A twin study has provided new evidence of the link between bullying and mental health issues in later life. Once confounding factors were removed, bullying was shown to have an effect on anxiety, depression, hyperactivity, impulsivity, and inattention.
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FINLAND Children who are young for their school year are more likely to be diagnosed with attention deficit hyperactivity disorder (ADHD) than their older peers, new research has shown. The study suggests parents and teachers may be mistaking relative immaturity for symptoms of the disorder, and calls for flexibility in school starting dates.
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The number of children in England receiving their measles, mumps and rubella (MMR) vaccine by the age of two is down for the third year in a row.
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Children in the most deprived areas are more likely than wealthier peers to become involved in the child protection system, a new research study has shown.
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Editorial. 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.
Pupils showing early signs of anxiety, depression or self-harm will receive specialist help at school under a pilot scheme being launched in Wales. The £1.4m, two-year Welsh Government trial taking place across north-east and south-east Wales and Ceredigion will strengthen the support from specialist child and adolescent mental health services (CAMHS) to schools.
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Commentary on: Eaton K, Ohan JL, Stritzke WGK, et al. Mothers’ decisions to disclose or conceal their child’s mental health disorder. Qualitative Health Research 2017;27:1628–39.
Implications for practice and research
Disclosure and concealment dilemmas create significant challenges for parents of children with a mental illness.
Healthcare professionals should empower parents by providing them information about mental illness to share with others to decrease stigma, advice about the best structure for disclosure about their child’s illness and support them when they experience negative consequences of disclosure or concealment.
Further research is needed about fathers’, children’s and adolescents’ experiences with disclosure and concealment.
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Incidence of gestational diabetes mellitus (GDM) is increasing worldwide. Blood glucose monitoring plays a crucial part in maintaining glycaemic control in women with GDM and is generally recommended by healthcare professionals. There are several different methods for monitoring blood glucose which can be carried out in different settings (e.g. at home versus in hospital).
Loss of cardiorespiratory fitness is a common secondary impairment frequently observed in people after stroke, resulting from a combination of primary impairments such as muscle weakness and decreased physical activity. Low fitness is likely to restrict return to life role participation. Physical fitness training programmes are often prescribed to address loss of fitness and involve either cardiorespiratory training, resistance training or mixed training which combines both.
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Now a film, The Boudiccae follows the journey of four children with disabilities and their families. A news report was broadcast on the BBC to highlight the work that Dr Williams, director Darren White and the film company Rig Film Productions have developed to help raise awareness of transition for young people with complex medical needs and to encourage compassion and reflection amongst health professionals.
As the service team lead I noticed a clinical need for a care plan to help assist and manage patients with a high out put stomas or bowel fistulas. In the community these patients are frequently readmitted to hospital with little education to the patient of what warning signs to look out for. I attended a clinical workshop/ master class by Coloplast aimed at managing high out put stomas and off the back of this I developed a care plan for clinical nurse specialists and patients to use.
Little research has examined the potential protective influence of religiosity against problem gambling; a common addictive behavior, and one with a host of associated negative health and social outcomes. The aims of this study were to examine (1) the potential longitudinal association between religiosity and problem gambling among adults and (2) the potential moderating role of gender on this association.
Outcome studies for eating disorders regularly measure pathology change or remission as the only outcome. Researchers, patients and recovered individuals highlight the importance of using additional criteria for measuring eating disorder recovery. There is no clear consensus on which additional criteria are most fundamental. Studies focusing on the perspectives of recovered patients show criteria which are closely related to dimensions of positive functioning as conceptualized in the complete mental health model. The aim of this study was to identify fundamental criteria for eating disorder recovery according to recovered individuals.
Psychoeducation initiatives in which patients read primary scientific literature have not yet been studied as a treatment intervention for eating disorders. In this paper, we discuss and evaluate the acceptability of a novel psychoeducational journal club for individuals with anorexia and bulimia nervosa in inpatient and partial hospitalization program settings. Primary literature about eating disorders is presented and discussed with patients. By presenting scientifically-supported information, our “Psychoeducational Research Group” is designed to help patients restructure disordered thoughts and encourage adherence to evidence-based treatment.
Seeking a new approach, The Walton Centre, which specialises in spinal surgery, has got together with partners from the NHS, third sector and patients, to form a collaboration and a programme of work called the Neuro Network (Vanguard).
