Service data indicates that from a sample of 102 service users 80.4% had their families involved in their care.
In line with offering a combined healthy eating and physical activity programme the service is also piloting the Supporting Health and Promoting Exercise (SHAPE) physical health intervention programme, which uses the expertise of nutritionists, exercise physiologists and health trainers. It is a structured and intensive 12-week course with follow-up over 12 months, which includes a group educational programme and individually tailored exercises sessions.
Essays & debates. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Items include: 'Valuing your talent' framework; STPs and the need for extraordinary leadership; performance management; successful quality improvement initiatives; shared leadership and group identification in healthcare; Another STP item - 'lack of authoritative leadership'
To explore the prevalence and clinical profile of males and females who develop antidepressant treatment-emergent mania (ATEM). Login using your SSSFT NHS OpenAthens for full text. 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 examined the feasibility of study procedures and explored the potential efficacy of Occupational Performance Coaching for stroke survivors (OPC–Stroke), an intervention designed to improve participation after stroke. You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
The primary aim was to evaluate the extent to which persons with type 1 diabetes perform self-monitoring of blood glucose (SMBG) according to guidelines. Secondary objectives were to investigate predictors for good SMBG adherence, reasons for non-adherence, and association between SMBG frequency and hemoglobin A1c (HbA1c). Open Access Article
It reveals how integration of the fields of health and social care will require organisations to break down traditional barriers in how care is provided.
This report, written by Professor Ruth Sealy of the University of Exeter Business School, examines the steps the NHS needs to take to reach the target of equal gender representation on boards by 2020.
Alcohol dependence is more prevalent in men than in women. The evidence for how prenatal and adult androgens influence alcohol dependence is limited. We investigated the effects of prenatal and adult androgen activity on alcohol dependence. Moreover, we studied how the behaviours of pregnant women affect their children's prenatal androgen load. Login using your SSSFT NHS OpenAthens for full text. 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 Treatment-Resistant Depression Registry investigated whether adjunctive vagus nerve stimulation (VNS) with treatment as usual in depression has superior long-term outcomes compared with treatment as usual only. Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
WASHINGTON — When people think about climate change, they probably think first about its effects on the environment, and possibly on their physical health. But climate change also takes a significant toll on mental health, according to a new report released by the American Psychological Association and ecoAmerica entitled "Mental Health and Our Changing Climate: Impacts, Implications, and Guidance (PDF, 1.24MB)."
Climate change-induced severe weather and other natural disasters have the most immediate effects on mental health in the form of the trauma and shock due to personal injuries, loss of a loved one, damage to or loss of personal property or even the loss of livelihood, according to the report. Terror, anger, shock and other intense negative emotions that can dominate people’s initial response may eventually subside, only to be replaced by post-traumatic stress disorder.
Based on the role of the superior temporal gyrus (STG) in auditory processing, language comprehension and self-monitoring, this study aimed to investigate the relationship between STG cortical thickness and positive symptom severity in schizophrenia. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Rating scales are often used to identify children with potential Attention-Deficit/Hyperactivity Disorder (ADHD), yet there are frequently discrepancies between informants which may be moderated by child characteristics. The current study asked whether correspondence between parent and teacher ratings on the Strengths and Weakness of ADHD symptoms and Normal behaviour scale (SWAN) varied systematically with child language ability.
Health and Physical Education (HPE) teachers are known to be under social-, personal-, and employment-related pressure to be and appear physically fit, and to use dangerous dieting and weight control practices. This is problematic due to the influence this may have on their own health and the potential to model these attitudes and behaviours to their future students.
Letter from Barbara L. Parry. Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
From April, parents of the 136,000 babies born across London each year will be able to record and manage information about their child’s health and development online. The NHS in England has today announced a digital version of the Redbook will be rolled out across London, answering calls from parents who often lose information when Redbooks are misplaced.
It's important to put these findings into the right context. The surveys found grandparents, particularly maternal grandmothers, were often the first to recognise the signs of ASD.
