Section: Module 6: Lesson 4: Assessment of Psychiatric Emergencies | Psychiatric Clerkship for Medical Students

Section: Module 6: Lesson 4: Assessment of Psychiatric Emergencies | Psychiatric Clerkship for Medical Students | NextGenU.org

This lesson provides the learner with resources that allows one to recognize potential psychiatric emergencies, perform risk assessments, evaluate the patient and initiate an appropriate intervention for patients with altered mental status, behavioral dyscontrol, and potential assaultive behavior.

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- Select activity Required Learning Resources and Activities
  
  Required Learning Resources and Activities
- Select activity Risk Factors for Serious Suicide Attempts: Difference Between Older and Younger Attempters in the Emergency Department
  
  Risk Factors for Serious Suicide Attempts: Difference Between Older and Younger Attempters in the Emergency Department URL
  
  Students must
  
  View
  
  Read the content under the heading " Introduction" "Discussion" and "Conclusion". (15 minutes)
  Frontiers in Psychiatry - 2021
- Select activity Suicide Risk Assessment Toolkit
  
  Suicide Risk Assessment Toolkit URL
  
  Students must
  
  View
  
  Read pages 7-11 of the document. (12 minutes)
  Mental Health Commission of Canada - 2021
- Select activity Psychiatric Emergencies: Assessing and Managing Suicidal Ideation
  
  Psychiatric Emergencies: Assessing and Managing Suicidal Ideation URL
  
  Students must
  
  View
  
  Read from section "Management Goals" until section "Future considerations/Summary." (31 minutes)
  HHS Public Access - 2017
- Select activity Risk and Protective Factors: Violence Prevention
  
  Risk and Protective Factors: Violence Prevention URL
  
  Students must
  
  View
  
  Read entire webpage. (4 minutes)
  CDC - 2020
- Select activity Management of the Violent Patient in the Emergency Department
  
  Management of the Violent Patient in the Emergency Department URL
  
  Students must
  
  View
  
  Read the following sections:
  -Cues
  -Evaluation and Diagnostic Studies
  -Table 2: Diagnostic Consideration. (4 minutes)
  Emergency Medicine Reports - 2017
- Select activity De-escalating Violence in Health Care
  
  De-escalating Violence in Health Care URL
  
  Students must
  
  View
  
  Read pages 39-42. (7 minutes)
  Sigma Theta Tau International Honor Society of Nursing - 2020
- Select activity Violent Patients
  
  Violent Patients URL
  
  Students must
  
  View
  
  Read from "Evaluation" to the end. (13 minutes)
  NCBI - 2021
- Select activity DSM5
  
  DSM5 URL
  
  Students must
  
  View
  
  Read pages 742-744 Clinician-Rated Dimensions of Psychosis Symptom Severity
  Read all the Diagnostic criteria from pages 90-118 (30 minutes)
  To access this book you must follow the instructions provided on the link below: LINK
  Important note: Take into account that at some point some of the 3 copies are not available and are in use. During this time, you will not be able to access a copy of the DSM-5, if so, please wait a moment and try to access the book later.
  American Psychiatric Association - 2013
- Select activity Canadian Guidelines for the Assessment and Diagnosis of Patients with Schizophrenia Spectrum and Other Psychotic Disorders
  
  Canadian Guidelines for the Assessment and Diagnosis of Patients with Schizophrenia Spectrum and Other Psychotic Disorders URL
  
  Students must
  
  View
  
  Read section "Results". (18 minutes)
  Canadian Journal Psychiatry - 2017
- Select activity DSM5
  
  DSM5 URL
  
  Students must
  
  View
  
  Read all the contents on pages 593-595. (10 minutes)
  To access this book you must follow the instructions provided on the link below: LINK
  Important note: Take into account that at some point some of the 3 copies are not available and are in use. During this time, you will not be able to access a copy of the DSM-5, if so, please wait a moment and try to access the book later.
  American Psychiatric Association - 2013
- Select activity Twelve Tips for Assessing and Managing Mild Cognitive Impairment and Major Neurocognitive Disorder in Older People
  
