Alexander Nawka

Charles University

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Martina Rojnić Kuzman

University Hospital Centre Zagreb

Domenico Giacco

Coventry and Warwickshire Partnership NHS Trust

Olivier Andlauer

East London NHS Foundation Trust

Sinan Gülöksüz

Yale University

Florian Riese

University of Zurich

C. Roventa

Clinical Emergency Hospital Bucharest

João Gama Marques

University of Lisbon

Sameer Jauhar

King's College London

Nikolina Jovanović

Queen Mary University of London

Lucie Nawková

Charles University

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Charles University

King's College London

University Hospital Centre Zagreb

General University Hospital in Prague

University of Zagreb

University of Campania "Luigi Vanvitelli"

University of Naples Federico II

Klinika za psihijatriju Vrapče

University Psychiatric Hospital

Centre for Mental Health

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P03-343 Treatment choice in Psychiatry? Abstract

Sameer Jauhar Sinan Gülöksüz João Gama Marques Marie Bendix G. Lydall

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Caregivers' appraisals of patients' involuntary hospital treatment: European multicentre study

The British Journal of Psychiatry (2012)

Domenico Giacco Andrea Fiorillo Valeria Del Vecchio Thomas Kallert Georgi Onchev

Background Mental health policies emphasise that caregivers' views of involuntary psychiatric treatment should be taken into account. However, there is little evidence on how caregivers view such treatment. Aims To explore caregivers' satisfaction with the involuntary hospital treatment of patients and what factors are associated with caregivers' appraisals of treatment. Method A multicentre prospective study was carried out in eight European countries. Involuntarily admitted patients and their caregivers rated their appraisal of treatment using the Client Assessment of Treatment Scale 1 month after admission. Results A total of 336 patients and their caregivers participated. Caregivers' appraisals of treatment were positive (mean of 8.5 on a scale from 0 to 10) and moderately correlated with patients' views. More positive caregivers' views were associated with greater patients' symptom improvement. Conclusions Caregivers' appraisals of involuntary in-patient treatment are rather favourable. Their correlation with patients' symptom improvement may underline their relevance in clinical practice.

10.1192/bjp.bp.112.112813

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Satisfaction with psychiatric in-patient care as rated by patients at discharge from hospitals in 11 countries

Social Psychiatry and Psychiatric Epidemiology (2017)

Dzmitry Krupchanka Hind Khalifeh Jibril Abdulmalik Sara Ardila-Gómez Aishatu Yusha’u Armiya’u

Interquartile range

Cross-sectional study

10.1007/s00127-017-1366-0

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ECP09-02 - Psychiatry training in europe: Implementation and evaluation of training programs

European Psychiatry (2011)

Martina Rojnić Kuzman Domenico Giacco Philippe Wuyts Meinou Simmons Guillaume Favre

Training schemes in psychiatry are developed and evaluated by national education policy makers in the majority of European countries. However, the requirements that a training program in psychiatry should meet are also defined on the European level in a form of recommendations by the Board of Psychiatry - European Union of Medical Specialists (UEMS). Recently, the European Federation of Psychiatric Trainees (EFPT) which represent trainees from more then 30 European countries, reported data pertaining to the structure of training programs and to the evaluation of training programs in 30 European countries. Whereas in the majority of European countries the structure of training programs and methods of assessment of trainees' competencies are partially compatible with one another and with the existing recommendations at the European level, the quality assurance of training programs varies significantly among countries. Regular evaluations of training programs and mentors, however, contribute to the proper implementation of training programs and help that the theoretical training principles are followed through in practice. As quality assurance of training schemes is an important mechanism how to improve the delivery of training programs, it should gain more focus by responsible authorities who structure the psychiatric training on the national and international European level.

