390 results match your criteria BJPsych bulletin[Journal]


Factors influencing use of community treatment orders and quality of care that people receive: results of a national survey in England and Wales.

BJPsych Bull 2019 Apr 11:1-9. Epub 2019 Apr 11.

Royal College of Psychiatrists,London.

Aims and methodWe conducted a secondary analysis of data from the National Audit of Psychosis to identify factors associated with use of community treatment orders (CTOs) and assess the quality of care that people on CTOs receive. RESULTS: Between 1.1 and 20. Read More

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http://dx.doi.org/10.1192/bjb.2019.23DOI Listing
April 2019
1 Read

The London memory service audit and quality improvement programme.

BJPsych Bull 2019 Mar 22:1-6. Epub 2019 Mar 22.

Dementia Clinical Network NHS England (London Region).

Aims and methodMemory services have expanded significantly in the UK, but limited performance data have been published. The aim of this programme was to determine variation in London memory services and address this through service improvement projects. In 2016 London memory services were invited to participate in an audit consisting of case note reviews of at least 50 consecutively seen patients. Read More

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http://dx.doi.org/10.1192/bjb.2019.18DOI Listing

Patient-reported outcome measures in community mental health teams: pragmatic evaluation of PHQ-9, GAD-7 and SWEMWBS.

BJPsych Bull 2019 Mar 22:1-7. Epub 2019 Mar 22.

St George's, University of London,UK.

Aims and methodWe evaluated routine use, acceptability and response rates for the Patient Health Questionnaire (PHQ-9), Generalised Anxiety Disorder Scale (GAD-7) and Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS) within adult community mental health teams. Measures were repeated 3 months later. Professionals recorded the setting, refusal rates and cluster diagnosis. Read More

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http://dx.doi.org/10.1192/bjb.2019.20DOI Listing

Psychological aspects of wound management following self-harm on psychiatric wards.

Authors:
Alla Rubitel

BJPsych Bull 2019 Apr;43(2):89

Consultant Psychiatrist in Psychotherapy,Central and North West London NHS Foundation Trust;

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http://dx.doi.org/10.1192/bjb.2019.10DOI Listing

Sutures benefit not only wounds.

BJPsych Bull 2019 Apr;43(2):88-89

ST3 ACCS Emergency Medicine,East of England.

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http://dx.doi.org/10.1192/bjb.2019.9DOI Listing

Subjective memory complaints after electroconvulsive therapy: systematic review.

BJPsych Bull 2019 Apr;43(2):73-80

Consultant,Devon Partnership NHS Trust,Exeter,UK.

Aims and methodFew studies have looked at subjective memory impairment from electroconvulsive therapy (ECT) after treatment completion. We aimed to systematically review all available evidence for subjective post-treatment effects. RESULTS: We included 16 studies in this review. Read More

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http://dx.doi.org/10.1192/bjb.2018.45DOI Listing

Family-inclusive practice in a psychiatric intensive care unit.

BJPsych Bull 2019 Mar 11:1-5. Epub 2019 Mar 11.

Canterbury Christ Church University.

Aims and MethodThe National Institute for Health and Care Excellence recommends involving the families of patients admitted to psychiatric hospital care, without specific guidance on how to do it. To improve family involvement in a National Health Service psychiatric intensive care unit, a relatives' and carers' clinic was set up. Fifty family members attended and completed questionnaires. Read More

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http://dx.doi.org/10.1192/bjb.2019.11DOI Listing

Personal resilience in psychiatrists: systematic review.

BJPsych Bull 2019 Mar 11:1-7. Epub 2019 Mar 11.

Tees, Esk and Wear Valleys NHS Foundation Trust.

Aims and methodThe concept of personal resilience is relevant to physician well-being, recruitment and retention, and to delivering compassionate patient care. This systematic review aims to explore factors affecting personal resilience among psychiatrists, in particular, those that may impair well-being and those that facilitate resilience practice. A literature search was performed of the Ovid®, Embase®, CINAHL and PsycINFO databases, using keywords to identify empirical studies involving psychiatrists that examined resilience, stress and burnout from the past 15 years. Read More

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http://dx.doi.org/10.1192/bjb.2019.12DOI Listing

Telepsychiatry in intellectual disability psychiatry: literature review.

