Analysis of more than 440 admissions to Camden and Islington NHS Foundation Trust (C&I), shows the vast majority of admissions of people using “novel psychoactive substances” were strongly associated with violence. This was both before and during their admission.
The stark contrast in behaviour between users of psychoactive drugs and non-users is revealed in research undertaken by the Trust’s specialist Highgate Novel Psychoactive Substance (NPS) Research Group – the only such UK clinical research team.
Psychological interventions targeted at self-harm may reduce that ongoing risk: a recent Cochrane review found that longer-term CBT (cognitive behavioural therapy) and DBT (dialectical behavioural therapy) have the most evidence for reducing future self-harm repetition but there is little evidence for more acute interventions (Hawton et al, 2016). The ideal acute psychological intervention could be delivered before discharge from an acute hospital setting and would reduce the immediate risk of future self-harm.
Caroline Struthers explores a realist review of dementia-friendly interventions to improve the care of people living with dementia admitted to hospitals.
Hosted by GP surgery but including other MH/community groups such as local Carers' Centre, Fire Service, local MH Trust, police, Recovery College and Rethink for Carers.
This qualitative study explored how mental health inpatients with autistic spectrum conditions experience and cope with anxiety when admitted to an acute mental health inpatient facility in the UK. Anxiety is a common characteristic for people who live with autistic spectrum conditions and whilst a plethora of studies on anxiety in this population are published which correlate anxiety with mental health service experience, little is known about the actual triggers of anxiety and its manifestations. This study adds to a body of evidence which considers anxiety experienced by people with autism. The rationale for this paper includes the need to heighten mental health practitioners’ understanding, of the responses, motivations to engage and support required to overcome fears and anxieties when admitted to a mental health inpatient unit. 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. It is widely accepted among medical ethicists that competence is a necessary condition for informed consent. In this view, if a patient is incompetent to make a particular treatment decision, the decision must be based on an advance directive or made by a substitute decision-maker on behalf of the patient. We call this the competence model. According to a recent report of the United Nations (UN) High Commissioner for Human Rights, article 12 of the UN Convention on the Rights of Persons with Disabilities (CRPD) presents a wholesale rejection of the competence model.
In crafting our paper on addressing the ethical challenges in HIV prevention research with people who inject drugs (PWID),1 we had hoped to stimulate further discussion and deliberation about the topic. We are pleased that three commentaries on our paper have begun this process.2 3 4 The commentaries rightly bring up important issues relating to community engagement and problems in translating research into practice in the fraught environments in which PWID face multiple risks. These risks include acquisition of HIV as well as criminalisation, stigma and lack of access to needed healthcare, prevention and social services. We take this opportunity to respond to the excellent points raised by the commentators. To read the full article, log in using your NHS OpenAthens details.
A project funded by Barnet, Enfield and Haringey (BEH) Mental Health NHS Trust will showcase the stories of service users through art and music in a bid to fight the stigma of mental health.
On Friday 22 September the Outsider Gallery London will open its doors at Clarendon Recovery College to celebrate the creative work produced by service users that took part in the Creative, Recovery, Enablement and wellbeing (CREW) program.
Little is known about the hospitalisation rate of adults with severe/profound intellectual disability (PID) presenting at emergency services or about the appropriateness of hospital admissions in this population. Examining the possible differences in the patterns of hospitalisation between people with PID and those without intellectual disability (ID) may shed light on aspects of health and illness in these patients and may in turn make it possible to differentiate more clearly between mild-moderate ID and PID. 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 mark the World Mental Health Day, Healthwatch Enfield and Barnet Enfield and Haringey Mental Health NHS Trust (BEH) announce the launch of ‘Service Champions: a key to getting it right?’ report.
For over two years, Healthwatch Enfield sought the views of more than 220 mental health service users, professionals, and carers on their experiences of the support and services available within the borough publishing its third thematic report, “Listening to local voices on mental health” in August 2016. Through sharing their stories, local people told us that they most strongly support the need for early engagement of service users, patients, carers and the public in designing and enhancing mental health services and support.
Investigate patient perspectives on barriers and enablers to the use and effectiveness of de-escalation techniques for aggression in mental health settings. 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.
If you haven't had the chance to watch Louis Theroux's documentary Talking To Anorexia on BBC 2 then please take the opportunity to watch it again on iPlayer.
