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