Authors:
Giri Madhavan

BJPsych Bull 2019 Mar 7:1-7. Epub 2019 Mar 7.

Coventry and Warwickshire Partnership NHS Trust.

Aims and MethodThe aims of this review were to explore the effectiveness and patient and provider acceptability of telepsychiatry consultations in intellectual disability, contrasting this with direct face-to-face consultations and proposing avenues for further research and innovation. Computerised searches of databases including AMED and EMBASE were conducted. RESULTS: Four USA studies of intellectual disability telepsychiatry services have been reported. Read More

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https://www.cambridge.org/core/product/identifier/S205646941
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http://dx.doi.org/10.1192/bjb.2019.5DOI Listing
March 2019
7 Reads

Understanding the effects of materiality on mental health.

BJPsych Bull 2019 Mar 6:1-6. Epub 2019 Mar 6.

Keble College and the Institute of Archaeology,University of Oxford.

SummaryConsensus is growing, in many areas of the humanities and social sciences, that aspects of the material world we live in have causal efficacy on our minds - the major dynamic being the plasticity of the brain linked to the affordances of our bodily engagements with things. The implications of that on how we approach and understand important mental health issues have not been adequately addressed. This paper proposes a material engagement approach to the study of the processes by which different forms of materiality achieve their effects. Read More

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http://dx.doi.org/10.1192/bjb.2019.7DOI Listing

The unheard voice: a qualitative exploration of companions' experiences of liaison psychiatry and mental health crises in the emergency department.

BJPsych Bull 2019 Mar 4:1-6. Epub 2019 Mar 4.

Oxleas NHS Foundation Trust,UK.

Aims and methodTo understand the experience of companions of patients seen in the emergency department by liaison psychiatry teams. Participants were recruited via purposive sampling following a recent visit to the emergency department of an inner- or outer-London hospital. Semi-structured interviews were administered to all participants. Read More

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http://dx.doi.org/10.1192/bjb.2019.2DOI Listing

Delivering the Transforming Care programme: a case of smoke and mirrors?

Authors:
John L Taylor

BJPsych Bull 2019 Feb 21:1-3. Epub 2019 Feb 21.

Health and Life Sciences,Northumbria University,UK.

SummaryThe Transforming Care national plan for England to develop community services and close hospital beds for people with intellectual disabilities and/or autism was published in October 2015 and is due to finish in March 2019. In this editorial the key plan objectives are evaluated, with particular reference to people with intellectual disabilities and/or autism who offend or are at risk of offending. The conclusion is that, to date, the plan has failed to meet its targets to reduce the number of in-patients with intellectual disabilities and/or autism and to invest in community services, and the number of patients in independent sector beds is increasing. Read More

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http://dx.doi.org/10.1192/bjb.2019.3DOI Listing
February 2019

2.5 years on: what are the effects of a 'frequent attenders' service in the Emergency Department?

BJPsych Bull 2019 Feb 20:1-5. Epub 2019 Feb 20.

Lanchester Road Hospital,Durham,UK.

This study focused on an evaluation over 2.5 years to establish if a frequent attenders' service in an Emergency Department (ED) impacted on the overall number of patients attending as well as the numbers of their attendances. For this, three patient lists from April-September 2015 and three lists from a matched period in 2017 were randomly selected and the two samples compared. Read More

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http://dx.doi.org/10.1192/bjb.2019.8DOI Listing
February 2019

The Islamic faith and best interests.

BJPsych Bull 2019 Feb 20:1-5. Epub 2019 Feb 20.

Worcestershire Health and Care NHS Trust,New Haven Unit,Princess of Wales Community Hospital,Bromsgrove,UK.

