Handbook of Secure Care [Reviews]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - December 1, 2017 Category: Psychiatry Authors: Thomson, L. Tags: Reviews Source Type: research
Soft diagnosis, guidelines and hard choices [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - December 1, 2017 Category: Psychiatry Authors: Antczak, K., Cummings, E. Tags: Correspondence Source Type: research
'Burnout syndrome - from nosological indeterminacy to epidemiological nonsense [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - December 1, 2017 Category: Psychiatry Authors: Bianchi, R., Schonfeld, I. S., Laurent, E. Tags: Correspondence Source Type: research
Living with obsessional personality [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - December 1, 2017 Category: Psychiatry Authors: Rowland, T. A., Jainer, A. K., Panchal, R. Tags: Correspondence Source Type: research
Clozapine withdrawal syndrome [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - December 1, 2017 Category: Psychiatry Authors: Breen, E. G. Tags: Correspondence Source Type: research
Profile. The constant psychiatrist: an interview with Michael Kopelman [Perspectives]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - December 1, 2017 Category: Psychiatry Authors: Poole, N. Tags: Perspectives Source Type: research
Measuring relational security in forensic mental health services [Current Practice]
This study analysed the psychometric properties of two relational security tools, the See Think Act (STA) scale and the Relational Security Explorer (RSE).
Results The STA scale had good internal consistency and could highlight differences between occupational groups, whereas the RSE did not perform well as a psychometric measure.
Clinical implications The measures provide unique and complimentary perspectives on the quality of relational security within secure services, but have some limitations. Use of the RSE should be restricted to its intended purpose; to guide team discussions about relational security, and services ...
Source: Psychiatric Bulletin - December 1, 2017 Category: Psychiatry Authors: Chester, V., Alexander, R. T., Morgan, W. Tags: Current Practice Source Type: research
Mental Capacity Act (Northern Ireland) 2016 [Current Practice]
Mental health legislation in Northern Ireland has always been separate from legislation in the rest of the UK; the Mental Health (Northern Ireland) Order (MHO) had been in place since 1986. In common with other jurisdictions, this legislation utilises the presence of mental disorder and risk as criteria for detention and involuntary treatment. The MHO has been replaced by the Mental Capacity Act (Northern Ireland) 2016 (MCA), an example of ‘fusion’ legislation in which impairment of decision-making capacity and best interests are the only criteria to be used when making decisions across health and social care. ...
Source: Psychiatric Bulletin - December 1, 2017 Category: Psychiatry Authors: Lynch, G., Taggart, C., Campbell, P. Tags: Current Practice Source Type: research
Systematic review into factors associated with the recruitment crisis in psychiatry in the UK: students', trainees' and consultants' views [Review Article]
Aims and method To review the literature to examine the factors that may be affecting recruitment into psychiatry in the UK. We systematically searched four databases to identify studies from 1974 to 2016 and identified 27 papers that met the specified inclusion criteria.
Results Most papers (n = 24) were based on questionnaire surveys. The population in all studies comprised of 1879 psychiatrists, 6733 students and 220 746 trainees. About 4–7% of students opt for a career in psychiatry. Enrichment activities helped to attract students more towards psychiatry than just total time spent in the specialty. Job content i...
Source: Psychiatric Bulletin - December 1, 2017 Category: Psychiatry Authors: Choudry, A., Farooq, S. Tags: Review Article Source Type: research
New models of care: a liaison psychiatry service for medically unexplained symptoms and frequent attenders in primary care [Original papers]
Aims and method This paper describes the process of setting up and the early results from a new liaison psychiatry service in primary care for people identified as frequent general practice attenders with long-term conditions or medically unexplained symptoms. Using a rapid evidence synthesis, we identified existing service models, mechanisms to identify and refer patients, and outcomes for the service. Considering this evidence, with local contingencies we defined options and resources. We agreed a model to set up a service in three diverse general practices. An evaluation explored the feasibility of the service and of co...
