In this integrative review, we aimed to: first, identify and summarize published studies relating to ward nurses' recognition of and response to patient deterioration; second, to critically evaluate studies that described or appraised the practice of ward nurses in recognizing and responding to patient deterioration; and third, identify gaps in the literature for further research.
Safe staffing levels across the NHS have worsened significantly in the last year, according to UNISON’s UK-wide annual survey of nursing professionals published today (Monday), at the start of its annual health conference in Brighton.
This briefing looks at the successes of the Buurtzorg model [Dutch district nursing model], while also identifying some of the challenges which would need to be addressed if the UK were ever to adopt a similar system approach. The content and analysis have been updated to reflect developments taking place across the UK with regards to piloting Buurtzorg, as well as the growth of RCN about how the model works.
With extremely high rates of mental ill-health among the prison population, Mental health and criminal justice draws on experiences from across England and Wales to determine the way forward for improvement.
Commissioned by the Department of Health and the Ministry of Justice, the Centre's Dr Graham Durcan identified key areas for improvement across the criminal justice system. Consultations were held across England and Wales to review the experiences of over 200 people with personal or professional knowledge of the interfaces between the criminal justice system and mental health services.
What have I learnt from 40 years in the medical trade? First, medicine is more than the sum of its parts. Specialists specialise and their purity of thought and protected environment often shields them from the rough and tumble of generalised medicine. Specialists provide authoritative advice that is almost invariably correct but often uncontaminated by elements derived from other specialties. Second, a lot of useful general advice never makes it into textbooks and guidelines. Third, collections of such general advice tend to be, indeed have to be, rather unspecialised, unstructured and a bit random. This sums up the author and what I write below. To read the full article, log in using your NHS OpenAthens details
An informant history is critical in the complete cognitive assessments of older adults, but has never been formally assessed. A convenience sample of older adults aged ≥70 years were assessed using cognitive screeners for delirium (confusion assessment method-intensive care unit) and dementia (standardised Mini Mental State Examination and AD8) in a tertiary referral emergency department (ED). To read the full article, log in using your NHS OpenAthens details
Rodgers M, Dalton J, Harden M, Street A, Parker G, Eastwood A. Integrated care to address the physical health needs of people with severe mental illness: a rapid review. Health Serv Deliv Res 2016;4(13)
People with mental health conditions have a lower life expectancy and poorer physical health outcomes than the general population. Evidence suggests that this discrepancy is driven by a combination of clinical risk factors, socioeconomic factors and health system factors.
Objective(s)
To explore current service provision and map the recent evidence on models of integrated care addressing the physical health needs of people with severe mental illness (SMI) primarily within the mental health service setting. The research was designed as a rapid review of published evidence from 2013–15, including an update of a comprehensive 2013 review, together with further grey literature and insights from an expert advisory group.
Military Psychology (Apr 21, 2016).
Mental health disorders continue to plague service members and veterans; thus, new approaches are required to help address such outcomes. The identification of risk and resilience factors for these disorders in specific populations can better inform both treatment and prevention strategies. This study focuses on a unique population of U.S. Army Special Operations personnel to assess how specific avenues of social support and personal morale are related to mental health outcomes. The results indicate that, whereas personal morale and friend support reduce the relationship between combat experiences and posttraumatic stress disorder (PTSD), strong unit support exacerbates the negative effects of combat experiences in relation to PTSD. The study thus shows that although informal social support can lessen postdeployment mental health concerns, military populations with strong internal bonds may be at greater risk of PTSD because the support that they receive from fellow service members may heighten the traumatic impact of combat experiences. To read the full article, log in using your NHS OpenAthens details
Journal of Consulting and Clinical Psychology 84.5 (May 2016): 415-426.
Attentional inhibitory deficits expressed as difficulty ignoring irrelevant stimuli in the pursuit of goal-directed behavior may serve as a fundamental mechanism of posttraumatic stress disorder (PTSD). Evidence of inhibitory processes as central to extinction suggests that exposure-based treatments may act more directly on the inhibitory deficits implicated in PTSD, whereas, in facilitating serotonergic neurotransmission, selective serotonin reuptake inhibitors (SSRIs) may be less direct and bring about general neurochemical changes in the fear circuitry. To read the full article, log in using your NHS OpenAthens details
Specialist nurse intervention reduces hospital admissions in patients with chronic obstructive pulmonary disease, research suggests. To read the full article, log in using your NHS OpenAthens details
Despite intense focus on child sexual exploitation (CSE) in the UK, little is known about how and why some young people recover well from sustained exploitation by multiple perpetrators. Using thematic analysis, three published memoirs by young people (female) about their sexual exploitation by groups of men in the UK are analysed for insight into what contributes to positive short- and long-term outcomes.
