archive-info.com » INFO » U » UMMENTALHEALTH.INFO

Total: 398

Choose link from "Titles, links and description words view":

Or switch to "Titles and links view".
  • U-M continues efforts to prevent tragedy among college students :: U-M Psychiatry and Depression Center Newsroom
    depression bipolar illness and related conditions among college students are a critical public health problem says John Greden M D executive director of the U M Depression Center The college years coincide with peak onset of depression bipolar disorder and most other mental illnesses which are most treatable soon after onset Our conference goals are to identify articulate and plan ways in which campus leaders can implement earlier detection and intervention strategies Only then will we help prevent the recurrences lessen the huge burdens and high costs and help prevent the terrible tragedies such as have occurred in Tucson Greden continues We can and must do better College students face high internal and external pressures In 2010 only 51 9 percent of college freshmen responding to a national survey reported that their mental health was good or above average a record low the Chronicle of Higher Education reported The March conference will feature a choice of intensive three hour workshops in addition to keynote presentations panel discussions and concurrent sessions Keynote speakers include Gregory Eells Ph D associate director for counseling and psychological services at Cornell University and Drew Westen Ph D professor of psychology and psychiatry at Emory University Additional areas of focus will include creatively imagining the role and use of technology in depression treatment successful models for campus peer to peer support programs evidence based strategies for alcohol screening The conference will also feature two sessions aimed primarily at students a workshop on creating community and strengthening social networks and a panel discussion on the myriad challenges of managing depression in graduate school The audience for the conference which will be held at U M s Rackham Graduate School includes counselors nurses physicians students academic advisers residence education staff university leaders and anyone with an interest in

    Original URL path: http://ummentalhealth.info/2011/02/01/u-m-continues-efforts-to-prevent-tragedy-among-college-students/ (2016-05-02)
    Open archived version from archive


  • $3.8 million upgrade to U-M mental health unit emphasizes safety, comfort :: U-M Psychiatry and Depression Center Newsroom
    of the unit into a secure intensive care unit Upgrades also include a new library Internet terminals for patients to use and updated fixtures in bathrooms and patient rooms specially designed for patient safety Books for the library and other enhancements were donated by grateful patients and supportive community members Generous donations also allowed the wall outside of each patient s room to display a colorful tile from Ann Arbor s Motawi Tileworks They might not remember their room number but they might remember they re in the room with the boat or the castle or the knight says Michael Kraft R N B S N M P H the unit s nurse manager Nowhere are the nuances of the overhaul more evident than in the intensive care unit which offers special facilities to treat disruptive patients while at the same time separating them from others Unfortunately even on the very best units the potential exists for patient self harm Accordingly aspects of the remodel were designed to minimize that risk For example mirrors and light fixtures are virtually unbreakable and many surfaces are designed so nothing can be wrapped around them Other improvements to the unit include a new activity therapy room a dining room accessible to patients all day a large tub room for bathing patients improved patient access to exercise facilities exercise equipment on the unit as a result of a gift and upgraded waiting and post treatment areas for outpatient electroconvulsive therapy The remodel also creates the potential to add three more beds to the 22 bed unit in the future Along with the physical changes over the last several years U M has emphasized a hospitalist approach to care which centers on a team of psychiatrists who specialize in providing care in a hospital setting The patients who are hospitalized have a major mental illness Casher says It might be schizophrenia severe depression bipolar disorder or a personality disorder We routinely take care of these patients when their illnesses are at their most acute and as a result our psychiatrists are adept at working with people who are in crisis We understand their needs As an academic psychiatric center our program also offers the latest innovative treatments therapies and programs The inpatient program is broken into three sub specialties mood disorders thought disorders and geriatric psychiatry and each focus area includes a dedicated team of psychiatrists nurses social workers and activity therapists The unit also links closely with U M s Psychiatric Emergency Services located at University Hospital which is one of only two 24 hour emergency rooms in southeast Michigan for people in mental health crisis This simultaneous overhaul of our physical space and our treatment programs allows us to provide a seamless continuum of high quality care from emergency to inpatient to outpatient says David Knesper M D director of U M s Hospital Psychiatry Section Gregory Dalack M D chair of the Department of Psychiatry agrees The project represents a major commitment

