1
2
Risperidone
Safe- high active first line treatment for psychotic disorders with flexibility in dosing and cost-saving treatment 3
www.jepharm.ps
Helping your patients to achieve remission.
Helping your patients to achieve remission. Time with family Back to work
Help your patients to get backTime to with Life family
Back to work Taking walks
Laughing
Help your patients Confidence to get back to Life Laughing
Taking walks
Cymbalta 60 mg QD offers: • Rapid and Dependable efficacy on broad range of Symptoms:
− Unsurpassed efficacy on low mood and associated anxiety.1,2
− Superior efficacy on vague body aches and cognitive function improvement.2,3
• Consistent and higher remission rates.1,4,5,6 • Effective prevention of depressive recurrence.7 1. Brannan SK et al. Onset of Action for Duloxetine 60 mg once Daily: Double-Blind, Placebo-Controlled Studies. J Psych Res 2005; 39: 161-172. 2. Hirschfeld RM et al. Time Course of Depression-Symptom Improvement during Treatment with Duloxetine. Depress Anxiety 2005; 21: 170-177. Psychiatry 2004; 65: 521-530. 4. Detke MJ et al. Duloxetine, 60 mg Once Daily, for Major Depressive Disorder: A Randomized Double Blind Placebo Controlled Trial. J Clin Psychiatry 2002; 63: 308-315. 5. Perahia DG et al. Duloxetine in the Prevention of Relapse of Major Depressive Disorder: Double-Blind Placebo Controlled Study. Br J Psychiatry 2006; 188: 346-353. Trial. Am J Psychiatry 2007; 164: 900-909. 7. Poster presented at ACNP; Scottsdale, Arizona, USA; December 7-11, 2008.
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CYMMDD-DC-2-MENA-12/2009
Confidence
1. 2. 3. 4. 5. 6. 7. 8. 9.
When a rapid response is critical
frightening Disturbing & thoughts on ble aggressi Uncontrolla himself and A danger to others hospital by Brought into police
Zyprexa helps patients
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tion but Taking medica pe struggling to co ses and Frequent relap lizations multiple hospita
life Unstable family
Rapid dependable relief in acute patients6
get better faster and stay better longer. Rapid dependable relief in acute patients1
Relapse prevention in long term treatment7 5
Velotab... fast, easier & better compliance9
Patients stay longer on Zyprexa2, 3, 4
Kinon BJ et al. Am J Emerg. Med. 22:181-186, 2004 Tiihonen J et al. BMJ 2006:333:224-227 Kahn RS et al. Lancet 2008; 371 : 1085-1097 Haro J et al. European Neuropsychopharmacology 2007; 17:235-244 Kinon BJ et al. J Clin Psychopharmacol 2006; 26: 453-461 Tohen M et al. Arch Gen Psychiatry 2002; 59:62-69 Kikkert MJ et al. Schizophrenia Bulletin 2006; 32(4): 786-794 Namjoshi MA Journal of Affective Disorders 2004; 81: 223-229 Ciorabai EM et al. Eur Psychiatry 2008; 23:S150 (P0237)
A first-choice mood
get bette stay bet
Zyprexa
5
ZYP-PU-1-MENA-12/2009
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Congress Information: Registration Fees: Participation 25 USD Companion Person 12 USD Fees include access to the scientific sessions, professional exhibitions, opening ceremony, congress bag, coffee breaks and meals.
Target Group: Doctors, Pharmacists, Nursing, Socialists, Psychologists, Occupational and Rehabitation Specialists and University Students.
Venue: The congress will be held at The Grand Park Hotel – Ramallah in 11th, 12th of October, 2012 .
Hotel Accommodation: The Grand Park Hotel – Ramallah.
