As our knowledge of amyotrophic lateral sclerosis (ALS) increases, the salient question has become: Is ALS a single disease or a group of diseases with a final common pathway? Traditionally, ALS has been defined as a rapidly progressive neurodegenerative disorder that affects the large motor neurons of the brain and spinal cord. It presents with an upper or lower motor neuron pattern of weakness but progresses to include all motor neurons (upper and lower, bulbar, cervical, thoracic, and lumbar). Cognition was thought to be affected in only a small subset of patients with ALS. The primary causation theory was that ALS was the result of a single common exposure or genetic mutation, and the primary pathologic finding was simple motor neuron degeneration. Recent studies on the genetics of ALS have changed this view. . Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Technological improvements in the 1990s and 2000s first permitted the recording of large quantities of digital electroencephalography (EEG) data for subsequent analysis and review. These continuous EEG (cEEG) recordings allowed for improved characterization of electrical patterns that were abnormal but not clearly seizures (eg, on the ictal-interictal continuum), and they showed that more patients were having electrographic seizures than were exhibiting clinical features of seizure activity. . Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The purpose of the current study was to examine the hypothesis that the prospective relationship between hopelessness and depressive symptoms is mediated by self-perceptions of aging. . 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.
Fear of falling (FOF) is a major health problem for older adults, present not just in fallers, but also nonfallers. This study examined the impact of FOF and fall history on disability incidence among community-dwelling older adults from a prospective cohort study. . 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.
ABSTRACT FROM: Roffman JL, Petruzzi LJ, Tanner AS, et al. Biochemical, physiological and clinical effects of l-methylfolate in schizophrenia: a randomized controlled trial. Mol Psychiatry 2017 (Epub ahead of print: 14 Mar 2017). To read the full review, log in using your NHS OpenAthens details.
Heart rate variability (HRV) in psychiatric disorders has become an increasing area of interest in recent years following technological advances that enable non-invasive monitoring of autonomic nervous system regulation. However, the clinical interpretation of HRV features remain widely debated or unknown. Standardisation within studies of HRV in psychiatric disorders is poor, making it difficult to reproduce or build on previous work. Recently, a Guidelines for Reporting Articles on Psychiatry and Heart rate variability checklist has been proposed to address this issue. Here we assess studies of HRV in bipolar disorder and borderline personality disorder against this checklist and discuss the implication for ongoing research in this area . To read the full article, log in using your NHS OpenAthens details.
The CARe methodology aims to improve the quality of life of people with severe mental illness by supporting them in realizing their goals, handling their vulnerability and improving the quality of their social environment. This study aims to investigate the effectiveness of the CARe methodology for people with severe mental illness on their quality of life, personal recovery, participation, hope, empowerment, self-efficacy beliefs and unmet needs.
Disguising medication in food or drink is not considered best practice by the Nursing and Midwifery Council (NMC), whose standards for medicines management say: ‘As a general principle, by disguising medication in food or drink, the patient or client is being led to believe they are not receiving medication, when in fact they are.’
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Bullying and violence in the workplace increase the risk of developing type 2 diabetes, possibly due to changes caused by stress hormones or because they trigger comfort eating, researchers say.
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With an estimated 11,000 people at risk of post-traumatic stress disorder, a community outreach team is taking screening services door to door
Whether joining families out trick or treating, sitting in a mosque at 3am or standing shoulder to shoulder in silence at the Notting Hill Carnival, the Grenfell outreach team has been there for its west London community.
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The research assessed online learning modules designed to teach health professions students evidence-based practice (EBP) principles in an interprofessional context across two institutions.
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While many librarians have been asked to participate in systematic reviews with researchers, often these researchers are not familiar with the systematic review process or the appropriate role for librarians. The purpose of this study was to identify the challenges and barriers that librarians face when collaborating on systematic reviews.