  Twelve Tips for Assessing and Managing Mild Cognitive Impairment and Major Neurocognitive Disorder in Older People URL
  
  Students must
  
  View
  
  Read entire article. (22 minutes)
  BC Medical Journal - 2017
- Select activity Adult Acute Psychiatric Inpatient Hospitalization
  
  Adult Acute Psychiatric Inpatient Hospitalization URL
  
  Students must
  
  View
  
  Read the entire article. (6 minutes)
  Community Behavior Health - 2017
- Select activity Psychiatric Acute Day Hospital as an Alternative to Inpatient Treatment
  
  Psychiatric Acute Day Hospital as an Alternative to Inpatient Treatment URL
  
  Students must
  
  View
  
  Read the following sections: (24 minutes)
  -Introduction
  -Discussion
  -Conclusion.
  Front. Psychiatry - 2020
- Select activity Risk factors of hospitalization for any medical condition among patients with prior emergency department visits for mental health conditions
  
  Risk factors of hospitalization for any medical condition among patients with prior emergency department visits for mental health conditions URL
  
  Students must
  
  View
  
  Read the following sections: Abstract, Introduction, Discussion, and Conclusion. (16 minutes)
  BMC Psychiatry - 2020
- Select activity Physical Restraint
  
  Physical Restraint URL
  
  Students must
  
  View
  
  Read pages 2-7. (15 minutes)
  Mental Health Act 2016, Australia - 2016
- Select activity The Pharmacological Management of Agitated and Aggressive Behaviour: A Systematic Review and Meta-Analysis
  
  The Pharmacological Management of Agitated and Aggressive Behaviour: A Systematic Review and Meta-Analysis URL
  
  Students must
  
  View
  
  Read the following sections: Introduction, Results, Discussion, and Conclusion. (21 minutes)
  European Psychiatry - 2019
- Select activity DSM-5
  
  DSM-5 URL
  
  Students must
  
  View
  
  Read the following section on pages 483-486. (10 minutes)
  - Features
  - Substance Intoxication and Withdrawal
  To access this book you must follow the instructions provided on the link below: LINK
  Important note: Take into account that at some point some of the 3 copies are not available and are in use. During this time, you will not be able to access a copy of the DSM-5, if so, please wait a moment and try to access the book later.
  American Psychiatric Association - 2013
- Select activity Management of Common Adverse Effects of Antipsychotic Medications
  
  Management of Common Adverse Effects of Antipsychotic Medications URL
  
  Students must
  
  View
  
  Read section:
  GENERAL STRATEGIES FOR MANAGING THE ADVERSE EFFECTS OF ANTIPSYCHOTICS. (5 minutes)
  World Psychiatry Journal - 2018
- Select activity Six-month Follow Up of the Injured Trauma Survivor Screen (ITSS): Clinical Implications and Future Directions
  
  Six-month Follow Up of the Injured Trauma Survivor Screen (ITSS): Clinical Implications and Future Directions URL
  
  Students must
  
  View
  
  Read the contents from Background to Discussion section. (27 minutes)
  HHS Public Access - 2019
- Select activity Assessing and Treating Traumatic Stress in Crime Victims
  
  Assessing and Treating Traumatic Stress in Crime Victims URL
  
  Students must
  
  View
  
  Read the following pages 12-20. (28 minutes)
  Victim Justice Network - 2017
- Select activity Activity : Discussion Forum 11 (100 minutes)
  
  Activity : Discussion Forum 11 (100 minutes)
  
