4^th World Congress on
Psychiatry & Mental Health Nursing

Biography:

Vernita Marsh completed her Ph.D. in Clinical Psychology from Michigan State University and her predoctoral and postdoctoral training from Harvard Medical School, Beth Israel Hospital.  Following this training, Dr. Marsh completed a fellowship at Massachusetts General Hospital.  For several years, Dr. Marsh was a clinical psychologist with Kaiser Permanente of Oakland, CA and there she served as the Co-Chief of the Adult Psychiatry Department. Additionally, she has served as a consultant for the Department of Defense for the military and military families overseas.  Previously, she has also served as a consultant and therapist for the National Football League treating the players and family members while also serving in the capacity of consultant to the Oakland Raiders.  Now for several years, she continues to serve as a therapist for the NBA, for their players and spouses.  Currently, she is the founder a of a group clinical practice, Dr. Vernita Marsh & Associates.  Also, she is the founder of The Marsh Clinics® an organization that addresses the disparities concerning mental health care. Most notably she has served as a consultant, supervisor, and mentor for clinicians. She has published, presented, and offered several trainings on the various topics of mental health. 

Abstract:

It is widely recognized that there are certain communities that the social stigma of receiving mental health is greater than other communities.  Thereby telehealth is an excellent option in destigmatizing mental health, especially in marginalized populations. However, the exploration of the client’s spirituality is a critical consideration in bridging this gap between compliance to treatment versus noncompliance. Historically, persons of color comprise a significant proportion of those in the underserved communities.  And these communities tend to have or have had strong spiritual roots.  Commonly, the mental health community has largely ignored one’s spirituality in the context of mental health.  This author suggests that excluding the patient’s religious affinity may result in poor therapeutic outcomes despite the use of telehealth, especially within those of disfranchised communities.  In fact, in addition to utilizing telehealth, it is recommended that exploring one’s spiritual history and connection can serve as an avenue to strengthen the level of rapport, to reduce the social stigma of mental health care, and to engage the patient in the therapeutic process to produce positive therapy outcomes. Ways in which spirituality can be optimized with the use of telehealth are discussed.  Recommendations in which telehealth can be further expanded to be more inclusive of patient’s spirituality needs are also elucidated and suggestions for further research are discussed.

Biography:

Sanna King Ph.D. received her Doctorate in Sociology from University of HawaiÊ»i at Mānoa, USA, with a focus on feminist criminology, colonial criminology, and social stratification --specifically juvenile justice, incarceration, re-entry, school violence and punishment, police misconduct, deviance, and social control. Her M.A. from Columbia University is in American Studies, which followed her B.A. in Ethnic Studies from University of California, San Diego.

Her training includes youth development and therapeutic curriculums, crisis intervention and mediation, domestic violence, focused curriculum development and facilitation, among several others. She also has trained in working with incarcerated youth from intake and case management to discharge planning, reentry preparation, program development and planning, and best practices research.

Dr. King has taught various undergraduate criminology and social stratification courses in the Sociology Department at University of Hawai’i and in the Criminal Justice Department at San Diego State University. Her position as Assistant Professor of Sociology at Mississippi State University begins in the Fall of 2019.

Dr. King’s career, research and study have been focused on at-risk youth.  In addition to teaching at multiple universities, she also introduced writing workshops to incarcerated youth at Riker’s Island Correctional Facility in New York for several years before moving to HawaiÊ»i. In HawaiÊ»i she continued working with incarcerated and at-risk youth through facilitating writing workshops and therapeutic group-counseling programs using the Girls Circle curriculum at juvenile detention facilities and a high school on OÊ»ahu, HawaiÊ»i.

