The interface between general and forensic psychiatry: the present day [Articles]
This article focuses on the interface between general and forensic psychiatry in England and Wales. The pattern of mental health services in England and Wales differs to an extent from those in Scotland, Northern Ireland and in the Republic of Ireland. Consequently, the interface between general and forensic psychiatry is subject to varying influences. Important interface issues include: the definition of a ‘forensic patient’; the remit and organisation of services; resources; clinical responsibility; and care pathways. This article also discusses a general overview of how to improve collaboration between foren...
Source: Advances in Psychiatric Treatment - September 1, 2014 Category: Psychiatry Authors: Khosla, V., Davison, P., Gordon, H., Joseph, V. Tags: Articles Source Type: research
The interface between general and forensic psychiatry: a historical perspective [Articles]
Mental disorder and criminality are separate entities but some people with a mental disorder commit criminal offences and some criminals have a mental disorder. Before 1800 there was no separate category of mentally disordered offenders (referred to as criminal lunatics until 1948) in UK legislation. The provision of facilities for mentally disordered offenders in Britain and Ireland overlapped with, but was also separate from, provision for the mentally ill generally. The interface between general and forensic psychiatry is an area of tension and of collaboration. To understand how contemporary general and forensic psychi...
Source: Advances in Psychiatric Treatment - September 1, 2014 Category: Psychiatry Authors: Gordon, H., Khosla, V. Tags: Articles Source Type: research
Psychosocial interventions for dementia: from evidence to practice [Articles]
This article presents evidence for the efficacy of psychosocial interventions for people with dementia and their carers. The evidence base is not yet robust enough to clearly suggest which interventions are most suited for which environment. However, from our literature review there appears to be reason to use music therapy, aromatherapy, life story work, animal-assisted therapy and post-diagnosis/carer support work. We focus on both the traditional outcome measures of behavioural and psychological symptoms of dementia (BPSD) and the more difficult to measure, but equally important, person-centred outcomes of non-pharmacol...
Source: Advances in Psychiatric Treatment - September 1, 2014 Category: Psychiatry Authors: Patel, B., Perera, M., Pendleton, J., Richman, A., Majumdar, B. Tags: Articles Source Type: research
Atypical early-onset eating disorders [Articles]
This article reviews the recent changes to the DSM diagnostic classification of feeding and eating disorders with particular reference to children and adolescents. The common clinical presentations of the ‘atypical’ feeding and eating problems of middle childhood and early adolescence are reviewed using clinical case vignettes, and the limited evidence base regarding management is summarised. There are many gaps in the evidence base and this is likely to be an area of rapid development for the field subsequent on the new terminology outlined in DSM-5. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - September 1, 2014 Category: Psychiatry Authors: Nicholls, D., Barrett, E., Huline-Dickens, S. Tags: Articles Source Type: research
Community-based psychodynamic group psychotherapy for treatment-resistant schizophrenia [Articles]
We describe the work of a psychodynamic psychotherapy group for individuals affected by chronic schizophrenia in our community-based rehabilitation and recovery service. Despite presenting with negative symptoms, over time patients made good use of the psychodynamic setting: they attended, expressed emotions, made connections and reflected within the group on their personal experience of mental ill health. We discuss the rationale and indications for psychodynamic psychotherapy for individuals with severe and enduring mental illnesses. We also reflect on the challenges we faced working psychodynamically with psychosis and ...