It is a thoughtful, thought-provoking dive into a difficult, dangerous, and debilitating eating disorder.
Our Trust, its staff and some of its patients on the Eating Disorders Clinic at St Ann's featured in the documentary which was both illuminating and heart-breaking as you experience the stories of people suffering with the UK's most deadly mental illnesses.
Because the association between rapid eye movement sleep behaviour disorder (RBD) and impulse control disorders (ICDs) in Parkinson’s disease (PD) has been debated, we assessed the sleep characteristics and the frequency of RBD using video-polysomnography (v-PSG) in patients with PD with versus without ICDs. To read the full article, log in using your NHS OpenAthens details.
Tracy and Angela spoke about the Visiting GP Service, which was rolled out across our secure services. The service operates from The Forge GP practice in Warrington and is accessible to all service users staying on our low-secure inpatient wards at Hollins Park Hospital.
Tracy and Angela have also implemented a comprehensive physical health database to assist the service in reviewing, monitoring and optimising the health and wellbeing of our patients. The database captures the whole range of physical health needs, including national screening programmes and the safe management of service users with long-term health conditions.
Apathy is a symptom shared among many neurological and psychiatric disorders. However, the underlying neurocircuitry remains incompletely understood. Apathy is one of the core features of behavioural variant frontotemporal dementia (bvFTD), a neurodegenerative disease presenting with heterogeneous combinations of socioaffective symptoms and executive dysfunction. To read the full article, log in using your NHS OpenAthens details.
To determine clinical and structural imaging predictors of impulsive–compulsive behaviour (ICB) in de novo Parkinson’s disease (PD). To read the full article, log in using your NHS OpenAthens details.
Epilepsy is a common neurological disorder occurring in 3% of the US adult population. It is characterised by seizures resulting from aberrant hypersynchronous neural activity. Approximately one-third of newly diagnosed epilepsy cases fail to become seizure-free in response to antiseizure drugs. Optimal seizure control, in cases of drug-resistant epilepsy, often requires neurosurgical intervention targeting seizure foci, such as the temporal lobe. Advances in minimally invasive ablative surgical approaches have led to the development of MRI-guided laser interstitial thermal therapy (LITT). To read the full article, log in using your NHS OpenAthens details.
Previous research suggests that overall experience participating in instrumental activities of daily living (IADLs) is associated with reduced IADL impairment in individuals with mild cognitive impairment, possibly because of an increased functional reserve. Given that difficulties managing finances tend to occur with mild cognitive impairment, this study explores whether experience managing one's finances is associated with independence across various IADLs. 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.
This year’s Patient Led Assessment of the Care Environment (PLACE) results have revealed the Trust is well above the national average in each of the areas assessed by the inspection team, at least half of which is made up of patients and service users. Furthermore, each of the six Trust sites inspected achieved 100% perfect scores in one or more areas.
Combined Healthcare has today (27 October) published updated waiting time figures demonstrating the significant improvement and quality of services being delivered by its children and young people's mental health services.
The guide has two requirements to enhance dementia care:
» Increasing the number of people diagnosed with dementia and starting treatment within six weeks from referral.
» Improving support for people with dementia and their carers, and the quality of post-diagnostic treatment.
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.
Over 110 people took an opportunity to help shape the future of NHS health services in the Leek area last night.
The listening event held at St Edward’s Church of England Academy enabled NHS health commissioners to gather the views of local people about the services they need.
Compulsory admissions have a strong effect on psychiatric patients and represent a deprivation of personal liberty. Although the rate of such admissions is tending to rise in several Western countries, there is little qualitative research on the mental health-care process preceding compulsory admission. The objective of the study was to identify crucial factors in the mental health-care process preceding compulsory admission of adult psychiatric patients from a sample in Rotterdam.
Plans to safeguard funding for health and social care services for some of Staffordshire’s most frail and vulnerable residents are to be escalated – after NHS England indicated money for the county council and the NHS could be withheld.
A research team, led by Drexel University in Philadelphia, used three analytical methods to look at 273,107 mother-child pairs in Stockholm, Sweden The children were age four to 14 and had been born between 1996 and 2007.
Women had reported their use of folic acid, iron and multivitamin supplements at their first antenatal visit and cases of child autism spectrum disorder (ASD) were identified from national registers.
The researchers found multivitamin use was associated with a lower likelihood of child ASD with intellectual disability. No consistent evidence was found for iron or folic acid contributing to reduced risk.
