Blog post. Introducing the Research Digest App for iOS and Android. Today we've launched the free Research Digest app for Apple and Android smartphones and tablets, bringing you a new and convenient way to keep up-to-date with all our latest research reports.
The in-app help screens will show you how to customise the home page according to your preferred subject categories. You can also share our reports quickly and easily from within the app, as well as creating a scrapbook of your favourite items.
From their work studying and advising companies that have successfully employed agile methods, the authors have discerned six crucial practices for capitalizing on agile’s potential: (1) Learn how agile really works; (2) understand when it is appropriate; (3) start small and let passionate evangelists spread the word; (4) allow teams that have mastered the process to customize their practices; (5) practice agile at the top; and (6) destroy corporate barriers to agile behaviors. To read the full article, log in using your NHS OpenAthens details
Open access. Since its publication in 2008, SQUIRE (Standards for Quality Improvement Reporting Excellence) has contributed to the completeness and transparency of reporting of quality improvement work, providing guidance to authors and reviewers of reports on healthcare improvement work. In the interim, enormous growth has occurred in understanding factors that influence the success, and failure, of healthcare improvement efforts. Progress has been particularly strong in three areas: the understanding of the theoretical basis for improvement work; the impact of contextual factors on outcomes; and the development of methodologies for studying improvement work. Consequently, there is now a need to revise the original publication guidelines. To reflect the breadth of knowledge and experience in the field, we solicited input from a wide variety of authors, editors and improvement professionals during the guideline revision process. This Explanation and Elaboration document (E&E) is a companion to the revised SQUIRE guidelines, SQUIRE 2.0.
Half page article on how to get the best out of teams where 'high power' individuals are involved. To read the full article, log in using your NHS OpenAthens details
There is burgeoning interest in augmentation strategies for improving inadequate response to antidepressants. The adjunctive use of standardized pharmaceutical-grade nutrients, known as nutraceuticals, has the potential to modulate several neurochemical pathways implicated in depression. While many studies have been conducted in this area, to date no specialized systematic review (or meta-analysis) has been conducted. Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - request a copy of the article from the library http://bit.ly/1Xyazai
This study examines the long-term effects of evidence-based supported employment services on three vocational outcomes: labor force participation, earnings, and attainment of Social Security Administration (SSA) nonbeneficiary status through suspension or termination of disability cash payments due to work (NSTW). Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - request a copy of the article from the library http://bit.ly/1Xyazai
While the increased risk of psychopathology in the biological offspring of depressed parents has been widely replicated, the long-term outcome through their full age of risk is less known. The authors present a 30-year follow-up of biological offspring (mean age=47 years) of depressed (high-risk) and nondepressed (low-risk) parents. Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - request a copy of the article from the library http://bit.ly/1Xyazai
Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - request a copy of the article from the library http://bit.ly/1Xyazai
Editorial. Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - request a copy of the article from the library http://bit.ly/1Xyazai
Our service users on mental health wards at Hollins Park Hospital in Warrington have been channelling their creativity through a vintage furniture restoration project.
Case report. Podcast available. Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - request a copy of the article from the library http://bit.ly/1Xyazai
In the latest in our series of blogs about #mentalhealth, an NHS England (London) awareness campaign for mental health care across the capital, the Medical Director at South West London and St George’s Mental Health NHS Trust and clinical lead for Healthy London Partnership’s Mental Health Crisis Care Programme discusses crisis care in the capital, why it needs to change and explains how a variety of organisations are working more closely together than ever before to improve services
This study is a useful summary of which nutrients have been tested as an add-on to antidepressants, and an overall indication of what the studies found. It shows that, for most of these nutrients, the evidence comes from small studies of varying quality and length, and that we need bigger, better studies to get a true picture of their effects.
For the nutrients where there was sufficient evidence to carry out a meta-analysis, the difficulty is that the way the results are presented makes it hard to tell how much of an effect the nutrients actually had on people's depression.
A major review of existing data found there is "moderate-quality evidence" that yoga improves both symptoms and reported quality of life in people with asthma.