10.1016/s0924-9338(11)73510-6

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P-857 - Early career psychiatrists' opinions on psychiatric training: an europe-wide survey

European Psychiatry (2012)

Domenico Giacco Alexander Nawka Martina Rojnić Kuzman Amit Malik Umberto Volpe

Continuous advances in psychiatric research and increased service users' expectations led to the need to develop a new international framework for psychiatric training. The assessment of early career psychiatrists' (ECPs) views has been emphasized as an important step of this process. However, at the moment, only few national studies have investigated ECPs' opinions on received training. To assess: ECPs' satisfaction with training and self-confidence in different psychiatric domains; availability of clinical supervision and educational opportunities during training. The Early Career Psychiatrists Committee of the European Psychiatric Association - in collaboration with the European Federation of Psychiatric Trainees, conducted an online survey among European ECPs. The Psychiatric Training Questionnaire, a multiple choice-answer self-reported instrument developed for this occasion, was completed by 194 respondents from 34 European countries. Most respondents (73%) were completely or partially satisfied with the received training. Highest levels of self-confidence were reported in clinical psychiatry (93%), pharmacotherapy (68%) and emergency psychiatry (67%); the most problematic areas for ECPs were forensic psychiatry (68%), psychotherapy (63%) and child and adolescent psychiatry (57%). Thirty percent of ECPs were not assigned to a tutor for clinical activities, 67% did not receive any psychotherapeutic supervision and only 19% participated in exchange programs. ECPs are globally satisfied with the training received; however, they report the need to enhance training in psychotherapy, forensic psychiatry and child and adolescent psychiatry, to ensure adequate supervision to all trainees and to improve the opportunities for international exchange programmes.

Forensic psychiatry

10.1016/s0924-9338(12)75024-1

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The Picture of Mental Health/Illness in the Printed Media in Three Central European Countries

Journal of Health Communication (2011)

Lucie Nawková Alexander Nawka Tereza Adámková Tea Vukušić Rukavina Petra Holcnerová

Even in the era of the Internet, printed media are still among the most frequently identified sources of mental health information. Many studies have shown that this information is frequently negative and contributes to stigmatization of people with mental illness. This international comparative study describes the content of media messages about mental health/illness in terms of stigma in three Central European countries. The study sample comprised all articles pertaining to the topic of mental health/illness (N = 450) identified during five week-long periods in 2007 chosen from the six most widely read newspapers and magazines in each country. The authors used content analysis methods to achieve quantitative and qualitative objectives. More than half of all articles contained negative statements reflecting stigma toward persons with mental illness. Substance abuse disorders are the most frequent mental conditions covered in all three countries (22%), and psychotic disorders are the most stigmatized. Countries significantly differ in length of articles, in the association of aggressive behavior with persons with mental illness, and in the use of a sensationalized style of writing. Coverage of mental health/illness issues differs to some extent across countries but is generally of poor quality. On the basis of the authors' findings, practical recommendations for journalists can be tailored specifically for each country.

Stigma

10.1080/10810730.2011.571341

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Psychiatry training in Europe: Views from the trenches

Medical Teacher (2012)

Martina Rojnić Kuzman Domenico Giacco Meinou Simmons Philippe Wuyts N. Bausch-Becker

In the majority of European countries, postgraduate psychiatry training schemes are developed and evaluated by national bodies in accordance with national legislation. In order to harmonise training in psychiatry across Europe, the European Union of Medical Specialists (UEMS) issued a number of recommendations for effective implementation of training programs in psychiatry.To describe the structure and quality assurance mechanisms of postgraduate psychiatric training in Europe.The European Federation of Psychiatry Trainees (EFPT) conducted a survey, which was completed by the representatives of 29 member national psychiatric associations.In most countries (N = 19), the duration of the training programme is 5 years or more. Twenty-six countries have adapted a basic training programme that includes the 'common trunk' (according to UEMS definition) or a modified version of it. In 25 countries, trainees are evaluated several times during their training with a final exam at the end. In 25 countries, official quality assurance mechanisms exist. However, results demonstrate great variations in their implementation.Overall, psychiatric training programmes and assessment methods are largely compatible with one another across Europe. Quality assurance mechanisms, however, vary significantly. These should receive adequate attention by national and international educational policy makers.

Forensic psychiatry

10.3109/0142159x.2012.687481

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Does the legal status affect the outcome of inpatients with schizophrenia?