But this doesn't necessarily mean grandmothers have some sort of "superpower" for recognising developmental conditions.
NHS England will today announce the next steps in the drive to ensure children and young people don’t have to travel far from home for mental health care, funding between 150-180 new beds.
Finely hand-crafted mosaics created by a Trust Governor and service user are being used to brighten up meeting rooms and reception areas throughout North Essex Partnership University NHS Foundation Trust (NEP).
Moderate-quality evidence shows that providing incentives improves smoking cessation rates among pregnant smokers up to 24 weeks postpartum and likewise enhances abstinence rates at delivery
The Health and Education Committees hear from psychologists, headteachers and campaigners on the role of education in children and young people’s mental health as part of their joint inquiry.
The National Audit Office has today published the findings of its investigation into the Department for Work & Pensions’ closure of its 1993 and 2003 child maintenance schemes
The library is a key resource for faculty and residents undertaking scholarly activity. However, faculty members use the library’s services and resources for publishing articles and book chapters more than residents do.
because students are open to instruction via the chat service when they are creating and revising their research question and delving into subject research, chat can be viewed as a key teaching and learning opportunity.
Researchers did find a link between pet ownership and an increased diversity of "healthy bacteria" in infants, but didn't look at long-term outcomes such as the development of allergies or obesity.
Considerable progress has been made in preparing for the HIV pre-exposure prophylaxis (PrEP) trial that was announced by NHS England and PHE last December as a major extension to the national HIV prevention programme. The trial, called the PrEP Impact Trial, will include at least 10,000 participants over the next 3 years and will answer key outstanding questions on the extent of need, uptake and duration of use of PrEP in the setting of sexually transmitted infection (STI) clinics in England. Our aim is to have the trial started by the summer of 2017.
A set of principles to help employers in health care organisations deliver quality apprenticeships have been developed by National Skills Academy for Health and Health Education England (HEE).
The guideline – produced by the Faculty of Sexual Reproductive Healthcare – covers various recommendations around the type of emergency contraception that should be used in different circumstances. The aspect that has caught the media attention is that there is some uncertainty about the effectiveness of the commonly used morning after pill, Levonelle One in women who are overweight.
Binge-eating disorder (BED) was included as its own diagnostic entity in the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). An increasing number of treatment studies have been published, but an up-to-date comprehensive meta-analysis on diverse treatment approaches for BED is lacking. In an updated and extension of a previous meta-analysis, the goals of this study are to assess the short-term and long-term effectiveness of psychological and medical treatments for BED. Open Access Article
BURTON Hospitals is leading the way on a national stage when it comes to helping traumatised parents come to terms with the loss of their baby.
The Trust has two specially trained bereavement midwives Sam Evans and Joanne Shillito who provide continued and consistent support to mums and dads as they go through one of the most difficult times of their lives.
Graduates across Staffordshire are being encouraged to apply to a fast-track programme to become the next generation of child and family social workers.
Studies have challenged the appropriateness of accepted blood pressure targets. We hypothesised that different levels of low blood pressure are associated with benefit for some, but harm for other outcomes. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The Royal College of Paediatrics and Child Health (RCPCH) has recommended in their report into Children's Emergency Services at County Hospital that a return to a Children's Emergency Centre (CEC) model of service would be unsafe and unsustainable.
Today’s report Funding social care: the role of deferred payment agreements explores whether housing assets could be better used to fund residential care.
Review of General Psychology21.2 (Jun 2017): 132-142.
Rumination has been implicated as a risk factor for suicidal ideation and attempts, yet the literature to date has not been synthesized. We conducted a meta-analysis of the association between rumination and both suicidal ideation and attempts to consolidate the existing literature (k = 29). To read the full article, log in using your NHS OpenAthens details.