Researchers compared two types of exercise programme over a 12-week period with a control. The two programmes were:
a 10-minute "intense" workout, three times a week (referred to as Sprint Interval Training)
a 50-minute moderate intensity workout, once a week
At the end of the study, they found similar improvements in reliable fitness markers in both groups, such as the body's response to insulin, peak uptake of oxygen and the functioning of muscle cells. However, it is uncertain that the changes seen would have an effect on cardiovascular disease risk and outcomes in the long term.
Editorial. Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - request a copy of the article from the library http://bit.ly/1Xyazai
Editorial. Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - request a copy of the article from the library http://bit.ly/1Xyazai
Adolescents who regularly use marijuana may be at heightened risk of developing subclinical and clinical psychotic symptoms. However, this association could be explained by reverse causation or other factors. To address these limitations, the current study examined whether adolescents who engage in regular marijuana use exhibit a systematic increase in subclinical psychotic symptoms that persists during periods of sustained abstinence. Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - request a copy of the article from the library http://bit.ly/1Xyazai
Both preclinical studies and clinical trials have indicated that the combination of a selective serotonin reuptake inhibitor (SSRI) and a statin may have superior antidepressant effects compared with SSRI treatment alone. The authors sought to assess whether this beneficial effect can be generalized to a more heterogeneous population of SSRI users. Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - request a copy of the article from the library http://bit.ly/1Xyazai
We outline benefits and problems of introducing internet-based approaches (e.g. e-learning, social networking) into journal clubs. We also look at potential risks to the continuing existence of clubs posed by the changing health economy and the move in psychiatry from clinical medicine to community care. Overall, we are optimistic for the journal club’s survival. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - http://bit.ly/1Xyazai
Journal clubs are a mandatory aspect of psychiatric training in the UK, yet are not always seen as a stimulating experience. Clarifying the aim of the club and tailoring it to the needs and wishes of the audience is an essential step. Teaching skills in critical appraisal is often seen as the main purpose of journal clubs. Depending on the audience, being able to formulate questions from clinical dilemmas, search the literature, and integrate research evidence, clinical expertise and the patient’s needs and wishes may be as important. Linking these tasks in the journal club with routine clinical practice increases the chances of changing attitudes and behaviour and thus influencing care. New approaches to using social media and online formats mean that journal clubs are no longer restricted to a particular place or time, although the social aspect of meeting colleagues continues to be important for many. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - http://bit.ly/1Xyazai
College tutors for psychiatry trainees are National Health Service (NHS) consultants who have responsibility for organisation and delivery of postgraduate education and learning opportunities for the core trainees in NHS trusts. College tutors are responsible for monitoring the progress of trainees through the core training schemes. Tutors have various roles and responsibilities in teaching and training. Being a tutor can be a rewarding experience and any consultant interested in postgraduate teaching should consider becoming one. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - http://bit.ly/1Xyazai
This article is aimed primarily at psychiatry trainees, MRCPsych course organisers, College tutors, educational supervisors and clinical supervisors. It describes recent changes to the MRCPsych curriculum and examinations and discusses the different approaches that educators can utilise to best help their trainees. We describe how the content of MRCPsych courses can help prepare trainees for both the written papers and the clinical assessment of skills and competencies (CASC). We discuss ways of incorporating patients and carers into course development, innovative approaches using technology to enhance learning, the role of workplace-based assessments and how international graduates may maximise their pass rate. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - http://bit.ly/1Xyazai
The concept of an ‘at-risk mental state’ for psychosis arose from previous work attempting to identify a putative psychosis prodrome. In this article we summarise the current criteria used to identify ‘at-risk’ individuals, such as the ultra-high-risk (UHR) criteria, and the further identification of important clinical risk factors or biomarkers to improve prediction of who might develop a psychotic disorder. We also discuss important ethical issues in classifying and treating at-risk individuals, current treatment trials in this area and what treatment current services can offer. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - http://bit.ly/1Xyazai
