Suchergebnisse

Contains public sector information licensed under the Open Government Licence v2.0.: http://www.nationalarchives.gov.uk/doc/open-government-licence/version/2/

The focus of this report is to enquire into and report on why people harm and kill themselves and to consider the role (including the limits of the role) that psychiatrists and other mental healthcare professionals play in their care and treatment. The experiences and views of people who harm themselves as well as those of their carers, health professionals and third-sector workers are central to this enquiry. As there is much policy and guidance on self-harm and suicide prevention, the report does not attempt to retrace this same ground but rather examines the evidence of practice on the ground, including the implementation of the National Institute for Health and Clinical Excellence (NICE) guidelines on self-harm (National Collaborating Centre for Mental Health, 2004). This report is the second in the Royal College of Psychiatristsââ,¬â"¢ programme of work on the broad issue of risk. The College report Rethinking Risk to Others was published in July 2008 (Royal College of Psychiatrists, 2008a) and a new Working Group was set up under the chairmanship of John, Lord Alderdice, to examine risk, self-harm and suicide. This clinical issue is an integral part of the role of the psychiatrist in ensuring the good care and treatment of patients. Our central theme is that the needs, care, well-being and individual human dilemma of the person who harms themselves should be at the heart of what we as clinicians do. Public health policy has a vital role to play and psychiatrists must be involved and not leave these crucial political and managerial decisions to those who are not professionally equipped to appreciate the complexities of self-harm and suicide. But we must never forget that we are not just dealing with social phenomena but with people who are often at, and beyond the limit of what they can emotionally endure. Their aggressive acts towards themselves can be difficult to understand and frustrating to address, but this is precisely why psychiatrists need to be involved to bring clarity to the differing causes for the self-destructive ways in which people act and to assist in managing the problems for the people concerned, including family, friends and professional carers, who sometimes find themselves at the end of their tether in the face of such puzzling and destructive behaviour.

The Secret Life of Your Personal Information; Government Resources on Identity Theft. Exhibit. Washington State University Holland & Terrell Libraries Atrium, May 21-June 20, 2014. ; Identity theft became a federal crime in 1998 when Congress passed the Identity Theft and Assumption Deterrence Act. The law established the Federal Trade Commission (FTC) which maintains the Identity Theft Data Clearinghouse and the Identity Theft Resource Center. Federal agencies such as the Social Security Administration, Health and Human Services, the Department of Justice, and the U.S. Postal Service have taken action to inform citizens about the threat. "The Secret Life of Your Personal Information; Government Resources on Identity Theft" highlights consumer alerts, bulletins, reports, hearings, and other government publications intended to inform and assist consumers.

U.S. Cancer Statistics Working Group. ; Editors: Umed A. Ajani . et al. ; "United States Cancer Statistics: 2004 Incidence and Mortality is a joint publication of the Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia, and the National Cancer Institute (NCI) in Bethesda, Maryland, in collaboration with the North American Association of Central Cancer Registries, Inc. (NAACCR) in Springfield, Illinois. This is the sixth annual joint report produced by the two federal programs that support population-based cancer registries in the United States: CDC's National Program of Cancer Registries (NPCR) and NCI's Surveillance, Epidemiology, and End Results (SEER) Program. This report contains official federal government cancer statistics for more than 1 million invasive cancer cases diagnosed during 2004 among residents of 49 states, 6 metropolitan areas, and the District of Columbia, and these geographic areas are inhabited by about 98% of the U.S. population. In addition to cancer incidence data, we present cancer mortality data collected and processed by CDC's National Center for Health Statistics (NCHS). Mortality statistics, based on records of deaths that occurred during 2004, are available for all 50 states and the District of Columbia." - p. v. ; Also available via the World Wide Web as an Acrobat .pdf file (8.5 MB, 516 p.). ; U.S. Cancer Statistics Working Group. United States Cancer Statistics: 2004 Incidence and Mortality. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; 2007

Many European countries have seen increasing refugee populations and asylum applications over the past decade. Forcibly displaced persons (FDPs) are known to be at higher risk of developing mental disorders and are in need of specific care. Thus, specific training for mental health professionals is recommended by international health organizations. The aim of this exploratory study was to assess the experience of clinical work with FDPs among psychiatric trainees in Europe and Central Asia as well as their interest and specific training received on this topic. An online questionnaire was designed by the Psychiatry Across Borders working group of the European Federation of Psychiatric Trainees (EFPT) and was distributed via email through local networks among European trainees from 47 countries between March 2017 and April 2019. Answers of 342 psychiatric trainees from 15 countries were included in the survey analysis. A majority of trainees (71%) had had contact with FDPs in the last year of their clinical work. Although three-quarters expressed a strong interest in the mental health of FDPs, only 35% felt confident in assessing and treating them. Specific training was provided to 25% of trainees; of this subset, only a quarter felt this training prepared them adequately. Skills training on transcultural competencies, post-traumatic stress disorder, and trauma management was regarded as essential to caring for refugees with confidence. Although psychiatric trainees are motivated to improve their skills in treating FDPs, a lack of adequate specific training has been identified. The development of practical skills training is essential. International online training courses could help meet this pressing need.