  Students must
  
  View
  
  Start discussions: 1
  
  In this learning activity, you will outline methods of conducting a clinical assessment then, discuss recommendations for further evaluation of a trauma survivor.
  Instructions:
  Step 1: Review
  Read the required material for this lesson.
  Step 2: Reflect and Respond
  Reflect on your experience having conducted patient interviews. With a word limit of 250-300 words, you will respond to the following key points :
  Highlight the most appropriate methods for conducting clinical assessment of a trauma survivor
  Briefly describe why the methods you chose are the most appropriate
  Propose recommendations for further evaluating trauma survivors, giving a brief rationale behind your recommendations
  Step 3: Share
  To share your work, click on the “Add a new discussion topic” button under this post and paste your work in the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).
  Step 4: Interact
  To complete the activity, you will need to reply to at least two posts made by your peers in a respectful and professional manner, using the items in this Rubric to guide you. Be sure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas on other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.” You may use the following as a guide:
  Item A is .…. because…. My suggestions for improvement are….
  Item B is .…. because…. My suggestions for improvement are….
  Item C is .…. because…. My suggestions for improvement are….
  Item D is .…. because…. My suggestions for improvement are….
  OPTIONAL Step 5: Interact (10 minutes)
  If you would like to, you can reply to your peers' posts in a respectful and professional manner. Ensure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas of other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.”
- Select activity Case study 19 : The case of the agitated and violent patient
  
  Case study 19 : The case of the agitated and violent patient SCORM package
  
  Students must
  
  View
  
  Receive a grade
  
  In this activity, you must pass the quiz to be marked as complete, and you will have unlimited attempts to complete it.
- Select activity Quiz: Module 6
  
  Quiz: Module 6
  
  To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.
  TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.
  
  Not available unless: The activity Quiz: Module 5 is marked complete
- Select activity Recommended Additional Readings (copy) (copy) (copy)
  
  Students must
  
  Mark as done
  
  Recommended Additional Readings
- Select activity Treatment for Suicidal Ideation, Self-Harm, and Suicide Attempts Among Youths
  
  Treatment for Suicidal Ideation, Self-Harm, and Suicide Attempts Among Youths URL
  
  Students must
  
  View
  
  Read the following chapters: (64 minutes)
  - Chapter 3 (25mins)
  - Chapter 4 (25mins)
  - Chapter 5 (15mins).
  SAMHSA - 2020
- Select activity Identifying Patients at High Risk for Violence and Self-Harm in the ED
  
  Identifying Patients at High Risk for Violence and Self-Harm in the ED URL
  
  Students must
  
  View
  
  Read the following sections: (33 minutes)
  - Identifying and Risk Stratifying Patients at High Risk for Violence
  -Mitigate Patient’s Risk from Self-Directed or Interpersonal Harm
  -Sharing Patient Information
  American College of Emergency Physicians - 2015
- Select activity How Can I De-escalate a Situation When Someone is Angry or Agitated?
  
  How Can I De-escalate a Situation When Someone is Angry or Agitated? URL
  
  Students must
  
  View
  
  Read entire page. (2 minutes)
  NSW Government-Health - 2020
- Select activity Prevention and Management of Agitation in the ED
  
  Prevention and Management of Agitation in the ED URL
  
  Students must
  
  View
  
  Read the content under the headings from "Recommendations " until "2. Hand-offs and Documentation" on pages 4-16. (34 minutes)
  Mn Health Collaborative - 2021
- Select activity An Assessment of Five (PANSS, SAPS, SANS, NSA-16, CGI-SCH) Commonly used Symptoms Rating Scales in Schizophrenia and Comparison to Newer Scales (CAINS, BNSS)
  
  An Assessment of Five (PANSS, SAPS, SANS, NSA-16, CGI-SCH) Commonly used Symptoms Rating Scales in Schizophrenia and Comparison to Newer Scales (CAINS, BNSS) URL
  
  Students must
  
  View
  
  Read the entire article. (34 minutes)
  PMC Labs - 2017
- Select activity The Clinical Characterization of the Patient with Primary Psychosis Aimed at Personalization of Management
  
  The Clinical Characterization of the Patient with Primary Psychosis Aimed at Personalization of Management URL
  
  Students must
  
  View
  
  Read the sections: "ONSET AND COURSE","NEUROCOGNITION", "SOCIAL COGNITION", and NEURODEVELOPMENTAL INDICATORS. (31 minutes)
  World Psychiatry Journal - 2021
- Select activity Assessment of Major Neurocognitive Disorders in Primary Health Care: Predictors of Individual Risk Factors
  
  Assessment of Major Neurocognitive Disorders in Primary Health Care: Predictors of Individual Risk Factors URL
  
  Students must
  
  View
  
  Read entire article. (28 minutes)
  Frontiers - 2020
- Select activity Criteria, Procedures, and Future Prospects of Involuntary Treatment in Psychiatry Around the World: A Narrative Review
  