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To evaluate the efficacy of clobazam treatment in reducing epileptiform discharges and modifying neuropsychological function in continuous spike-wave during slow wave sleep. . Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Use of patient-reported outcome measures (PROMs) may increase the involvement of young people with developmental disabilities in their healthcare decisions and healthcare-related research. Young people with developmental disabilities may have difficulty completing PROMs because of extraneous assessment demands that require additional cognitive processes. However, PROM design features may mitigate the impact of these demands. We identified and evaluated six pediatric PROMs of self-care and domestic life tasks for the incorporation of suggested design features that can reduce cognitive demands. . Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
This study examined whether late-preterm birth (34+0 to 36+6wks+d gestational age) was associated with neurocognitive deficit in young adulthood, and whether small for gestational age (SGA) birth amplified any adversity. . Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
To examine the diagnostic ability of early magnetic resonance imaging (MRI; <36wks postmenstrual age) to detect later adverse motor outcomes or cerebral palsy (CP) in infants born preterm. . Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
To describe behavioural and psychiatric outcomes of children within 10 years of convulsive status epilepticus (CSE). . Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
To systematically review the measurement properties of instruments assessing participation in young people with autism spectrum disorder (ASD). . Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The article aims to examine trends in the pharmacological treatment of borderline personality disorder (BPD) and shed more light on the attendant controversies. . SSSFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Impulsivity is considered a trans-diagnostic feature of many mental disorders, yet our understanding of the concept and approaches to measurement have evolved significantly with advances in neuroimaging. This review will provide an overview of impulsivity as it is currently understood, its association with personality disorder and implications for treatment. . SSSFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
The purpose of this article is to review the most relevant conceptual models of borderline personality disorder (BPD), with a focus on recent developments in this area. . SSSFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
As personality disorder impacts the outcome of most major mental disorders, it would be consistent for it to impact negatively on the outcome of alcohol use disorders (AUDs). This update is to provide an up-to-date overview of the recent literature examining the impact of personality disorder and personality traits on the treatment outcome of AUDs. . SSSFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
The research sought to identify the general use of medical librarians in pediatric residency training, to define the role of medical librarians in teaching evidence-based medicine (EBM) to pediatric residents, and to describe strategies and curricula for teaching EBM used in pediatric residency training programs.
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To give an update on the most recent studies regarding the role of schema therapy in the treatment of emotion dysregulation related to personality disorders. . SSSFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Editorial. . SSSFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
To review progress developing clinical decision support tools for personalized treatment of major depressive disorder (MDD). . SSSFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
The principal aim of this review is to highlight recent advances in our understanding of cognitive dysfunction in major depressive disorder (MDD). We review new assessment and treatment approaches, in which cognition and associated psychosocial dysfunction are considered primary outcomes. . SSSFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Major depressive disorder with a comorbid anxiety disorder or with significant anxiety symptoms (here called anxious depression) is common and has been associated with poor clinical course trajectories. However, various dichotomous as well as dimensional definitions have been used to label anxious depression and it remains unclear to which extent these result in inconsistent findings. This review provides an overview of recent literature on the impact of anxiety in depressed patients on clinical course trajectories, treatment outcomes, and underlying neurobiological dysregulations. . SSSFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Major depressive disorder (MDD) is among the most prevalent and disabling medical conditions worldwide. Despite its considerable burden, our understanding of its pathophysiology remains rudimentary, and a validated biomarker has yet to be identified. Antidepressants are the most common treatment for MDD, yet roughly one-third of patients experience an inadequate response. Thus, there is a great need for not only identifying biomarkers of MDD but also those that can predict and monitor or just monitor response to treatment. . SSSFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Depression is a complex and burdensome condition; it often