We offer a contemporary review of studies of the offspring of parents with bipolar disorder and explore the clinical characteristics of these populations. We discuss how different methodological approaches may influence study findings and may explain some of the heterogeneity in the results reported. We also highlight some of the environmental risk factors that may increase the likelihood of transition from an ‘at-risk’ or high-risk state to bipolar disorder. Last, we briefly discuss the implications of study findings for early intervention strategies and comment on such issues as genetic counselling and primary and early secondary prevention programmes. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - http://bit.ly/1Xyazai
Tourette syndrome is a complex neuropsychiatric disorder of juvenile onset, characterised by motor and phonic tics. It is associated with a number of comorbid psychiatric conditions and a reduced quality of life in the young person and with parenting stress, caregiver burden and psychopathology in the parents. The global prevalence (about 1%) is higher than previously thought, with a strong male preponderance. Evidence is emerging that Tourette syndrome is not a unified disorder; rather, it encompasses a number of subtypes, characterised by complexity of tics and the simultaneous presence of other behaviours or disorders. This article discusses the aetiology of the syndrome, and examines its clinical features and comorbid psychiatric conditions and psychopathologies. Assessment and diagnosis are also discussed. Psychoeducation is a cornerstone of management, augmented with behavioural and/or pharmacological treatments. Newer therapies, such as deep brain stimulation, offer tantalising possibilities, but further research is still needed. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - http://bit.ly/1Xyazai
Autism spectrum disorder (ASD) is a heterogeneous disorder with clearly recognisable core features, but without reliable biomarkers as yet. It has a high rate of comorbid psychiatric disorders which need to be identified and appropriately treated. Emerging concepts in genetics, patho-biology and outcome measurement have potential to significantly advance the treatment of both ASD and its comorbidities over the following decades. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - http://bit.ly/1Xyazai
Autism spectrum disorder (ASD) is a complex, multifactorial disorder, the prevalence of which is rising. Specific biomarkers are yet to be identified for the classic ASD phenotypes, so despite treatment advances, most interventions focus on the comorbid disorders of ASD and have little impact on the underlying pathogenesis of the disorder. This article describes drug treatments that target the core symptoms of ASD and its comorbid conditions in children and adolescents. Difficulties and challenges encountered when treating the most frequent comorbidities are discussed, with emphasis on the safety, tolerability and efficacy of medications. In view of its widespread use, complementary and alternative medicine is also described. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - http://bit.ly/1Xyazai
Rates of detected autism spectrum disorder (ASD) are currently rising, and there is a need for effective treatments to manage the symptoms. In this commentary I outline the challenges that autism presents to service delivery and consider a Cochrane review that evaluates one of the best-known classes of treatment for ASD, parent-mediated early intervention. I discuss effect size and bias in the interpretation of the review’s results, and consider also the rationale for low- and high-intensity intervention at both the individual level and, from a public health perspective, at population level. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - http://bit.ly/1Xyazai
We tested race/ethnic differences in alcohol and marijuana (AM) trajectories (comprising an intercept term; reflecting overall probability of use, and a slope term; reflecting change in probability of use) during adolescence, whether AM use trajectories predicted high school outcomes, and whether outcomes differed by race/ethnicity after controlling for trajectory of AM use. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
The objective of this study was to assess the strengths and limitations of a mixed bipolar depression definition made more inclusive than that of the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5) by counting not only ‘non-overlapping’ mood elevation symptoms (NOMES) as in DSM-5, but also ‘overlapping’ mood elevation symptoms (OMES, psychomotor agitation, distractibility, and irritability). Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - http://bit.ly/1Xyazai
Mental health services have an important role in the treatment of people at risk of suicide. Many people who attempt suicide have underlying mental health problems, and the treatment of these issues is crucial to reduce their suicide risk. In other areas of medicine, since the publication of the landmark report To Err is Human,1 there have been sustained efforts to reduce adverse events associated with health care.1,2 Internationally, an awareness has budded that effective clinical governance is a vital component of high-quality health care. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Research into which aspects of service provision in mental health are most effective in preventing suicide is sparse. We examined the association between service changes, organisational factors, and suicide rates in a national sample. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