    Original URL path: http://ummentalhealth.info/2011/01/20/3-8-million-upgrade-to-u-m-mental-health-unit-emphasizes-safety-comfort/ (2016-05-02)
    Open archived version from archive

  • Resurrecting the so-called “depression gene” :: U-M Psychiatry and Depression Center Newsroom
    making it the largest analysis of the serotonin gene s relationship to depression When we included all the relevant studies we found that an individual s genetic make up does make a difference in how he or she responds to stress says Sen The U M analysis supports previous findings that individuals who had a short allele on a particular area of the serotonin gene had a harder time bouncing back from trauma than those with long alleles Rudolf Uher Ph D a clinical lecturer at the Institute of Psychiatry in London says the U M research will help cut through the debate about the genetic connection and refocus the field on making new advances to help those affected by mental illness The major strength of the analysis is that it is the first such work that included all studies that were available on the topic Uher says And it gives a very clear answer the short variant of the serotonin transporter does make people more sensitive to the effects of adversity The authors of the initial study from 2003 were also excited by the U M team s results Their careful and systematic approach reveals why the JAMA meta analysis got it wrong says Terrie Moffitt Ph D a professor at Duke University and one of the authors of the 2003 study We hope that the same journalists who were so hasty to publish a simplistic claim in 2009 will cover this more thoughtful new analysis When the U M team restricted their analysis to the 14 studies included in the 2009 JAMA paper they also failed to find a genetic link suggesting to Sen that the scope of the analysis not the methodology was responsible for the new findings The U M analysis found robust support for the link between sensitivity to stress and a short allele in those who had been mistreated as children and in people suffering with specific severe medical conditions Only a marginal relationship was found in those who had undergone stressful life events But that s also common sense Different stressful life events may have very different effects Sen says For instance there is no reason to think that the effects of divorce at a biological level would be similar to the effects of losing your home or being physically assaulted Still the study results don t mean that everyone should run out and get a genetic test additional susceptibility from having a short allele is only one factor among many that determine how an individual responds to stress Sen says Additional research will help to map an individual s genetic profile for depression This brings us one step closer to being able to identify individuals who might benefit from early interventions or to tailor treatments to specific individuals Sen says Funding The research was supported by grants from the National Institutes of Health University of Michigan Depression Center and Studienstiftung des Deutschen Volkes Additional U M Authors Margit Burmeister Ph D Kerby

    Original URL path: http://ummentalhealth.info/2011/01/03/resurrecting-the-so-called-depression-gene/ (2016-05-02)
    Open archived version from archive

  • Researchers track the impacts of depression during pregnancy :: U-M Psychiatry and Depression Center Newsroom
    impact they might have over a longer time frame says the study s lead author Sheila Marcus M D clinical director of U M s Child and Adolescent Psychiatry Section We re just beginning to look at these differences as part of a whole collection of data points that could be risk markers These in turn would identify women who need attention during pregnancy or mother infant pairs who might benefit from postpartum programs known to support healthy infant development through mom baby relationships The longer term question for researchers is the degree to which the hormonal environment in the uterus may act as a catalyst for processes that alter infant gene expression neuroendocrine development and brain circuitry potentially setting the stage for increased risk for later behavioral and psychological disorders While cautioning against alarm the researchers recommended that mothers experiencing symptoms of depression during pregnancy talk to a therapist They also noted that interventions aimed and mother child bonding after birth can act as countermeasures stimulating children s neurological development and lowering the possible effects of stress hormone production early in life Post partum depression is one of the most common complications of pregnancy and up to 1 in 5 women may experience symptoms of depression during pregnancy Along with tracking the mothers depressive symptoms throughout gestation U M researchers took samples of umbilical cord blood right after birth They found elevated levels of adrenocorticotropic hormone ACTH in babies born to mothers with depression ACTH tells the adrenal gland to produce the stress hormone cortisol Cortisol levels however were similar in children of mothers with varying levels of depression likely an indication of the high level of stress associated with the birth itself the researchers note The impact of mothers depression on fetuses and newborns has generated a considerable amount of research in recent years Previous studies have shown that babies born to women with severe depression may be more likely to be born prematurely or underweight have diminished hand to mouth coordination and be less cuddly Methodology The study was done on a population of 154 pregnant women who were over the age of 20 had no plans to move in the 2 year study period no adoption plans no chronic medical conditions or medications that would impact the study no substance abuse issues no eating disorders and no bipolar illness The mothers depressive symptoms were assessed at 28 32 and 37 weeks of gestation and again at birth From their scores the women were placed into three groups low intermediate and high depression Blood samples were taken from the infants umbilical cords at birth to measure ACTH and cortisol levels At two weeks the infants were given a neurobehavioral evaluation that assessed items like response to stimuli motor skills and response to stress Statistical analyses were then done to look for patterns within and among the groups Additional U M authors Juan F Lopez M D Susan McDonough Ph D M S W Heather Flynn Ph D