During 1986-1997, the number of tuberculosis (TB) cases among foreign-born persons in the United States increased by 56%, from 4,925 cases (22% of the national total) to 7,702 cases (39% of the national total). As the percentage of reported TB cases among foreign-born persons continues to increase, the elimination of TB in the United States will depend increasingly on the elimination of TB among foreign-born persons. On May 16-17, 1997, CDC convened a working group of state and city TB-control program staff, as well as representatives from CDC's Division of TB Elimination and Division of Quarantine, to outline problems and propose solutions for addressing TB among foreign-born persons. The Working Group on Tuberculosis Among Foreign-Born Persons considered a) epidemiologic profiles of TB cases among foreign-born persons, b) case finding, screening, and preventive therapy for the foreign born, c) TB diagnosis and management for the foreign born, d) opportunities for collaborations with community-based organizations (CBOs) to address TB among the foreign born, and e) TB-related training needs. The Working Group's deliberations and the resulting recommendations for action by federal agencies, state and local TB-control programs, CBOs, and private health-care providers form the basis of this report. For each of the five topics of discussion, the group identified key issues, problems, and constraints and suggested solutions in the form of recommendations, which are detailed in this report. The Working Group made the following recommendations: * The epidemiology of TB among foreign-born populations differs considerably from area to area. To tailor TB-control efforts to local needs, TB-control programs should develop epidemiologic profiles to identify groups of foreign-born persons in their jurisdictions who are at high risk for TB. * The priorities of TB control among the foreign born should be the same as those for control of TB among other U.S. populations - completion of treatment by persons infected with active TB, contact tracing, and screening and provision of preventive therapy for groups at high risk. Screening and preventive therapy should be limited to areas where completion of therapy rates and contact-tracing activities are currently adequate. * Based on local epidemiologic profiles, selective screening should be conducted among populations identified as being at high risk for TB. Screening should target groups of persons who are at the highest risk for TB infection and disease, accessible for screening, and likely to complete preventive therapy. The decision to screen for infection, disease, or both should be based on the person's age and time in the United States, prior screening, and locally available resources for the provision of preventive therapy. * TB-control programs should direct efforts towards identifying impediments to TB diagnosis and care among local foreign-born populations, devising strategies to address these barriers, and maximizing activities to ensure completion of treatment. * Providing TB preventive therapy and other TB-related services for foreign-born persons is often impeded by linguistic, cultural, and health-services barriers. TB-control programs can help overcome these barriers by establishing partnerships with CBOs and by strengthening training and education efforts. Collaborations with health-service CBOs should center on developing more complementary roles, more effective coordination of services, and better use of existing resources for serving the foreign born. TB-related training should be linked to overall TB-control strategies for the foreign born. Training and education should be targeted to providers, patients, and community workers. ; Introduction -- Background -- Priorities for eliminating TB in the United States -- Overview of the Working Groups Report -- Developing epidemiologic profiles of TB cases among foreign-born persons -- Case finding, screening, and preventive therapy -- Diagnosing and managing TB -- Collaborating with CBOs -- Training needs -- Conclusion -- References -- Appendix: Sample epidemiologic profile ; September 18, 1998 ; Includes bibliographical references (p. 25-26).

Environmental tobacco smoke (ETS) poses a significant risk to health. It is carcinogenic to humans and is a risk factor for cardiovascular and respiratory diseases. Exposure to ETS is widespread, affecting people in houses, workplaces and public buildings. ETS is also a part of a broader problem of tobacco use. The Working Group was convened to discuss approaches to reducing the risks to health created by ETS and to support Member States in defining their policies on ETS. The Group concluded that public health policy and actions should aim at eliminating exposure to ETS by creating smoke-free environments for everyone. This should be achieved through a combined programme of legislation and education. Laws and regulations are essential to provide protection against involuntary smoking; voluntary arrangements are not sufficient. The meeting report includes specific recommendations on legislation, litigation, education and public information necessary to achieve smoke-free environments.