Abstract:

It is well documented that the majority of girls involved in the juvenile justice system have experienced some form of trauma (Chesney-Lind 1999; Simkins, Hirsch, McNamara Horvat, and Moss 2004; Morris 2016; Belknap & Holsinger 2006). This paper comes out of a five-year qualitative study examining youth punishment in HawaiÊ»i at a high school and various programs within the juvenile justice system on OÊ»ahu. This paper focuses on the challenges girls experienced with navigating institutional control in HawaiÊ»i. Girls in my study had similar demographics, yet a range of experiences with trauma and engagement with support services. I found that girls who had strong social support networks had more resiliency, an increase of engagement with programs, and were able to find their way out of the “institutional maze.” 

I argue that an expanded definition of trauma combined with strong networks of social support and services that incorporate appropriate cultural models can impact girls’ ability to engage in institutional programs that encourage desistance to delinquency.

Biography:

Fagner Alfredo Ardisson Cirino Campos is a Psychiatric Nurse. Master in Psychology, Specialist in Family Therapy, in People Management and in Nursing Management. He has experience in group therapy, family therapy, brief interpersonal therapy and nursing care for patients with severe and persistent mental disorders. Also, He is editor of the American Journal of Psychiatry and Neuroscience and reviewer of the periodicals: Cadernos Brasileiro de Saúde Mental and British Journal of Healthcare Management.

Abstract:

Depression is an underdiagnosed pathology in the health service, probably because health professionals often have difficulty tracking it. There is a difference between sadness and depression, and diagnostic standard taxonomies are difficult to handle. The present work aims to present the Protocol of Diagnosis of Depression in Adults (ADDP). The ADDP was created by a RN and a Psychologist in the year 2015 and consists of the brief systematization of information to identify the different depressive disorders of ICD-10. It’s ADDP can be used by health professionals, through an evaluation of the interviewed patient, and facilitates the diagnosis of depression. This was evaluated by a mental health team from a Psychosocial Care Center (Caps), a mental health service unit in the Brazilian Amazon region. This team validated that ADDP is operative, feasible and easy to apply in the health service. Structurally, ADDP is divided into four parts: (I) presentation of the fundamental and accessory symptoms of depression; (II) specification of non-recurrent depressions, ie the first diagnosis of depression in the patient; and also the specification of recurrent depression, when the patient has already had a depressive diagnosis and ends up having a relapse; (III) presentation of persistent mood disorder (chronic formulations of depression); and (IV) presentation of other mood disorders (unusual depressions). It is concluded that ADDP can facilitate the diagnosis of depression in health services, being a low cost technology that will favor the rapid and effective diagnosis of depression.

Biography:

Sangeetha is a 24 year old insurance professional from the IT hub of India, Bangalore. She is a survivor and a fighter. She was diagnosed with depression having bipolar disorder and borderline personality disorder in November 2014. Since then, she has been undergoing regerous therapy and had been taking medication for the same.

She is an author and poet and published 2 books in 2017 and 2018 respectively. Today she stands strong and tells the world her story of survival and how she overcomes her depression.

Abstract:

A TEDx speaker, an author, a poet, a cancer advocate', 4 taglines that seem great to have. At the age of 24, having these 4 suffixes after my name seems lucky but it is not as rosy as it seems. The reason for these taglines are 2 main ones which include, A Bipolar with borderline personality disorder.

I got diagnosed with these 2 mental illnesses in November 2014 when I was attempted suicide. Surprisingly, I breathed a sigh of relief on the diagnosed because I finally had a logical, rational reason for my behavior and it was not my fault but the chemicals in my brain failed to perform their duty.

Post diagnoses I began therapy with medication. I was put on 11 medicines for every symptom I complained about. Paranoia, anxiety, mood swings and what not. As therapy began I started talking about my baggage.

I began with my childhood which included being subjected to bullying at the age of 7. It brought about insecurities in me of not being good enough and being worthless. At 11, my father was diagnosed with blood cancer. The reason it affected me was the innocence of a child was taken away when responsibilities of the household was entrusted upon me. I had to be the pillar of our house as my father battled with death with my mother on his side, 300 kilometers away from us. I had to take care of my 8 year old sister, a schizophrenic grand mother with the help of my grandfather. Thankfully, my father won his battle, kept up his promise and came back to us.

