the detection of psycho-social distress.