To read the full article, log in using your NHS OpenAthens details
App Review. From obsessive compulsive disorder to postpartum depression, this app is a comprehensive resource on a variety of mental illnesses. To read the full article, log in using your NHS OpenAthens details
Half of the one million children in the UK with asthma will have an asthma attack every year, with about 25,000 requiring hospital admission. This article looks at how initiatives such as creating networks of GP practices and placing hospital specialists in the community could improve the care of children with asthma. To read the full article, log in using your NHS OpenAthens details
Journal of Consulting and Clinical Psychology84.5 (May 2016): 438-452.
Objective: This study aims to explore the mechanisms of personality-targeted intervention effects on problematic drinking, internalizing and externalizing symptoms. Method: As part of a cluster-randomized trial, 1,210 high-risk students (mean age 13.7 years) in 19 London high schools (42.6% White, 54% male) were identified using the Substance Use Risk Profile Scale. Intervention school participants were invited to participate in personality-matched interventions by trained school staff. To read the full article, log in using your NHS OpenAthens details
Actions to help people with mental health problems quit smoking have been published, in an effort to address premature death rates among this group. To read the full article, log in using your NHS OpenAthens details
Adult safeguarding is the subject of increasing attention in England and internationally. This article draws on research which developed a typology of ‘models of safeguarding’. ‘Models’ refer to different ways local authorities in England organise adult safeguarding (about which there is little evidence) rather than ‘model’ approaches to be emulated.
To read the full article, log in using your NHS OpenAthens details
As students, we learn the importance of empowering patients and taking an active role in their care. We are taught how to build our patients’ confidence and promote independence. But we should also remember that patients also help to empower us. To read the full article, log in using your NHS OpenAthens details
There has been growing interest in religion and spirituality within social work literature. However, little empirical research has explored Islamic welfare organisations and especially their significance for service users. This article presents findings from an evaluation of a British Islamic social work organisation (Ihsaan Social Support Association (ISSA) Wales), drawing on qualitative interviews with Muslim service users (n = 8) and quantitative findings from the service user database (n = 495), a quality-of-life assessment (n = 42) and a satisfaction survey (n = 36).
To read the full article, log in using your NHS OpenAthens details
Journal of Consulting and Clinical Psychology84.5 (May 2016): 402-414.
Objective: Eating disorders (EDs) are serious problems among college-age women and may be preventable. An indicated online eating disorder (ED) intervention, designed to reduce ED and comorbid pathology, was evaluated. To read the full article, log in using your NHS OpenAthens details
Researchers claim to have found a link between gum disease and greater rates of cognitive decline in people in the early stages of Alzheimer’s disease. To read the full article, log in using your NHS OpenAthens details
The Social Work Reform Board's changes were implemented to improve the professional standards and reputation of social work in England. However, the government is already reviewing both social work education and social work practice even as the reforms are implemented. The aim of this paper is to explore whether the dilemmas of social work education and practice are linked to a fundamental debate about the nature and future of contemporary social work.
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Nurses have been encouraged to consider their patients’ experience of war when caring for older people. To read the full article, log in using your NHS OpenAthens details
According to charity Diabetes UK, more than four million people are living with diabetes in the UK. Nine out of ten of those have type 2 diabetes, with 200,000 new diagnoses every year. Around £10 billion is spent every year on diabetes care – roughly 10% of total NHS spending. To read the full article, log in using your NHS OpenAthens details
The first major examination of end of life hospital care since the Liverpool Care Pathway was abandoned found inconsistent quality of care in the NHS. To read the full article, log in using your NHS OpenAthens details
Psychological Services (Apr 14, 2016).