At the age of 12, due to peer pressure in school and various other insecurities I resorted to self harm for solace. Teenage blues struck and self harm became an addition. I was subjected to sexual abuse by a family member and I did not know how to cope. I made a lot of mistakes and I lost a lot of friends. Things were not going well.

One morning in 2014, when I was 20 years old I walked out of my house hoping to come back lifeless. I reached the end line but I did not cross it. I sought for help as I needed it as I was heading nowhere.

Its 4 years now, and I am doing considerably well. In July 2015, the cancer NGO my father was associated with called for an essay competition for caregivers which I wrote and won. Since then, I knew I had a passion for writing and I started jotting down my feelings and emotions. My writing is not motivational nor positive, instead it is empathetic. I published 2 books, 'Key to Acceptance' and 'Echoes in my Attic' in 2017 and 2018 respectively.

Sometime, in June 2018, I had a Eureka moment when I realized I need to start spreading awareness on mental health. I started giving talks. I began sharing my story publicly hoping to inspire people to seek help at the right time. I put out my weakness and fears to the society to talk about with just one intention of having the hope that at one will seek help at the right time and would not wait till the end like me.

The reason for the first 4 taglines is because of my mental illnesses. Today I would not be where I am without my mental illness. I am proud to be a mental health patient, but I replace the word patient with the word survivor because in my journey from 2014 till today I know the progress I have made.

Biography:

Dr. Song has her expertise in improving the psychiatric mental health for schizophrenia. She is associate professor of psychiatric mental health nursing, the dean of nursing department in Wonkwang Universityt, and have been working many researches for psychiatric patients. Especially, she interest in schizophrenia and alcohol abuse disorders. This research was supported by National Research Foundation of Korea (NRF) funded by the Korea government (No. 2018R1D1A1B07043235).

Abstract:

Many schizophrenia patients have been participating social skill training or psychiatric rehabilitation program for improvement of communication ability. In particular, empathy is the most important of communication ability which is to understand the thoughts and feelings of others, it is essential of their life, and must depends for successful social interaction. Thus, this study investigated the motivation-pleasure, and social anhedonia of schizophrenia patients in psychiatric rehabilitation and recovery. The purpose of this study is to investigate the factors affecting the empathy of schizophrenia patients in psychiatric rehabilitation and recovery. Methodology: This study had a descriptive design, using a cross-sectional survey to assess the empathy, social anhedonia, and motivation-pleasure level of patients with schizophrenia during psychiatric rehabilitation or recovery. 118 Participants were patients with schizophrenia who were admitted 5 mental health rehabilitation centers located in 2 provinces of South Korea. The data collection period was November in 2018. In order to measure empathy of the schizophrenia patients in this study, the Interpersonal Reactivity Index (IRI) used self-reported scales. In addition to the Motivation and Pleasure Scale-Self-Report (MAP-SR) and social anhedonia scale used to measure the effect on empathy. Findings: The results of this study showed a high correlation between empathy, motivation-pleasure, and social anhedonia. The variables affecting empathy were age, motivation-pleasure, social anhedonia, and the explanatory power of the variables was 32.6%. Conclusion: The results of this study suggest that the empathy-enhancing program will be more effective at the early stage of disease and at the younger age in order to help schizophrenia to succeed in vocational rehabilitation. In addition, many patients in the recovery period need of communication education, so it is necessary to develop an intervention program.

Biography:

Antonio L.S.Fazio, after his M.A. in Sociology at Trento’s University (Italy,1969), was trained as psychoanalyst in London, at the Institute of Psychoanalysis, (1978). Back to Italy, he became Full Member of the Italian Psychoanalytical Society, and later child and adolescent psychoanalyst..He is also an Italian registered psychologist, on its psychotherapy section list. He also studied in London at the Institute of Group Analysis, in the seventies. He has worked extensively in the U.K., at Shenley Psychiatric Hospital, Claybury Hospital, University College Hospital London, Sutton Child Guidance Clinic.He has chaired the British Association of Group Psychotherapist first, and later a group psychotherapy Italian association “Il Cerchio”, part of the Italian confederation of psychoanalytical group research associations “COIRAG”..At UCH he was clinical associate  in charge of the group dept. of the out patient psychiatric and psychotherapy ward. Supervision, institutional work, groups and family work have been his main clinical interests. He woks now in Roma, Italy.     