SummaryThis article reviews a 2017 Court of Protection case which assessed and decided issues relating to the Islamic faith and the Mental Capacity Act 2005. The case involved a 39-year-old Muslim man with learning difficulties. It centred on his ability to make decisions about two specific aspects of his faith - capacity for fasting and for the removal of pubic and axillary hair. Read More

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http://dx.doi.org/10.1192/bjb.2019.4DOI Listing
February 2019

Using Twitter to assess attitudes to schizophrenia and psychosis.

BJPsych Bull 2019 Feb 20:1-9. Epub 2019 Feb 20.

Royal Edinburgh Hospital,University of Edinburgh,UK.

Aims and methodSchizophrenia is a psychotic disorder that is stereotypically stigmatised as untreatable and associated with violence. Several authorities have suggested that changing the name, for example to psychosis, would reduce such stigmatisation. We aimed to compare attitudes to schizophrenia and psychosis on Twitter to see if psychosis was associated with less negative attitudes. Read More

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http://dx.doi.org/10.1192/bjb.2018.115DOI Listing
February 2019
3 Reads

The effect of integrated care on self-management and emergency department attendance.

BJPsych Bull 2019 Feb 13:1-6. Epub 2019 Feb 13.

Rapid Access, Interface & Discharge Team (RAID),Hertfordshire Partnership University NHS Foundation Trust,UK.

Aims and methodThe Frequent Attenders Programme is a joint initiative between Hertfordshire Rapid Assessment, Interface and Discharge service and the Emergency Department of the West Hertfordshire NHS Trust, which aims to divert frequent attenders from the emergency department by addressing their unmet needs. This paper describes the range of interventions put in place from the time that the service was set up in 2014 until the introduction of the new national Commissioning for Quality and Innovation 2017-2019, which tasked National Health Service trusts to improve services for people with mental health needs who present to Accident and Emergency. The terms emergency department and Accident and Emergency are used interchangeably, reflecting the practice in policy documents. Read More

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http://dx.doi.org/10.1192/bjb.2019.1DOI Listing
February 2019

Do patients get better? A review of outcomes from a crisis house and home treatment team partnership.

BJPsych Bull 2019 Jan 29:1-6. Epub 2019 Jan 29.

Centre for Psychiatry, Barts and The London School of Medicine and Dentistry,Queen Mary University of London,UK.

Aims and methodThe Tower Hamlets Crisis House (voluntary sector), in partnership with the local home treatment team, offers a brief residential alternative to psychiatric hospital admission. Here, we review clinician-reported (Health of the Nation Outcome Scales; HoNOS) and patient-reported (DIALOG) outcome scores collected from successive admissions between June 2015 and December 2016, to assess the effectiveness of the service model. We identified 153 successive admissions, and of these, 85 (55. Read More

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http://dx.doi.org/10.1192/bjb.2018.105DOI Listing
January 2019

Praxis makes perfect?

Authors:
Cate Bailey

BJPsych Bull 2019 Jan 23:1-2. Epub 2019 Jan 23.

East London NHS Foundation Trust.

SummaryCate Bailey outlines the origin and goals of the new trainees' section of the BJPsych Bulletin. 'Praxis' will involve two components. The first will be clinically inspired and problem based. Read More

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http://dx.doi.org/10.1192/bjb.2018.106DOI Listing
January 2019

Night-time confinement and the practice of realistic medicine.

Authors:
Lindsay Thomson

BJPsych Bull 2019 Feb;43(1):32-34

University of Edinburgh,UK.

SummaryNight-time confinement is the practice of routinely locking patients in their rooms at night unless there is a contrary clinical indication. It is used in high-secure psychiatric hospitals. This article argues in favour of this practice on the basis of realistic medicine, an individual human rights based approach, the principles of mental health legislation in Scotland and England and cost effectiveness. Read More

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https://www.cambridge.org/core/product/identifier/S205646941
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http://dx.doi.org/10.1192/bjb.2018.83DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327290PMC
February 2019
8 Reads

Tick, tock, lock: night-time confinement in high security - history, practice, ethics and practicalities.

BJPsych Bull 2019 Feb;43(1):1-3

University of Manchester,UK.