Official Language: - English - Arabic Inquiries regarding registration, hotel reservation, scientific program, exhibition and other matters related to the congress, please contact: Dr. Ziyad Arandi Assistant Professor of Psychiatry Presedent of Palestinian Psychiatric Association Mobile: +970 59 9785530
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Chairman Of Congress Dr Ziad Arandi Co-Chairman Dr Bassam Ashhab Congress Scientific Adviser Dr Walid Sarhan Chairman Of Scientific Committee Dr Bassam Ashhab Executive Committee Dr Mustafa Mujahed Dr Ziad Arandi Dr Ivona Amleh Dr Hazem Ashour Dr Issam Bannoura Dr Bassam Ashhab Dr Ibrahim Ikhmayyes Dr Iyad Al-Azzeh Dr Mahmoud Khraishi
Scientific Committee Dr Ziad Arandi Dr Bassam Ashhab Dr Hazim Ashoor Dr Isam Banora Dr Mahmood Ishrishi Dr Ivona Imlih International Advisory Committee Prof Ahmad Okasha- Egypt Dr Walid Sarhan –Jordan Prof Tareq Okasha- Egypt Prof Mohammad Abou Saleh- Qatar Prof Alean Al-Krenani -Newfoundland Dr Abdallah Abdelrahman- Sodan Prof Abdul Monaf Al-Jabiry- Iraq Dr Abdallah Abdelrahman- Sodan Dr Osama Tawakol Othman - Uk Dr Adnan Takriti -Jordan Dr Elie Karam –Lebanon Prof Fawzi Taemeh Jordan Dr Iyad Khries -Usa Dr Sameer Samawe
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World Psychiatric Association
Medical Association
Palestinian Psychiatric Association
The First International Psychiatric Conference in Palestine The Palestinian Psychiatric Association with the Cooperation of the World Psychiatric Association
11th, 12th October 2012 Grand Park Hotel – Ramallah – Palestine www.ppsya.ps
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The Scientific Program Thursday, 11th October 2012 Registration 9:00 – 9:30 Opening Ceremony 9:30 – 10:00 Moderator: Dr. Issam Banoura Palestinian Minister of Health Chairman of General Medical Association President of the Palestinian Psychiatric Association Memorial Lecture Mental Health Services in West Bank
Dr. Bassam Ashhab
10:00 – 10:20
Coffee Break 10:20 – 10:50 Mental Health Services Dr. Malek Hassan
Dr. Issam Banoura Title
Doctor
Country
Time
Community Mental Health in the US
Dr. Elizabeth Berger
USA
10:50
–
11:05
stigma and disciminationtoward mental illness
Dr. Maria alonso
spain
11:05
–
11:20
Salfit Community Mental Health Center
Mr. Jamil Nassif
Palestine
11:20
–
11:35
Primary Care Mental Health
Dr. John Gleisner
UK
11:35
–
11:50
thirteen years medicare experiance in tdm
Dr. Bashar al-karmi
Palestine
11:50
–
12:05
Discussion - 12:05 – 12:30
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Dr. Iyad Al-Azzah
Clinical psychopathology Dr. Fayez Yamen
Title
Doctor
Country
Time
Guidelines for Diagnosis & Treatment
Assistant prf. Ziyad Arandi
Palestine
12:30
Violence Among Palestinian Unv Students
Prof. Muham Haj-Yahia
Palestine
12:45
–
1:00
depression
Dr. Hazem Ashour
Palestine
1:00
–
1:15
.Risks and Benefits Antipsychotic Com
Prof. Waleed Sweileh
Palestine
1:15
–
1:30
–
12:45
Discussion – 1:30 – 2:00 Launch Break 2:00 – 4:00 Academi psychiatry Dr. Nidal hamad
Dr. Ziyad Arandi Title
Doctor
Country
.Gene Discovery for Schizoph
Dr. Hashem Shahin
Palestine
.Dyslipidemia Among Schizoph
Dr. Iyad Ali & Dr. Sami Abwini
Palestine
Addiction
Ms. Thawra Anjas
Pregnancy and Drugs
Dr. Samah Jaber
Time 4:00
–
4:15
4:15
–
4:30
Palestine
4:30
–
4:45
Palestine
4:45
–
5:00
Discussion – 5:00 – 5:30 Dr. Mahmud Ikhrishi
Dr. Saheb Al-Saheb
Quitapine Atyp Anti Psy Drug
Dr. Sameer samaw-JD
5:30 – 6:00
Islamic Psychiatry
Dr.Mustafa mujahed-PS
6:00 – 6:30
Social Entertainment + Dinner 7:00 – 10:00
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The Scientific Program Friday, 12th October 2012 Child Mental Health Dr. khader rawagbe
Dr. Basam ashhab Title
Doctor
Country
Time
Emergency Types of Behavioral Disorders
Prof. Anwar Duden
Palestine
8:30
–
8:45
ADHD
Dr. Ayda al-qutsi
Sweden
8:45
–
9:00
Care to Autistic Spectrum Disorder Children
Dr. Souha Shehadeh
Palestine
9:00
–
9:15
The Use Of Griffith Men. Dev. Scales
Dr. Walid Ka’adan
Palestine
9:15
–
9:30