One of their projects is to support health professionals to use the National Back Pain Pathway (guidance from the National Institute for Health and Care Excellence) and to launch a Cheshire and Merseyside Back Pain Campaign to inform the public about the best things to do when they experience back pain.
The authors sought evidence for altered adolescent brain growth trajectory associated with moderate and heavy alcohol use in a large national, multisite, prospective study of adolescents before and after initiation of appreciable alcohol use. 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.
Letter. 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.
Editorial. 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.
Editorial. 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.
Letter. 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.
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Attention Deficit Hyperactivity Disorder (ADHD) in children across the UK. A look at its impact and what must be done to achieve equity for these particularly vulnerable children, so they might be able to reach their exceptional potential as they progress into adulthood.
We examine Foreman’s assertion that assessing, addressing and utilising a patient’s faith is warranted. After a brief background, we examine when faith-integrated therapy is indicated, the need for training, an example of such a therapy, and what to do when the faith of the therapist conflicts with that of the patient. Also emphasised is the need for a clear definition of terms.
It is time to improve clinical approaches to faith in mental healthcare, particularly in psychotherapy. Understood as a psychological trait, faith has potentially great personal salience and introduces socially desirable biases into human reasoning. Therapies may have faith-informed components, either explicitly, or (as with some forms of mindfulness) implicitly, which may modify the patient’s faith as well as producing symptomatic change. In this narrative review, the ethics of faith’s inclusion in therapy is briefly appraised. The psychology of faith is discussed, and a model of the influence of the practitioner’s faith on therapeutic choice is presented. Finally, faith-informed approaches to practice, including their impact on therapeutic effectiveness, are considered and recommendations made for their optimal implementation. 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.
We argue that current debates about attention-deficit hyperactivity disorder (ADHD) can be considered afresh using an evolutionary lens. We show how the symptoms of ADHD can often be considered adaptive to their specific environment. We suggest that, from an evolutionary point of view, ADHD symptoms might be understood to result from an ‘evolutionary mismatch’, in which current environmental demands do not fit with what evolution has prepared us to cope with. 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.
NICE recommends health and social care professionals help older people with learning disabilities live healthy and fulfilling lives as they age, including planning for life-changing events.
A number of studies have noted an association between being the victim of bullying and psychotic symptoms. We offer an overview of the topic, focusing especially on a developmental perspective. We highlight the results of the latest studies on psychosis across the continuum and its relationship with bullying. Then we summarise the three main explanatory models investigated: developmental, biological and cognitive. We recommend that bullying in psychosis requires careful study of the developmental trajectories involved, and that research should now focus on how personal, social and biological factors interact. 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 latest Royal College of Psychiatrists workforce census of psychiatric staffing was run between April and September 2017 and provides a detailed analysis of the consultant and specialty doctor workforce in psychiatry across England, Scotland, Northern Ireland and Wales. The College is pleased that 79% of NHS organisations responded to the workforce census questionnaire.
A report, ‘Improving mental health support for our children and young people’ makes a number of recommendations that have been drawn up by an expert working group, with support from the Social Care Institute for Excellence (SCIE). The expert group has included looked after young people who have lived-experienced of the care system, the social care system, education and mental health support, as well as professionals from the health, social care, academic and voluntary sectors.
Acting as an expert psychiatric witness can be rewarding, but there are potential costs and pitfalls, such that the role should be undertaken only in an informed manner. With reference to the recent disciplinary cases of Dr Richard Pool and Dr Waney Squier, and a judgment of the Supreme Court, advice is offered to potential expert psychiatric witnesses. Suggestions are made as to training, the negotiation of instructions, the citation of published literature, the construction of expert opinion and how to ensure compliance with the ethical duties of the expert witness.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.
Liaison and diversion services are concerned with ensuring that individuals with mental health problems and related vulnerabilities who come into contact with the criminal justice system receive appropriate support and treatment. In the past 15 years there have been significant changes in policy, legislation and the broader landscape in community, custodial and hospital settings which have shaped these services. The Bradley Report, published in 2009, represents an important landmark in this field....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.