SummaryNight-time confinement, locking patients in their bedrooms overnight, is practiced within high-secure hospitals in the UK. This article provides context, sets out the history and reviews the ethical and pragmatic issues at stake. Thought is given to the future, where we appear to be moving toward a different approach. Read More

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https://www.cambridge.org/core/product/identifier/S205646941
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http://dx.doi.org/10.1192/bjb.2018.80DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327296PMC
February 2019
6 Reads

Against the stream: early diagnosis of dementia, is it so desirable?

BJPsych Bull 2019 Jan 4:1-3. Epub 2019 Jan 4.

University of Cambridge,UK.

SummaryThe Prime Minister's challenge on dementia called for improved dementia diagnosis rates, based on assumptions of benefit to individuals and those who care for them. Subsequent policies have led to increased target drives for clinical practice to achieve early diagnosis of dementia through intense case identification. However, the current evidence base and treatment options do not support screening for dementia, and there is little empirical evidence that such intensive case identification and early diagnosis for dementia is justified without a better understanding of the benefits, costs and potential harms to individuals and services. Read More

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http://dx.doi.org/10.1192/bjb.2018.107DOI Listing
January 2019

Psychiatry past and present: do we need history?

Authors:
Claire Hilton

BJPsych Bull 2018 Dec 27:1-5. Epub 2018 Dec 27.

Historian in Residence, Royal College of Psychiatrists,UK.

Historical evidence can be useful to inform debate about current dilemmas in health service policy. However, concepts of historical analysis may be problematic for doctors, for whom a model of 'history' is often based on clinical history-taking: a clinical history aims to explain the present, whereas a historical analysis aims to elucidate the past. This article discusses and illustrates these concepts, and highlights potential pitfalls of poor historical methodology. Read More

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http://dx.doi.org/10.1192/bjb.2018.102DOI Listing
December 2018

Against the stream: drugs policy needs to be turned on its head.

BJPsych Bull 2018 Dec 20:1-3. Epub 2018 Dec 20.

Former Chair,East London NHS Foundation Trust,UK.

SummaryHumans have always used mind-altering drugs. However, in 1961 the United Nations approved the Single Convention, under which the production, sale or possession of a number of drugs, including heroin, cocaine, ecstasy and cannabis, became illegal. The prohibitionist regime was then introduced by most countries around the world and has substantially remained in place ever since. Read More

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http://dx.doi.org/10.1192/bjb.2018.98DOI Listing
December 2018
1 Read

A new inner-city specialist programme reduces readmission rates in frequently admitted patients with bipolar disorder.

BJPsych Bull 2019 Apr 28;43(2):58-60. Epub 2018 Nov 28.

South London and Maudsley NHS Foundation Trust,UK.

Aims and methodThe OPTIMA mood disorders service is a newly established specialist programme for people with bipolar disorder requiring frequent admissions. This audit compared data on hospital admissions and home treatment team (HTT) spells in patients before entry to and after discharge from the core programme. We included patients admitted between April 2015 and March 2017 who were subsequently discharged. Read More

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http://dx.doi.org/10.1192/bjb.2018.89DOI Listing
April 2019
1 Read

The Risk Reference Panel: a thematic analysis of a multidisciplinary forum for complex cases.

BJPsych Bull 2019 Apr 26;43(2):67-72. Epub 2018 Nov 26.

Caswell Clinic,Abertawe Bro Morgannwg University Health Board,Wales.

Aims and methodTo describe the functions of the Aneurin Bevan University Health Board Risk Reference Panel and characterise the typical referrals presented and outcomes from the panel. A structured thematic analysis was performed on verbatim transcripts of 48 panel sessions. RESULTS: The 79 codes identified were grouped into 16 subthemes. Read More

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https://www.cambridge.org/core/product/identifier/S205646941
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http://dx.doi.org/10.1192/bjb.2018.99DOI Listing
April 2019
12 Reads

A retrospective study comparing the length of admission of medium secure unit patients admitted in the three decades since 1985.