In recent years there has been an increase in the popularity of home visitation programs as a means of addressing risk factors for child maltreatment. The evidence supporting the effectiveness of these programs from several meta-analyses, however, is mixed. One potential explanation for this inconsistency explored in the current study involves the manner in which these programs were implemented. In the current study we reviewed 156 studies associated with 9 different home visitation program models targeted to caregivers of children between the ages of 0 and 5. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
It is widely recognized that children in the child welfare system are particularly vulnerable to the adverse health and mental effects associated with exposure to abuse and neglect, making it imperative to have broad-based availability of evidence-based practices (EBPs) that can prevent child maltreatment and reduce the negative mental health outcomes for youth who are victims. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Child neglect is the most prevalent form of child maltreatment and represents 79.5% of open child-welfare cases. A recent study found the evidence-based intervention (EBI) SafeCare® (SC) to significantly reduce child neglect recidivism rates. To fully capitalize on the effectiveness of such EBIs, service systems must engage in successful implementation and sustainment; however, little is known regarding what factors influence EBI sustainment. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
This article proposes a review of the scientific literature on the cooccurrence of intimate partner violence and intrafamilial child sexual abuse. The review of these two types of violence has evolved in distinct research fields and their cooccurrence has rarely been examined. The objective of this article is to examine the existing knowledge about this cooccurrence. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Challenges in the prevention of disordered eating field include moving from efficacy to effectiveness and developing an integrated approach to the prevention of eating and weight-related problems. A previous efficacy trial indicated that a universal disordered eating prevention program, based on the social cognitive model, media literacy educational approach and cognitive dissonance theory, reduced risk factors for disordered eating, but it is unclear whether this program has effects under more real-world conditions. This effectiveness trial tested whether this program has effects when previously trained community providers in an integrated approach to prevention implement the intervention. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
In many clinical settings, there is a high comorbidity between substance use disorders, psychiatric disorders, and traumatic stress. Novel therapies are needed to address these co-occurring issues efficiently. The aim of the present study was to conduct a pragmatic randomized controlled trial comparing Mindfulness-Oriented Recovery Enhancement (MORE) to group Cognitive-Behavioral Therapy (CBT) and treatment-as-usual (TAU) for previously homeless men residing in a therapeutic community. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Whilst studies have consistently identified early symptom reduction as an important predictor of treatment outcome, the impact of early change on common comorbid features has not been investigated. This study of CBT for eating disorders explored patterns of early change in eating pathology and longer-term change in personality pathology, anxiety and depression. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Worry in Generalized Anxiety Disorder (GAD), takes a predominantly verbal form, as if talking to oneself about possible negative outcomes. The current study examined alternative approaches to reducing worry by allocating volunteers with GAD to conditions in which they either practiced replacing the usual form of worry with images of possible positive outcomes, or with the same positive outcomes represented verbally. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Despite considerable progress in reducing cigarette smoking prevalence and enhancing smoking cessation treatments, most smokers who attempt to quit relapse. The current randomized clinical trial evaluated the efficacy of an adjunctive behavioral smoking cessation treatment based on learning theory.
There are few empirical data regarding effective treatment of trauma-related symptoms among individuals with severe mental illness (SMI; e.g., bipolar disorder, schizophrenia). This under-examined clinical issue is significant because rates of trauma and PTSD are higher among individuals with SMI relative to the general population, and there are sufficient data to suggest that PTSD symptoms exacerbate the overall course and prognosis of SMI. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Given the high rates of comorbidity between posttraumatic stress disorder (PTSD) and substance use disorder (SUD), we investigated an integrated treatment for these disorders. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Cognitive change during Cognitive Processing Therapy is associated with reductions in PTSD and depression for service members. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Staffordshire County Council has improved key outcomes for its public and achieved £150m of savings by transforming itself from a provider of services to a commissioner of outcomes, delegates to the CIPFA’s Scottish conference in Glasgow heard today.