Multi-factorial measures of parenting
Prof. Marwan Dwairy
Palestine
9:30
–
9:45
Discussion – 9:45 – 10:00 Coffee Break 10:00 – 10:20
Dr . Riyad Zawahreh
Dr. Nour Eden Qaqa
Title
Doctor
Country
Social psychiatri
Dr. David Baker
Germany
10:20
–
10:35
Attitude Of Professionals Towards Ment Patients
Dr. Muna Ahmad
Palestine
10:35
–
10:50
Palestine
10:50
–
11:05
THE PSYCHOLOGICAL PROP AND HELP SEEK BEHAV Dr.dr Adnan sarhan
Time
Discussion 11:05 – 11:25 Praying 11:25 – 1:00
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Dr .Adam Afaneh
Dr Ivona Al-amlih
Title
Doctor
Country
Improving Access To M.H.S (Area C) Jericho
Dr.Maher Said - Maria Alonso
PALES - SPAIN
1:00
–
1:15
Coming Up With Research Ideas In Pales
Dr. WAEL MUSTAFA
PALESTINE
1:15
–
1:30
PALESTINE
1:45
–
2:00
Coping With Trauma In Palestinan Children Dr.ABDEL-AZIZ THABET
Time
Launch Break 2:00 – 3:00
Ibrahim Ikhmayes
Dr. Asad Abu Galion Play - Drama As Abehavior Treatment
Dr.MOHAMAD AL-KHATEB
PALESTINE
3:15
–
3:30
variation of men. health for unve student
dr. kamel ketelo
PALESTINE
3:30
–
3:45
job burn
Ms. Nehayeh Jaber
PALESTINE
3:45
4:00
Dr . Bsam Ashhab Dr. Ziad Arandi Dr. Hazem Ashor Dr. Mahmud Ikhrishi Dr. Issam Banoura
Certificates & Final Recommendations Session 4:00 – 5:00
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Acknowledgements Platinium Sponser Astrazeneca Jerusalem Pharmacuticals Co.Ltd Golden Sponser Medicacal Supplies And Services Silver Sponser Beit Jala Pharmaceutical Co. Alrazi Drug Store Company Novartis Company Pharmacare Plc
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Improving access to Mental Health Services at Jericho District (Area C) through Coordination, Support and Awareness Program at Primary Health Clinics. Dr. Maher Said, Heba Balo, Hanan Al-Ghoj and Maria Alonso About 22.5% of the total Jericho district population`s live in Area C (rural areas). Mentally ill person`s which reside in these area are at a greater disadvantage due to limited access to health care, a scarcity of resources, distance, Israeli check points, lower incomes and traditional cultural belief systems. Specific strategies are needed to provide the support health system for managing and coping with mental health problems. In this presentation we will share the first 5 months experience of the “Mental Health And Area C Primary Health Care At Jericho District Coordination, Support And Awareness Program�: goals, activities, results, difficulties and lessons learned. This Program aims to increase access to mental health services by the integration of mental health services into the primary health care thought scheduled activities run by MH team in the clinics located in Al Oja, Al Jiflik, Zbeidat and Al Fasayel. The beneficiaries of these activities are the PHC staff (training, coordination, and supervision), the general population attending PHC clinics (awareness) and mental health patients living in this area (assessment, follow-up, supervision of PHC intervention). This is new experience for the CMHC of Jericho but a promising methodology to improve access and decrease stigma to mental health issues.
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Stigma and discrimination toward mental illness: translation and validation of the Arabic version of the attribution questionnaire-27 (AQ-27-I) Dr. Maher Said, Maria Alonso Suarez, Ana I. Guillen Andres, Manuel MuĂąoz Lopez, Alberto FernĂĄndez Liria, Hanan Al-Ghoj and Heba Balo This study has 2 aims: 1) Analyze the stigma associated with severe and persistent mental illness in the general population of the District of Jericho, Palestine, as a first step to promote strategies to fight against it; and 2) Translate the Attribution Questionnaire-27 (AQ-27) to the Arabic language (AQ-27-I), and to examine the reliability and validity of the Arabic version. Results about stigmatizing attitudes are presented, along with statistical results about reliability, internal consistency and factor analysis that determine the reliability of the Arabic version of this instrument.