BJPsych Bull 2018 Nov 19:1-4. Epub 2018 Nov 19.

Forensic Mental Health Service,South Australia.

Aims and methodAdmissions of patients to secure forensic hospitals are often lengthy. Previous research has examined factors associated with prolonged admission, but studies analysing admission data at a single medium secure unit (MSU) over a prolonged time period are lacking. We compared admission data for all patients admitted to a MSU in England during the years 1985, 1995, 2005 and 2012. Read More

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https://www.cambridge.org/core/product/identifier/S205646941
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http://dx.doi.org/10.1192/bjb.2018.88DOI Listing
November 2018
21 Reads

Decision-making in crisis resolution and home treatment teams: The AWARE framework.

BJPsych Bull 2019 Apr 19;43(2):61-66. Epub 2018 Nov 19.

Adult Mental Health Services,Cambridgeshire and Peterborough NHS Foundation Trust,UK.

Aims and methodThe aim of the study is to improve patient safety by identifying factors influencing gatekeeping decisions by crisis resolution and home treatment teams. A theoretical sampling method was used to recruit clinicians. Semi-structured interviews to elicit various aspects of clinical decision-making were carried out. Read More

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https://www.cambridge.org/core/product/identifier/S205646941
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http://dx.doi.org/10.1192/bjb.2018.94DOI Listing
April 2019
18 Reads

Night-time confinement is an unacceptable hospital practice.

Authors:
George Szmukler

BJPsych Bull 2019 Feb 30;43(1):35-37. Epub 2018 Oct 30.

King's College London,UK.

SummaryNight-time confinement, currently imposed as a blanket restriction on all patients on wards in UK high secure hospitals, constitutes an arbitrary restriction of liberty, not being based on any therapeutic purpose for those so restricted, nor serving a need for the protection of others. Its imposition constitutes a form of 'degrading' treatment as well as an unjustified restriction of 'residual' liberty. Persons who are vulnerable, especially those who are involuntarily detained as in this case, are particularly at risk of suffering human rights abuses. Read More

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http://dx.doi.org/10.1192/bjb.2018.82DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327297PMC
February 2019

Maintenance doses for clozapine: past and present.

Authors:
Avneet Sharma

BJPsych Bull 2018 Oct;42(5):217

Consultant Psychiatrist, Avon and Wiltshire Mental Health Partnership NHS Trust; email:

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http://dx.doi.org/10.1192/bjb.2018.64DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189983PMC
October 2018

Evaluating the effects of a peer-led suturing and wound management workshop for doctors working in a psychiatric hospital.

BJPsych Bull 2018 Oct;42(5):211-216

Consultant, Royal Infirmary Edinburgh, UK.

Background: Psychiatric in-patients are often transferred to an emergency department for care of minor wounds, incurring significant distress to the patient and cost to the service.

Aims: To improve superficial wound management in psychiatric in-patients and reduce transfers to the emergency department.

Method: Thirty-four trainees attended two peer-led suturing and wound management teaching sessions, and a suturing kit box was compiled and stored at the Royal Edinburgh Hospital. Read More

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https://www.cambridge.org/core/product/identifier/S205646941
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http://dx.doi.org/10.1192/bjb.2018.41DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189990PMC
October 2018
13 Reads

Making up symptoms: psychic indeterminacy and the construction of psychotic phenomena.

Authors:
Huw Green

BJPsych Bull 2019 Apr 17;43(2):81-84. Epub 2018 Oct 17.

Icahn School of Medicine at Mount Sinai,USA.

SummaryPsychotic phenomena include a far wider range of experiences than is captured by the brief descriptions offered in contemporary diagnostic guides. Given the richness of historical clinical phenomenology, what can account for the recent ascendancy of relatively impoverished descriptions of psychosis? One possible explanation is provided by Hacking's notion of dynamic nominalism, where human categories change over time in tandem with those who they classify. But although dynamic nominalism makes sense of changes in behaviour, it fails to account for change at the level of subjective experience. Read More

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https://www.cambridge.org/core/product/identifier/S205646941
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http://dx.doi.org/10.1192/bjb.2018.81DOI Listing
April 2019
23 Reads

The forgotten foundations: in core mental health services, no one can hear you scream.

