The outcomes of home treatment for borderline personality disorder [Original papers]
Aims and method There is currently no trial or other scientific evidence informing the efficacy of any crisis intervention for people with borderline personality disorder (BPD). We aimed to assess the patterns of service use by patients with BPD taken on for crisis resolution and home treatment between 2010 and 2013. Patients with a diagnosis of BPD were identified and demographic and clinical data were collected.
Results All patients were female, and a high proportion had recurrent presentations to crisis and home treatment services in Edinburgh. Many appeared to benefit from intensive home treatment, as measured by the C...
Source: Psychiatric Bulletin - November 30, 2016 Category: Psychiatry Authors: Turhan, S., Taylor, M. Tags: Original papers Source Type: research
Sectioning on the street - futility or utility? [Original papers]
Aims and method A service evaluation was undertaken to examine outcomes in patients who were street homeless (‘rough sleepers’) and who were compulsorily admitted to hospital under the Mental Health Act 1983. The data were collected from the patients' case notes.
Results At 1-year follow-up, patients had positive outcomes in areas such as accommodation status, registration with a general practitioner and engagement with the clinical team.
Clinical implications The study shows that the intervention of a Mental Health Act assessment and compulsory hospital admission in homeless people on the street is associated ...
Source: Psychiatric Bulletin - November 30, 2016 Category: Psychiatry Authors: Timms, P., Perry, J. Tags: Original papers Source Type: research
Job stress and burnout in the care staff of Leros PIKPA Asylum 25 years after the first Deinstitutionalisation and Rehabilitation Greek Project [Original papers]
Aims and method To identify correlates between burnout and job stress of care staff at Leros PIKPA Asylum. Forty-nine asylum employees were assessed by Maslach's Burnout Inventory, a sociodemographic questionnaire, the Perceived Stress Scale and the Job Content Questionnaire.
Results Emotional exhaustion is related negatively to social support (P = 0.010, r = –0.362). Lack of job achievements is related positively to overall job responsibility (P = 0.040) and negatively to lack of job satisfaction (r = –0.430). Depersonalisation was negatively associated with support from superiors (P = 0.036). Employees with h...
Source: Psychiatric Bulletin - November 30, 2016 Category: Psychiatry Authors: Bougea, A., Kleisarchakis, M. K., Spantideas, N., Voskou, P., Thomaides, T., Chrousos, G., Belegri, S. A. Tags: Original papers Source Type: research
No such thing as mental illness? Critical reflections on the major ideas and legacy of Thomas Szasz [Editorials]
Enfant terrible of psychiatry and widely known as one of its most indefatigable as well as iconoclastic critics, Thomas Szasz (1961–2012) had a prolific writing career that extended some 51 years beyond the publication of his first book, The Myth of Mental Illness, in 1961. This editorial identifies and critically discusses three major themes in Szasz's writings: his contention that there is no such thing as mental illness, his contention that individual responsibility is never compromised in those suffering from what is generally considered as mental illness, and his perennial interest in calling attention to the po...
Source: Psychiatric Bulletin - November 30, 2016 Category: Psychiatry Authors: Benning, T. B. Tags: Editorials Source Type: research
Mindfulness in psychiatry - where are we now? [Editorials]
Mindfulness is an increasingly popular therapeutic approach. Mindfulness-based interventions have been tried out in a wide range of mental disorders, with the strongest evidence for use in depression and anxiety. Mindfulness operates by changing the person's relationship with unhelpful thoughts and emotions. The need for home practice is both a strength and a weakness. Some find home practice too demanding and a barrier to effective utilisation of mindfulness. Others discover a set of practical tools that, once learnt, can be applied to ongoing life difficulties; in this way mindfulness may have a place in promoting recove...
Source: Psychiatric Bulletin - November 30, 2016 Category: Psychiatry Authors: Groves, P. Tags: Editorials Source Type: research
Dr Sabina Strich BCh, DM, MRCPath, MRCP, FRCPsych: Formerly Honorary Consultant Neuropathologist, The Bethlem Royal andThe Maudsley hospitals, Reader in Neuropathology, Institute of Psychiatry and Consultant Child and Adolescent Psychiatrist, Croydon Child Guidance Clinic [Obituaries]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2016 Category: Psychiatry Authors: Agulnik, P. Tags: Obituaries Source Type: research
Ian Reid MB, ChB, PhD, FRCPsych: Formerly Professor of Mental Health and Head of Department, School of Medicine and Dentistry, University of Aberdeen [Obituaries]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2016 Category: Psychiatry Authors: Hamilton, R., Palin, A. Tags: Obituaries Source Type: research
Correction [Correction]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2016 Category: Psychiatry Tags: Correction Source Type: research
Author's reply [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2016 Category: Psychiatry Authors: Minton, O. Tags: Correspondence Source Type: research
Guidance on advance care planning [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2016 Category: Psychiatry Authors: Waite, J. Tags: Correspondence Source Type: research
Terrorism: it's not mental illness - it's politics [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2016 Category: Psychiatry Authors: McGarry, P. J. Tags: Correspondence Source Type: research
Paracetamol and risk factors in Newcastle [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2016 Category: Psychiatry Authors: Macdonald, A. J. Tags: Correspondence Source Type: research
The Foundation Programme in psychiatry: a qualitative study into the effects of a foundation placement [Education & training]
Aims and method There is a drive to increase the number of psychiatry foundation placements to ensure that training keeps up with the changing health and social care landscape. This qualitative study aimed to explore, by interview, the experiences of 17 doctors who have completed a foundation placement in psychiatry.
Results The study highlights the benefits of foundation psychiatry placements and some of their positive and negative aspects.
Clinical implications Those developing foundation placements will need to ensure they are of high quality. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2016 Category: Psychiatry Authors: Boyle, A., Davies, S., Dogra, N., Perry, J., Fosker, H. Tags: Education & amp; training Source Type: research
Digitally enabled patients, professionals and providers: making the case for an electronic health record in mental health services [Special articles]
This article gives a brief definition and history of what is meant by an electronic health record (EHR). There is some evidence of benefits in a number of areas, including legibility, accuracy and the secondary use of information, but there is a need for further research, which may need to use different methodologies to analyse the impact an EHR has on patients, professionals and providers. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2016 Category: Psychiatry Authors: Richardson, J., McDonald, J. Tags: Special articles Source Type: research
Narratives of experience of mental health and illness on healthtalk.org [Special articles]
This article sets out evidence for the positive and negative effects of online mental health information and describes the methodology behind healthtalk.org, with an overview of the mental health information it provides and how it can benefit patients and health professionals. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2016 Category: Psychiatry Authors: Kidd, J., Ziebland, S. Tags: Special articles Source Type: research