leads to personal, societal and economic costs. Despite advances in treatments, its management over time remains a challenge; many treated for depression do not achieve full recovery or remain well for long. Novel ways to monitor patients are warranted, as well as better understanding of contributors to relapse or sustained wellness. Mobile health technologies (m-Health) are emerging as useful tools for real-time assessments of moods, behaviours and activities in a more convenient and less burdensome manner. Yet, there are numerous questions around privacy, reliability and accuracy of data collected via mobile apps. This review provides a critical overview of advances in m-Health and evaluate the future potential of smartphone technology in the assessment and treatment of depression. . SSSFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
SSSFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Currently, it is unknown whether treatment outcomes derived from randomized controlled trials (RCTs) of cognitive–behavioural therapy (CBT) for problem gamblers still hold when applied to patients seen in routine practice. Thus, data from an RCT of cognitive therapy versus exposure therapy for problem gambling versus patients of a gambling help service were compared. Assessments of problem gambling severity, psychosocial impairment, and alcohol use were undertaken at baseline and post-treatment and evaluated within a counterfactual framework. Findings showed that the contrast between routine CBT for pokies and horse betting had a significant effect, indicative of a 62% lower gambling urge score if routine CBT recipients had all been horse/track betters opposed to gambling with “pokies.” However, the majority of contrasts indicated therapeutic outcomes achieved in routine CBT treatments were of equivalent robustness relative to RCT conditions. The present findings infer routine practice treatment outcomes are as efficacious as those generated in RCT contexts. . 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.
Biomarkers are now widely used in many fields of medicine, and the identification of biomarkers that predict antipsychotic efficacy and adverse reactions is a growing area of psychiatric research. Monoamine molecules of the peripheral bloodstream are possible prospective biomarkers based on a growing body of evidence indicating that they may reflect specific changes in neurotransmitters in the brain. The aim of this study was to detect peripheral biogenic amine indicators of patients with acute psychosis and to test the correlations between the biological measures studied and the psychopathological status of the patients.
Editorial. Login at top right hand side of page using your SSSFT NHS OpenAthens for full text. SSOTP- Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Editorial. Login at top right hand side of page using your SSSFT NHS OpenAthens for full text. SSOTP- Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Editorial. Login at top right hand side of page using your SSSFT NHS OpenAthens for full text. SSOTP- Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Nonmedical use of prescribed stimulant medications is a growing concern. This study's aims were to ascertain the demographics of stimulant medication users compared with nonusers, examine temporal trends of stimulant medication use, and estimate risk factors for development of amphetamine use disorder (AUD) and mortality among new users of stimulant medications. . Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
To investigate whether trauma exposure moderates the genetic correlation between substance use disorders and psychiatric disorders, we tested whether trauma exposure modifies the association of genetic risks for mental disorders with alcohol misuse and nicotine dependence (ND) symptoms. . 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.
Although a low dose of chlorpromazine (≤ 400 mg/d) is better tolerated by adults with chronic schizophrenia than a high dose (> 800 mg/d), people given the low dose are less likely to achieve clinically important improvement in symptoms and are more likely to show deterioration in behavior.
This valuable UK study gathers national data on the number of scarlet fever notifications each year from 1911 to 2016, and explores the characteristics around the rather dramatic increase since 2014.
It's useful to note that scarlet fever, like many infectious diseases, moves in cycles, with peaks and troughs. What it can't easily tell us is the reason why there should have been such a massive surge in cases since 2014, which does not seem to follow the natural cycle.
this research can't offer certainty that mindfulness interventions are effective for weight loss: it pooled mostly small studies of variable quality and methods, the interventions differed across studies and it was unclear whether participants were using other weight loss measures alongside the mindfulness intervention. This makes it difficult to know if the effects were truly down to mindfulness, or other weight loss programmes.
This study looked at 13,250 people diagnosed with diabetes at a range of ages. Of all people who developed type 1 diabetes, surprisingly 42% were not diagnosed until after the age of 30.
However, only 4% of all newly diagnosed diabetes in the over 30s were type 1. Therefore, although type 1 diabetes starting in adulthood is uncommon, it still highlights the need for healthcare professionals to be aware that not all people who develop diabetes in adulthood automatically have type 2.