Many soldiers who seek treatment for mental health problems drop out of treatment before it is complete. The present study examined factors that are associated with dropout among active duty soldiers. Soldiers who had sought treatment (N = 260) responded to measures of beliefs about mental health treatment, mental health symptoms, treatment-seeking behaviors, and treatment dropout. To read the full article, log in using your NHS OpenAthens details
Schizophrenia is a severe and enduring mental health disorder. Treatment includes antipsychotic medication and psychological interventions. Medication can be administered as a depot injection; these treatments reduce the risk of relapse in some people with schizophrenia who have difficulties adhering to oral medication regimens. This article outlines the types of depot and medications that are available for the treatment of schizophrenia, and discusses the evidence base supporting their efficacy. The role of antipsychotic medication as part of a treatment plan should be reinforced by enabling patients to make an informed choice about which medication best supports their health and wellbeing. To read the full article, log in using your NHS OpenAthens details
Practical tools to help improve the quality and use of serious case reviews and reports sharing what we've learnt from our joint project with SCIE, funded by the DfE.
Refugees have an increased risk of developing psychotic disorders compared with non-refugee migrants, new research suggests. To read the full article, log in using your NHS OpenAthens details
Testing the reliability and effectiveness of an assessment tool is usually the domain of academic institutions. But in 2015, after evaluating and revising the Graded Care Profile service, which helps social workers measure the quality of care being given to a child, the NSPCC decided to carry out psychometric testing for the first time.
Gender-specific differences between protein levels in the brains of men and women with dementia have been revealed in a new study. To read the full article, log in using your NHS OpenAthens details
Journal of Counseling Psychology63.3 (Apr 2016): 351-358.
An important first step in seeking counseling may involve obtaining information about mental health concerns and treatment options. Researchers have suggested that some people may avoid such information because it is too threatening due to self-stigma and negative attitudes, but the link to actual help-seeking decisions has not been tested. Therefore, the purpose of the present study was to examine whether self-stigma and attitudes negatively impact decisions to seek information about mental health concerns and counseling. To read the full article, log in using your NHS OpenAthens details
Crisis: The Journal of Crisis Intervention and Suicide Prevention37.1 (2016): 13-20.
Background: The circumstances surrounding death by suicide can give us insight into the factors affecting suicide risk in particular regions. Aims: This study examined gender and circumstances surrounding death by suicide in Northern Ireland from 2005 to 2011. To read the full article, log in using your NHS OpenAthens details
Crisis: The Journal of Crisis Intervention and Suicide Prevention37.1 (2016): 31-41.
Background: The Internet has facilitated the existence of extreme and pathological communities that share information about ways to complete suicide or to deliberately harm or hurt oneself. This material is user-generated and easily accessible. Aims: The present study analyzed the buffering effect of social belonging to a primary group in the situation of pro-suicide site exposure. Method: Cross-national data were collected from the US, UK, Germany, and Finland in spring 2013 and 2014 from respondents aged 15–30 years (N = 3,567). To read the full article, log in using your NHS OpenAthens details
risis: The Journal of Crisis Intervention and Suicide Prevention37.1 (2016): 1-4.
The United Nations High Commissioner for Refugees (UNHCR) report “World at War” released in June 2015 states that in 2014 there were 19.5 million refugees, 38.2 million were displaced inside their own countries, and 1.8 million people were asylum seekers. Worldwide displacement was at the highest level recorded. There is overwhelming evidence that being a refugee and seeking asylum are both directly and indirectly a stressful and disturbing experience and such experience is closely related to suicide and self-harm (Procter, 2004). There is a dearth of information in the literature about suicide among refugees and asylum seekers. The prevalence of suicidal behavior among refugees ranged from 3.4 to 34% accordingly to a recent review (Vijayakumar & Jotheeswaran, 2010). The universally accepted association between suicide and psychological disorders has not been studied adequately in this special population. To read the full article, log in using your NHS OpenAthens details
"The article looks at the aspects of neuroscience in improving employees long-term memory and development of learning abilities towards organizational success. It outlines the type of memory such as declarative and non-declarative which affects the employees ability to recall facts and events affecting its job performance. It also notes the importance of an employees sleeping patterns affecting its performance" 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
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
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
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.
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.
"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
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
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.
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
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
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 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
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
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
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.
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
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
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
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
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
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
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
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.
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
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
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
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
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
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.
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.
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......
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.
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.
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
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.
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 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
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 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
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.
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
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
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
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.
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
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
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
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
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
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
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