Women in acute psychiatric units, their characteristics and needs: a review [Reviews Articles]
This article aims to review the current literature on what is known about this group of patients. PubMed, Embase and PsycINFO were systematically searched using a number of key terms.
Results A total of 27 articles were obtained. The findings were divided into four categories: admission characteristics, treatment needs, risk management and outcomes after discharge. Gender differences were found in diagnosis and presentation.
Clinical implications The differences observed in the reviewed studies suggest that women may have different assessment and treatment needs, and ultimately, different philosophies of care. A dearth of ...
Source: Psychiatric Bulletin - October 2, 2016 Category: Psychiatry Authors: Archer, M., Lau, Y., Sethi, F. Tags: Reviews Articles Source Type: research
An acute in-patient psychiatric service for 16- to 17-year-old adolescents in the UK: a descriptive evaluation [Reviews Articles]
Aims and method The need for an age-appropriate in-patient service for 16- to 17-year-olds led to the development of a 6-bed acute admissions unit in a non-metropolitan county in the UK. We provide a descriptive evaluation of the first 2 years of its operation. All admissions from April 2010 to March 2012 were reviewed, clinical details systematically recorded and descriptively analysed.
Results Ninety-seven young people were admitted during this period (a third were compulsorily detained under the Mental Health Act 1983). The average length of stay was 3–4 weeks. The most common presenting complaints were self-harm ...
Source: Psychiatric Bulletin - October 2, 2016 Category: Psychiatry Authors: Duddu, V., Rhouma, A., Qureshi, M., Chaudhry, I. B., Drake, T., Sumra, A., Husain, N. Tags: Reviews Articles Source Type: research
Medical comorbidity and projected survival in patients admitted to a specialist addictions in-patient unit [Original papers]
Aims and method To investigate the burden of medical comorbidity in a population receiving in-patient treatment for drug and alcohol problems. All patients admitted over a 6-month period were included in the data-set. We recorded diagnostic information on admission that allowed the calculation of predicted 10-year survival using a previously validated comorbidity index.
Results Despite the majority of the sample having a predicted 10-year survival chance of greater than 75%, a sizeable minority (16.7%) are carrying a high burden of medical comorbidity, with a predicted 10-year survival chance of less than 50%. More than ha...
Source: Psychiatric Bulletin - October 2, 2016 Category: Psychiatry Authors: Mogford, D. V., Lawrence, R. J. Tags: Original papers Source Type: research
Psychiatrists' follow-up of identified metabolic risk: a mixed-method analysis of outcomes and influences on practice [Original papers]
Aims and method To describe and explain psychiatrists' responses to metabolic abnormalities identified during screening. We carried out an audit of clinical records to assess rates of monitoring and follow-up practice. Semi-structured interviews with 36 psychiatrists followed by descriptive and thematic analyses were conducted.
Results Metabolic abnormalities were identified in 76% of eligible patients screened. Follow-up, recorded for 59%, was variable but more likely with four or more abnormalities. Psychiatrists endorse guidelines but ambivalence about responsibility, professional norms, resource constraints and skills ...
Source: Psychiatric Bulletin - October 2, 2016 Category: Psychiatry Authors: Patterson, S., Freshwater, K., Goulter, N., Ewing, J., Leamon, B., Choudhary, A., Moudgil, V., Emmerson, B. Tags: Original papers Source Type: research
Compliance of community teams with specialist service recommendations for obsessive-compulsive and body dysmorphic disorders [Original papers]
Aims and method To examine how often referring community mental health teams (CMHTs) utilised treatment recommendations made by the national highly specialised service for patients with severe obsessive–compulsive disorder (OCD) and body dysmorphic disorder (BDD). We analysed all patient notes for admissions to the unit (August 2012–August 2014) and recorded how many treatment recommendations were implemented by CMHTs prior to admission and at 6 months post-discharge.
Results Overall, 66% of our recommendations were met by CMHTs prior to admission and 74% after discharge. Most recommendations concerned medicati...
