People with severe mental illnesses (SMI) such as schizophrenia and bipolar disorder have an increased risk of developing type 2 diabetes and have poorer health outcomes than those with diabetes alone. To maintain good diabetes control, people with diabetes are advised to engage in several self-management behaviours. The aim of this study was to identify barriers or enablers of diabetes self-management experienced by people with SMI.
Routinely monitoring of symptoms and medical needs can improve the diagnostics and treatment of medical problems, including psychiatric. However, several studies show that few clinicians use Routine Outcome Monitoring (ROM) in their daily work. We describe the development and first evaluation of a ROM based computerized clinical decision aid, Treatment-E-Assist (TREAT) for the treatment of psychotic disorders.
Letter. Login at top right hand side of page using your MPFT NHS OpenAthens for full text. SSOTP (legacy account)- Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Case report.. Login at top right hand side of page using your MPFT NHS OpenAthens for full text. SSOTP (legacy account)- Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Psychiatric Rehabilitation Journal Vol. 41, Iss. 2, (Jun 2018): 109-117.
Objective: There is a paucity of accessible, evidence-based tools for caregivers of individuals with schizophrenia. This study examines changes in the self-assessed and caregiver-assessed outcomes of people with schizophrenia after exposure to a cognitive adaptation training (CAT) guide that addressed pragmatic, in-home approaches to offset the cognitive impacts of the illness.. To read the full article, log in using your NHS OpenAthens details.
Paranoid schizophrenia is characterised by an increased risk of suicide and homicide. Little is known about the influence of personality dimensions as determinants for suicidal and homicidal behaviour within this condition. We assessed the differences among suicidal, homicidal and non-aggressive adult male in-patients with ICD-10 paranoid schizophrenia.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
In this historical control study of 1234 patients with first-episode schizophrenia-spectrum disorders (617 each in the early intervention and standard care groups), patients receiving a 2-year early intervention service had a significantly lower suicide rate during 12 years, with the main difference observed during the first 3 years.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Editorial-In this issue of JAMA Psychiatry, Chan et al1 present new and important findings on the long-term effects of early intervention programs for patients with first-episode psychosis on the risk of suicide. Using a historical cohort matched to 617 individuals included in the early intervention group, the authors show that the 2-year intervention significantly reduced the suicide rate in the first 3 years after initiation of treatment and that there was no relapse in suicide rates after the initial 3 years. Throughout the 12-year follow-up period, 27 (4.4%) died by suicide in the intervention group and 46 (7.5%), in the control group. Given the relative rarity of suicide, it requires a large sample to be able to show association of any intervention when death by suicide is the primary outcome. To our knowledge, this study1 is the first to show an association between suicide rates and psychosocial interventions in patients with first-episode psychosis.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Cognitive behaviour therapy is recommended internationally as a treatment for psychosis (targeting symptoms such as auditory hallucinations, or “voices”). Yet mental health services are commonly unable to offer such resource‐intensive psychological interventions. Brief, symptom‐specific and less resource‐intensive therapies are being developed as one initiative to increase access. However, as access increases, so might the risk of offering therapy to clients who are not optimally disposed to engage with and benefit from therapy. Thus, it is important to identify who is most/least likely to engage with and benefit from therapy, and when.. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.