Shared decision-making in medication management: development of a training intervention [Education & training]
Shared decision-making is a collaborative process in which clinicians and patients make treatment decisions together. Although it is considered essential to patient-centred care, the adoption of shared decision-making into routine clinical practice has been slow, and there is a need to increase implementation. This paper describes the development and delivery of a training intervention to promote shared decision-making in medication management in mental health as part of the Shared Involvement in Medication Management Education (ShIMME) project. Three stakeholder groups (service users, care coordinators and psychiatrists) ...
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Stead, U., Morant, N., Ramon, S. Tags: Education & amp; training Source Type: research
Drug information update. Lithium and chronic kidney disease: debates and dilemmas [Special articles]
This article discusses the current evidence base regarding the link between lithium and chronic kidney disease, monitoring of renal functions and its clinical implications. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Gupta, S., Khastgir, U. Tags: Special articles Source Type: research
Drug information update. Atypical antipsychotics and neuroleptic malignant syndrome: nuances and pragmatics of the association [Special articles]
This article briefly discusses the evidence relating to the occurrence, presentation and management of NMS induced by atypical antipsychotics. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Sarkar, S., Gupta, N. Tags: Special articles Source Type: research
Prevent: what is pre-criminal space? [Special articles]
This article examines pre-criminal space, a new term which refers to a period of time during which a person is referred to a specific Prevent-related safeguarding panel, Channel. It is unclear what the concept of pre-criminal space adds to the Prevent programme. The term should be either clarified or removed from the Framework. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Goldberg, D., Jadhav, S., Younis, T. Tags: Special articles Source Type: research
The impact of transforming care on the care and safety of patients with intellectual disabilities and forensic needs [Special articles]
NHS England recently published a national plan to develop community services for people with intellectual disabilities and autism who display challenging behaviour by using resources from the closure of a large number of hospital beds. An ambitious timescale has been set to implement this plan. The bed closure programme is moving ahead rapidly, but there has been little progress in developing community services to support it. This paper discusses the impact of the gap between policy and practice on the care and safety of patients with intellectual disabilities and forensic needs who form a distinct subgroup of the target p...
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Taylor, J. L., McKinnon, I., Thorpe, I., Gillmer, B. T. Tags: Special articles Source Type: research
Burnout and psychiatric morbidity among doctors in the UK: a systematic literature review of prevalence and associated factors [Review Article]
Aims and method To systematically review the prevalence and associated factors of burnout and stress-related psychiatric disorders among UK doctors. An extensive search was conducted of PubMed, EBSCOhost and British medical journals for studies published over a 20-year span measuring the prevalence of psychiatric morbidity (using the General Health Questionnaire) and burnout (using the Maslach Burnout Inventory).
Results Prevalence of psychiatric morbidity ranged from 17 to 52%. Burnout scores for emotional exhaustion ranged from 31 to 54.3%, depersonalisation 17.4 to 44.5% and low personal accomplishment 6 to 39.6%. Gener...
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Imo, U. O. Tags: Review Article Source Type: research
Flexible assertive community treatment (FACT) model in specialist psychosis teams: an evaluation [Original papers]
Aims and method The impact of flexible assertive community treatment (FACT) has been observed in people previously supported by assertive community treatment (ACT) teams, but its effect on those previously with a community mental health team (CMHT) has not been studied in the UK. An observational study was conducted of 380 people from 3 CMHTs and 95 people from an ACT team, all with a history of psychosis, following service reconfiguration to 3 FACT teams.
Results People previously with a CMHT required less time in hospital when the FACT model was introduced. A smaller reduction was observed in people coming from the ACT t...
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Sood, L., Owen, A., Onyon, R., Sharma, A., Nigriello, J., Markham, D., Seabrook, H. Tags: Original papers Source Type: research
Evaluation of the 13-item Hypomania Checklist and a brief 3-item manic features questionnaire in primary care [Original papers]
Aims and method The mean delay for bipolar disorder diagnosis is 10 years. Identification of patients with previous hypomania is challenging, sometimes resulting in misdiagnosis. The aims of this study were: (a) to estimate the proportion of primary care patients with depression currently taking antidepressants who have undiagnosed bipolar disorder and (b) to compare a brief 3-item manic features questionnaire with the Hypomania Checklist (HCL-13). The sample comprised patients with a recorded diagnosis of depression, either on long-term antidepressant therapy or with previous multiple courses of antidepressants.
Results O...
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Singh, S., Scouller, P., Smith, D. J. Tags: Original papers Source Type: research
Falls in Scottish homicide: lessons for homicide reduction in mental health patients [Editorials]
The sustained fall in Scottish homicide rates follows crime reduction measures informed by the epidemiology of suicide. The violence reduction unit targeted young men carrying knives in public. The restriction of weapons immediately to hand appears to have caused an absolute fall in homicide just as suicide reduction was observed following changes to domestic gas supply. Further homicide reduction may be accomplished in the domestic setting with targeted changes in kitchen knife design in home safety planning for high-risk households. Most commonly homicides involving those in recent contact with mental health services in ...
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Crichton, J. H. M. Tags: Editorials Source Type: research
MCQs in Psychiatry for Medical Students [Reviews]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - June 1, 2017 Category: Psychiatry Authors: Dash, S. Tags: Reviews Source Type: research
Mental Health in the Digital Age: Grave Dangers, Great Promise [Reviews]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - June 1, 2017 Category: Psychiatry Authors: Zhang, M. W. B. Tags: Reviews Source Type: research
Dr Robert George (Rob) Jones FRCPsych: Formerly Honorary Professor of Old Age Psychiatry, University of Nottingham [Obituaries]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - June 1, 2017 Category: Psychiatry Authors: Dening, T., Arie, T. Tags: Obituaries Source Type: research
Post-flight confusion [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - June 1, 2017 Category: Psychiatry Authors: Rands, G. Tags: Correspondence Source Type: research
Capacity assessments - diagnosis is misleading [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - June 1, 2017 Category: Psychiatry Authors: Behr, G. M. Tags: Correspondence Source Type: research
Personalisation and social care assessment - the Care Act 2014 [Current Practice]
The Care Act 2014 represents a significant change in legislation in England. For the first time it brings together various aspects of adult social care into a single statute succeeding earlier acts and policy. Given its importance to the lives of service users and carers, clinicians need to have a clear understanding of its implications. We provide an overview of why it was developed, its underlying principles and international comparisons, as well as implications for assessments, interventions and outcomes. The impact on the lives of patients and carers is discussed, as well as dilemmas and challenges the Act presents. Wh...
Source: Psychiatric Bulletin - June 1, 2017 Category: Psychiatry Authors: Barnes, D., Boland, B., Linhart, K., Wilson, K. Tags: Current Practice Source Type: research
