In the Chair: How to Guide Groups and Manage Meetings [Reviews]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - May 31, 2016 Category: Psychiatry Authors: Williams, D. D. R. Tags: Reviews Source Type: research
Bryan Lask, FRCPsych: Formerly Emeritus Professor of Child and Adolescent Psychiatry, St George's University of London [Obituaries]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - May 31, 2016 Category: Psychiatry Authors: Graham, P. Tags: Obituaries Source Type: research
Secure services for patients should be needs based and locally available [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - May 31, 2016 Category: Psychiatry Authors: Mirza, I., Kripalani, M. Tags: Correspondence Source Type: research
Author's reply [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - May 31, 2016 Category: Psychiatry Authors: Summerfield, D. Tags: Correspondence Source Type: research
Protesting loudly about Prevent is popular but is it informed and sensible? [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - May 31, 2016 Category: Psychiatry Authors: Hurlow, J., Wilson, S., James, D. V. Tags: Correspondence Source Type: research
Services for people with complex psychosis: towards a new understanding [Current Practice]
This paper describes the need for commissioners and service providers to consider the development of a whole-system approach to providing rehabilitation services for patients with complex psychosis, in the context of the current economic pressures and emergence of a competitive market in this area of mental health. The practical and organisational arrangements for the management of risk with such services are described, taking into account the varying provision of rehabilitation services across the UK and considering how these can be developed against the care clustering system and interfaces with other mental health servi...
Source: Psychiatric Bulletin - May 31, 2016 Category: Psychiatry Authors: Edwards, T., Macpherson, R., Commander, M., Meaden, A., Kalidindi, S. Tags: Current Practice Source Type: research
Prescribing clozapine and rifampicin: clinical impact of their interaction [Special articles]
This article describes a third case demonstrating the significance of this interaction. This was potentially devastating for the patient who required an extended psychiatric admission. The enzyme induction was so potent that the dose of clozapine had to be increased approximately sixfold. Careful management of this significant interaction is essential for effective patient care. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - May 31, 2016 Category: Psychiatry Authors: Parker, C. Tags: Special articles Source Type: research
End-of-life care in a psychiatric hospital [Special articles]
We present the case study of a patient who received end-of-life care at a psychiatric hospital in the UK. We aim to demonstrate how effective end-of-life care might be provided in a psychiatric hospital, in accordance with recent new palliative care guidelines, and highlight potential barriers. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - May 31, 2016 Category: Psychiatry Authors: Waterman, L. Z., Denton, D., Minton, O. Tags: Special articles Source Type: research
Mind how you cross the gap! Outcomes for young people who failed to make the transition from child to adult services: the TRACK study [Original papers]
Aims and method
The Transitions of Care from Child and Adolescent Mental Health Services to Adult Mental Health Services (TRACK) study was a multistage, multicentre study of adolescents' transitions between child and adult mental health services undertaken in England. We conducted a secondary analysis of the TRACK study data to investigate healthcare provision for young people (n = 64) with ongoing mental health needs, who were not transferred from child and adolescent mental health services (CAMHS) to adult mental health services mental health services (AMHS).
Results
The most common outcomes were discharge to a general p...
Source: Psychiatric Bulletin - May 31, 2016 Category: Psychiatry Authors: Islam, Z., Ford, T., Kramer, T., Paul, M., Parsons, H., Harley, K., Weaver, T., McLaren, S., Singh, S. P. Tags: Original papers Source Type: research
Changes in risk factors for young male suicide in Newcastle upon Tyne, 1961-2009 [Original papers]
This study highlights the need for more interventions and focus to be given to young males in the suicide prevention area and is of high importance in the field of public health. Areas that could be tackled include reducing access to means of suicide, reducing alcohol use, support for relationship difficulties, engagement with mental health services and management of chronic illness. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - May 31, 2016 Category: Psychiatry Authors: Linsley, K. R., Schapira, M. A., Schapira, K., Lister, C. Tags: Original papers Source Type: research
Cost and carbon burden of long-acting injections: a sustainable evaluation [Original papers]
This study explores the economic cost and carbon footprint associated with current patterns of prescribing long-term flupentixol decanoate long-acting injections. We conducted an analysis of prescription data from a mental health trust followed by economic and carbon cost projections using local and national data.