Modern legislation in the UK addressing the issue of decision-making ability uses tests of mental capacity based on the individual’s ability to understand relevant information given to them. Alternative models of mental capacity do exist, but are largely considered defunct. This article reviews these alternative models and considers their importance. Far from being irrelevant to modern views on mental capacity, these models have already been incorporated into legislation such as the Mental Capacity Act 2005....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 significant proportion of prisoners and patients in secure hospitals are sex offenders and victim surveys reveal a high level of hidden sexual victimisation, the authors of this Cochrane review found only very limited support for pharmacological intervention with sex offenders. Given the nature and extent of the problem of sexual offending and the promise shown by new drugs, there is a need for clinical scientists, lawyers and ethicists to rise to the challenge of ascertaining the effectiveness and safety of drugs which are being used to treat sex offenders, some involuntarily, without the evidence base to justify confidence as to their effectiveness and safety. 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.
Digital innovations with internet/mobile phones offer a potential cost-saving solution for overburdened health systems with high service delivery costs to improve efficiency of HIV/STI (sexually transmitted infections) control initiatives. However, their overall evidence has not yet been appraised. We evaluated the feasibility and impact of all digital innovations for all HIV/STIs.
Open Access Article
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To test the efficacy of a web-based alcohol intervention with and without guidance. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
To assess the cost-effectiveness of a two-component intervention designed to increase attendance at the NHS Stop Smoking Services (SSSs) in England. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The LGA, in partnership with central government and with the support of Government Equalities Office, is launching its Return to Social Work programme, which will look to retrain social workers for both adults and children who have left the profession.
The West Midlands (including Shropshire), East of England and London will be the first regions to take part in the programme.
An event dedicated to those affected by someone’s drug or alcohol use, will be taking place at The Barnabas Centre in Shrewsbury on Thursday 16 November 2017.
Shropshire’s Families and Concerned Others information event, hosted by Shropshire’s Drug and Alcohol Action Team (DAAT), will be run from 9am to 1pm and aims to provide advice and information around the support available.
To systematically assess the diagnostic accuracy of the Clinical Dehydration Scale (CDS), the WHO Scale and the Gorelick Scale in identifying dehydration in children with acute gastroenteritis (AGE). To read the full article, log in using your NHS OpenAthens details.
Is treatment with vitamin D an effective management option in a 6-year-old girl with growing pains? To read the full article, log in using your NHS OpenAthens details.
Objectives To use routine clinical data to investigate survival in dementia with Lewy bodies (DLB) compared with Alzheimer’s dementia (AD). DLB is the second most common dementia subtype after AD, accounting for around 7% of dementia diagnoses in secondary care, though studies suggest that it is underdiagnosed by up to 50%. Most previous studies of DLB have been based on select research cohorts, so little is known about the outcome of the disease in routine healthcare settings.
Open Access Article
he council proposes to introduce a revised and simplified funding formula based on just two measures: the relative number of young people aged 10 to 19 years old, and young people in receipt of free school meals in a Local Joint Committee (LJC) area. The proposed formula no longer makes specific reference to rurality.
In complex health systems, the highest quality of care occurs when different elements of the system are joined up in a transparent way in order to meet patients’ needs. In a primary-care focused system such as in the UK, the majority of care for children and young people (CYP) is provided in primary care, while most specialist expertise resides in secondary care organisations. Pathways for both acute care and long-term conditions must therefore necessarily cross institutional borders, often multiple times. This can be a source of adverse outcomes and poor patient experience. To read the full article, log in using your NHS OpenAthens details.
An event to begin a debate about how and where assistive technology will evolve and help improve the lives of Shropshire people in the future was held today (Wednesday 1 November 2017) at Theatre Severn in Shrewsbury.
To determine the frequency of occult trauma in children with oral injury evaluated for physical abuse. To read the full article, log in using your NHS OpenAthens details.
But The Shrewsbury and Telford Hospital NHS Trust (SaTH) which runs the two hospitals has put a number of measures in place to help tackle what is traditionally the busiest time of the year for the NHS.
The Trust has recently appointed a new locum A&E Consultant who will be based at PRH, taking the number of Consultants across the two A&Es to nine for the first time in a number of years.
The People Enjoying Nature (PEN) project is an outreach project at Pendle Hill LP which offers individuals who are dealing with mental health issues and social isolation to take part in a number of supported activities and learn new skills. The project was delivered in partnership by Lancashire Care NHS Foundation Trust’s Community Restart Team and the Forest of Bowland and included a programme of activities taking place between March and October 2017.