Grit is characterised by the ability to persevere during difficulties and maintain a sustained effort over an extended period of time. Throughout their careers, doctors will experience many periods of stress and difficulty. This may result in burnout, defined by the presence of exhaustion and disengagement from work. This study aims to characterise the relationship between grit and burnout in doctors and to establish whether there are differences between specialties and levels of training. To read the full article, log in using your NHS OpenAthens details.
Objectives To conduct a systematic review and meta-analysis investigating effects of exercise for people with alcohol use disorders (AUDs) across multiple health outcomes. We also investigated the prevalence and predictors of dropout from exercise studies in AUDs.
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Psychotherapy54.2 (Jun 2017): 195-200.
Studies of therapist adherence in relation to treatment outcome have produced mixed results. The aim of the present study was to investigate change in therapist adherence to cognitive–behavioral therapy (CBT) for bulimia nervosa over time, and to investigate the relationship between adherence and client outcome in early, middle, and late phases of treatment. To read the full article, log in using your NHS OpenAthens details.
Meaning Depression and some psychotropic medications are associated with an increased risk of fracture that is not fully captured by FRAX scores. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Psychology of Addictive Behaviors31.4 (Jun 2017): 385-392.
The purpose of this study was to conduct a randomized test of clinic- and home-based incentives plus parent training for adolescent problem alcohol use. Adolescents (N = 75) with alcohol misuse, with or without other substance misuse, were enrolled. All youth received individual Motivational Enhancement Therapy/Cognitive Behavior Therapy and weekly urine drug testing. The experimental condition (EXP) included Abstinence Incentives (clinic-based incentives for abstinence from all substances) plus weekly behavioral parent training that included a parent-delivered, abstinence-based, substance monitoring contract. The comparison condition (CONTROL) included Attendance Incentives (ATTI). To read the full article, log in using your NHS OpenAthens details.
Implications for practice and research
The consistently elevated risk of postpartum haemorrhage in the setting of antidepressant use underscores the importance of consideration of appropriate place of birth for exposed women.
Further research exploring antidepressant use rather than supply and untangling critical time periods of exposure is warranted.
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Families, Systems, & Health35.2 (Jun 2017): 155-166.
Introduction: Addressing life stressors is an important function for integrated care, especially for health care homes located in disaster prone environments. This study evaluated trajectories of change for patients with postdisaster posttraumatic stress disorder (PTSD) who were seen in integrated care. In addition to describing the results, this article provides the methods of subgroup analyses as this may be useful for others working in real-world practice. To read the full article, log in using your NHS OpenAthens details.
American Journal of Orthopsychiatry (Jun 15, 2017).
Deployment affects not just the service members, but also their family members back home. Accordingly, this study examined how resilient family processes during a deployment (i.e., frequency of communication and household management) were related to the personal reintegration of each family member (i.e., how well each family member begins to “feel like oneself again” after a deployment), as well as several indicators of subjective well-being. To read the full article, log in using your NHS OpenAthens details.
The frontal assessment battery (FAB) is a brief tool designed to evaluate executive function. Some studies have particularly focused on assessing its applicability addressing two issues: first, on detecting the brain regions responsible for the FAB performance, and second, on determining its capability for differential diagnosis. Our aim was to summarize and analyze critically the studies that assessed the neuroanatomical correspondence and the differential diagnostic value of the FAB in several study populations suffering from different pathologies. Login using your SSSFT NHS OpenAthens details for full text.
Targeted efforts are needed to increase the number of medical students choosing psychiatry, but little is known about when students decide on their specialty or what factors influence their choice. The authors examined the timing and stability of student career choice of psychiatry compared with other specialties and determined what pre- and intra–medical school factors were associated with choosing a career in psychiatry. Login at top right hand side of page using your SSSFT NHS Athens for full text.
Relapse after treatment for anorexia nervosa (AN) is a significant clinical problem. Given the level of chronicity, morbidity, and mortality experienced by this population, it is imperative to understand the driving forces behind apparently high relapse rates. However, there is a lack of consensus in the field on an operational definition of relapse, which hinders precise and reliable estimates of the severity of this issue. The primary goal of this paper was to review prior studies of AN addressing definitions of relapse, as well as relapse rates.