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Iyad Ali* and Sami Abwini *Faculty of medicine and health sciences, An-Najah National University, Title: prevalence of dyslipidemia among schizophrenic clients attending governmental psychiatric clinics in northern Palestine. Background Individuals with major mental health disorder lose about twenty years of life expectancy due to coronary heart disease (CHD), the leading cause of death. Dyslipidenia is a common health problem worldwide and its prevalence is raising steadily. Schizophrenic clients are particularly at higher risk of having dyslipidemia and at higher risk of dying from cardiovascular diseases. AIM: The aim of the study is to determine the prevalence of dyslipidemia among schizophrenic clients who are attending governmental psychiatric clinics in northern Palestine.
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An evaluation of the effectiveness of Primary Care and Mental Health Integration. Each Community Mental Health Care Center (CMHC) receives a small proportion of its patients as referrals from Primary Care Physicians (PCP). Over the past 2 years the Ministry of |Health with support from the WHO has held training courses for PCPs in mental health for the purpose of providing better care for patients attending primary care. As part of that training doctor were taught to diagnose illness and where they needed further help in management and treatment to refer those patients on to the CMH›s. This research concentrates on the referral process. The results of an analysis can be used as a proxy for PCP practice. There is a substantial literature on referrals from primary to secondary care and the correspondence to and from specialists. This will be very briefly reviewed. During the month of May 2012 all referrals from PCPs were identified and the letters/forms be photocopied and collected. To preserve anonymity, patient and PCP identifying data were erased. With each letter a short form was completed by the CMHC psychiatrist, rating the helpfulness of letter›s information and the accuracy of the information. The background statistics will be presented which in themselves are interesting and worthy of consideration and the results of the May survey presented. It is hoped that is will give pause for consideration as to the best realistic way to provide useful information to CMHC psychiatrists. It is suggested that this procedure can be repeated annually and the results used as one measure of the changes and improvements in the integration of PC and mental health services. John Gleisner. May 2012.
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Assessing Risks and Benefits of Antipsychotic Combination in Palestine with Schizophrenia Waleed M. Sweileh College of Medicine and Allied Health Sciences Al-Najah National University Abstract Background: Antipsychotic drug combination, the practice of using more than one antipsychotic drug to manage psychotic disorders is a common practice. However, evidence supporting this practice is lacking. Objectives: To assess clinical and economic benefits and risks of antipsychotic combination versus mono-therapy in schizophrenia treatment. Methods: A cross sectional study at the governmental psychiatric health centers in north West-Bank was carried out using patients› medical files and PANSS to assess severity antipsychotic drug was calculated based on reported values in literature. SPSS was used for analysis of data. Discussion and Conclusion: The data indicate that there is no added value of antipsychotic combination versus mono-therapy. Actually, an economic loss is associated antipsychotic combination. Schizophrenia treatment guidelines which promote antipsychotic mono-therapy should be followed.
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Community Mental Health in the United States-Lesson from our History Elizabeth C. Berger MD, MPhil Michael D. Morse MD, MPA Abstract: this paper reports on the historical development of community mental health in the United States since the 1960Âťs, with a review of its patient population and characteristics system problems, especially the ÂŤrevolving doorÂť phenomenon and the challenge of fragmented care. The authors describe participation in subsequent reforms and provide recommendations based on that experience. Recommendations cover principles of clinical and administrative practice, as well as placing community mental health within a public health context. Principles of clinical practice include respect for patient rights, the formation of multidisciplinary treatment teams, and the process of comprehensive psychiatric evaluation. Principles of administrative practice include clear documentation of policy and procedure-especially regarding the management of crises and the boundaries of treatment-effective QA process, and staff development. It will be important to place mental health into an overall agenda for public health with an emphasis on coordination of diagnosis and treatment for mental disorder and general medical condition. In accordance with WHO and UN recommendations, achieving public health goals, including goals form mental health, will be as dependent upon reducing global risk factors such as poverty and violence; prevention in mental health must be linked with advocacy for social justice.
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Abstract Iyad Ali* and Sami Abwini *Faculty of medicine and health sciences, An-Najah National University, Title: prevalence of dyslipidemia among schizophrenic clients attending governmental psychiatric clinics in northern Palestine. Background Individuals with major mental health disorder lose about twenty years of life expectancy due to coronary heart disease (CHD), the leading cause of death. Dyslipidenia is a common health problem worldwide and its prevalence is raising steadily. Schizophrenic clients are particularly at higher risk of having dyslipidemia and at higher risk of dying from cardiovascular diseases. AIM: The aim of the study is to determine the prevalence of dyslipidemia among schizophrenic clients who are attending governmental psychiatric clinics in northern Palestine.