Abstract:

The Problem: psychiatric nurses working in an acute psychiatric admission ward, in a Central London teaching hospital, appeared to be under an enormous amount of psychological stress, with no support, and very little training. They seemed to be part of a more general institutional failure to take care of them. 

Intervention suggestion: the high burn out risk to which the nursing staff seemed to be exposed, indicated that the help of an external consultant as a group leader, could probably help and support them through regular weekly staff groups. This paper is a clinical description of the main themes, challenges and issues, which emerged and were worked through in such a group, which lasted for about 7 years, uninterruptedly, and took place about 20 years ago. The group was run along psychoanalytically oriented lines, and within a group-analytic approach and framework.

A central role in this work was played  by the elaboration of the countertransference. This allowed the conductor to survive a very difficult situation. The projections which were being thrown onto him, allowed him to understand better how the nursing staff  had been feeling, reflecting on his own emotional resonance. At the beginning of the group, the atmosphere was characterised by chaos, confusion, and negative transference on the conductor. 

Conclusions: Through time, the general climate began to shift into something radically different. The transference on the conductor became much more positive, and even staff who had never appeared before to our meetings, began to active participate in all the sessions, including the consultant psychiatrists, the pharmacist and the social worker. The atmosphere became much closer to a therapeutic community, and a much more integrated multi-disciplinary team, than it had ever been before. People were now much more able to take risks with one another, and to disclose very personal feelings.

Biography:

Suresh k Sharma is a mental health professional who has completed his master of Psychiatric Nursing and submitted PhD thesis draft. He had served for the Government of Maharashtra institute of mental health, A center of psychiatry excellence of Maharashtra state as assistant professor. Presently he is working as Medical/ Nursing Informatics Researcher at Department of Medical Informatics, Centre for Development of Advanced Computing (CDAC), A Scientific research Society of Ministry of Communications and Information Technology, Government of India. His Job profile includes Providing implementation support in using and mapping clinical terminology (SNOMED CT) and coding systems (WHO FIC, LOINC, Etc.) in healthcare applications, training on health informatics standard for Doctors, Nurses and Paramedical health professionals across the country and providing domain/ clinical inputs to the software development team. He has been resource person and scientific paper presenter in various international and national conferences. He has published more than 10 research paper in Souvenir Proceeding, international and National index and no-index Journals.

Abstract:

Statement of the Problem: The true prevalence of mental health disorders globally remains poorly understood. Diagnosis statistics alone would not bring us closure to the true figure as mental health is typically underreported and under-diagnosed. As a consequence, the gap between the need for the treatment and its provision is in wide angle all over the world. Financial lower and middle-income countries 76% to 85% people and higher income countries 35% to 50% of people suffering with mental disorder because there is no any treatment available for them.  Despite with higher prevalence and potentially disabling consequences, inadequate treatment of mental disorders is rife. Unavailability of accessible and affordable mental health-care is a major hindrance to obtain the treatment. Moreover, Traditional treatment resources are not distributed uniformly; as a result, rural and geographically isolated areas remain largely underserved. Therefore, need to adopt the alternatives traditional modes for the usages of information and communication technologies (ICTs) for delivering deserved mental health care. In accordance of this, it necessary to update the role of Telemedicine technology in Psychiatry and psychiatry Nursing, which enables distant practitioners to recommend treatment of easy to difficult to rare cases all over the country. Technological modalities which are not only limited to voice, video, robotic, and remote-access technology, that are also include in the uses of telemedicine. It helps to diagnose and treat individuals and allows patients and physicians to interact via teleconferencing software, Internet connections, or even telecalling.