Source: Psychiatric Bulletin - December 1, 2017 Category: Psychiatry Authors: Bestall, J., Siddiqi, N., Heywood-Everett, S., Freeman, C., Carder, P., James, M., Kennedy, B., Moulson, A., House, A. Tags: Original papers Source Type: research
Weekend new patient reviews in psychiatry: evaluation of activity over 3 months [Original papers]
Aims and method South West London and St George's Mental Health NHS Trust developed a system of weekend new patient reviews by higher trainees to provide senior medical input 7 days a week. To evaluate the effectiveness of these reviews, the notes for all patients admitted over 3 months were examined. The mean length of stay for patients before and after the introduction of the weekend new patient reviews were compared via unpaired t-test.
Results A total of 88 patients were seen: 84.4% of patients were seen within 24 h of admission. Higher trainees instituted some changes in 78.9% of patients. The most frequent action was...
Source: Psychiatric Bulletin - December 1, 2017 Category: Psychiatry Authors: Rutherford, M., Potter, M. Tags: Original papers Source Type: research
A service evaluation of outcomes in two in-patient recovery units [Original papers]
Aims and method To evaluate outcomes for patients during their admission or in the first year of treatment in two in-patient recovery units. Changes in health and social functioning, service use and need (rated by patients and staff) were evaluated.
Results In 43 patients treated, there was a large (30%) increase in patients discharged to their own tenancies, rather than supported accommodation. There was minimal change in Health of the Nation Outcome Scales (HoNOS) scores in the course of the admission but staff- and patient-rated unmet needs reduced and met needs increased. Needs changed mainly in domains relating to soc...
Source: Psychiatric Bulletin - December 1, 2017 Category: Psychiatry Authors: Macpherson, R., Calciu, C., Foy, C., Humby, K., Lozynskyj, D., Garton, C., Steer, H., Elliott, H. Tags: Original papers Source Type: research
Assessing the second-hand effects of a new no-smoking policy in an acute mental health trust [Original papers]
Aims and method To examine whether a new no-smoking policy in an in-patient mental health setting had any effects outside of smoking cessation. Our hypothesis stated that a forced smoking ban for in-patients may result in an increased susceptibility for clinical incidents, aggression and lower admission rates. All patients admitted to adult in-patient mental health services in Coventry and Warwickshire Partnership NHS Trust were included in the analysis. Data 6 months post-implementation of the smoking policy (1 July 2015 to 1 January 2016) were compared with the same period 1 year prior (1 July 2014 to 1 January 2015). Pa...
Source: Psychiatric Bulletin - December 1, 2017 Category: Psychiatry Authors: Perry, B. I., Meehan, K., Jainer, A. K. Tags: Original papers Source Type: research
National survey of training of psychiatrists on advance directives to refuse treatment in bipolar disorder [Original papers]
Aims and method To determine features associated with better perceived quality of training for psychiatrists on advance decision-making in the Mental Capacity Act 2005 (MCA), and whether the quality or amount of training were associated with positive attitudes or use of advance decisions to refuse treatment (ADRTs) by psychiatrists in people with bipolar disorder. An anonymised national survey of 650 trainee and consultant psychiatrists in England and Wales was performed.
Results Good or better quality of training was associated with use of case summaries, role-play, ADRTs, assessment of mental capacity and its fluctuation...
Source: Psychiatric Bulletin - December 1, 2017 Category: Psychiatry Authors: Morriss, R., Mudigonda, M., Bartlett, P., Chopra, A., Jones, S. Tags: Original papers Source Type: research
Implementation of a novel primary care pathway for patients with severe and enduring mental illness [Original papers]
Aims and method New collaborative care models with an emphasis on primary care are required for long-term management of patients with severe and enduring mental illness (SMI). We conducted a descriptive evaluation of clinical outcomes of the first 3 years of a novel enhanced primary care (EPC) service. Data from 2818 patients and staff survey results were analysed.
Results 2310 patients were discharged to EPC (508 not assessed as clinically suitable or patients/general practitioners declined the transfer); mean length of stay with secondary care service of the cohort was 9.8 years (range 0–24). 717 patients (31%) hav...
Source: Psychiatric Bulletin - December 1, 2017 Category: Psychiatry Authors: Röhricht, F., Waddon, G. K., Binfield, P., England, R., Fradgley, R., Hertel, L., James, P., Littlejohns, J., Maher, D., Oppong, M. Tags: Original papers Source Type: research