Objectives To evaluate the 12-month costs and quality-adjusted life years (QALYs) gained to the Italian National Health Service of facilitated access to a website for hazardous drinkers compared with a standard face-to-face brief intervention.
Open Access Article
The Finding Articles etutorial has now been replaced by 3 new etutorials:
What is an Article? - learn what an academic article is
Find Articles for a Project - what are the steps you need to follow to find articles for a particular project
Find an Article from a Reference - how can you find the full-text of an article from a reference
Device that allows people with long term heart conditions to monitor themselves at home and transmit readings to clinic electronically for clinician analysis.
People who inject drugs (PWID) are vulnerable to a wide range of viral and bacterial infections. These infections can result in high levels of illness and in death.
Statutory guidance for professionals supporting children and young people with special educational needs and disabilities (SEND) in residential settings.
A need was identified for public space audit checklists [to identify those that are dementia-inclusive] at a DEEP event last year. The checklists were produced in collaboration with Professor Mary Marshall and tested and refined by DEEP groups SURF, Educate and East Kent Forget me Nots. Please feel free to use and circulate.
CQC has now inspected all NHS hospitals, general practices and adult social care providers in England. The inspections are reportedly more intelligence-driven than in the past. And although CQC continues to have difficulties recruiting inspectors and other staff, vacancy rates are nowhere near as high as they were in 2015.
The conclusions are that TTSA has the potential to be a valid intervention to address SA in adults with visual and moderate to mild IDs. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The scheme has been designed to help ensure workers are paid what they are owed, while also maintaining important services for people who access social care
This bulletin presents statistical information on patient education/self management programmes for long term conditions collected from health and social care trusts and independent providers. It details information on the type, provision, frequency and trust area of the programmes delivered.
The videos have been developed by NHS England in the West Midlands, through its Cardiovascular (CVD) Clinical Network, to enable patients to take more control of their condition by showing them how to look after their feet, what happens at their annual foot check and what to do if they have a problem.
This House of Commons Library briefing provides information on key provisions in the Mental Health Units (Use of Force) Bill 2017-19. This is a Private Member's Bill which is seeking to make provision about the oversight and management of the use of force in relation to patients in mental health units.
Report on non-fatal overdose monitoring data collected from the unlinked anonymous monitoring (UAM) survey of HIV, hepatitis B and hepatitis C in people who inject drugs (PWID).
The guidance is aimed at providers of NHS mental health services and contains information applicable to mental health professionals who work within them. It is designed to support providers and staff to exercise their statutory and professional duties to safeguard vulnerable adults, children and young people at risk of radicalisation.
Overall, this study does little to further our understanding of the causes of Alzheimer's, but will add to the body of literature looking at how our relationships and social networks are linked to our health.
Overall, the study provides no evidence that this drink can prevent or slow the progress of dementia.
Regular exercise, a healthy diet, and avoiding drinking heavily and smoking seem to do more to reduce your dementia risk than any nutrient drinks currently available.
Children and young adults with mental health problems are not receiving the care they need because of long delays and fragmented services, a major review has found.
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A team of experts from Derbyshire Healthcare NHS Foundation Trust will be holding an open session in Derby on Wednesday 1 November in order to give local people the opportunity to ask questions or share experiences on supporting a loved one with dementia.
A panel of psychiatrists, nurses and occupational therapists will be at the Dovedale Day Hospital on London Road in Derby between 6-8pm so that carers can learn more about supporting a loved one with dementia in the home environment, meet local people in similar situations and find out about the support available in their local area.
This event follows a number of other successful dementia Q&A events held across Derbyshire.
The Integrated Care Communities will work together to improve the overall health and wellbeing of local people by joining up local health and care services, bringing more care out of hospital and into the communities and people’s homes, and supporting people to manage their own health conditions.
The ICCs are being developed in response to the changing needs of the population which the current system is struggling to cope with. The ambition will see health and social care professionals, GPs, the voluntary sector and the community working together in each Integrated Care Community as one team to improve the health and wellbeing of local people. They are focusing on helping people to manage long term health conditions, improve access to information about healthier lifestyles and providing more care in the community and at home.
A new way of working is being trialled in Appleby Medical Practice to increase independence in frail and older patients.
Occupational therapists (OT) are working from the local GP surgery three times a week to increase independence and provide more care in the community.