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Cumulative Exposure to Family Violence and Development of PostTreatment Stress among Palestinian University Students Abstract Submitted by: Muhammad M. Haj-Yahia,Ph.d. Extensive research has been conducted in recent decades on the mental health consequences of children›s exposure to family violence. The available research has focused either on the impact of witnessing interparental violence (especially fatherto-mother violence) or on experiencing parental abuse and violence. However, available research has rarely examined the effects of exposure to the co-occurrence of both patterns of family violence (i.e., witnessing violence and experiencing violence). In addition, existing research has been conducted mostly among samples known to health and mental service, i.e., among clinical samples of children who have been exposed to serve patterns of family violence. However, research has rarely been conducted among community samples, which could include participants who have been exposed to wide range of frequencies and severities of family violence. Furthermore, there is a serious dearth of research on cumulative exposure to family violence, where most available research has examined the effects of this exposure during childhood and/or adolescence, with special focus in the recent year of the occurrence of family violence. Hence, available research ignored the possible effects of this exposure during early adulthood and effects of cumulative exposure during childhood, adolescence and young adulthood.
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Dr Marwan Dwairy Studies on parenting typically focus on one or two parental factors such as authoritarian, authoritative and permissive parenting of acceptance-rejection factor. Based on the understanding that parenting is a complex process and on that parenting factors may overlapping (such as authoritarian and rejection), the author (Dwairy) has suggested a multi-factorial method of research and has developed a scale that measures seven different factors: Punishing in the name of love, addressing the child›s conscience, unconditional acceptance and authoritarian parenting. The questionnaire in addition to another questionnaire that measure psychological disorders among children was administrated to 900 teenagers (1517 years old) in three cultures: Palestine, British and Algerian. The results shows that the scales were valid and reliable and revealed four different patterns (profiles) of parenting each consists from seven factors. Each pattern was associated with different level of psychological disorders. Interesting cross-cultural and gender differences in parenting patterns were found. To our knowledge, this is the first study of parenting that is based on a multi-factorial scale of parenting. Based on further research the Dwairy Multi-factorial Parenting Scale (DMFPS) may contribute a lot to parenting research and to clinical work with families.
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Dr. Abdel Aziz Thabis Ph.d Abstract Aim: The aim of the study was to investigate the effect of trauma after one year of Gaza War on children PTSD, anxiety, fears and depression and coping as mediator factor. Methods: The study sample consisted of 449 children from who were exposed to the Israeli war on the Gaza stripe. Children completed measures of experience of traumatic events (Gaza Traumatic Events Checklist-20 items, War on Gaza), PTSD, Birleson Depression Scale, Child Revised Manifest Anxiety Scale and Fear scale. Conclusion This study showed that after one year of Gaza war still Palestinian children had the impact of traumatic experiences on their mental health. Children are suffering of depression, anxiety, PTSD and fears. All those reactions were related to traumatic events. However, children are able to cope with such reaction by using different ways of coping, mainly try to feel better by spending time with others like family, grown-up of friends, try to sort out the problem, and try to sort out the problem by doing something or talking to someone about it. Key works: One year of Gaza War, Children, PTSD, Depression, Anxiety, Fears, Coping.
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Gene discovery for schizophrenia by exome sequences of multiple-affected consanguineous Palestinian families. Hashem.Shahin Such mutations as recessive alleles. We have ascertained 5 families severely affected with schizophrenia from the Bethlehem Mental Hospital, the only mental hospital in Palestine. Medical chart reviews, and when possible interviews, were conducted for all family members who were patients of the hospital. Further psychiatric history was obtained during home visits by a psychiatrist. All affected individuals meet DSM-IV criteria for schizophrenia or schizophaffective disorder. As an initial screening process, we genotyped all affected individuals for the nine large recurrent schizophrenia-associated hospital CNVs and determined that none were homozygous or heterozygous carriers. We then performed exome sequencing on 18 affected individuals to high median depth of coverage (125x). We generated private and rare SNP and indel variants for each individual by filtering against common variants in publically available databases and 24 exomes that we have sequenced from Palestinian and other Middle Eastern individuals with no history of mental health disorders. Variants that were predicted to truncate proteins or lead to damaging mutations were Sanger sequence validated and genotyped in additional family members to exclude variants that did not segregate with schizophrenia within the families. For consanguineous families we prioritized further evaluation of variants that were predicted to be within large blocks of homozygosity. We have uncovered a number of compelling candidate mutation some in genes which have previously been implicated in idiopathic mental retardation.
