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Community Assessment (community + assessment)
Selected AbstractsImproving detection of first-episode psychosis by mental health-care services using a self-report questionnaireEARLY INTERVENTION IN PSYCHIATRY, Issue 4 2009Nynke Boonstra Abstract Objective: To examine the utility of the Community Assessment of Psychic Experiences (CAPE)-42, a self-report questionnaire, to improve detection of first-episode psychosis in new referrals to mental health services. Method: At first contact with mental health-care services patients were asked to complete the CAPE-42 and were then routinely diagnosed by a clinician. Standard diagnoses were obtained by means of the mini-Schedule for Clinical Assessment in Neuropsychiatry. Results: Of the 246 included patients, 26 (10.6%) were diagnosed with psychosis according to the mini-Schedule for Clinical Assessment in Neuropsychiatry. Only 10 of them were recognized by clinical routine, and 16 psychotic patients were not properly identified. Using an optimal cut-off of 50 on the frequency or distress dimension of the positive subscale of the CAPE-42 detected 14 of these misdiagnosed patients. The sensitivity of the CAPE-42 at this cut-off point was 77.5 and the specificity 70.5. Conclusion: Systematic screening of patients using a self-report questionnaire for psychotic symptoms improves routine detection of psychotic patients when they first come into contact with mental health services. [source] Early adolescent cannabis exposure and positive and negative dimensions of psychosisADDICTION, Issue 10 2004N. C. Stefanis ABSTRACT Aims To investigate the effect of exposure to cannabis early in adolescence on subclinical positive and negative symptoms of psychosis. Design Cross-sectional survey in the context of an ongoing cohort study. Setting Government-supported general population cohort study. Participants A total of 3500 representative 19-year olds in Greece. Measurements Subjects filled in the 40-item Community Assessment of Psychic Experiences, measuring subclinical positive (paranoia, hallucinations, grandiosity, first-rank symptoms) and negative psychosis dimensions and depression. Drug use was also reported on. Findings Use of cannabis was associated positively with both positive and negative dimensions of psychosis, independent of each other, and of depression. An association between cannabis and depression disappeared after adjustment for the negative psychosis dimensions. First use of cannabis below age 16 years was associated with a much stronger effect than first use after age 15 years, independent of life-time frequency of use. The association between cannabis and psychosis was not influenced by the distress associated with the experiences, indicating that self-medication may be an unlikely explanation for the entire association between cannabis and psychosis. Conclusions These results add credence to the hypothesis that cannabis contributes to the population level of expression of psychosis. In particular, exposure early in adolescence may increase the risk for the subclinical positive and negative dimensions of psychosis, but not for depression. [source] The Intervention of Outreach: Best PracticesPUBLIC HEALTH NURSING, Issue 4 2005Cindy L. Tembreull Abstract, Public health nurses (PHNs) use the intervention of outreach to improve health status by locating "at-risk" or "of interest" populations, providing information about health concerns and linking the population to resources to address the health concerns. The purpose of this study was to analyze PHNs' use of the intervention of outreach. Knowledge about best practices can contribute to the ability to successfully implement outreach activities. The descriptive qualitative study involved interviewing 10 Minnesota PHNs. Findings suggest strategies to increase outreach effectiveness. Recommendations include providing education on population-based concepts, such as community assessment and at-risk populations, and using interventions from the Public Health Intervention Wheel in conjunction with outreach. [source] The effect of the sampling scale on zooplankton community assessment and its implications for the conservation of temporary ponds in south-west SpainAQUATIC CONSERVATION: MARINE AND FRESHWATER ECOSYSTEMS, Issue 2 2007Khalid Fahd Abstract 1.The zooplankton (rotifer and microcrustacean) assemblages of temporary ponds in the Doņana National Park (south-west Spain) have been compared in two surveys of contrasting scales that resulted in the same number of samples: an extensive survey of 36 ponds sampled in May 1998 (or widespread survey) and a survey of nine ponds sampled four times over 2 years (or cumulative survey). 2.The total number of microcrustacean and rotifer taxa was larger in the cumulative survey (43 and 41 taxa, respectively) than in the widespread survey (39 and 34, respectively). Crustacean assemblages became less alike throughout the cumulative survey. 3.The presence of invertebrates (Coleoptera, Odonata, Heteroptera and crayfish) and aquatic vertebrates (fish and salamanders) was recorded as an estimate of potential predator impact on zooplankton. Several pond features (water depth, conductivity, pH, chlorophyll a concentration, distance to the nearest permanent pond and to the marsh) were also measured in both surveys. 4.A combination of these environmental factors was more strongly related to the similarity matrices derived from the zooplankton assemblages of the cumulative survey (Rho=0.7) than to those of the widespread survey (Rho<0.4). The distance of ponds to the marsh was an important factor in explaining this correlation as well as the strongest factor in the ordination of crustacean assemblages following a CCA. 5.Predation by exotic fish in long-hydroperiod ponds where overflow drains to the nearby marsh (fish source) is the mechanism likely to explain the changes in crustacean composition recorded in the cumulative survey. 6.The cumulative survey was more suitable for the study of zooplankton diversity as it rendered a higher number of taxa and gave more insight into the mechanisms that explain taxon richness. Thus, conservation strategies in temporary habitats require a scale of observation that includes long temporal changes. Copyright Š 2006 John Wiley & Sons, Ltd. [source] Environmental Nursing Diagnoses for Aggregates and CommunityINTERNATIONAL JOURNAL OF NURSING TERMINOLOGIES AND CLASSIFICATION, Issue 1 2001Pauline M. Green PhD PURPOSE. To describe the application of group-appropriate methods to derive actual nursing diagnoses for a community. METHODS. A triangulation method using multiple sources of data, including an environmental survey, fish consumption survey, government reports, publications, and community assessments FINDINGS. Three priority community environmental nursing diagnoses for aggregates within the community: Knowledge deficit among community residents related to lack of awareness of contaminants in the Anacostia River; "risk for adverse human health effects" among pregnant and nursing women and preschoolers related to consumption of chemically contaminated fish; and knowledge deficit among community residents related to lack of awareness of health effects of consuming chemically contaminated fish. CONCLUSIONS. The diagnoses serve as the basis for community education and other interventions. The methods are practical and useful for this type of research. PRACTICE IMPLICATIONS. The nursing profession is experiencing a growing awareness of the close relationship between environmental health and the health of individuals and communities. There is a need for diagnostic labels to describe the responses of aggregates and communities to environmental hazards and conditions. [source] | ||||||||||