The pilot has already seen great results and has had positive feedback from patients
The newly designed service now offers two different pathways dependant on the need of the child to ensure the most appropriate support is given at the right time. Formerly the service focussed primarily on children with learning disabilities but now a second pathway has been introduced that has a key focus on providing the early intervention support both children and families need, where the child has global delay development difficulties such as learning to walk or talk and movement skills, or autism or a learning disability. The service will work with families to help them to better understand and manage their child’s condition.
Better Care Together is releasing two new films which aim to help users of inhalers to get the maximum benefit from them.
The new films join 11 others in Better Care Together’s suite of self-care films published on YouTube, which have been now viewed in excess of 8,000 times.
While previous studies have found evidence for detrimental effects of metals on neurodevelopment, the long-term effects on mental health remain unclear. The objective was to explore the effect of early metal exposure on risk of psychotic disorder and on symptom severity following illness onset. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Our Health Visiting service has joined forces with the Solihull Approach to give parents free access to the three guides, which are normally chargeable.
The free guides cover the topic of understanding your pregnancy, your baby and your child.
At its re-birth 30 years ago, the neurodevelopment hypothesis of schizophrenia focussed on aberrant genes and early neural hazards, but then it grew to include ideas concerning aberrant synaptic pruning in adolescence. The hypothesis had its own stormy development and it endured some difficult teenage years when a resurgence of interest in neurodegeneration threatened its survival. In early adult life, it over-reached itself with some reductionists claiming that schizophrenia was simply a neurodevelopmental disease. However, by age 30, the hypothesis has matured sufficiently to incorporated childhood and adult adversity, urban living and migration, as well as heavy cannabis use, as important risk factors. Thus, it morphed into the developmental risk factor model of psychosis and integrated new evidence concerning dysregulated striatal dopamine as the final step on the pathway linking risk factors to psychotic symptoms. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The new integrated service is to benefit people with low level mental health needs such as mild to moderate depression and anxiety disorders (panic disorder, agoraphobia, generalised anxiety disorder, social anxiety disorder, post-traumatic stress disorder, phobias, and obsessive compulsive disorder) in the context of Diabetes and respiratory conditions (COPD and Asthma).
Our training in psychiatry during the early 1960s was at a time of intense controversy regarding the origins of schizophrenia. Rather comprehensive explanatory theory for psychopathology was postulated at the level of genetics/biology or psychology or social theory. These perspectives competed for dominance more often than seeking integration although the biopsychosocial medical model, espoused by Engel,1 integrated these perspectives in a general systems framework.....Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The neurodevelopmental nature of schizophrenia and associated disorders is a central component of most modern concepts of the pathophysiology of these illnesses1,2 and is the focus of this issue3–6 While psychosis typically manifests around adolescence and the current diagnostic criteria then usually only allow a diagnosis around this time, strong evidence shows that manifestation is preceded by prodromal high-risk states, often with an attenuated form of psychopathology then seen in full blown illness, which farther back in time are preceded by less specific prodromal states characterized by social withdrawal, depression, and impaired level of functioning,7 including motor function.8 Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Since a proposal in 1986 that schizophrenia involved early neurodevelopmental deviations beginning in intrauterine life that showed varying expressivity as relevant neural systems matured, our understanding of the developmental components of the pathogenesis of schizophrenia has substantially evolved. This commentary highlights recent genetic and epigenetic evidence that prenatal development is a critical period for the expression of schizophrenia risk. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
New secondary care referrals were emailed directly to a dedicated email address with the patient’s consent, following intermediate review by the Diabetes Specialist Nurse within the GP practices.
All patients were then reviewed virtually by a specialist with full access to GP records. Once confidence in the pathway developed new referrals increased and each patient was discharged to a Diabetes Specialist Nurse to follow up in the community and re-referred only if required.
Ample evidence supports a neurodevelopmental origin in some cases of schizophrenia (SZ). More inconsistent information is available for bipolar disorder (BD). We herein review studies with a focus on premorbid (adjustment and functionality) and early developmental milestones that include both SZ and BD patients. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
They are featured in an NHS England video that raises awareness to breast screening service staff on how to make adjustments to make their service easier for a woman with learning disabilities.
With no appointments necessary, the clinic aims to support people in an informal setting without the need for them to visit their local hospital, reducing the strain on A&E services.