Previous studies have suggested that ID influences the depth of general anaesthesia (GA) and delays emergence from GA. In this retrospective cohort study, we investigated whether ID affects the time taken to emerge from GA. . 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.
Mass media tobacco control campaigns can reach large numbers of people. Much of the literature is focused on the effects of tobacco control advertising on young people, but there are also a number of evaluations of campaigns targeting adult smokers, which show mixed results. Campaigns may be local, regional or national, and may be combined with other components of a comprehensive tobacco control policy.
The application of telehealth technology to conduct functional analysis (FA) and functional communication training (FCT) is emerging for children with developmental disabilities and behaviour support needs. The current study was designed to extend FA + FCT for self-injurious behaviour by using telehealth in home with parents as interventionists receiving real-time remote coaching. . 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.
Conclusive evidence supports the importance of fundamental movement skills (FMS) proficiency in promoting physical activity and countering obesity. In children with Down Syndrome (DS), FMS development is delayed, which has been suggested to be associated with balance deficits. This study therefore examined the relationship between FMS proficiency and balance ability in children with DS, with the aim of contributing evidence to programmes that address FMS delay. . 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.
Implications for practice and research
Unmet learning needs exist among staff supporting people with intellectual disabilities at end of life and in bereavement, which should be addressed within care settings.
There is evidence that partnership working between intellectual disability and palliative care services can enable the end-of-life care needs of people with intellectual disabilities to be more effectively assessed and addressed.
Further studies are required to explore staff experiences in supporting people with intellectual disabilities in these sensitive issues.
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Book review. 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. To read a copy of the book in this review, please contact the library
Implications for practice and research
Younger people with intellectual disability experience much poorer health and an increased risk of a mental health condition during transition to adulthood than those in the general population. This underscores their need for comprehensive healthcare and proactive mental illness detection and treatment during transition.
Longitudinal studies of health-related outcomes are needed for younger people with intellectual disabilities. Future research could explore the impact of preventative strategies such as targeted mental health initiatives on the emergence of mental health conditions in younger people with intellectual disability during transition.
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For people with disabilities, identity formation is based on responses to hierarchical values determined by able populations. Some adopt a disability identity, whereas others may seek to conceal their disability. No research has focused on how women with Down's Syndrome form an identity. . Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
To describe the feasibility of a peer learning intervention targeting newly graduated nurses. Feasibility was tested concerning consistency of the theoretical description of peer learning with empirical findings in a new context, compliance and acceptability, as well as usability of a questionnaire measuring the intended future outcome variables. . 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.
Open access. Handbook of Secure Care Edited by Geoffrey Dickens, Philip Sugarman and Marco Picchioni RCPsych Publications, 2015, £45 (pb) 348 pp. ISBN: 9781909726369
The Handbook of Secure Care is a useful book for those new to the field of forensic mental health and is most relevant to those practising in England and Wales. It examines the relationship between mental disorder and offending, with individual chapters on personality disorder, intellectual disability, autism spectrum disorder and acquired brain injury. Strangely, there is little on psychosis which is the fundamental diagnosis within secure care. To read a copy of the book in this review, please contact the library
Open access. Letter. Thank you for this excellent and concise article outlining the complexities involved in neuroleptic malignant syndrome (NMS) in association with atypical antipsychotics.1 It serves as a reminder of how guidelines and diagnostic criteria can, for all their clarity, lead to vexing and imperfect choices.
Adults with eating disorders could benefit from specialised cognitive behavioural therapy which aims to help patients better understand their condition, the new NICE draft quality standard says.
NICE is recommending objective tests, which include spirometry and FeNO, to help confirm a diagnosis of asthma. This can achieve more accurate diagnosis and therefore more effective treatment, says NICE.
