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IIMHL Update is researched,
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by Bill Davis.

For information about the International Initiative for Mental Health Leadership, please contact Fran Silvestri.











Webhealth
Webhealth has been specifically developed to provide access for people to connect with Health and Social Services. This web-based approach builds on the strengths of people and families to determine their support needs. Within the Webhealth website is Linkage. Linkage is a partnership between an NGO, Pathways; primary health care, Pinnacle; and a secondary provider/hospital, Health Waikato. It offers early intervention services with a “one stop shop” in central Hamilton and New Plymouth.



daily link  Monday, January 19, 2004


The Effectiveness of Telepsychiatry: A Review
Article in the latest Bulletin of the Canadian Psychiatric Association - "Effectiveness must be determined for each new technology because it may have advantages and disadvantages over what is currently offered. We reviewed the literature to synthesize information on whether telepsychiatry is effective. Based on the literature, we suggest that the effectiveness of telepsychiatry be evaluated on access to care, quality of care (that is, outcomes, reliability, satisfaction and comparison with in-person care), costs and empowerment. Further, we discuss other factors that influence effectiveness (for example, technology, administrative coordination and financial support). Telepsychiatry appears effective, and recommendations are offered for further evaluation of its effectiveness."  
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Riluzole Therapy Effective in Treatment-Resistant Depression
Medscape Medical News story - "Riluzole is associated with antidepressant effects in patients with treatment-resistant depression, according to results of an open-label study reported in the January issue of the American Journal of Psychiatry. Riluzole is a glutamate-modulating agent currently approved by the U.S. Food and Drug Administration for the treatment of amyotrophic lateral sclerosis." "med"  
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The Grief Industry
A thought-provoking feature article in the current New Yorker on grief counseling - "...In fact, only in the past few years has debriefing undergone serious scrutiny. Brett Litz, a research psychologist at Boston Veterans Affairs Medical Center who specializes in post-traumatic stress disorder, recently completed a randomized clinical trial of group debriefing of soldiers who were stationed in Kosovo. ... He summarized the academic verdict on debriefing as follows: 'The techniques practiced by most American grief counsellors to prevent P.T.S.D. are inert.' Clinical trials of individual psychological debriefings versus no intervention after a major trauma, such as a fire or a motor-vehicle accident, have had discouraging results. Some researchers have claimed that debriefing can actually impede recovery."  
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Copyright 2003 © Bill Davis.

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