Authors:
Andrew Moore

BJPsych Bull 2018 Dec 8;42(6):225-228. Epub 2018 Oct 8.

North Devon Community Mental Health Services (Sector A Team),Devon Partnership NHS Trust,UK.

SummaryThe Five Year Forward View for Mental Health (FYFVMH) was a welcome development in the emerging 'Parity of Esteem' agenda, but focused mainly on a select few specialist services; much more limited attention was given to 'core' general adult and older age mental health services, such as community mental health teams, crisis teams and in-patient units. This relative policy vacuum, when combined with prolonged financial pressures and limited informatics, has left core services vulnerable and struggling to meet growing demands, with little sense of hope, in contrast to some of the newer, 'shiny' specialist services growing around them. Policy makers need to recognise the growing crisis and take action, ensuring that any sequel to the FYFVMH redresses this imbalance by clearly prioritising core services as the vital foundations of the larger whole-system. Read More

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https://www.cambridge.org/core/product/identifier/S205646941
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http://dx.doi.org/10.1192/bjb.2018.79DOI Listing
December 2018
4 Reads

Barriers to using clozapine in treatment-resistant schizophrenia: systematic review.

BJPsych Bull 2019 Feb 28;43(1):8-16. Epub 2018 Sep 28.

Queen's University,Kingston,Canada.

Aims and methodTo systematically review the literature on barriers to the use of clozapine and identify any interventions for optimizing clozapine use in treatment-resistant schizophrenia. Journal databases were searched from 1972 to March 2018. The following search terms were used: treatment-resistant schizophrenia, clozapine, barriers, use, prescription rates, implementation, clozaril and prescribing practices. Read More

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http://dx.doi.org/10.1192/bjb.2018.67DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327301PMC
February 2019

Follow-up study of 6.5 years of admissions to a UK female medium secure forensic psychiatry unit.

BJPsych Bull 2019 Apr 27;43(2):54-57. Epub 2018 Sep 27.

South London and Maudsley Foundation Trust Forensic Services.

Aims and methodWe aimed to examine clinical and risk outcomes at follow-up, and reoffending and readmission rates, for a sample of 50 admissions to a female medium secure unit (MSU). Demographic, clinical risk assessment (HCR-20 and HoNOS-Secure) and quality of life data were collected using validated measures for all admissions to a female MSU ward in London, UK, between April 2008 and November 2014. RESULTS: All clinical and risk assessment scale scores had improved at follow-up. Read More

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http://dx.doi.org/10.1192/bjb.2018.77DOI Listing
April 2019
4 Reads

'Prescribing' psychotropic medication to our rivers and estuaries.

BJPsych Bull 2018 Sep 25:1-4. Epub 2018 Sep 25.

University of Portsmouth.

SummaryThe influence of pharmaceuticals on the environment is an increasing concern among environmental toxicologists. It is known that their growing use is leading to detectable levels in wastewater, conceivably causing harm to aquatic ecosystems. Psychotropic medication is one such group of substances, particularly affecting high-income countries. Read More

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http://dx.doi.org/10.1192/bjb.2018.72DOI Listing
September 2018
18 Reads

Adult safeguarding under the Care Act 2014.

BJPsych Bull 2019 Feb 24;43(1):38-42. Epub 2018 Sep 24.

Hertfordshire Partnership University NHS Foundation Trust.

SummarySafeguarding adults is everybody's business, and it is now standard practice for clinicians to undertake safeguarding training as part of their mandatory training in the UK. Nevertheless, safeguarding work is complex and can involve significant dilemmas for professionals. The Care Act 2014 has introduced a number of differences in the way safeguarding is approached, emphasising the overall well-being and choice of the patient rather than merely focusing on their safety. Read More

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http://dx.doi.org/10.1192/bjb.2018.71DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327289PMC
February 2019

The effect of a youth mental health service model on access to secondary mental healthcare for young people aged 14-25 years.