Open access. Letter. Imo conducted a systematic literature review of research on the prevalence of burnout among UK medical doctors, arriving at the conclusion that the prevalence of burnout in this population is ‘worryingly high’. Problematically, it turns out that such a conclusion cannot be drawn in view of the state of burnout research. Indeed, there are no clinically valid, commonly shared diagnostic criteria for burnout.2,3
Open access. Letter. Obsessive–compulsive and related disorders are defined in DSM-5 and include obsessive–compulsive personality disorder1 (OCPD) or anankastic personality disorder in ICD-10.2 Its prevalence is believed to be 1–2% in the general population, but it occurs much more frequently in psychiatric populations3 and is under-recognised and poorly researched,4 although it is beginning to gather greater awareness.5
Open access. Letter. There is no standardised protocol for the management of clozapine withdrawal syndrome following a red alert. This is one of the worst case scenarios with clozapine and it is not mentioned in the Maudsley guidelines1 or any other reliable guide. We have had 3 patients with a red alert in the past 9 months......
Open access. Relational security is an important component of care and risk assessment in mental health services, but the utility of available measures remains under-researched. This study analysed the psychometric properties of two relational security tools, the See Think Act (STA) scale and the Relational Security Explorer (RSE).
Open access. Mental health legislation in Northern Ireland has always been separate from legislation in the rest of the UK; the Mental Health (Northern Ireland) Order (MHO) had been in place since 1986. In common with other jurisdictions, this legislation utilises the presence of mental disorder and risk as criteria for detention and involuntary treatment. The MHO has been replaced by the Mental Capacity Act (Northern Ireland) 2016 (MCA), an example of ‘fusion’ legislation in which impairment of decision-making capacity and best interests are the only criteria to be used when making decisions across health and social care. In this paper, we outline the development of the MCA to date, and discuss its potential to improve mental healthcare by placing the treatment of mental illness within the same legislative framework as physical illnesses.
A long-term trend of increasing mental health problems among adolescents in many Western countries indicates a great need to investigate if and how societal changes have contributed to the reported increase. Using seven waves of repeated cross-sectional data collected between 1988 and 2008 in Sweden, the current study examined if economic factors at the societal level (municipality unemployment rate) and at the individual level (worry about family finances), and their interaction could explain a secular trend in mental health problems.
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There is huge variation in the quality of care that people receive at the end of their life.
A second class ending: discussion paper cover
People whose needs are the most overlooked are often those who are least able to advocate for themselves. This is particularly true for people experiencing homelessness.
Open access. To review the literature to examine the factors that may be affecting recruitment into psychiatry in the UK. We systematically searched four databases to identify studies from 1974 to 2016 and identified 27 papers that met the specified inclusion criteria.
Open access. South West London and St George's Mental Health NHS Trust developed a system of weekend new patient reviews by higher trainees to provide senior medical input 7 days a week. To evaluate the effectiveness of these reviews, the notes for all patients admitted over 3 months were examined. The mean length of stay for patients before and after the introduction of the weekend new patient reviews were compared via unpaired t-test.
Open access. To evaluate outcomes for patients during their admission or in the first year of treatment in two in-patient recovery units. Changes in health and social functioning, service use and need (rated by patients and staff) were evaluated.
Open access. To examine whether a new no-smoking policy in an in-patient mental health setting had any effects outside of smoking cessation. Our hypothesis stated that a forced smoking ban for in-patients may result in an increased susceptibility for clinical incidents, aggression and lower admission rates. All patients admitted to adult in-patient mental health services in Coventry and Warwickshire Partnership NHS Trust were included in the analysis.
Open access. To determine features associated with better perceived quality of training for psychiatrists on advance decision-making in the Mental Capacity Act 2005 (MCA), and whether the quality or amount of training were associated with positive attitudes or use of advance decisions to refuse treatment (ADRTs) by psychiatrists in people with bipolar disorder. An anonymised national survey of 650 trainee and consultant psychiatrists in England and Wales was performed.
