Depression is a prevalent illness with risk for many deleterious outcomes if under-recognized or undertreated. Depression is a leading cause of work-related disability worldwide. Most people with depression are employed (an estimated 68%). Recognizing and initiating depression care in the workplace will facilitate depression treatment in clinical settings.
The prodromal period leading to schizophrenia has been the focus of significant interest in recent years. This is due not only to the possibility of identification of preschizophrenic states but also to the potential for improving prognosis as a result of early intervention. There are many approaches to the identification of the schizophrenia prodrome. Interventions in the prodromal period have met with various degrees of success. In this article, the authors present an overview of the literature reflecting the development of the prodromal concept and its implications for early identification. They also discuss various interventions proposed for this period and some ethical considerations related to these interventions. Despite the growing body of knowledge in this field, there is a need for more research data to support the establishment of treatment guidelines. Future directions of research are also discussed.
Many chairs come to their position without the benefit of previous experience in the role of leading an academic department. The American Association of Chairs of Departments of Psychiatry (AACDP) identified the need for a manual designed to help a new chair get started. The "tool kit" that emerged contains sections that describe the AACDP, outline key issues and responsibilities of a department chair, and review a variety of resources available to assist a new chair. The manual is used to supplement orientation sessions at AACDP meetings and is given to new chairs who are unable to attend these sessions.
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