To what extent could acute general psychiatric day care reduce inpatient admissions?

The multi-site research project (Acronym: EDEN-study) “Psychiatric day hospital treatment: An alternative to inpatient treatment, being cost-effective and minimizing post-treatment needs for care? An evaluative study in European countries with different care systems” was funded by the European Commission (Quality of Life and Management of Living, contract no. QLG4-CT-2000-01700). Additional national grants supporting the project were provided by Roland-Ernst-Stiftung für Gesundheitswesen and the Faculty of Medicine at the Dresden University of Technology, the National Health Service Executive Organization and Management Programme, the Polish National Committee of Scientific Affairs, and the Slovak Ministry of Education. Pfizer Pharmaceutical Company supported travel and accommodation for EDEN project meetings

Maimonides on Attributes of God

Tato práce se zaměřuje primárně na dvě témata: analýzu Maimonidova důkazu Boží existence, jedinosti a netělesnosti a otázku, jaké atributy lze Bohu přisoudit. S tím souvisí také otázka, co je obsahem esence Boha a do jaké míry je Boží esence poznatelná. Výchozím problémem jsou tvrzení v Písmu, ze kterých čtenář může nabýt dojmu, že Bůh je podobný člověku a že má tělo. Takové přesvědčení má nebezpečné důsledky pro celý judaismus, a proto je třeba tyto pasáže srozumitelně vyložit a tyto možné omyly a pochybnosti odstranit. Maimonidovým záměrem je podpořit víru filosofií a odstranit veškeré pochybnosti plynoucí z nesprávné intepretace Písma. Svým výkladem však odkrývá další hrozbu pro judaismus, a sice dvojí koncepci Boha. Otázkou je, zda jsou tyto rozdílné představy Boha slučitelné či zda jsou naprosto rozdílné. Argumentace vede přes důkaz Boží existence, přes sémantický výklad atributů, negativní theologii k vyložení konkrétních problematických pasáží Písma.This thesis is devoted primarily to two subjects: an analysis of Maimonides' proof of God's existence, his unity and incorporeality, and the question of which attributes one can predicate about God. Related to this is also the question of what the content of God's essence is, and if His essence is cognisable. The problem lies with statements in the Scripture where the reader can get the impression that God and humanity are alike and that He has a physical body of flesh and blood. Such a belief has dangerous consequences for Judaism as a whole and thus it is necessary to examine these passages and eliminate possible misconceptions and doubts. It is Maimonides' intention to support the religion using philosophy and to take away all doubts resulting from the incorrect interpretation of the Scripture. However, he reveals by his explanation another threat to Judaism and that is the dual conception of God. The question is, whether the two conceptions are compatible with each other or whether they are entirely different. The argumentation starts with a proof of God's existence, over a semantic explanation of attributes and negative theology, to interpretation of specific questionable passages from the Scripture.Institute of Philosophy and Religious StudiesÚstav filosofie a religionistikyFilozofická fakultaFaculty of Art

Coerced Hospital Admission and Symptom Change-A Prospective Observational Multi-Centre Study

PMCID: PMC3227658 Freely available online via CCplosone.org

The development of the Quality Indicator for Rehabilitative Care (QuIRC): a measure of best practice for facilities for people with longer term mental health problems.

BACKGROUND: Despite the progress over recent decades in developing community mental health services internationally, many people still receive treatment and care in institutional settings. Those most likely to reside longest in these facilities have the most complex mental health problems and are at most risk of potential abuses of care and exploitation. This study aimed to develop an international, standardised toolkit to assess the quality of care in longer term hospital and community based mental health units, including the degree to which human rights, social inclusion and autonomy are promoted. METHOD: The domains of care included in the toolkit were identified from a systematic literature review, international expert Delphi exercise, and review of care standards in ten European countries. The draft toolkit comprised 154 questions for unit managers. Inter-rater reliability was tested in 202 units across ten countries at different stages of deinstitutionalisation and development of community mental health services. Exploratory factor analysis was used to corroborate the allocation of items to domains. Feedback from those using the toolkit was collected about its usefulness and ease of completion. RESULTS: The toolkit had excellent inter-rater reliability and few items with narrow spread of response. Unit managers found the content highly relevant and were able to complete it in around 90 minutes. Minimal refinement was required and the final version comprised 145 questions assessing seven domains of care. CONCLUSIONS: Triangulation of qualitative and quantitative evidence directed the development of a robust and comprehensive international quality assessment toolkit for units in highly variable socioeconomic and political contexts