BJPsych Bull 2019 Feb 21;43(1):27-31. Epub 2018 Sep 21.

Department of Psychiatry,University of Cambridge, Cambridgeshire and Peterborough NHS Foundation Trust,UK.

Aims and methodThe Norfolk Youth Service was created in 2012 in response to calls to redesign mental health services to better meet the needs of young people. The new service model transcends traditional boundaries by creating a single, 'youth friendly' service for young people aged 14-25 years. The aim of this study was to investigate the effect of the transition to this new model on patterns of referral, acceptance and service use. Read More

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http://dx.doi.org/10.1192/bjb.2018.70DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327291PMC
February 2019
1 Read

Dear BJPsych Bulletin….

Authors:
Norman Poole

BJPsych Bull 2018 Oct;42(5):183

South West London and St George's Mental Health NHS Trust.

SummaryThe editor thanks the outgoing Correspondence Editor Greg Shields and welcomes Dr William Badenhorst as his successor. He reflects upon his own inadequacy as a letter writer in the hope it encourages others to be better.Declaration of interestNone. Read More

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http://dx.doi.org/10.1192/bjb.2018.57DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189979PMC
October 2018

An evaluation of sleep disturbance on in-patient psychiatric units in the UK.

BJPsych Bull 2018 Oct;42(5):193-197

Newcastle upon Tyne Hospitals NHS Foundation Trust,UK.

Aims and methodSleep disturbance is common on in-patient psychiatry wards. This study explored subjective and objective patterns of sleep disturbance and contributory environmental factors. Participants were recruited from mental health acute admission wards and had a range of subjective and objective assessments of sleep. Read More

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http://dx.doi.org/10.1192/bjb.2018.42DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189980PMC
October 2018
2 Reads

What leads to innovation in mental healthcare? Reflections on clinical expertise in a bureaucratic age.

Authors:
Neil Armstrong

BJPsych Bull 2018 Oct;42(5):184-187

University of Oxford,UK.

SummaryThis paper considers a witness seminar in which healthcare professionals discussed working on an acute admissions ward run along therapeutic community lines from the 1960s to the 1980s. Participants remarked that older styles of working are 'unimaginable' today. This paper discusses why. Read More

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https://www.cambridge.org/core/product/identifier/S205646941
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http://dx.doi.org/10.1192/bjb.2018.14DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189986PMC
October 2018
2 Reads

The assertive approach to clozapine: nasogastric administration.

BJPsych Bull 2019 Feb 18;43(1):21-26. Epub 2018 Sep 18.

Consultant Forensic Psychiatrist,Ashworth Hospital, Mersey Care NHS Foundation Trust,UK.

Aims and methodAn 'assertive approach' to clozapine, where nasogastric administration is approved, is assessed through a case-load analysis to provide the first systematic description of its use and outcomes worldwide. RESULTS: Five of the most extremely ill patients with treatment-resistant schizophrenia were established and/or maintained on clozapine, resulting in improvements to their mental state; incidents were reduced, segregation was terminated and progression to less restrictive environments was achieved.Clinical implicationsDespite being underutilised and rarely enforced, in extreme circumstances, an assertive approach to clozapine can be justified. Read More

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http://dx.doi.org/10.1192/bjb.2018.61DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327298PMC
February 2019
1 Read

Street triage services in England: service models, national provision and the opinions of police.

BJPsych Bull 2018 Dec 17;42(6):253-257. Epub 2018 Sep 17.

Oxford Health NHS Foundation Trust,Warneford Hospital,UK.

Aims and methodStreet triage services are increasingly common and part of standard responses to mental health crises in the community, but little is understood about them. We conducted a national survey of mental health trusts to gather detailed information regarding street triage services alongside a survey of Thames Valley police officers to ascertain their views and experiences. RESULTS: Triage services are available in most areas of the country and are growing in scope. Read More

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https://www.cambridge.org/core/product/identifier/S205646941
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http://dx.doi.org/10.1192/bjb.2018.62DOI Listing
December 2018
15 Reads

Review and update of the Health of the Nation Outcome Scales for Elderly People (HoNOS65+).