  Criteria, Procedures, and Future Prospects of Involuntary Treatment in Psychiatry Around the World: A Narrative Review URL
  
  Students must
  
  View
  
  Read the Discussion section and review tables 1, 2, and 3 of the Results section. (20 minutes)
  Frontiers in Psychiatry - 2019
- Select activity Psychiatric Hospitalization vs. Treatment at Home
  
  Psychiatric Hospitalization vs. Treatment at Home URL
  
  Students must
  
  View
  
  Read the entire article. (12 minutes)
  Psychology Today - 2013
- Select activity Clinical and Social Factors Associated with Increased Risk for Involuntary Psychiatric Hospitalisation: a Systematic Review, Meta-Analysis, and Narrative Synthesis
  
  Clinical and Social Factors Associated with Increased Risk for Involuntary Psychiatric Hospitalisation: a Systematic Review, Meta-Analysis, and Narrative Synthesis URL
  
  Students must
  
  View
  
  Read the "Discussion" part. (10 minutes)
  Lancelet Psychiatry - 2019
- Select activity Physical Restraint in Mental Health Nursing: A Concept Analysis
  
  Physical Restraint in Mental Health Nursing: A Concept Analysis URL
  
  Students must
  
  View
  
  Read the entire article. (26 minutes)
  2019
- Select activity Clinical Toxicology and Overdose of Psychiatric Medications
  
  Clinical Toxicology and Overdose of Psychiatric Medications URL
  
  Students must
  
  View
  
  Read the entire article. (18 minutes)
  East Asian Arch Psychiatry - 2019
- Select activity Managing Psychotropic Medications in Complex, Real-World Patients Using Comprehensive Therapeutic Drug Monitoring
  
  Managing Psychotropic Medications in Complex, Real-World Patients Using Comprehensive Therapeutic Drug Monitoring URL
  
  Students must
  
  View
  
  Read the entire article. (10 minutes)
  American Chemical Society - 2017
- Select activity DSM-5
  
  DSM-5 URL
  
  Students must
  
  View
  
  Read the following sections in pages 265-290 (45 minutes)
  -Diagnostic Criteria
  -Diagnostic Features
  -Differential Diagnosis
  To access this book you must follow the instructions provided on the link below: LINK
  Important note: Take into account that at some point some of the 3 copies are not available and are in use. During this time, you will not be able to access a copy of the DSM-5, if so, please wait a moment and try to access the book later.
  American Psychiatric Association - 2013
- Select activity Torture Survivors: A Mental Health Provider’s Guide to Conducting Evaluations
  
  Torture Survivors: A Mental Health Provider’s Guide to Conducting Evaluations URL
  
  Students must
  
  View
  
  Read entire article. (14 minutes)
  Psycom Pro - 2021

Introduction

Course Registration

Peer Corner

Pre-Test

Module 1: Lesson 1: Disorders in Childhood and Adolescence

Clinical Practice Guidelines for Assessment of Children and Adolescents

Culture and Psychopathology: New Perspectives on Research, Practice, and Clinical Training in a Globalized World.

Disruptive Behavior Disorders Child with Oppositional Patterns and/or Aggressive Patterns Interfering with Functioning in Home, School, or with Peers.

Clinical Practice Guidelines for the Management of Conduct Disorder.

School-Aged Children Who are not Progressing Academically: Considerations for Pediatricians.

Mental Health and Academic Performance: A Study on Selection and Causation Effects from Childhood to Early Adulthood.

Clinical Practice Guidelines for Assessment of Children and Adolescents.

Learning Disability

Diagnosis and Treatment of Developmental Dyslexia and Specific Learning Disabilities: Primum Non Nocere

GPs’ Suspicion of Child Abuse: How does it Arise and What is the Follow-up?