European Psychiatry (2007)

Alexander Nawka Jiří Raboch L. Kuklova Eva Kitzlerová Lucie Kališová

This paper builds on preliminary work in which numerical simulations of the collisional disruption of large asteroids (represented by the Eunomia and Koronis family parent bodies) were performed and which accounted not only for the fragmentation of the solid body through crack propagation, but also for the mutual gravitational interaction of the resulting fragments. It was found that the parent body is first completely shattered at the end of the fragmentation phase, and then subsequent gravitational reaccumulations lead to the formation of an entire family of large and small objects with dynamical properties similar to those of the parent body. In this work, we present new and improved numerical simulations in detail. As before, we use the same numerical procedure, i.e., a 3D SPH hydrocode to compute the fragmentation phase and the parallel N-body code pkdgrav to compute the subsequent gravitational reaccumulation phase. However, this reaccumulation phase is now treated more realistically by using a merging criterion based on energy and angular momentum and by allowing dissipation to occur during fragment collisions. We also extend our previous studies to the as yet unexplored intermediate impact energy regime (represented by the Flora family formation) for which the largest fragment's mass is about half that of the parent body. Finally, we examine the robustness of the results by changing various assumptions, the numerical resolution, and different numerical parameters. We find that in the lowest impact energy regime the more realistic physical approach of reaccumulation leads to results that are statistically identical to those obtained with our previous simplistic approach. Some quantitative changes arise only as the impact energy increases such that higher relative velocities are reached during fragment collisions, but they do not modify the global outcome qualitatively. As a consequence, these new simulations confirm previous main results and still lead to the conclusion that: (1) all large family members must be made of gravitationally reaccumulated fragments; (2) the original fragment size distribution and their orbital dispersion are respectively steeper and smaller than currently observed for the real families, supporting recent studies on subsequent evolution and diffusion of family members; and (3) the formation of satellites around family members is a frequent and natural outcome of collisional processes.

Fragmentation

10.1016/j.eurpsy.2007.01.409

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2442 – How media influence stigma towards psychiatric disorders

European Psychiatry (2013)

Alexander Nawka Tea Vukušić Rukavina Lucie Nawková Nikolina Jovanović Ognjen Brborović

Media are considered to be the public's primary source of information regarding mental illness. Evidence suggests that media representations of people with psychiatric disorders are frequently negative and contribute to their stigmatization. On the other hand, media can play an important role in reducing this stigmatisation by providing adequate information about this topic. An example of an use of a standardised and objective measurement of the stigma of mental illness in print media using clearly operationalized definitions will be shawn. The Picture of Mental Illness in newspapers (PICMIN) instrument is based on the principles of content analysis and used in an analysis of the coverage on mental health/illness issues in Czech, Croatian, and Slovak print media. Some of the most interesting findings based on the analysis include; a similarly high level of stigmatizing articles across countries, clearly exceeding the ones with destigmatizing statements; overrepresentation of schizophrenia and eating disorders and underrepresentation of anxiety disorders and dementia when comparing the correlation of their actual rate in the populations; the proportion of articles depicting mental disorders together with aggressive deeds being as high as onethird of all articles; homicide being most frequently mentioned in the context of psychotic disorders, while affective disorders being most frequently associated with completed suicides, etc. As the influences of the media and the stigma of psychiatric disorders are heterogeneous, activities that should tighten the mental health together with media professionals should be initiated in an ultimate effort to improve media coverage of mental illness issues.

Stigma

10.1016/s0924-9338(13)77217-1

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Recruitment to psychiatry in the Czech Republic: ‘Waiting for resuscitation’?

International Review of Psychiatry (2013)

Boris Dvořáček Alexander Nawka Lucie Nawková Jan Vevera Gregory Lydall

Recruitment to psychiatry is becoming a serious obstacle in providing first-class mental health treatment in many countries worldwide. We attempt to address this burning issue by examining medical student's attitudes towards psychiatry and factors influencing their career choice in the Czech Republic. In 2010, 71 students in their last year of medical school at the First Faculty of Medicine, Charles University, Prague were recruited in this quantitative cross-sectional online study. From the sample, 16% (n = 11) of students were considering psychiatry as a career path. An important factor in choosing psychiatry as a career path was personal/family presence of mental illness. Longer experience with psychiatry placement also contributed to the choice of psychiatry, as well as participation in elective courses or psychiatric research projects. Students considering psychiatry were less systematic compared to the group not considering psychiatry. Low reported levels of recruitment to psychiatry present a problematic issue in the Czech Republic. To make psychiatry more appealing to medical students, proactive steps by the relevant stakeholders need to be implemented. These strategies should include steps such as allocating more time for psychiatry in the medical curriculum, better quality of lectures, and the inclusion of additional elective courses.

Military psychiatry

10.3109/09540261.2013.821405

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