Payment by results for mental health services: economic considerations of case-mix funding [Articles]
This article describes the incentives generated by PbR and gives evidence on PbR in acute physical care services where it has been in operation for a decade, with respect to efficiency, quality, volume of activity, administrative costs, upcoding or gaming, equity of provision, and cross-subsidisation. It explores the challenges for mental health services as PbR is introduced. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - May 1, 2014 Category: Psychiatry Authors: Jacobs, R. Tags: Articles Source Type: research
Brief school-based interventions and behavioural outcomes for substance-using adolescents [Cochrane Corner]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - May 1, 2014 Category: Psychiatry Authors: Carney, T., Myers, B. J., Louw, J., Okwundu, C. I. Tags: Cochrane Corner Source Type: research
New from CPD Online [CPD Online]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - May 1, 2014 Category: Psychiatry Tags: CPD Online Source Type: research
Seeking clarity in the twilight zone: COMMENTARY ON... ADOLESCENT DECISION-MAKING AND THE ZONE OF PARENTAL CONTROL [Commentary]
This commentary offers further arguments relating to the ambiguities inherent in the new concept of the zone of parental control (ZPC) as defined by the revised Mental Health Act Code of Practice, but argues that a directive approach needs to be balanced with flexibility. The conflicting rights of child, parent and State are also discussed. Whereas medico-legal discourse tends to base itself on previous legislative frameworks, it is argued that an evidence-based approach may also be valuable in order to ascertain and incorporate young people’s views on the matter. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - March 3, 2014 Category: Psychiatry Authors: Vallance, A. K. Tags: Commentary Source Type: research
Adolescent decision-making and the zone of parental control: a missed opportunity for legislative change [Articles]
This article reviews the concept of the zone of parental control (ZPC), introduced in England in 2008. It argues that this concept is too vague and subjective to provide any clear guidance on who can give consent for a minor’s admission and treatment. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - March 3, 2014 Category: Psychiatry Authors: Akerele, F. Tags: Articles Source Type: research
Antisocial personality disorder: new directions [Articles]
This article highlights current diagnostic controversies and summarises the evidence for conceptualising antisocial personality disorder as a disorder of attachment. Informed by this developmental perspective, we provide a framework for the management and treatment of adults with antisocial personality disorder, highlighting the importance of creating a safe setting and recommending adaptations of therapeutic technique to facilitate the engagement of this ‘treatment-rejecting’ patient population. We conclude with an outline of the current government policy on the treatment of high-risk offenders with personalit...
Source: Advances in Psychiatric Treatment - March 3, 2014 Category: Psychiatry Authors: Yakeley, J., Williams, A. Tags: Articles Source Type: research
Recovery in forensic services: facing the challenge [Articles]
Although there is an increasing focus on recovery within mental health services, there has been limited exploration of the applicability of these principles within forensic services. The authors draw on their experiences within forensic rehabilitation services to discuss the potential obstacles to secure recovery, exploring the systemic and risk management aspects of such a setting as well as considering attachment theory within this context. Some proposals based on clinical experience are given on how such obstacles are faced and tackled. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - March 3, 2014 Category: Psychiatry Authors: Mann, B., Matias, E., Allen, J. Tags: Articles Source Type: research
Prevention strategies for adolescent depression [Articles]
Depression is missed more often in adolescents than in adults, partly because they present with symptoms different from those in adults and because many do not seek help. Early detection or the delay of onset can have a significant effect on a young person’s development and social functioning. We briefly discuss diagnosis and screening instruments before presenting the wide range of educational and psychological preventive approaches developed for adolescent depression. Many of the latter are based on the cognitive–behavioural or interpersonal therapy models. We consider how clinicians might use the current evi...
Source: Advances in Psychiatric Treatment - March 3, 2014 Category: Psychiatry Authors: Bennett, C., Jones, R. B., Smith, D. Tags: Articles Source Type: research
Mental healthcare in Brazil: modest advances and major challenges [Reflection]
This brief article describes the main health indicators of Brazil and gives an overview of psychiatric care. It points out the primary pitfalls of the mental healthcare system and presents some suggestions for the future of mental health in the country. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - March 3, 2014 Category: Psychiatry Authors: de Jesus Mari, J. Tags: Reflection Source Type: research
Metabolic syndrome in psychiatry: advances in understanding and management [Articles]
Metabolic syndrome comprises a number of cardiovascular risk factors that increase morbidity and mortality. The increase in incidence of the syndrome among psychiatric patients has been unanimously demonstrated in recent studies and it has become one of the greatest challenges in psychiatric practice. Besides the use of psychotropic drugs, factors such as genetic polymorphisms, inflammation, endocrinopathies and unhealthy lifestyle contribute to the association between metabolic syndrome and a number of psychiatric disorders. In this article, we review the current diagnostic criteria for metabolic syndrome and propose clin...
Source: Advances in Psychiatric Treatment - March 3, 2014 Category: Psychiatry Authors: Ho, C. S. H., Zhang, M. W. B., Mak, A., Ho, R. C. M. Tags: Articles Source Type: research
Autoimmune encephalitis: a potentially treatable cause of mental disorder [Articles]
Autoimmune encephalitides can present with altered mental states, particularly psychosis and delirium. Psychiatrists need to be particularly vigilant in cases of first-episode psychosis and to look out for other, sometimes subtle, features of encephalitis. Encephalitis related to N-methyl-D-aspartate (NMDA) receptor autoantibodies is the most common autoimmune cause of isolated psychosis, the second being related to voltage-gated potassium channel (VGKC)-complex antibodies. Psychiatrists should note ‘red flag’ signs of seizures, autonomic instability, movement disorders and sensitivity to antipsychotic medicati...
Source: Advances in Psychiatric Treatment - March 3, 2014 Category: Psychiatry Authors: Rickards, H., Jacob, S., Lennox, B., Nicholson, T. Tags: Articles Source Type: research
The immune system and schizophrenia: an update for clinicians [Articles]
This article gives an overview of our understanding of the immune system and highlights recent advances pertaining to schizophrenia. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - March 3, 2014 Category: Psychiatry Authors: Upthegrove, R., Barnes, N. M. Tags: Articles Source Type: research
Implementation of treatment guidelines for specialist mental health care [Cochrane Corner]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - March 3, 2014 Category: Psychiatry Authors: Barbui, C., Girlanda, F., Ay, E., Cipriani, A., Becker, T., Koesters, M. Tags: Cochrane Corner Source Type: research
New from CPD Online [CPD Online]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - March 3, 2014 Category: Psychiatry Tags: CPD Online Source Type: research
How psychiatrists can win friends and influence people: COMMENTARY ON... HOW PSYCHIATRISTS CAN ENGAGE WITH THE MEDIA [Commentary]
We highlight and briefly expand on what we consider some particularly important messages from Claire Bithell’s article, including the importance and influence of public engagement, the rewards of talking to the media and the availability of some helpful resources. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - January 2, 2014 Category: Psychiatry Authors: Leicester, L., Lawrie, S. M. Tags: Commentary Source Type: research
