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Royal College of Psychiatrists adds voice to concerns over NICE guidance on depression
(Source: BMJ News)
Source: BMJ News - May 31, 2019 Category: General Medicine Source Type: research

Pragmatic neuroscience for clinical psychiatry.
Authors: Steele JD, Paulus MP Abstract SummaryMental health and substance use disorders are the leading cause of long-term disability and a cause of significant mortality, worldwide. However, it is widely recognised that clinical practice in psychiatry has not fundamentally changed for over half a century. The Royal College of Psychiatrists is reviewing its trainee curriculum to identify neuroscience that relates to psychiatric practice. To date though, neuroscience has had very little impact on routine clinical practice. We discuss how a pragmatic approach to neuroscience can address this problem together...
Source: The British Journal of Psychiatry for Mental Science - April 23, 2019 Category: Psychiatry Tags: Br J Psychiatry Source Type: research

Developing an Intervention to Improve the Health Related Quality of Life in Children and Young People With Serious Parental Mental Illness
Conclusion: Young SMILES captures a broad age range and level of need for CAPRI and can be evaluated with quantifiable child-centered outcomes. In line with current policy directives, this is the first UK-based, multi-context intervention to improve QoL in this population. Implementation and referral mechanisms are currently being evaluated in a multi-site feasibility trial. Introduction Children and adolescents living with parental mental illness (CAPRI) are poorly provided for in current social care and educational settings (1, 2). Children and young people (CYP) growing up in families affected by parental mental h...
Source: Frontiers in Psychiatry - April 8, 2019 Category: Psychiatry Source Type: research

Integrated care in mental health: next steps after the NHS Long Term Plan.
We describe key aspects of integration that need addressing.Declaration of interestD.K.T. and S.S.S. are on the editorial board of the British Journal of Psychiatry and executives of the Academic Faculty at the Royal College of Psychiatrists. A.J.B.J., H.P. and Z.M. have roles at the Royal College of Psychiatrists that include evaluation of integrated care systems. A.J.B.J. is married to Dr Sarah Wollaston, Member of Parliament for Totnes and Chair of the Health Select Committee. PMID: 30832746 [PubMed - as supplied by publisher] (Source: The British Journal of Psychiatry for Mental Science)
Source: The British Journal of Psychiatry for Mental Science - March 7, 2019 Category: Psychiatry Tags: Br J Psychiatry Source Type: research

Cognitive deficits in problematic internet use: meta-analysis of 40 studies.
CONCLUSIONS: PIU is associated with decrements across a range of neuropsychological domains, irrespective of geographical location, supporting its cross-cultural and biological validity. These findings also suggest a common neurobiological vulnerability across PIU behaviours, including gaming, rather than a dissimilar neurocognitive profile for internet gaming disorder.Declaration of interestS.R.C. consults for Cambridge Cognition and Shire. K.I.'s research activities were supported by Health Education East of England Higher Training Special interest sessions. A.E.G.'s research has been funded by Innovational grant (VIDI-s...
Source: The British Journal of Psychiatry for Mental Science - February 21, 2019 Category: Psychiatry Tags: Br J Psychiatry Source Type: research

Psychiatrists, spirituality and religion.
Authors: Poole R, Cook CCH, Higgo R Abstract SummaryThe consensus within psychiatry is that patients' religion/spirituality are legitimate topics in assessment and treatment. Religion/spirituality can help people cope with mental illness, but their use as therapeutic tools is controversial. Despite the publication of position statements by national and international psychiatric organisations, there is no clarity over therapeutic boundaries.Declaration of interestR.P. and R.H. are atheists. C.C.H.C. is an ordained Anglican and a past Chair of the Royal College of Psychiatrists Spirituality and Psychiatry Sp...
Source: The British Journal of Psychiatry for Mental Science - November 19, 2018 Category: Psychiatry Tags: Br J Psychiatry Source Type: research

Awareness, attitudes, skills and training needs of psychiatrists working with adults with intellectual disability in managing epilepsy
ConclusionThere are significant implications on training, both pre- and post- accreditation for the ID psychiatry speciality. The CR203 standards appear to be steps in the right direction to help define the role ID psychiatrists have in the delivery of epilepsy care. (Source: Seizure)
Source: Seizure - November 15, 2018 Category: Neurology Source Type: research