Journal of Consulting and Clinical Psychology85.7 (Jul 2017): 712-722.
Objective: This study tests a novel, within-person model that reexamines depression and stress as risk factors for suicidal ideation and behavior among adolescent girls with and without sexual/physical abuse histories.
Recovery is a contested concept and definitions of it are scattered across various contexts and disciplines, contributing to the confusion that surrounds it. This article explores various conceptualisations of recovery and proposes a pragmatic way of viewing it as distributed across a continuum of clinical, social and personal domains. It also suggests the need to conceptualise recovery from the perspectives of different cultures.
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Implementation of user participation is considered important in today's mental health care. Research shows, however, that user participation lacks clarity and provokes uncertainty regarding shifting roles. Aim: To investigate negotiation of user participation in a micro-study of interplay between users and health professionals in community mental health care. Login using your SSSFT NHS OpenAthens details for full text.
Cognitive Behaviour Therapy (CBT) is the front-line psychological intervention for step 3 within UK psychological therapy services. Counselling is recommended only when other interventions have failed and its effectiveness has been questioned.
Nurses have a vital role in helping to identify adult survivors of child sexual abuse, according to a member of the Independent Inquiry into Child Sex Abuse.
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Melatonin has been widely studied in the treatment of sleep disorders and evidence is accumulating on a possible role for melatonin influencing mood. Our aim was to determine the efficacy and acceptability of melatonin for mood disorders. Login using your SSSFT NHS OpenAthens details for full text.
Frontotemporal dementia (FTD) constitutes on average 10–15% of dementia in younger persons (≤65 years old), but can also affect older people. These patients demonstrate a decline in social conduct, and/or language aphasias, apathy, and loss of insight that is gradual and progressive. Preservation of dignity seems to be highly relevant both before and after admission to different types of institutionalized care, but the research is scant. From the perspective of close relatives, this study aims to develop knowledge related to dignified or undignified care of patients with FTD and similar conditions.
In April 2015, the UK government enacted a temporary class drug order (TCDO) on ethylphenidate in response to reported harms associated with its use, in particular an outbreak of infections among people who inject drugs (PWID) in Lothian, Scotland. This study assesses the effect that the TCDO had on reducing the most common infections identified during the outbreak; Streptococcus pyogenes (S. pyogenes) and Staphylococcus aureus (S. aureus). Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Exposure to childhood trauma has been implicated in the development of paranoia and hearing voices, but the mechanisms responsible for these associations remain unclear. Understanding these mechanisms is essential for ensuring that targeted interventions can be developed to better support people experiencing distress associated with paranoia and voices. Login using your SSSFT NHS OpenAthens details for full text.
High levels of hospital readmission (rehospitalisation rates) is widely used as indicator of a poor quality of care. This is sometimes also referred to as recidivism or heavy utilization. Previous studies have examined a number of factors likely to influence readmission, although a systematic review of research on post-discharge factors and readmissions has not been conducted so far. The main objective of this review was to identify frequently reported post-discharge factors and their effects on readmission rates.
This briefing provides information on the safeguarding responsibilities of schools in England, including the role of governing bodies, head teachers and school staff, the inspection of safeguarding, safe staff recruitment, and procedures for dealing with allegations against members of staff.
Following recent publicity relating to fitness to practise cases regarding resuscitation we felt it was important to clarify the current position. Clear new guidance was developed jointly in 2016 by the Resuscitation Council, BMA and RCN called ‘Decisions relating to cardiopulmonary resuscitation’. The NMC is supportive of this guidance.
This study examined the nature, extent and perceived quality of the support provided by community mental health teams for older people (CMHTsOP) to care home residents. Login using your SSSFT NHS OpenAthens details for full text.