Source: Advances in Psychiatric Treatment - September 1, 2014 Category: Psychiatry Authors: Aiello, G., Ahmad, S. Tags: Articles Source Type: research
Medication management following first-episode psychosis in young people: a developmental approach [Articles]
This article considers the complexity surrounding medication management after the initial recovery from psychosis. The discussion focuses particularly on the medical treatments, developmental considerations and roles of psychiatrists in improving outcomes for this group of patients. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - September 1, 2014 Category: Psychiatry Authors: Richards, J. Tags: Articles Source Type: research
Alcohol and cognitive impairment [Articles]
We present what is known about cognitive impairment associated with alcohol use/misuse, covering the spectrum from mild and subtle cognitive change through to severe alcohol-related brain damage, including Wernicke–Korsakoff syndrome. We highlight aids to the diagnosis and management of these conditions, and emphasise the benefits of prompt treatment on outcome. We also review progress in understanding their neurobiology. Suggestions for possible service configuration based on both our clinical practice and national guidelines are given. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - September 1, 2014 Category: Psychiatry Authors: Jauhar, S., Marshall, E. J., Smith, I. D. Tags: Articles Source Type: research
Infertility and mental health [Articles]
The World Health Organization (WHO) has indicated that 8–12% of couples worldwide experience infertility, and in recent years the number seeking treatment has dramatically increased. The diagnosis and therapy put a heavy psychological and physical burden on most patients, female and male. The incidence of depression in couples presenting for infertility treatment is significantly higher than in comparable fertile couples. Anxiety is significantly higher in infertile couples than in the general population. Professionals have become aware of the importance of providing educational interventions to address patients&rsqu...
Source: Advances in Psychiatric Treatment - September 1, 2014 Category: Psychiatry Authors: Doyle, M., Carballedo, A. Tags: Articles Source Type: research
Haloperidol versus low-potency first-generation antipsychotic drugs for schizophrenia [Cochrane Corner]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - September 1, 2014 Category: Psychiatry Authors: Tardy, M., Huhn, M., Kissling, W., Engel, R. R., Leucht, S. Tags: Cochrane Corner Source Type: research
New from CPD Online [CPD Online]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - September 1, 2014 Category: Psychiatry Tags: CPD Online Source Type: research
The evolving mental health landscape in Singapore [Reflection]
Singapore is a multi-ethnic Asian society with a unique sociocultural and economic background. This is an overview of the characteristics of psychiatry in this nation in terms of service provision, mental health funding, education and training, and the challenges it faces in the midst of an evolving mental health landscape. Over the past 5 years, Singapore has maintained a closer tie with the Royal College of Psychiatrists through the the College’s Membership examination. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - July 1, 2014 Category: Psychiatry Authors: Ho, C. S. H., Ho, R. C. M., Mahendran, R. Tags: Reflection Source Type: research
Peer workers in mental health services: literature overview [Articles]
Peer worker roles are being introduced in mental health services in the UK and internationally, to support individuals in their recovery. There is substantial qualitative evidence that demonstrates benefits at an individual level and some evidence of impact on service use and costs, although there are currently few high-quality randomised controlled trials supporting these findings, especially from the UK. A growing body of research indicates that careful consideration of organisational issues regarding the introduction of peer worker roles – the distinctiveness and shared expectations of the role, strategic alignmen...
Source: Advances in Psychiatric Treatment - July 1, 2014 Category: Psychiatry Authors: Gillard, S., Holley, J. Tags: Articles Source Type: research
A comparison of DSM and ICD classifications of mental disorder [Articles]
This article discusses the pros and cons of both systems, and the major criticisms that have been levelled against them. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - July 1, 2014 Category: Psychiatry Authors: Tyrer, P. Tags: Articles Source Type: research
Psychodynamic psychotherapy: developing the evidence base [Articles]
This article summarises the recent evidence from high-quality outcome studies to show that psychodynamic psychotherapy is as effective in the treatment of a range of mental disorders as other psychological treatment modalities such as cognitive–behavioural therapy, as well as reviewing process–outcome research aiming to elucidate mechanisms of therapeutic change. A paradigm for psychodynamic psychotherapy research based on attachment theory is introduced, which may inform the development of psychodynamic therapeutic modalities tailored for specific conditions. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - July 1, 2014 Category: Psychiatry Authors: Yakeley, J. Tags: Articles Source Type: research
Cognitive analytic therapy at 30 [Articles]
This article describes the development and unique features of the CAT model, analyses the current evidence base and identifies potential future directions for the model. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - July 1, 2014 Category: Psychiatry Authors: Ryle, A., Kellett, S., Hepple, J., Calvert, R. Tags: Articles Source Type: research