    Original URL path: http://ummentalhealth.info/2010/12/09/researchers-track-the-impacts-of-depression-during-pregnancy/ (2016-05-02)
    Open archived version from archive

  • Veterans With Bipolar Disorder May Have Increased Risk of Suicide :: U-M Psychiatry and Depression Center Newsroom
    alive at the beginning of 2000 Psychiatric diagnoses were obtained from 1998 and 1999 treatment records and deaths by suicide were tracked over the following seven years During this follow up period 7 684 veterans died by suicide Slightly less than half 46 8 percent of those who died by suicide had at least one psychiatric diagnosis and all of the psychiatric diagnoses examined depression schizophrenia bipolar disorder substance use disorders PTSD and other anxiety disorders were associated with an elevated risk of suicide In men the risk of suicide was greatest for those with bipolar disorder followed by depression substance use disorders schizophrenia other anxiety disorders and PTSD the authors write In women the greatest risk of suicide was found in those with substance use disorders followed by bipolar disorder schizophrenia depression PTSD and other anxiety disorder Overall the least common diagnosis bipolar disorder was more strongly associated with suicide than any other condition Bipolar disorder was diagnosed in 9 percent of those who died by suicide This makes bipolar disorder particularly appropriate for targeted intervention efforts or attempts to improve medication adherence the authors write In all likelihood many individuals with psychiatric disorders who were at risk for suicide were not identified by the treatment system the authors conclude This could be owing to stigma which may have made individuals less likely to report their mental health symptoms to physicians an effect that could be more pronounced among men with military experience These findings highlight the importance of improved identification diagnosis and treatment of psychiatric diagnoses particular bipolar disorder depression substance use disorders and schizophrenia of all health care system users Arch Gen Psychiatry 2010 67 11 1152 1158 Editor s Note This work was supported by the Veterans Affairs Office of Mental Health Services Patient Care Services

    Original URL path: http://ummentalhealth.info/2010/11/02/veterans-with-bipolar-disorder-may-have-increased-risk-of-suicide/ (2016-05-02)
    Open archived version from archive

  • U-M study: pep talks to teens in the ER reduce violence, alcohol misuse :: U-M Psychiatry and Depression Center Newsroom
    The U M study showed ED interventions can also reduce alcohol related problems by as much as 32 percent for six months The talks with teens were more complex than a parent talking to a child about the dangers of drinking and how to avoid peer pressure Therapists used motivational interviewing which is well suited for adolescent development says study lead author Maureen Walton M P H Ph D research associate professor in the U M Department of Psychiatry Addiction Research Center It doesn t preach or tell teens what to do but allows adolescents to weigh the pros and cons of their choices in reference to their goals The therapists talks with teens also included role play exercises and tools to cope with risky situations with regard to drinking and violence and referrals to community services Most of the adolescents had high aspirations they wanted to go to college be a good role model for their younger siblings They didn t want to make the mistakes they see happening around them Walton explains We talked to them about the discrepancies between their behavior and what they wanted to do with their lives Motivational Interviewing with proper training can be used effectively by healthcare providers as well those without a professional healthcare background Study co author Stephen T Chermack Ph D a clinical psychologist and addiction specialist at the U M Health System and the VA Healthcare System in Ann Arbor is a member of the Motivational Interviewing Network of Trainers MINT Adolescents in the study reported to the emergency department at Hurley Medical Center between noon and 11 p m between September 2006 and September 2009 All patients completed computerized screening questions regarding alcohol use and violence and were randomized into three groups a control group receiving a brochure or one of two groups receiving a 35 minute brief intervention delivered by a computer or a therapist in the emergency room Authors say the computer screening worked well with teenagers because of their comfort with using technology The computer program included animated role playing and provided exercises and tools to cope with risky behavior such as drinking and driving and conflicts The study tells us that technology can aid in assisting high risk youth in busy clinical settings as well as deliver important prevention messages says Cunningham who is also an associate professor of emergency medicine at the U M Medical School and associate professor of health behavior health education at the U M School of Public Health Emergency staff are busy and not all hospitals have the resource of a social worker or therapist present at all times in the emergency department The ED can be a prime location for reaching high risk teenagers since many may skip school consider themselves too old to go to a pediatrician yet often do not have a primary care doctor We see the consequences our patients face from violence says Cunningham who is part of the team of U M physicians