Resources director Andrew Burns, a member of CIPFA council and of the Public Finance Top 50 said that, since the council came under Conservative leadership in 2009, staffing had fallen from 11,000 to 5,500, mostly by transferring delivery to outside providers and joint ventures, and forming strategic partnerships with other agencies. At the same time, public and staff satisfaction had risen and crime and unemployment fallen.
This study aimed to establish if written emotional disclosure (WED) improves caregiver psychological and physical health. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
We examine predictors of dropout among patients with PTSD and alcohol dependence. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
This service evaluation project explored service users’ experiences of positive behavioural support (PBS) within a medium secure mental health service. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - http://bit.ly/1Xyazai
This was an opportunity to hear from a peer about Quality Improvement System and how it has helped staff to focus on the most important matters of improving the lives of the people who services and develop a culture of quality improvement.
This session looked at Bolton’s continued successful effort in enhancing staff engagement and developing a listening culture in order to deliver high quality and financially sustainable healthcare system.
High levels of stigma and discrimination are reported by individuals with mental health problems. Aim: To assess self-reported levels of stigma and discrimination in forensic psychiatric patients, with psychotic illness, compared with general adult psychiatric patients with psychosis. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - http://bit.ly/1Xyazai
The NAO reports that it is not clear, due to a lack of full data, how much the NHS still needs to do to achieve the access and waiting time standards. However we do know that given the current financial situation of many NHS providers, success will depend on investment, and on embedding the party of esteem principle into frontline services.
This guideline covers identifying and managing depression in adults aged 18 years and older, in primary and secondary care. It aims to improve care for people with depression by promoting improved recognition and treatment.
In April 2016, recommendation 1.10.5.1 was deleted and replaced with a link to the NICE interventional procedure guidance on repetitive transcranial magnetic stimulation for depression.
Open access. The field of patient safety has focused on acute adverse events. However, hospitalised patients face regular stressors, such as sleep deprivation and malnutrition, which frequently predispose them to other complications, yet are unlikely to be detected as preventable adverse events in chart-based studies. Unlike easy-to-measure patient safety events, such as retained foreign objects or catheter infections, sleep deprivation and malnutrition are more difficult to measure, as they are dynamic and occur with varying severity. Even a young, extremely healthy person at home without illness will become physiologically stressed and transiently immunocompromised after a mere 24 h of starvation and a poor night's sleep......
The Forward View sets out a vision for primary care that includes:
Increasing investment in the sector, including in better technology.
Expanding and supporting staffing.
Reducing burdens on practices to help them to release time.
From May we will be inspecting SEND provision for children and young people by local areas.
We will also look at how well education services, social care and health work together to identify, assess and meet the needs of children and young people with special educational needs and or a disability.
We will carry out these inspections jointly with Ofsted and we have worked very closely with Ofsted and the Department for Education to develop the new inspection arrangements.
Obsessive compulsive disorder (OCD) and social anxiety disorder (SAD) are characterized by biased perception and processing of potentially threatening stimuli. A hyper-reactivity of the fear-circuit [e.g. amygdala, anterior cingulate (ACC)] has been consistently reported using functional magnetic resonance imaging (fMRI) in SAD in comparison with healthy controls (HCs). Studies investigating the processing of specific emotional stimuli in OCD reported mainly orbitofrontal-striatal abnormalities. The goal of this study was to examine similar/common and differential neurobiological responses in OCD and SAD using unspecific emotional stimuli. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Adverse effects of antidepressants are most common at the beginning of the treatment, but possible also later. We examined the association between antidepressant use and work-related injuries taking into account the duration of antidepressant use. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
There is limited information on long-term outcomes of adolescent depression. This study examines the associations between severity of depression in adolescence and a broad array of adult functional outcomes. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Lysergic acid diethylamide (LSD) is a potent serotonergic hallucinogen or psychedelic that modulates consciousness in a marked and novel way. This study sought to examine the acute and mid-term psychological effects of LSD in a controlled study. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
The incidence of psychotic disorders varies between geographical areas and it has been hypothesized that neighbourhood-level factors may influence this variation. It is also plausible that the duration of untreated psychosis (DUP) is associated with neighbourhood characteristics. The aims of this study were to determine whether the incidence of first-episode psychosis (FEP) and the DUP are associated with the level of social deprivation, fragmentation, social capital and population density. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
People with dementia were asked to define issues of importance to them, set the local priorities for action and together we created solutions.