Methodology & Theoretical Orientation: a systematic review for implementation of telepsychiatry and tele psychiatric Nursing by adoption of the standardized approach to enable interoperability and data analysis in a view to follow medicolegal aspects in mental health fraternity.

Findings: There is no any doubt telepsychiatry facilitates effective service-provision in a large number of areas, where to access to higher quality services are difficult. Consequently, it promotes an equal access, a sense of empowerment, and higher levels of satisfaction among patients and Mental Health Professionals. Till the date the evidence is highly suggestive this is equally one to one and face-to-face care with several aspects which are effectively considered traditionally.

Conclusion & Significance: although adoption of telepsychiatry is mental health fraternity will be potentially it will be helpful to grow exponentially, but technology has some limitations, too. This is the right time to show Concern about patient safety, privacy, security, reimbursement, licensure, and interoperability which have been identified where the present current challenges which mental health care providers are using for the telepsychiatry. It’s a must to overcome in order to provide the most effective patient care. As many insurance companies start to reimburse for telepsychiatry treatments at the same rate as for one to one and face-to-face visits.

Biography:

Certified as TOT trainer from General Union for Human Development in Nasr City. Certified as memory trainer and participate in a lot of courses, workshops, seminars &conferences related to human development, soft skills and own specialty.

Abstract:

Competencies have been developed for mental health clinicians in assessing and managing suicide risk; however, there are no standard competencies for psychiatric registered nurses. Widely accepted nursing practices do not meet suicide-specific standards of care or evidence-based criteria. Therefore we propose the following essential competencies for psychiatric registered nurses working in hospital settings as a guide for practice. These competencies are based on a comprehensive review of the extant research literature (both qualitative and quantitative) relevant to assessment and management of hospitalized patients admitted to a psychiatric setting.

The role of the nurse specific to suicide prevention includes both systems and patient level interventions. At the systems level the nurse  assesses and maintains environmental safety, develops protocols, policies, and practices consistent with zero suicide, and participates in training for all milieu staff. At the patient level, the nurse assesses risk for suicide, provides suicide-specific psychotherapeutic interventions, monitors and supervises at-risk patients, and assesses outcomes of all interventions. The expectation is that these essential competencies will serve to provide the foundation for training curricula and in measuring the knowledge, skills, and attitudes necessary for expert care. The presentation will illustrate the essential competencies for assessment and management of individual at risk for suicide.

Biography:

Dr. Beverly Dexter, a US Navy Commander (Retired) with over 35 years of military experience, served on 4 shipboard tours, and tours with US Marines and Special Forces stateside, and Joint Service with US Marines and US Army in Iraq. A leader in the treatment and prevention of trauma, she founded  Military Special Interest Groups for the International Society for Traumatic Stress Studies, and the EMDR International Assoication. In continuing humanitarian work, she also has provided Planned Dream Intervention training at no cost, to groups in England, Germany, India, Israel, Zimbabwe, Australia, Canada and across the US

Abstract:

Planned Dream Intervention (PDI) is a highly effective, rapidly learned skill that teaches the dreaming brain how to sleep through nightmares.  Developed by Dr. Beverly Dexter in 2001 and taught to thousands of clients (including in an active combat zone),  health care providers and educators around the world. PDI is dramatically different from previous therapies that require multiple sessions, an established therapy relationship, continued follow up if more disturbing events occur, and is much more acceptable to the large percentage of nightmare sufferers who would never pursue traditional therapy or who might not have in-person access to therapy.  Briefly, the successful PDI is: 1) an intuitive emotion-gut creation; 2) may not necessarily be the first thing the individual thinks of; 3) the ‘emotional volume’ of the effective PDI matches that of the dream at the point where the dreamer woke up; 4) the successful PDI is not re-writing the dream—it kick-starts the person back into the dream with a sense of mastery; 5) if the dream is about a real life event, the PDI that will work may not necessarily appear to be related to what the dreamer would like to have happen in real life;  and 6) effective dream interventions can be created from physical sensations or emotions, even when the individual does not remember actual dream content.  PDI training creates a mastery experience allowing the dreamer to sleep through any dream without waking or acting out dream content, now and in the future.