    Original URL path: http://ummentalhealth.info/2010/08/03/u-m-study-pep-talks-to-teens-in-the-er-reduce-violence-alcohol-misuse/ (2016-05-02)
    Open archived version from archive

  • Featured :: U-M Psychiatry and Depression Center Newsroom
    new chair of the Department of Psychiatry pending Regental approval Dalack began serving as interim chair of the Department of Psychiatry Sept 1 2007 and as associate Read this story Pharmacy intervention helped seriously mentally ill patients take meds February 26 2010 ANN ARBOR Mich Health systems should consider pharmacy based interventions when involving patients who have poor follow through taking medication That s according to a study appearing today in the online edition of Schizophrenia Bulletin The study was led by Marcia Valenstein M D Senior Read this story James Swain and Collaborators Receive Federal Grand Opportunity Grant December 17 2009 New Department of Psychiatry faculty member James E Swain M D Ph D F R C P C recently received a federal Grand Opportunity grant from the National Institutes of Health NIH in the amount of 721 877 The research study Read this story New therapy for treatment resistant depression makes debut at U M August 3 2009 First and only program in the state to offer non systemic and non invasive treatment for depression offers new hope to people living with the disorder ANN ARBOR Mich The Depression Center and University of Michigan s Department of Read this story Third annual Prechter Lecture delves into risk factors and preventive measures for suicidal behavior in those with bipolar disorder July 1 2009 The July 10 lecture features bipolar expert Maria A Oquendo M D as speaker at the U M Depression Center ANN ARBOR Mich Minimizing suicide risks for any of the 5 7 million Americans with bipolar disorder can pose a serious challenge As part of the Read this story Maternal depression is associated with significant sleep disturbance in infants May 7 2009 Findings suggest that parents especially ones with a history of depression should pay close

    Original URL path: http://ummentalhealth.info/category/featured/page/6/ (2016-05-02)
    Open archived version from archive

  • League of Research Excellence inducts eight from Psychiatry :: U-M Psychiatry and Depression Center Newsroom
    achieve significant successes The inaugural group included those who have garnered 1 million or more in research awards or expenditures in 2010 Department of Psychiatry inductees are Huda Akil Ph D Frederic Blow Ph D Amy Kilbourne Ph D M P H Howard Markel M D Ph D David Neal M D Stanley Watson Jr M D Ph D Jon Kar Zubieta M D Ph D Robert Zucker Ph D The list of inaugural inductees and photos from the event are available at http www med umich edu medschool research league htm Recent Entries Dr Monica Starkman professor emeritus publishes novel based on career in psychiatry Who gets hooked on drugs who stays clean Study in rats finds genetic markers that influence addiction UMHS community mourns death of Kenneth Silk M D Taking the fight against risky pain pill use to the ER Study shows promise Fashion design meets U M research in wearable human stem cell images Featured Video Recent Posts Dr Monica Starkman professor emeritus publishes novel based on career in psychiatry Who gets hooked on drugs who stays clean Study in rats finds genetic markers that influence addiction UMHS community mourns death of Kenneth Silk M D

    Original URL path: http://ummentalhealth.info/2011/04/29/league-of-research-excellence-inducts-eight-from-psychiatry/ (2016-05-02)
    Open archived version from archive