Open access. New collaborative care models with an emphasis on primary care are required for long-term management of patients with severe and enduring mental illness (SMI). We conducted a descriptive evaluation of clinical outcomes of the first 3 years of a novel enhanced primary care (EPC) service. Data from 2818 patients and staff survey results were analysed.
Routine, isn’t it?
Not at all. Scarcely half of those in the NHS get an annual flu vaccination, despite repeated urging.
Why not?
They don’t think they’re at risk; they’re afraid it will make them unwell; they think flu is a minor illness and, frankly, getting vaccinated is a bit too much trouble. Those are the commonest excuses. …
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Children and young people in England should be able to access NHS funded mental health services within four weeks as part of a pilot scheme the government has proposed.
The green paper, Transforming Children and Young People’s Mental Health Provision, sets out a number of measures to improve mental health support for children and adolescents.
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Compassion and collaborative practice are individually associated with high quality healthcare. When combined in a compassionate collaborative care (CCC) practice framework, they are reported to improve health, strengthen care provision, and control health costs. Little is known about how to integrate and measure CCC, yet it is fundamentally applied in palliative and end-of-life care settings. This study aimed to identify quality indicators of CCC by systematically reviewing and synthesizing the current state of the palliative and end-of-life care literature.
Open Access Article
Open access. Media portrayals of mental illness have long been recognised as being misleading and stigmatising. Following the campaigns of several advocacy groups to address this issue, we aimed to evaluate the impact on mental health reporting over time. We repeated a survey we did 15 years ago using the same methods. Nine UK daily newspapers were surveyed over a 4-week period and coded with a schema to analyse the reporting of mental health compared with physical health.
Open access. Editorial. The criteria governing medical treatment without consent in the three legal jurisdictions of the UK – England and Wales, Scotland and Northern Ireland – is discussed.
A growing body of research suggests that, compared to normative adolescence, adoptive adolescence could be considered a specific risk condition characterized by more psychiatric problems, attachment insecurity, and emotional regulation difficulties as consequences of negative experiences in preadoption relationships. The current study explores (a) a moderation model of adoption status on the association between attachment representations (secure, dismissing, preoccupied, and disorganized) and behavioural problems and (b) a moderation model of adoption status on the association between emotion regulation processes (cognitive reappraisal and expressive suppression) and behavioural problems.. To read the full article, log in using your NHS OpenAthens details.
Preliminary evidence has demonstrated the benefits of targeting self-compassion in the treatment of posttraumatic stress disorder (PTSD). However, survivors of childhood maltreatment may present with unique challenges that compromise the effectiveness of these and other PTSD treatments. Specifically, childhood maltreatment victims often exhibit a marked fear and active resistance of self-kindness and warmth (i.e., fear of self-compassion). Victims may also attempt to control distressing internal experiences in a way that hinders engagement in value-based actions (i.e., psychological inflexibility). . Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Skeletal surveys (SSs) have been identified as a key component of the evaluation for suspected abuse in young children, but variability in SS utilization has been reported. Thus, we aimed to describe the utilization patterns, yield, and risks of obtaining SS in young children through a systematic literature review.
A new report published today finds that making small changes to older people’s homes, such as installing handrails, ramps and level-access showers, alongside carrying out simple home repairs, could play a significant role in relieving pressure on the NHS and social care and reduce costs by millions of pounds each year.
n our new report – Some assembly required: implementing new models of care – we set out ten lessons for local leaders seeking to systematically make changes across services in their area. These are based on first-hand accounts of clinicians and managers from NHS England’s new care models programme vanguard sites, who have developed and tested new ways of joining up health and social care services.
Dementia prevalence rates are higher amongst people with learning disabilities than the general population. People with Down's syndrome are at even greater risk of developing dementia and of developing dementia at an earlier age. This study, conducted as part of a wider service evaluation, explored community learning disability team perspectives on screening, pathways, training, information and supports developed to improve services for people with learning disabilities and dementia.. 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.