Source: Psychiatric Bulletin - October 2, 2016 Category: Psychiatry Authors: Harris, P. M., Drummond, L. M. Tags: Original papers Source Type: research
The application of Rasch measurement theory to psychiatric clinical outcomes research: Commentary on ... Screening for depression in primary care [Original papers]
This commentary argues the importance of robust, meaningful assessment of clinical and functional outcomes in psychiatry. Outcome assessments should be fit for the purpose of measuring relevant concepts of interest in specific clinical settings. As well, the measurement model selected to develop and test assessments can be critical for guiding care. Three types of measurement models are presented: classical test theory, item response theory, and Rasch measurement theory. To optimise current diagnostic and treatment practices in psychiatry, careful consideration of these models is warranted.. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2016 Category: Psychiatry Authors: Barbic, S. P., Cano, S. J. Tags: Original papers Source Type: research
Screening for depression in primary care: a Rasch analysis of the PHQ-9 [Original papers]
Aims and method To explore the modern psychometric properties of the Patient Health Questionnaire (PHQ-9), we used the Rasch analysis in a sample of 767 primary care patients with depression.
Results The analysis highlighted dependency issues between items 1 and 2 (‘Little interest or pleasure in doing things' and ‘Feeling down, depressed, or hopeless’), and items 3 and 4 (‘Trouble falling or staying asleep, or sleeping too much’ and ‘Feeling tired or having little energy’). Items 1 and 2 displayed an over-discrimination, suggesting their potential redundancy within the complete it...
Source: Psychiatric Bulletin - October 2, 2016 Category: Psychiatry Authors: Horton, M., Perry, A. E. Tags: Original papers Source Type: research
Evolutionary psychiatry: a new College special interest group [Editorials]
Evolutionary science remains an overlooked area in psychiatry and medicine. The newly established Royal College of Psychiatrists' Evolutionary Psychiatry Special Interest Group aims to reverse this trend by raising the profile of evolutionary thinking among College members and others further afield. Here we provide a brief outline of the importance of the evolutionary approach to both the theory and practice of psychiatry and for future research. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2016 Category: Psychiatry Authors: Abed, R., St John-Smith, P. Tags: Editorials Source Type: research
Dr James Joseph Cockburn, FRCPsych, FRCPI: Formerly Consultant Psychiatrist, Long Grove and Kingston hospitals [Obituaries]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - July 31, 2016 Category: Psychiatry Authors: Cockburn, A., Bowey-Cockburn, O. Tags: Obituaries Source Type: research
Authors' reply: psychiatrists' use of formulation [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - July 31, 2016 Category: Psychiatry Authors: Mohtashemi, R., Stevens, J., Jackson, P. G., Weatherhead, S. Tags: Correspondence Source Type: research
Mental Health Officer status and recruitment in psychiatry [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - July 31, 2016 Category: Psychiatry Authors: Van Hoorn, A. C., Sharaf, A. Tags: Correspondence Source Type: research
Female genital mutilation and mental health: how can research help the victims? [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - July 31, 2016 Category: Psychiatry Authors: Alachkar, M. Tags: Correspondence Source Type: research
Julia Bland interviews a group of anonymous (and frank) core trainees in psychiatry [Perspectives]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - July 31, 2016 Category: Psychiatry Authors: Bland, J. Tags: Perspectives Source Type: research
Profile: Professor Ian Jones [Perspectives]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - July 31, 2016 Category: Psychiatry Authors: Bland, J. Tags: Perspectives Source Type: research
The expansion of the Foundation Programme in psychiatry [Education & training]
The Broadening the Foundation Programme report has led to an expansion in the number of psychiatry foundation placements. This change will have far-reaching benefits for foundation doctors doing psychiatry, no matter what their future career intentions. Doctors will develop a better understanding of mental illness, they will improve their communication skills and they will gain experience of working within multidisciplinary teams. Recruitment into psychiatry is also likely to improve. The Royal College of Psychiatrists is putting in place a number of measures to ensure that placements are of a high quality so that foundati...
Source: Psychiatric Bulletin - July 31, 2016 Category: Psychiatry Authors: Perry, J., Boyle, A., Wessely, S. Tags: Education & amp; training Source Type: research
