Fair criticism also needs to be based on evidence [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 1, 2015 Category: Psychiatry Authors: Swaile, C. J. Tags: Correspondence Source Type: research
Encouraging dialogue for better collaboration and service improvement [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 1, 2015 Category: Psychiatry Authors: Law, D. J. Tags: Correspondence Source Type: research
Bulletin comment: In praise of the psychiatric ward round [Perspectives]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 1, 2015 Category: Psychiatry Tags: Perspectives Source Type: research
Exit examination: a survey of UK psychiatrists' views [Education & training]
Aims and method The Royal College of Psychiatrists is considering how best to introduce a post-MRCPsych-examination assessment (‘exit examination’) in anticipation of external pressures to ensure patient safety through the use of such assessments. The Psychiatric Trainees' Committee conducted an online survey to gather the views of psychiatrists regarding the possible format and content of this examination in the hope that this information can be used to design a satisfactory assessment.
Results Of the 2082 individuals who started the survey, 1735 completed all sections (83.3%). Participants included consultant...
Source: Psychiatric Bulletin - October 1, 2015 Category: Psychiatry Authors: Hughes, N. S., Haselgrove, A., Tovey, M. S., Khokhar, W. A., Husain, M., Osman-Hicks, V. C. Tags: Education & amp; training Source Type: research
Update on the Improving Access to Psychological Therapies programme in England: author's reply [Special articles]
Fonagy & Clark confirm in their rebuttal that they have an ideological commitment to the failed technical model of understanding and intervening in mental health problems that dominates current service provision. They fail to acknowledge the limitations and problems associated with Improving Access to Psychological Therapies (IAPT) and Children's and Young People's IAPT (CYP-IAPT) and offer an unconvincing explanation for why they did not allow some of the vast tax payers' money that they had at their dispoal to be used to implement evidence supported relational models. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 1, 2015 Category: Psychiatry Authors: Timimi, S. Tags: Special articles Source Type: research
Update on the Improving Access to Psychological Therapies programme in England: Commentary on ... Children and Young People's Improving Access to Psychological Therapies [Special articles]
Professor Sami Timimi recently expressed concerns about the Improving Access to Psychological Therapies (IAPT) programme. We argue that the concerns are largely unfounded and provide readers with an update on the programme. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 1, 2015 Category: Psychiatry Authors: Fonagy, P., Clark, D. M. Tags: Special articles Source Type: research
Epidemiology on demand: population-based approaches to mental health service commissioning [Special articles]
One in three people will experience a mental health problem in their lifetime, but the causes and consequences of psychiatric morbidity are socially patterned. Epidemiological studies can provide aetiological clues about the causes of disorder, and when they can provide robust estimates about risk in different strata of the population these can also be used translationally, to provide commissioners and service planners with detailed information about local service need. This approach is illustrated using a newly developed population-level prediction tool for first-episode psychosis, PsyMaptic. Such public mental health pre...
Source: Psychiatric Bulletin - October 1, 2015 Category: Psychiatry Authors: Kirkbride, J. B. Tags: Special articles Source Type: research
Lurasidone: a novel antipsychotic agent for the treatment of schizophrenia and bipolar depression [Special articles]
Lurasidone is a novel antipsychotic agent approved for the treatment of schizophrenia in a number of countries including the UK, and is also approved in the USA and Canada for the treatment of major depressive episodes associated with bipolar I disorder as either a monotherapy or adjunctive therapy with lithium or valproate. In addition to full antagonist activity at dopamine D2 (Ki(D2) = 1 nM) and serotonin 5-HT2A (Ki(5-HT2A) = 0.5 nM) receptors, the pharmacodynamic profile of lurasidone is notable for its high affinity for serotonin 5-HT7 receptors (Ki(5-HT7) = 0.5 nM) and its partial agonist activity at 5-HT1A receptors...
Source: Psychiatric Bulletin - October 1, 2015 Category: Psychiatry Authors: Loebel, A., Citrome, L. Tags: Special articles Source Type: research
Experiences of ward rounds among in-patients on an acute mental health ward: a qualitative exploration [Original papers]
Aims and method To address the gap in qualitative research examining patients' experiences of ward rounds. In-depth interviews were conducted with five in-patients on an acute mental health ward. Data were analysed using thematic analysis.
Results Data were organised into three first-order themes, positioned within an overarching theme relating to patients' perceptions of the use of power and control within ward rounds.