To read the full article, log in using your NHS OpenAthens details.
In clinical practice, some patients diagnosed with anxiety disorder (AD) may develop bipolar disorder (BD) many years later, and some cases of AD may be cured by the use of mood stabilizers. However, the relationship between AD and BD should be explored further.
It is well established that there is a link between inflammation and depression, with several studies reporting increased circulating levels of the pro-inflammatory cytokine, interleukin-6 (IL6), in depressed individuals. Peripheral epigenetic marks, including DNA methylation, hold promise as biomarkers for a range of complex conditions, with potential to inform diagnosis and tailor interventions. The aim of this study was to determine whether individuals with depression display differential methylation of the IL6 gene promoter compared to individuals without depression.
A team from the Trust presented a poster display of their caseload review tool at the Queen’s Nursing Institute (QNI) Annual Conference and were awarded first prize and praised for its innovative approach.
Launched in February, the District Nurse Caseload Review Tool was developed by the Trust in order to create a standardised approach to reviewing what were ‘unwieldy’ district nurse caseloads to ensure they are all managed and run efficiently, effectively, safely and where possibly innovatively, to support high quality care for all.
Burton Hospitals is offering an evening midwife led antenatal clinic as part of a three-month trial. The clinic will be for routine appointments and booking appointments for women who would normally receive their antenatal care appointments with the Community Midwife in the day at venues within the community.
Book Review. This guidebook for family carers of people with learning disabilities who have dementia covers diagnosis, health changes, support strategies and future concerns.
To read the full article, log in using your NHS OpenAthens details.
To read a copy of the book in this review, please contact the library
Patients and the public are invited to attend two public meetings in October looking at the proposed merger of Burton Hospitals NHS Foundation Trust and Derby Teaching Hospitals NHS Foundation Trust.
UHNM has achieved above the national average in all eight of the Patient-led assessments of the care environment (PLACE) review indicators compiled by the Health and Social Care Information Centre.
The team have set up a new appointments system in response to patient feedback, which has reduced plaster room waiting times for both inpatients and outpatients. A new pager system which enables patients to leave the department for refreshments and be called back for their consultation has also been introduced.
This year’s quality strand at our annual conference and exhibition, taking place on 7-8 November in Birmingham, will explore three innovative approaches that NHS organisations are taking to bridge conventional healthcare divides, and establish cultures of learning and quality improvement which are underpinned by a systems approach to patient safety.
Eating disorders form a group of mental health conditions characterised by abnormal eating habits and are associated with high mortality rates. This article provides nurses working in various settings with evidence-based strategies to identify, manage and refer children and young people with eating disorders.
To read the full article, log in using your NHS OpenAthens details.
Here, we present the conceptual framework and protocol for a novel study, “Engaging self-regulation targets to understand the mechanisms of behavior change and improve mood and weight outcomes (ENGAGE)”. The ENGAGE study integrates neuroscience with behavioral science to better understand the self-regulation related mechanisms of behavior change for improving mood and weight outcomes among adults with comorbid depression and obesity. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Training in mindfulness has been introduced to the treatment of depression as a means of relapse prevention. However, given its buffering effects on maladaptive responses to negative mood, mindfulness training would be expected to be particularly helpful in those who are currently suffering from symptoms. This study investigated whether a brief and targeted mindfulness-based intervention can reduce symptoms in acutely depressed patients. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The aim of this study was to test whether a cognitive-behavioral and mindfulness-based group sleep intervention would improve behavior problems in at-risk adolescents, and whether these improvements were specifically related to improvements in sleep. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
This guideline covers recognising and responding to abuse and neglect in children and young people aged under 18. It covers physical, sexual and emotional abuse, and neglect.
Blog post. Women who breastfeed their children longer exhibit more maternal sensitivity well past the infant and toddler years, according to a 10-year longitudinal study published by the American Psychological Association.
The results held even after accounting for maternal neuroticism, parenting attitudes, ethnicity, mother’s education and presence of a romantic partner. The findings are published in the journal Developmental Psychology®.
This guideline covers assessing and managing chronic hepatitis B in children, young people and adults. It aims to improve care for people with hepatitis B by specifying which tests and treatments to use for people of different ages and with different disease severities.
Patients with cystic fibrosis could avoid having to travel to specialist clinics if health professionals could monitor them using phone or video messaging.