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Guidelines for Diagnoses and Drug Treatment of Some Psychiatric Disorders
Dr. Ziad Arandi Assistant Professor of Psychiatry Faculty of Medicine An-Najah National University The presentation explains the outlines for diagnoses and drug treatment for some acute psychiatric disorders; it includes how the diagnoses can be summarized by a number of symptomizes and signs and the duration to reach the diagnosis. The other parts include how the drug treatment should be ordered. This summarization can be put in one page in front of the psychiatrists which can help them to run quickly to the outlines of diagnosis and the duration of the drug.
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Islamic psychology The physiology of human sciences قبل ان يدرس االنسان العلوم الطبية يدرس علم وظائف االعضاء او وظائف هذه العلوم ثم يدرس ماذا يحدث اذا اضطربت هذه الوظائف علم االمراض وكالهما من العلوم االساسية وبعدها يبدا
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PA›s Ministry of Health Jameel Nasser Inherited from the Israeli military administration health services that had been neglected and starved for funds during the years of Israeli occupation (Giacaman et al. 2009). Palestinian Ministry of Health was started to make attempts to expand services beyond the hospital, most services continue to be hospital-based, fragmented and rooted in biomedically oriented approach (WHO, West Bank and Gaza Office 2006).
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Providing care to children with Autism Spectrum Disorders in Palestine: the psychiatrist›s role in the community Dr Souha MANSOUR SHEHADEH
In the last decades, childhood professionals started showing more in autistic spectrum disorders in Palestine and are actually feeling that there is an increase of the number of patients with autism, but until now we have no define epidemiological study on the question. Parents are more and more consulting psychiatrists and asking them for help, not only to confirm the diagnosis but also expecting a treatment plan. What is the role of the psychiatrist in providing care to autistic children and how to propose an integrated approach in the country where autism has recently become at the heart of many debates? What to do in the current situation while waiting for the application of a national policy on autism spectrum disorder? In order to analyze the difficulties we are facing in Palestine, I will draw upon two examples of patients followed up in child psychiatry in Bethlehem. I will insist on the counter transference processes that are marked by feeling of helplessness because of the lack of training and the absence of positive perspectives for the future of the country. However, despite the lack of resources, the conjunction of psychodynamic support of children and their families, of medical care when needed, of speech and occupational therapy and of their integration in education setting-even if not specialized-can lead to interesting results.
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The attitudes of mental health professionals towards patients with mental illness in an inpatient setting in Palestine Dr. Muna Ahmad Cultural play a vital role in shaping public and professional attitudes towards mental illness. In Arab cultures negative attitudes toward patients experiencing mental illness are common. There is a lack of studies that investigate the attitudes of professionals towards patients in inpatient mental health setting. This study aimed to assess the attitudes of professionals towards patients with mental illness in the only psychiatric hospital in Palestine. A survey was undertaken using the Attitudes toward Acute Mental Health Scale (ATAMHS 33). The scale was distributed to a variety of professionals at the only psychiatric hospital in Bethlehem. Data was managed and analyzed by using SPSS 15 (a statistical package for social sciences). The participants expressed both negative and positive attitudes toward patients, however, results revealed more negative than positive attitudes, particularly in relation to alcohol misuse, medication, patients› ability to control their emotions and genetic predisposition to mental illness. This paper provides baseline data about the attitude of mental health professionals towards patients experiencing mental illnesses. Education and direct contact with patients with mental illness may not be enough to foster positive attitudes towards them. This may indicate the need to revise educational curriculum at Palestinian universities and offer more training for mental health professionals in order to change their attitudes Key Words: acute mental health setting, attitudes, inpatient, mental health professional, patients.