Clinical implications Systemic factors may make it difficult to facilitate ward rounds in a manner which leaves patients feeling fully empowered or in control, but there are practical measures to address th...
Source: Psychiatric Bulletin - October 1, 2015 Category: Psychiatry Authors: Cappleman, R., Bamford, Z., Dixon, C., Thomas, H. Tags: Original papers Source Type: research
New patient assessment in old age psychiatry: the importance of risk assessment [Original papers]
Aims and method In recent years, the role of non-medical community mental health team (CMHT) clinicians has widened to include new patient assessments. It is unclear whether all professionals have the skills and confidence to undertake these to a high quality. This project investigated which professionals are doing new assessments, evaluated their quality and explored the assessors' unmet training needs. The study was based on the data extracted from electronic notes and a complete audit cycle in South Oxfordshire Older Adults CMHT; this was a cross-sectional study across Oxfordshire older adults services.
Results Most new...
Source: Psychiatric Bulletin - October 1, 2015 Category: Psychiatry Authors: Hemsley, S., McKnight, R., Anwar, A., Jones, S., Martos, L. Tags: Original papers Source Type: research
Patient characteristics and predictors of completion in residential treatment for substance use disorders [Original papers]
Aims and method To identify the patient characteristics and rates of retention in a residential rehabilitation drug and alcohol service (Springhill) based on an eclectic model of care. Patients were assessed using the Alcohol and Drug Outcome Measure (ADOM), a brief tool designed for the New Zealand setting. We looked at correlations between demographic, social and drug use parameters. Logistic regression assessed the relative impact of each variable on completion.
Results The 183 patients who completed the data collection did not differ from 47 non-completers by demographic data; 62.2% of patients completed the programme,...
Source: Psychiatric Bulletin - October 1, 2015 Category: Psychiatry Authors: Newton-Howes, G., Stanley, J. Tags: Original papers Source Type: research
The methamphetamine problem: Commentary on ... Psychiatric morbidity and socio-occupational dysfunction in residents of a drug rehabilitation centre [Original papers]
This paper introduces the reader to the characteristics of methamphetamine. Explored within are the drug's effects on those who consume it as well as the history and prevalence of its use. The highly addictive nature of methamphetamine is compounded by its affordability and the ease with which it is produced, with North America and East Asia having become established as heartlands for both consumption and manufacture. The paper discusses recent cultural depictions of the drug and also the role that mental health professionals may take in designing and delivering interventions to treat methamphetamine addiction. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 1, 2015 Category: Psychiatry Authors: Galbraith, N. Tags: Original papers Source Type: research
Psychiatric morbidity and socio-occupational dysfunction in residents of a drug rehabilitation centre: challenges of substance misuse management in a Bruneian context [Original papers]
Aims and method In 2011, a psychiatric clinic was started in Pusat Al-Islah, a drug rehabilitation centre. Our aim was to record self-reported socio-occupational dysfunction and patterns of drug misuse and to evaluate the usefulness of a psychiatric screening tool. A two-phased approach using the Self-Reporting Questionnaire (SRQ) and the Mini International Neuropsychiatric Interview (MINI) was used to examine the rates of psychiatric diagnoses.
Results Methamphetamine was the most commonly misused substance in 94.5% of residents. High levels of socio-occupational dysfunction were reported. In total, 5.5% met criteria for ...
Source: Psychiatric Bulletin - October 1, 2015 Category: Psychiatry Authors: Ho, H., Adanan, A. M., Omar, R. Tags: Original papers Source Type: research
Payment by results in forensic mental health [Editorials]
This article discusses the utility of the PbR mechanic in forensic mental health. It explores PbR implementation in non-forensic mental health settings, similar funding processes internationally, and early PbR implementation work in the UK's secure services. Finally, the article discusses the challenges faced when implementing PbR in forensic mental health services and puts forward possible next steps in determining the utility of PbR in forensic mental health. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 1, 2015 Category: Psychiatry Authors: Gibbons, L., McCarthy, L. Tags: Editorials Source Type: research
Nick Kitson MB, BS, FRCPsych: Formerly consultant psychiatrist, Cornwall Partnership NHS Foundation Trust and Springfield University Hospital, honorary senior lecturer, St George's Hospital Medical School [Obituaries]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 3, 2015 Category: Psychiatry Authors: Laugharne, R. Tags: Obituaries Source Type: research