The Care Quality Commission (CQC) has published a briefing today (Thursday 30 November) based on inspections over the last two years of the 68 services in the independent sector that have been identified as providing residential detoxification. In it, the regulator has uncovered multiple concerns.
Blog post. It’s already known that reading aloud can aid memory, but it’s not clear why: is it the act of reading, or is it hearing oneself speaking, or both?
Blog post. Electroconvulsive therapy has been used for decades as a treatment for severe depression, but how it works has remained mysterious. This Chinese study may provide some clues. By Christian Jarrett
Measurement is a vital part of improvement work. While it is known that the context of improvement work influences its success, less is known about how context affects measurement of underlying harms. We sought to explore the use of a harm measurement tool, the NHS Safety Thermometer (NHS-ST), designed for use across diverse healthcare settings in the particular context of community care. . To read the full article, log in using your NHS OpenAthens details.
NHS Employers has refreshed and published an updated version of the Guide to degree apprenticeships: What employers need to know
Aimed at employers in the NHS, this updated version of the guide outlines how higher-level apprenticeships can be used to support career pathways in the sector, for example, in healthcare science, particularly for those not wishing to gain a degree using the traditional university route.
Using a cross-sectional survey design, we purposively sampled adults (≥18 years old) to assess generational acceptance and perceived usefulness of robots to assist with ADLs, healthcare tasks, and evaluate acceptance of robotic healthcare assistance across different settings. SSSFT & SSOTP- You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
A new method of inspecting local authority children’s services will begin in January next year, Ofsted confirmed today [29 November 2017].
Inspections of local authority children’s services (ILACS) will look at how well local authorities are supporting and protecting vulnerable children in their area. The new approach is more proportionate, risk-based and flexible than before, allowing Ofsted to prioritise inspection where it is most needed.
The hospital car park is free to use but hospital patients and visitors have often been frustrated by a lack of space, with some people using it as a base to leave their vehicle before heading into town.
Now Shropshire Community Health NHS Trust, which runs the hospital, is responding to that feedback by having a new system installed by a company called Park Solve.
The NHS and social care in Staffordshire and Stoke-on-Trent have launched its 'What's Your Emergency?' winter campaign today, Friday 1 December 2017. For the next six weeks you'll hear from a variety of frontline staff from across the NHS. They'll be giving a combination of advice about different illness and conditions, how you can be prepared for winter, what you can do for others and the services that are on offer.
Purposefully building stronger collaborations between primary care (PC) and public health (PH) is one approach to strengthening primary health care. The purpose of this paper is to report: 1) what systemic factors influence collaborations between PC and PH; and 2) how systemic factors interact and could influence collaboration.
The profiles provide a snapshot overview of end of life care at various geographies. They are intended to help local government and health services to improve care at the end of life.
Specialists with a wide range of skills are helping transform patient care in some Staffordshire GP practices.
Clinical Prescribing Pharmacists are now starting to be introduced into practices and are helping ensure patients have the right medicines to treat their conditions.
Most people are familiar with Community Pharmacists who dispense prescriptions and sell a wide range of over-the-counter remedies for minor conditions.
Patients are receiving significantly improved NHS stroke care, an independent report published today has revealed.
The fourth annual report, commissioned by NHS England, states that patients are getting much quicker access to the vital tests and treatment they need when they have a stroke, greatly improving their chances of recovery.
GPs issued 1.1 billion prescription items at a cost of £9.2 billion in 2015/16. The vast majority were appropriate but many were for medicines, products or treatments that do not require a prescription and can be purchased over the counter from pharmacies, supermarkets, petrol stations, corner shops or other retailers in some cases at a much lower cost than the price paid by the NHS.
The NHS could save around £190 million a year by cutting such prescriptions for minor, short-term conditions, many of which will cure themselves or cause no long term effect on health.