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Thirteen years Medicare experience in TDM In 1999 Medicare presented its first experience and notes in Therapeutic Drug Monitoring «TDM». In that study, approximately 100 samples were tested in Medicare between the periods 19961999-. The study showed that 30% of the tested subjects were» under treated» while 20% were «over dosed». Only the half of patients received the treatment in the «recommended dosage». Six years latter- in 2006, the same study was performed using the same criteria and the same methodologies. During the 2006 yeas study, more than 529 samples were tested. This second study showed that more than one third (37%) of the tested subjects were under treated, 9% were over dosed while slightly more than one half were receiving the proper dosage. Our current 2012 year study will include more than 2600 samples. In this context we are trying to analyze the progress of our medical practice using «TDM» medication and the trends dealing with this group of mainly «antiepileptic» drugs. We believe that close clinical monitoring and TDM are highly needed in these cases for both, medico-legal as well as for health economic purposes. Speaker: Dr. Bashar Al Karmi
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Wael Mustafa Abuhasan, PhD., Arab American University of Jenin, Synopsis: Reviewing the medical literature whether in Palestine on in the Middle East and North Africa region indicates a clear dearth interest in research in the world of psychiatry. The critical thing here, is to find a significant research question that one can deal with easily, ethically, and find a resource where results could be disseminated. It seems that many clinicians have some difficulties at initiating a research work, possible do not know how and from where to start, or possible believing that research is a task that is beyond capacities and aptitudes! In this paper, we are going to shed the light on those minimum needed skills and requirements for helping the Palestinian psychiatrist in starting a research work that could be fascinating, feasible and researchable. The most important cues and keys for such a work will be highlighted and we addressed.
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Coming up with research ideas in psychiatry within the Palestinian context. Wael Mustafa Abuhasan, PhD., Department of Health Sciences, Faculty of Allied Medical Sciences, Arab American University of Jenin, email: HYPERLINK «mailto:waelabumustafa@hotmail.com»waelabumustafa@ hotmail.com HYPERLINK «mailto:waelmustafa@aauj.edu»waelmustafa@aauj.edu Synopsis: Reviewing the medical literature whether in Palestine or the Middle East and North Africa region indicates a clear dearth interest in research in the world of psychiatry. The critical thing here, is to find a significant research question that one can deal with easily, ethically, and find a resource where results could be disseminated. It seems that many clinicians have some difficulties at initiating a research work, possible do not know how and from where to start, or possible believing that research is a task that is beyond capacities and aptitudes! In this paper, we are going to shed the light on those minimum needed skills and requirements for helping the Palestinian psychiatrist in starting a research work that could be fascinating, feasible and researchable. The most important cues and keys for such a work will be highlighted and well addressed.
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Dr Kaddan Walid
Introduction: In the last decade, the awareness of diagnosis and treatment in attention deficit disorder and learning disabilities has much increased among the arab population in Israel.New data shows that almost %20 of children suffer from learning disabilities or ADHD. The use of computerized testing for these diagnosis has been available in Israel for more than 10 years, mostly among the jewish population
Aim:
To improve diagnosis in the arab population and allow another supportive tool, the WEBNEURO, that was developed by BRAIN RESOURCE COMPANY ‚ was translated to Arabic In this study we would like to present preliminarey results using the Arabic version of computerized neuro-psychological test for the diagnosis of ADHD
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Mental Health Services In the West Bank of the Occupied Palestinian territories Dr. B.Ashhab DPM, MRCPsych – FRCPsych Ex-Director of Community Mental Health Service (OPt) Ex-President of Palestinian Psychiatric Association Abstract The development of mental health services in Palestine has been shaped by the political situation in the region The consumer of this services are the traumatized Palestinian generation who have experience violence, economic, hardship and the social destruction. The Palestinian health system in the occupied Palestinian territory (Opt) was originally modeled on the British system of care. The only mental hospital in Bethlehem was supplemented by the first community mental health clinic in 1974 , followed by clinics open up in few regions in the west bank . The two intifadas Dec87 and Sep29,2000, brought significant action from many national and international organization that changed the mental health delivery system. From 1993 the Palestine Authority’s Ministry of Health has organized services and established a community mental health division in 1996 to become part of the primary health services, the objective of the strategy now is to set out a comprehensive integrated plan that should take account the special circumstances of the population based on needs assessment. Project Proposal started 2002 helped by the donor community, promoted by WHO and carried out by Palestinian professionals for reorganization of services from 2004 is in the course of implementation. It is a complex project that in compasses policy, organization, infrastructure and educational issue and component to address the interest of the general public. Community mental health development in OPt is still faces a long road ahead and despite many challenges faced, my presentation will demonstrate a successful story that is well founded in the Palestinian reality which shows that the OPt already has a network of community mental health center that other could envy.
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