Northumbria Healthcare NHS Foundation Trust have worked with Dr Paul Flaxman, Senior Lecturer in Organisational Psychology at City, University of London, to develop a resilience training programme for their staff. Over the last year they have focused on training their nurses in this programme, to help reduce stress and build resilience. We joined some of the trainers on their train the trainer review day to find out more.
Senior clinicians and hospital leaders today (Friday) met with health partners and patient representatives to continue discussions over the best way of keeping patients safe in the event of fragile services becoming unsustainable.
The Shrewsbury and Telford Hospital NHS Trust (SaTH), which runs the Royal Shrewsbury Hospital (RSH) and Telford’s Princess Royal Hospital (PRH), is examining what short-term measures could be taken ahead of a decision by NHS Future Fit, which will define the future of healthcare for generations to come.
This study is the first to identify how therapist reported adaptations vary across multiple EBPs within a mental health system reform. Findings suggest most therapists report augmenting EBPs to fit the local context, whereas adaptations reducing or rearranging EBP components are less common but more likely when therapists hold a negative view of the EBP. To read the full article, log in using your SSSFT NHS OpenAthens details
In particular, it illustrates the innovative use of technology through a selection of local and international best practice case-studies and puts forward an outcome-based financing model which could facilitate the delivery of more innovative solutions.
This quality standard covers care for adults (aged 18 and over) who are malnourished or at risk of malnutrition in hospital or in the community. It includes identifying people at risk of malnutrition and providing nutrition support, including dietary changes and artificial nutrition support given through feeding tubes (enteral nutrition) or directly into a vein (parenteral nutrition). It describes high-quality care in priority areas for improvement.
The boards of Burton Hospitals NHS Foundation Trust and Derby Teaching Hospitals NHS Foundation Trust have approved the Outline Business Case for a proposed merger between the two organisations.
A Full Business Case will now be developed, with engagement and input from staff, governors, patients and the public, over the coming months. This Full Business Case will then be considered by both Trust boards in late autumn 2017.
The Trusts are seeking to build a partnership of equals that will provide sustainable clinical services of exceptional quality for patients and their families.
The Care Quality Commission has published a response to the first consultation on its next phase of regulation. The consultation sought views on how the commission should develop its regulatory model as it begins its next inspection regime. NHS Providers contributed to the consultation.
Allyson Rigby, one of our Emergency Department Senior Healthcare Assistants at Lancashire Teaching Hospitals, has introduced new wristbands to make it clear which patients have dementia.
The Bariatric Surgery service at County Hospital in Stafford has now completed 100 surgical procedures. This is an important milestone demonstrating the safety of the service since it began in December 2016, which will soon move to a new permanent seven bed unit at the hospital. The success of the department has resulted in it being approached to take patients from across the West Midlands and North West.
To examine how the social determinants of health have been considered in conceptualizations of multimorbidity in older adults in the literature and to identify implications for nursing practice, research and health-care planning and policy. To read the full article, log in using your SSSFT NHS OpenAthens details.
Several tools have been developed to evaluate the extent to which the findings from a network meta-analysis would be valid; however, applying these tools is a time-consuming task and often requires specific expertise. Clinicians have little time for critical appraisal, and they need to understand the key elements that help them select network meta-analyses that deserve further attention, optimising time and resources. This paper is aimed at providing a practical framework to assess the methodological robustness and reliability of results from network meta-analysis. To read the full article, log in using your NHS OpenAthens details.
News. The UK will have “blood on its hands” if the NHS cannot find an immediate place for a 17 year old woman at acute risk of suicide, the senior family court judge in England and Wales has said.
James Munby, president of the High Court’s family division, said that he felt “ashamed and embarrassed ” that no place had been found for the woman on her release from youth custody on 14 August.
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This article argues that family members of people who have been hospitalised and have diagnoses of learning disabilities and mental health disorders are under-represented in this area of research. There is a wide range of literature to suggest that family members of people with this dual diagnosis experience unique responsibilities, challenges and difficulties due to the nature of their caregiving.
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