BJPsych Bull 2018 Dec 17;42(6):248-252. Epub 2018 Sep 17.

Thrive Psychology,New Zealand.

Aims and methodThe Health of the Nation Outcome Scales for Elderly People (HoNOS65+) has been used widely for 20 years, but has not been updated to reflect contemporary clinical practice. The Royal College of Psychiatrists convened an advisory board, with expertise from the UK, Australia and New Zealand, to propose amendments. The aim was to improve rater experience when using the HoNOS65+ glossary by removing ambiguity and inconsistency, rather than a more radical revision. Read More

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http://dx.doi.org/10.1192/bjb.2018.68DOI Listing
December 2018

Reforming care without bureaucracy.

Authors:
Peter Tyrer

BJPsych Bull 2018 Sep 12:1-2. Epub 2018 Sep 12.

Centre for Psychiatry,Imperial College,London,UK.

The Care Programme Approach was a valiant attempt to improve the aftercare of people with severe mental illness after discharge from hospital. It was introduced as a response to a scandal, not an advance in knowledge, and has always suffered by being a reaction to events rather than a trailblazer for the future. It may have dragged the worst of care upwards, but at the expense of creating a bureaucratic monstrosity that has hindered good practice by excessive attention to risk, and vastly increased paperwork with intangible benefit. Read More

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http://dx.doi.org/10.1192/bjb.2018.69DOI Listing
September 2018

Liaison psychiatry services in Wales.

BJPsych Bull 2019 Feb 7;43(1):17-20. Epub 2018 Sep 7.

Public Health Wales,1000 Lives Improvement,UK.

Aims and methodRecent funding from Welsh Government for mental health has helped to develop liaison psychiatry services in Wales. Systematic data collection was undertaken to map the liaison psychiatry services in Wales in collaboration with the Royal College of Psychiatrists in Wales and Public Health Wales 1000 Lives Improvement. A questionnaire was designed and circulated to all the health boards in Wales to gather information to map liaison psychiatry services in Wales. Read More

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https://www.cambridge.org/core/product/identifier/S205646941
Publisher Site
http://dx.doi.org/10.1192/bjb.2018.63DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327295PMC
February 2019
27 Reads

Depression, memory and electroconvulsive therapy.

Authors:
Rudi Coetzer

BJPsych Bull 2019 Apr 30;43(2):51-53. Epub 2018 Aug 30.

North Wales Brain Injury Service,Betsi Cadwaladr University Health Board NHS Wales,UK.

SummaryCurrent neuroscience suggests that although short-term memory difficulties frequently occur immediately after electroconvulsive therapy (ECT), longer-term problems are less common. However, gaps in our knowledge remain regarding longer-term cognitive problems after ECT, including memory function. Some of these relate to the complexities surrounding cognitive testing and interpretation of test results. Read More

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http://dx.doi.org/10.1192/bjb.2018.59DOI Listing
April 2019
7 Reads

Rethinking engagement.

Authors:
David Gilbert

BJPsych Bull 2019 Feb 29;43(1):4-7. Epub 2018 Aug 29.

InHealth Associates,UK.

People affected by health conditions bring insights and wisdom to transform healthcare - 'jewels from the caves of suffering'. Yet traditional patient and public engagement relies on (child-parent) feedback or (adolescent-parent) 'representative' approaches that fail to value this expertise and buffers patients' influence. This editorial outlines the emergence of 'patient leadership' and work in the Sussex Musculoskeletal Partnership, its patient director (the first such role in the National Health Service) and a group of patient/carer partners, who are becoming equal partners in decision-making helping to reframe problems, generate insight, shift dynamics and change practice within improvement and governance work. Read More

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https://www.cambridge.org/core/product/identifier/S205646941
Publisher Site
http://dx.doi.org/10.1192/bjb.2018.55DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327288PMC
February 2019
32 Reads