Biography:

Rauni Prittinen King, RN is Co-founder and Executive Director of Guarneri Integrative Health, Inc. at Pacific Pearl La Jolla; Founder and President of Holistic and Integrative Medicine Resources Inc. and Miraglo Foundation, a non-profit charitable organization. A Board Member of the Academy of Integrative Health and Medicine (AIHM), she has 20+ years’ experience in critical care nursing, has a Masters in Integrative Health, is Certified in Holistic Nursing, Hypnosis and Interior Design, and is a Certified Healing Touch® Practitioner and Instructor. She coordinated Healing Touch® workshops at Scripps Hospitals since 1993 been the lead instructor for the Greater Los Angeles VA Healthcare System.  Creator of Healing Touch® of Finland in 1998, she has taught Healing Touch® in Europe, India and throughout North America.  She served four years as Board Member of Healing Beyond Borders and was Co-founder and former Director of Programs and Planning at the Scripps Center for Integrative Medicine in La Jolla, California.

Abstract:

Statement of the Problem: The human biofield, or energy system, has been studied in various cultures for thousand of years. The Greek physician Hippocrates noted an energy transfer, “a force flow from people’s hands as they touched.”  This energy vibration is now known as Chi in China, Prana in India, Ki in Japan and Mana in Polynesia. In the USA, biofield therapies are increasingly used in hospitals and other healthcare settings. The challenges faced by biofield practitioners include a lack of a common scientific definition and educational standard of practice. In addition, research and scientifically validated devices and standardized mechanisms are needed.

Methodology and Theoretical Orientation: Multiple studies will be presented on the efficacy of biofield therapies as an adaptive and integral component of enhanced healing; particularly in relation to stress, anxiety, depression and PTSD. A focus on Healing Touch (HT), a form of hands-on healing program founded by former Navy nurse Janet Mentgen RN, will be highlighted. HT is a continuing medical education program offered by the American Holistic Nurses Association (AHNA). HT has been practiced in the USA since 1990 and is taught around the world.

Findings: The human biofield is composed of chakras and meridians. Therapies that balance and treat the energy system promote relaxation, decrease pain, and accelerate healing. Using ones’ intent and compassion, a practitioner can balance energy as a tool for healing. Energy/vibrational medicine seeks to understand this energetic matrix and how it facilitates healing.

Conclusion & Significance: Our bodies are always looking to return to their natural state of health or homeostasis. For the body to function at its absolute peak performance, all parts of the body--mind, spirit and emotions--must be in balance. Treating the human biofield is an overlooked aspect of conventional medicine that is embedded in all other global healing traditions. Healing Touch have been shown to improve stress, anxiety and PTSD along with other medical conditions.

Reviewing the evidence and training, nurses/clinicians will result in incorporating these important therapies in patient care

Biography:

Katerine Salazar Gonzalez is a Coach and Psychologist, born in Colombia, who studied in Paris and now lives in Berlin. She is dedicated to help expats in their integration journey. She believes in using a range of techniques tuned to the needs of the individual. 

Abstract:

Motivation is an essential fuel for our clients development. We understand it as a set of innate psychological needs and as the desire to achieve a goal. But how far can it go? The modern world promote an always-motivated lifestyle, with mantras like “Today’s accomplishments were yesterday’s impossibilities (Robert H. Schuller)" or "Fake it until you make it! (Brian Tracy)". This often backfires to guilt and confusion when the incapacity to "stay motivated" shows up. A crucial skill is to recognize what lies behind this "lack of motivation". Were we too harsh on ourselves and too unrealistic? Should we keep going? Or were we chasing the wrong goal, not aligned with our deepest needs.