Case Study 1: 12. y.o. Boy demonstrating symptoms of behavioral disorder

Evaluation of the Child with Global Developmental Delay and Intellectual Disability

Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents

Module 1: Lesson 2: Geriatric Psychiatry

Helpful Approaches to Older People Experiencing Mental Health Problems: A Critical Review of Models of Mental Health Care

The Geropsychiatric Interview- Assessment and Diagnosis

Interface Between General Adult and Old Age Psychiatry

Mood Disorders in the Elderly: Prevalence, Functional Impact, and Management Challenges

Suicide in Older Adults

Elderly and Polypharmacy: Physiological and Cognitive Changes

Social Isolation and Loneliness in Older Adults: Review and Commentary of a National Academies Report

Diagnosis and Management of Elder Abuse by Family Physician

Case Study 2: Psychiatric Disorders in the elderly

Identified Mental Disorders in Older Adults in Primary Care: A Cross-Sectional Database Study

Geriatric Psychopharmacology: How Pharmacokinetic and Pharmacodynamic Changes Affect Prescribing

Module 1: Lesson 3: Cognitive Disorders

Clinical Aspects of Neurobehavioral Symptoms of Dementia

DSM-5

Cognitive Impairment Evaluation and Management

Developing Guidelines for the Translation and Cultural Adaptation of the Montreal Cognitive Assessment: Scoping Review and Qualitative Synthesis

DSM-5

Clinical Practice Guidelines for Management of Delirium in Elderly

Clinical Neurology and Epidemiology of the Major Neurodegenerative Diseases

Neuropsychiatric Symptoms in Mild Cognitive Impairment: An Update on Prevalence, Mechanisms, and Clinical Significance

Cognitive Impairment Evaluation and Management

Amnesia: Definition, Main Models, Classifi Cations, Neurobiological Profiles and Clinical Treatments

Chapter 5: Dementia &amp; Amnestic Disorder

Seven Reversible Causes of Dementia in Older Adults

Activity 1: Discussion Forum 1 (100 minutes)

Module 1: Lesson 4: Dissociative and Amnestic Disorders

What Are Dissociative Disorders?

Dissociation as a Trauma-Related Phenomenon

Transient Global Amnesia: Current Perspectives

Classic and Recent Advances in Understanding Amnesia

MODULE 6: DISSOCIATIVE DISORDERS

Case Study 3: Female patient presenting symptoms of amnesia

DSM 5

Trauma Related Dissociation: An Introduction

United States of amnesia: rescuing memory loss from diverse conditions

Amnesia

Module 1: Lesson 5: Psychosis Spectrum Disorders

Clinical Presentation

The Clinical Characterization of the Patient with Primary Psychosis Aimed at Personalization of Management

Evidence-Based Approach to Psychosis in the Emergency Department

Structure of the Psychotic Disorders Classification in DSM-5

Canadian Guidelines for the Assessment and Diagnosis of Patients with Schizophrenia Spectrum and Other Psychotic Disorders

Psychosis in Children and Adolescents

Subclinical Psychosis in Adult Migrants and Ethnic Minorities: Systematic Review and Meta-Analysis

Psychotic Disorders in Late Life: A Narrative Review

Shamanism and the Psychosis Continuum

Rethinking the Course of Psychotic Disorders: Modelling Long-term Symptom Trajectories

From Onset and Prodromal Stage to a Life-Long Course of Schizophrenia and Its Symptom Dimensions: How Sex, Age, and Other Risk Factors Influence Incidence and Course of Illness

Clinical Practice Guidelines for the Management of Schizophrenia in Children and Adolescents

Schizophrenia: Etiology, Pathophysiology and Management - A Review

Towards a Public Health Approach to Psychotic Disorders

Schizophrenia

Activity : Discussion Forum 2 (100 minutes)

Case Study 4: 35 y.o Patient with Psychotic Spectrum Disorder

Psychotic Spectrum Disorders: Definitions, Classifications, Neural Correlates and Clinical Profiles

The Clinical Course of Schizophrenia in Women and Men-a Nation-Wide Cohort Study

The Synaptic Pruning Hypothesis of Schizophrenia: Promises and Challenges

Psychosis

Module 1: Lesson 6: Personality Disorders

Understanding Patient Personality in Medical Care: Five-Factor Model

Diagnostic and Statistical Manual of Mental Disorders Fifth Edition DSM-5

Chapter 5: Dementia & Amnestic Disorder