A "random item" link in every information system would serve a number of purposes. First and most simplistically, it would bring our systems just a bit closer to the user experience of one of the most popular websites ever. Libraries have invested millions of dollars over the last decade to make their systems more like Google, so why not introduce a minor tweak to make them more like Wikipedia?
A random item link provides a unique and surprising- and therefore fun-entry point into an information system.
To read the full article, log in using your NHS OpenAthens details.
Community-based mental health services for working age adults at South London and Maudsley (SLaM) NHS Foundation Trust have been rated Requires Improvement overall by the Care Quality Commission.
We’re aiming to improve the way we engage the public by using their views and experiences in our work and helping them use the information we have about the quality of care.
Similar to substance addictions, reward-related cognitive motivational processes, such as selective attention and positive memory biases, have been found in disordered gambling. Despite findings that individuals with substance use problems are biased to approach substance-related cues automatically, no study has yet focused on automatic approach tendencies for motivationally salient gambling cues in problem gamblers. We tested if moderate-to-high-risk gamblers show a gambling approach bias and whether this bias was prospectively related to gambling behaviour and problems. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
To investigate how use of alcohol, illicit drugs and tobacco come from substance specific pathways and from pathways general to all three substances through adolescents’ development. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
[NB Lots of good marketing ideas after the Pokemon GO bit] "Since the library also provides training on our databases, together we created Speed Training, an event based loosely on speed dating... We set up booths manned by employees from FCC University, the library, and outside database vendors who put together short overviews of different services. Visitors received stickers on a card for each booth they visited. Completing the card allowed them to enter a raffle... Even with a large time commitment, the cost was minimal for the ROI. The turnout was fantastic, training sign-ups increased, and we began getting more attention from upper management.
To read the full article, log in using your NHS OpenAthens details.
Evaluation of bone health in childhood is important to identify children who have inadequate bone mineralisation and who may benefit from interventions to decrease their risk of osteoporosis and subsequent fracture. There are no bone protective agents that are licensed specifically for the prevention and treatment of osteoporosis in children. In this review, we discuss the mechanism of action and use of bisphosphonates and other new and established bone protective agents in children. To read the full article, log in using your NHS OpenAthens details.
Letter. In recent years, postgraduate training has changed significantly, with further changes to the training pathway on the horizon.1 Tensions have been heightened due to significant rota gaps, recent contract negotiations, ongoing challenges with trainee retention and poor morale.2 Coupled with intense service pressures, there is a need to understand the impact of these on paediatricians in training and develop mechanisms to improve the training experience. To read the full article, log in using your NHS OpenAthens details.
Letter. Growth monitoring is the long-standing practice used to identify children who fall outside healthy growth parameters. It has been proposed as a key activity for childhood obesity prevention.1 Accurate growth monitoring requires specific techniques and equipment and plotting measurements on a growth chart. The objective of this study was to determine if primary care providers follow recommended growth monitoring practices, including measurement techniques, standardised equipment and use of appropriate growth charts at all health visits. To read the full article, log in using your NHS OpenAthens details.
To estimate the potential impact of enhanced primary care and new out-of-hospital models (OOHMs) on emergency department (ED) presentations by children and young people (CYP). To read the full article, log in using your NHS OpenAthens details.
To determine the number of individual children admitted to Paediatric Intensive Care Units (PICUs) in England and Wales between 2004 and 2013 and to investigate potential factors for any change over time, including ethnicity. To read the full article, log in using your NHS OpenAthens details.
Commentary on: Rollman BL, Belnap BH, Mazumdar S, et al. Telephone-delivered stepped collaborative care for treating anxiety in primary care: a randomized controlled trial. J Gen Intern Med 2017;32:245–55.
Implications for practice and research
Telephone-based stepped collaborative care yields lasting improvements in anxiety and mood for primary care patients with generalised anxiety disorder and/or panic disorder.
Research is needed to determine which collaborative care intervention components are most beneficial to which subgroups of patients.
To read the full article, log in using your NHS OpenAthens details.