This involved community cafes, connections and commitment.
This report details the policy background, the process, experiences and outcomes.
Ketamine and non-ketamine N-methyl-d-aspartate receptor antagonists (NMDAR antagonists) recently demonstrated antidepressant efficacy for the treatment of refractory depression, but effect sizes, trajectories and possible class effects are unclear. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Attention deficit hyperactivity disorder (ADHD) is overrepresented in prison, making it imperative to identify a screening tool that can be quickly applied to efficiently detect the disorder. We explored the discrimination ability of a widely used ADHD screen, the Barkley Adult ADHD Rating Scale (BAARS-IV), against a clinical diagnostic interview. A brief version of the screen was then developed in order to simplify its use in the prison context, and maximize its diagnostic properties. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Establishing an evidence-based diagnostic system informed by the biological (dys)function of the nervous system is a major priority in psychiatry. This objective, however, is often challenged by difficulties in identifying homogeneous clinical populations. Melancholia, a biological and endogenous subtype for major depressive disorder, presents a canonical test case in the search of biological nosology. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
In Leicester City CCG, a pioneering approach to COPD combining telemonitoring, specialist nurse interventions and health coaching, demonstrated reduced admissions per head from 3.13 to 1.02 per year, (p<0.001) and also improved patient’s experience of care (ref 2)
The telehealth initiative, CliniTouch, uses the proven intelligent algorithm to monitor patient’s vital signs and wellbeing to pick up early symptom deterioration. This combined intervention reduced unscheduled admissions by 2/3rds with the CCG reporting net QIPP savings of £117,550 over a 12 month period
Impulsivity is associated with bipolar disorder as a clinical feature during and between manic episodes and is considered a potential endophenotype for the disorder. Schizophrenia and major depressive disorder share substantial genetic overlap with bipolar disorder, and these two disorders have also been associated with elevations in impulsivity. However, little is known about the degree of overlap among these disorders in discrete subfacets of impulsivity and whether any overlap is purely phenotypic or due to shared genetic diathesis. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Distrust and social dysfunction are characteristic in psychosis and may arise from attachment insecurity, which is elevated in the disorder. The relationship between trust and attachment in the early stages of psychosis is unknown, yet could help to understand interpersonal difficulties and disease progression. This study aimed to investigate whether trust is reduced in patients with early psychosis and whether this is accounted for by attachment avoidance and attachment anxiety. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Major questions remain regarding the dysfunctional neural circuitry underlying the pathophysiology of bipolar disorder (BD) in both youths and adults. In both age groups, studies implicate abnormal intrinsic functional connectivity among prefrontal, limbic and striatal areas. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Patients who have an acute mental health crisis and need care in Psychiatric Intensive Care Units (PICUs) are one of the most vulnerable and at risk groups in society.
NHS Clinical Commissioners and the National Association of Psychiatric Intensive Care and Low Secure Units (NAPICU) have launched new guidance to support the commissioning of PICUs to improve patient experience and ensure that this group get the best care possible.
Several lines of evidence suggest that bipolar disorder (BD) is associated with white matter (WM) pathology. Investigation of unaffected first-degree relatives of BD patients may help to distinguish structural biomarkers of genetic risk without the confounding effects of burden of illness, medication or clinical state. In the present study, we applied tract-based spatial statistics to study WM changes in patients with BD, unaffected siblings and controls. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Against a backdrop of increasing research, clinical and taxonomic attention in non-suicidal self-injury (NSSI), evidence suggests a link between NSSI and eating disorders (ED). The frequency estimates of NSSI in ED vary widely. Little is known about the sources of this variation, and no meta-analysis has quantified the association between ED and NSSI.