Results A reduction of £300 000 could be achieved across England by improving prescribing behaviour, which equates to £250 per patient per year and 170 000 kg CO2e. These savings are unlikely to be released as cash from the service, but will lead to higher-value service provision at the same or lower ...
Source: Psychiatric Bulletin - May 31, 2016 Category: Psychiatry Authors: Maughan, D. L., Lillywhite, R., Cooke, M. Tags: Original papers Source Type: research
Body mass index and blood glucose in psychiatric and general practice populations [Original papers]
Aims and method Using a retrospective observational approach, we aimed to discern whether there was a difference in metabolic parameters between psychiatric and general practice populations in the same locality. Second, we aimed to establish differences in metabolic parameters of patients taking olanzapine, clozapine or aripiprazole.
Results Patients with psychiatric illness had a body mass index (BMI) comparable to that of the general practice population (28.7 v. 29.7 kg/m2), but blood glucose was significantly lower in the general practice population (4.8 v. 6.1 mmol/L). Olanzapine was associated with the lowest BMI (26....
Source: Psychiatric Bulletin - May 31, 2016 Category: Psychiatry Authors: McAvoy, S., Cordiner, M., Kelly, J., Chiwanda, L., Jefferies, C., Miller, K., Shajahan, P. Tags: Original papers Source Type: research
Community treatment orders and reduced time in hospital: a nationwide study, 2007-2012 [Original papers]
Aims and method Community treatment orders (CTOs) were introduced in Scotland in 2005, but are controversial owing to a lack of supportive randomised evidence. The non-randomised studies provide mixed results on their efficacy and utility. We aimed to examine hospital bed day usage across Scotland both before and after CTOs were initiated in a national cohort of patients, spanning 5 years.
Results In total, 1558 individuals who were subject to a CTO between 2007 and 2012, of whom 63% were male, were included. After CTO initiation the number of hospital bed days fell, on average, from 66 to 39 per annum per patient. Those w...
Source: Psychiatric Bulletin - May 31, 2016 Category: Psychiatry Authors: Taylor, M., Macpherson, M., Macleod, C., Lyons, D. Tags: Original papers Source Type: research
Community treatment orders in the UK 5 years on: a repeat national survey of psychiatrists [Original papers]
Aims and method Community treatment orders (CTOs) are increasingly embedded into UK practice and their use continues to rise. However, they remain highly controversial. We surveyed psychiatrists to establish their experiences and current opinions of using CTOs and to compare findings with our previous survey conducted in 2010.
Results The opinions of psychiatrists in the UK have not changed since 2010 in spite of recent evidence questioning the effectiveness of CTOs. Clinical factors (the need for engagement and treatment adherence, and the achievement of adherence and improved insight) remain the most important considerat...
Source: Psychiatric Bulletin - May 31, 2016 Category: Psychiatry Authors: DeRidder, R., Molodynski, A., Manning, C., McCusker, P., Rugkasa, J. Tags: Original papers Source Type: research
Little evidence for community treatment orders - a battle fought with heavy weapons [Editorials]
This editorial discusses the pros and cons of community treatment orders (CTOs) from the perspective of community general adult psychiatry. There is little scientific evidence supporting the application of CTOs. Preconditions of a CTO to work are likely to be met by few patients. The time for the application of a CTO may be better spent for patient-centred care until there is sufficient new and robust evidence that identifies the patients that might profit. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - May 31, 2016 Category: Psychiatry Authors: Heun, R., Dave, S., Rowlands, P. Tags: Editorials Source Type: research