To investigate whether diagnostic data from structured interviews, primary care and specialist care registries on major depressive disorder (MDD), anxiety disorders (AD) and alcohol use disorder (AUD) identify the same individuals, yield comparable comorbidity estimates and reflect the same genetic influences. 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. Treatment resistance is a challenge for the management of schizophrenia. It is not always clear whether inadequate response is secondary to medication ineffectiveness, as opposed to medication underexposure due to non-adherence or pharmacokinetic factors. We investigated the prevalence of subtherapeutic antipsychotic plasma levels in patients identified as treatment-resistant by their treating clinician.
In adulthood, the diagnosis of attention-deficit/hyperactivity disorder (ADHD) has been subject of recent controversy. We searched for a neuroanatomical signature associated with ADHD spectrum symptoms in adults by applying, for the first time, machine learning-based pattern classification methods to structural MRI and diffusion tensor imaging (DTI) data obtained from stimulant-naïve adults with childhood-onset ADHD and healthy controls (HC). 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.
A set of resources to support the commissioning and delivery of child vision screening. Includes a service specification, competencies, leaflets and template letters.
The report confirms many of the issues raised in the Five Year Forward View for Mental Health published in 2016 and in particular, comments on the difficulties children and young people face in accessing appropriate support for their mental health concerns from a system that is fragmented and where services vary in quality.
Teaching health and social care professionals such as pharmacists and ‘Meals on Wheels’ staff to deliver exercise interventions, could be key to curtailing the UK’s growing ageing crisis.
Today sees the relaunch of our Guidance on confidentiality, which provides advice for registrants on how they should handle and share information about service users.
Three animations demonstrate how nurses and midwives could use the Enabling professionalism framework to reflect on practice and challenge poor behaviour.
This European Social Fund and National Lottery funded project is a partnership between the Lancashire WildlifeTrust and Lancashire Care NHS Foundation Trust, which is pioneering nature as a holistic therapy.
The problems start if you are researching a person, company or industry based in a country other than your own – let’s use Norway as an example – or just want the latest news from that country.
If you can't access the full-text of an article we will try to get a copy for you via an inter-library loan (ILL). During July to September 2017 we processed 39 inter-library loan requests, helping staff to access the right evidence
Purpose: People with motor neuron sisease require adaptive equipment to enhance life quality. This study aimed to examine total and concurrent equipment items prescribed with phenotype consideration. You can request a copy of this article by replying to this email. Please be clear which article you are requesting.
The latest in our series focusing on staff involvement for quality improvement, the case study focuses on how Ashford and St Peter's has used innovative staff involvement techniques to help all staff improve quality of patient care. Beginning as an initiative solely for medical staff engagement, it has now been adopted across the organisation.
The vision that drove the transformation of the Canterbury health system and that has continued to be its focus is one orientated around care that is people centred, that is connected and that aims not to waste patients’ time: in other words, care that is provided at the right time, by the right person, in the right place.
Looking at the experiences of Pegasus Health, a clinically led, management-enabled primary care network of general practices in Canterbury, gives some hints to how a solution can be achieved. Pegasus Health supports more than 350 GPs in 100 practices within the Christchurch and Canterbury area to deliver care for 420,000 enrolled patients.
Regaining the ability to independently ambulate following a physical disability can increase functional ability and participation of patients in daily life. Gait trainers are assistive devices that enable body support and provide safety during gait. You can request a copy of this article by replying to this email. Please be clear which article you are requesting.
Statistics covering notifications from local authority children’s services about incidents that affect children under 18, including incidents of serious harm and deaths.
The hospital closed its doors at the end of July to allow the work, which included the laying of new flooring, to take place. During this time, a pilot project called Home First - aimed at helping patients to receive more care in the community without the need for a hospital admission – was run
Well, recent research suggests that between 43% and 61% of the working population in England do not have the knowledge to understand and apply health information[1]
Despite an obvious and growing need, there has historically been scant provision of social care and social work in prisons. Thus, although the 2014 Care Act gave local authorities in England responsibility for identifying, assessing and meeting adult prisoners’ social care needs, little was known about the number of prisoners eligible for support, the extent of their needs or how best to meet them. Against this background, this paper reports the findings of two national surveys of local authority managers undertaken in 2016 which found that upwards of 1,800 prisoners with social care needs were identified in the first year, of whom almost 1,600 received an assessment and approaching 800 were deemed eligible for the provision of care and support.To read the full article, log in using your NHS OpenAthens details.
Health care leaders across Staffordshire and Stoke-on-Trent’s clinical commissioning groups have announced the appointment of Marcus Warnes as their single joint Accountable Officer.