Method Using random-effects meta-analyses, meta-regression analyses, and 1816–6466 unique participants with various ED, we estimated the weighted average percentage of individuals with ED, those with anorexia nervosa (AN) and those with bulimia nervosa (BN) who are reported to have a lifetime history of NSSI across studies. We further examined predictors of NSSI in ED. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
The genetic influences in human brain structure and function and impaired functional connectivities are the hallmarks of the schizophrenic brain. To explore how common genetic variants affect the connectivities in schizophrenia, we applied genome-wide association studies assaying the abnormal neural connectivities in schizophrenia as quantitative traits. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
The purpose of this study was to test the reliability and validity of the First-Episode Psychosis Services Fidelity Scale (FEPS-FS) and compare it with similar scales. Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - request a copy of the article from the library http://bit.ly/1Xyazai
The aim of the study was to explore the feasibility of expanding a community service for early detection of psychosis into a local London prison for men in the United Kingdom. Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - request a copy of the article from the library http://bit.ly/1Xyazai
Most depression among older adults is treated in primary care, and many patients do not adhere to medication treatment. The U.S. Department of Veterans Affairs (VA) has recently introduced initiatives to address such treatment gaps. This study examined patient-reported antidepressant nonadherence during the acute treatment period (first four months after a prescription) and identified predictors of nonadherence in a sample of older veterans. Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - request a copy of the article from the library http://bit.ly/1Xyazai
erious case reviews should better reflect the context in which poor decisions were taken by practitioners, according to a report.
The NSPCC and Social Care Institute for Excellence guide set out 18 ‘quality markers’ for safeguarding children boards to consider when commissioning serious case reviews (SCRs).
The report was commissioned by the Department for Education as part of a suite of resources on learning from serious case reviews.
Psychoanalytic Psychology33.2 (Apr 2016): 243-263.
This study examined whether difficulties in maintaining a balance between the personality variables of relatedness (dependency) and self-definition (autonomy) together with a low level of differentiation would distinguish male patients with eating disorders (EDs) from controls. To read the full article, log in using your NHS OpenAthens details
"The article presents a study which examines the application of neurosciences in improving individuals' learning abilities. The study explores the understanding on the impact of circadian rhythms, body clock measurements towards an individual's ability to learn. The study also notes the role of physiological and neurological factors affecting an individual's learning ability." To read the full article, log in using your NHS OpenAthens details
New figures today show the number of patients that have opted out of sharing their care information outside the Health and Social Care Information Centre (HSCIC) for purposes other than their direct care2.
Reading Well for young people recommends expert endorsed books about mental health, providing 13 to 18 year olds with advice and information about issues like anxiety, stress and OCD, and difficult experiences like bullying and exams.
Professional Psychology: Research and Practice47.2(Apr 2016): 130-138.
Suicide risk is a common issue that arises during the course of mental health treatment, and death by suicide can occur while receiving treatment. Patient death by suicide is the number one fear reported by mental health practitioners. To identify what may contribute to this fear, we sought to examine relations between suicide-focused training, professional experience, fear of suicide-related outcomes, comfort with and skills in working with suicidal patients, and knowledge of suicide risk and protective factors. To read the full article, log in using your NHS OpenAthens details
Journal of Abnormal Psychology125.3 (Apr 2016): 412-422.
While perception is recognized as being atypical in individuals with autism spectrum conditions (ASC), the underlying mechanisms for such atypicality are unclear. Here we test the hypothesis that individuals with ASC will show enhanced orientation discrimination compared with neurotypical observers. This prediction is based both on anecdotal report of superior discriminatory skills in ASC and also on evidence in the auditory domain that some individuals with ASC have superior pitch discrimination. To read the full article, log in using your NHS OpenAthens details
Journal of Abnormal Psychology125.3 (Apr 2016): 399-411.
Individuals with autism spectrum disorder (ASD) often display enhanced attention to detail and exhibit restricted behavior. However, due to a lack of comprehensive eye-movement modeling techniques, it is currently unknown whether these behavioral effects are also evident during scene viewing (i.e., detailed visual inspection and restricted visual exploration). To read the full article, log in using your NHS OpenAthens details