Mental health outcomes at the end of the British involvement in the Iraq and Afghanistan conflicts: a cohort study.
CONCLUSIONS: The findings highlight an increasing prevalence of post-traumatic stress disorder and a lowering prevalence of alcohol misuse compared with our previous findings and stresses the importance of continued surveillance during service and beyond. DECLARATION OF INTEREST: All authors are based at King's College London which, for the purpose of this study and other military-related studies, receives funding from the UK Ministry of Defence (MoD). S.A.M.S., M.J., L.H., D.P., S.M. and R.J.R. salaries were totally or partially paid by the UK MoD. The UK MoD provides support to the Academic Department of Military...
Source: The British Journal of Psychiatry for Mental Science - October 10, 2018 Category: Psychiatry Tags: Br J Psychiatry Source Type: research

Royal College of Psychiatrists Liaison Faculty & Joint British Diabetes Societies (JBDS): guidelines for the management of diabetes in adults and children with psychiatric disorders in inpatient settings
Diabetic Medicine,Volume 35, Issue 8, Page 997-1004, August 2018. (Source: Diabetic Medicine)
Source: Diabetic Medicine - July 17, 2018 Category: Endocrinology Authors: H. C. Price , K. Ismail , on behalf of , B. Allan , E. Castro , U. Dashora , K. Dhatariya , D. Flanagan , S. George , R. Gregory , J. James , D. Jones , A. Lewis , O. Mustafa , G. Rayman , S. Ritchie , A. Roberts , M. Source Type: research

Prison psychiatry: is the training experience safe?
The Journal of Mental Health Training, Education and Practice, Ahead of Print. Purpose Training in the prison settings is a mandatory part of higher training in forensic psychiatry. Violence in prisons is a recognised issue, which can impact on trainee safety and overall training experience. The Royal College of Psychiatrists have produced guidelines regarding the safety of the environment in inpatient mental health settings, but there is currently no such guidance regarding the prison setting. The purpose of this paper is to report on a survey of UK-based ST4-6 trainees in forensic psychiatry regarding their training exp...
Source: The Journal of Mental Health Training, Education and Practice - May 11, 2018 Category: Psychiatry & Psychology Source Type: research

[Editorial] Solitary confinement of children and young people
Last week, in a joint statement, the British Medical Association (BMA), the Royal College of Psychiatrists, and the Royal College of Paediatrics and Child Health called for an end to the solitary confinement of children and young people held in UK detention facilities. According to a survey from the HM Inspectorate of Prisons, 38% of boys detained in the UK have spent time in solitary confinement, physically and socially isolated from others, with almost no purposeful interaction or environmental stimuli, for periods that can stretch for up to 80 days. (Source: LANCET)
Source: LANCET - April 27, 2018 Category: General Medicine Authors: The Lancet Tags: Editorial Source Type: research

The provision of care to adults with an intellectual disability in the UK. A Special report from the intellectual disability UK chapter ILAE
Conclusion This investigation identifies key themes and recommendations relating to care delivery and meeting the complex needs of people with ID and epilepsy. Adults with ID and epilepsy appear to exist in a unique, but inadequate, segment of epilepsy care delivery. (Source: Seizure)
Source: Seizure - March 16, 2018 Category: Neurology Source Type: research

Nursing in psychiatric inpatient wards: plus ça change, plus c’est la même chose
Professor Dinesh Bhugra, on becoming the President of the United Kingdom ’s Royal College of Psychiatrists in 2008, described many inpatient units as ‘unsafe, overcrowded and uninhabitable’ to the point that he ‘would never use them, and neither would [he] let any of [his] relatives do so’ (Observer, 2008). However, there will always be need for some inpatient provision for people with mental health difficulties and nurses are key to whether admissions to such units aid or obstruct patient recovery. (Source: International Journal of Nursing Studies)
Source: International Journal of Nursing Studies - March 6, 2018 Category: Nursing Authors: Ian Norman, Peter Griffiths Tags: Editorial Source Type: research

Is the MRCPsych fit for purpose?
The Journal of Mental Health Training, Education and Practice,Volume 12, Issue 5, Page 331-336, September 2017. Purpose The purpose of this paper is to examine whether the current Royal College of Psychiatrists Membership (MRCPsych) written examination is a suitable assessment tool to distinguish between candidates in a high-stakes examination. Design/methodology/approach Review of current educational theory and evidence in relation to the use of multiple-choice questions (MCQs) as an assessment form. Findings When MCQ ’s are constructed correctly they provide an efficient and objective assessment tool. However, when ...
Source: The Journal of Mental Health Training, Education and Practice - September 20, 2017 Category: Psychiatry & Psychology Source Type: research