Open access. The Maintaining Adherence Programme (MAP) is a new model of care for patients with schizophrenia, schizoaffective disorder and bipolar affective disorder which aims to encourage adherence and prevent relapse. This evaluation, conducted by retrospective and prospective data collection (including patient questionnaires and staff interviews), aimed to describe MAP's impact on healthcare resource use, clinical measures and patient and staff satisfaction, following its implementation in a university National Health Service (NHS) foundation trust in England.
CG90 Depression in Adults (October 2009); CG28 Depression in Children and Young People (September 2005; updated March 2015) [Resources reviewed September 2015] Visit the ‘Resources’ page on the library website to view our new books and E-books in this area: http://library.sssft.nhs.uk/libraryresources
92% of people affected by dementia found hospital environments frightening.
Too many people with dementia are falling while in hospital, being discharged at night or being marooned in hospital despite their medical treatment having finished, finds an Alzheimer’s Society investigation.
Freedom of Information (FOI) requests have uncovered unacceptable national variation in the quality of hospital care across England. In response, we are launching a new campaign, Fix Dementia Care.
The stress of sports and athletic participation place athletes at risk. Performance failure was significantly associated with depression. The statistically strongest predictors of depression in student-athletes were female gender, lower self-esteem, less social connectedness and decrease sleep. Female student-athletes had 1.32 greater odds (95% CI 1.01 to 1.73) of experiencing symptoms of depression compared to male student-athletes. Freshmen had 3.27 greater odds (95% CI 1.63 to 6.59) of experiencing symptoms of depression than their more senior counterparts. To read the full article, log in using your NHS Athens
Depression and suicide remain major public health concerns affecting broad segments of the population. The prevalence rates for depression are notably high in young adults. According to the US Department of Health and Human Services, the prevalence of depression in individuals aged 18–25 years is 8.7%.1 Clinically significant depression symptoms appear to be as prevalent in collegiate athletes as in the general college student population.2 Suicide remains the third leading cause of death among individuals of collegiate age and is reported as the second leading cause of death among the general college student population.3 ,4 In college athletes, a suicide ranks fourth as a leading cause of death.5 Current estimates of depression and suicide prevalence in these populations are challenged by the lack of consistent methodology, inconsistent reporting by schools and a poor understanding of relevant screening tools to effectively evaluate athletes. Thus, under-reporting of mental health concerns in athletes is a significant concern, and depression and suicide are tangible concerns to address in athletes of all ages and levels of ability. To read the full article, log in using your NHS Athens
older people often experience complex problems. Because of multiple problems, care for older people in general practice needs to shift from a ‘problem-based, disease-oriented’ care aiming at improvement of outcomes per disease to a ‘goal-oriented care’, aiming at improvement of functioning and personal quality of life, integrating all healthcare providers. Feasibility and cost-effectiveness of this proactive and integrated way of working are not yet established.
Mental illness and the stigma attached to those suffering from its affects have been part of human existence throughout history. Despite efforts to bring more awareness to the causation and effective treatment of mental health issues, this stigma persists both socially and in the athletic culture. Long established beliefs have proven to be as challenging to change as many of the other discriminatory practices receiving media attention, political dialogue and legal debate (eg, race, gender, religion, sexual orientation, gay marriage, immigration, legalisation of recreational drugs). Although these other issues have their own set of challenges that inhibit healthy social change, a thread of historical stereotyping is common to all of them, including mental health. To read the full article, log in using your NHS Athens
Attention deficit hyperactivity disorder (ADHD) is a condition characterised by inattentiveness, hyperactivity and impulsivity, according to the ADHD Foundation. Most young people with a sustained diagnosis will go on to have significant difficulties in adulthood, which may include continued ADHD, personality disorders, emotional and social difficulties, substance misuse, unemployment and involvement in crime (NICE 2008). Some people tend to be mainly hyperactive and impulsive, while others are principally inattentive. Symptoms of ADHD are distributed throughout the population and vary in severity. Only those with significant impairment meet criteria for a diagnosis of ADHD. Research suggests it affects about 5% of children. To read the full article, log in using your NHS Athens
According to a National Audit Office report today, better scrutiny of proposals within government since 2010 has helped to reduce annual spending on consultants and temporary staff (C&TS) by £1.5 billion. However, since 2011-12, annual spending on C&TS has gone back up by between £400 million and £600 million, while departments were reducing their permanent workforce. This pattern suggests a short-term reduction rather than a sustainable strategy.
Family-focused interventions for children of substance-abusing parents (COSAPs) can help repair child-parent relationships and reduce the stigma associated with addiction, say Canadian researchers. To read the full article, log in using your NHS Athens
Eating disorders, such as anorexia nervosa and bulimia nervosa, can have devastating effects on both the health and performance of athletes. Compared to non-athletes, both female and male athletes are at higher risk of developing an eating disorder. This is especially true for athletes participating in sports where low body weight or leanness confers a competitive advantage. Screening for disordered eating behaviours, eating disorders and for related health consequences should be a standard component of preparticipation examinations, and team physicians should be knowledgeable of the updated diagnostic criteria for eating disorders in the Diagnostic and Statistical Manual-V. Athletes with eating disorders should undergo thorough evaluation and treatment by an experienced multidisciplinary team. Team physicians play a critical role in decision-making on clearance for participation and return to play. Using evidence-based guidelines for clearance and return to play encourages transparency and accountability between the sports medicine care team and the athlete. Efforts to prevent eating disorders should be aimed at athletes, coaches, parents and athletic administrators, and focused on expanding knowledge of healthy nutrition in support of sport performance and health. To read the full article, log in using your NHS Athens
Local Safeguarding Children Boards and member agencies can use this guidance to understand how inspections are conducted. They may also find it useful when carrying out self evaluations or improvement planning.
This quality standard covers managing diabetes and its complications in women (all females of childbearing potential) who are planning a pregnancy and women who are already pregnant. It also covers areas in which additional or different care should be offered to women with diabetes and their newborn babies. For more information see the diabetes in pregnancy topic overview.
The public's perception of the social work profession is a rarely considered perspective and yet a topic that is a concern to front line professionals. This paper explores how social workers experience and attempt to cope with public perception of their profession. It highlights the impact of these concerns on social workers' personal experiences and professional practice. Using semi-structured interviews with sixteen UK social workers, from local authorities and private organisations, we explore the experiences of this group.
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This paper centres on a neglected area of social work with older people—the social inclusion of older lesbian, gay and bisexual (LGB) adults in long-term care environments. The translation of equality law into the delivery of adult care services is a challenging endeavour for organisations, even more so in the morally contested terrain of sexual well-being. In this paper, we report findings from a mixed-methods study into the provision of long-term care for older adults who identify as LGB.
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This fund will hold £1.8 billion to support providers in deficit – money that up until now came from the Department of Health. When other funding streams that support transformation are added in, this will create a total fund of £2.1 billion.
The debate around health and social media continues. But knowing how to use all the different platforms on a professional level results in healthy, popular accounts that are extremely useful to library services, your colleagues, contacts and organisations in the health world.
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