journal
MENU ▼
Read by QxMD icon Read
search

BJPsych Bulletin

journal
https://www.readbyqxmd.com/read/28584659/post-flight-confusion
#1
Gianetta Rands
No abstract text is available yet for this article.
June 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28584658/capacity-assessments-diagnosis-is-misleading
#2
Graham M Behr
No abstract text is available yet for this article.
June 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28584657/personalisation-and-social-care-assessment-the-care-act-2014
#3
REVIEW
Deb Barnes, Billy Boland, Kathryn Linhart, Katherine Wilson
The Care Act 2014 represents a significant change in legislation in England. For the first time it brings together various aspects of adult social care into a single statute succeeding earlier acts and policy. Given its importance to the lives of service users and carers, clinicians need to have a clear understanding of its implications. We provide an overview of why it was developed, its underlying principles and international comparisons, as well as implications for assessments, interventions and outcomes...
June 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28584656/improving-the-quality-of-mental-health-services-using-patient-outcome-data-making-the-most-of-honos
#4
REVIEW
Mike J Crawford, Mo Zoha, Alastair J D Macdonald, David Kingdon
Efforts to assess and improve the quality of mental health services are often hampered by a lack of information on patient outcomes. Most mental health services in England have been routinely collecting Health of the Nation Outcome Scales (HoNOS) data for some time. In this article we illustrate how clinical teams have used HoNOS data to identify areas where performance could be improved. HoNOS data have the potential to give clinical teams the information they need to assess the quality of care they deliver, as well as develop and test initiatives aimed at improving the services they provide...
June 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28584655/should-compulsory-admission-to-hospital-be-part-of-suicide-prevention-strategies
#5
Daniel Wei L Wang, Erminia Colucci
The World Health Organization report Preventing Suicide: A Global Imperative provides governments with guidance for comprehensive suicide prevention strategies. However, it does not mention the role that compulsory admission to hospital of psychiatric patients should have in policies for suicide prevention. This was a missed opportunity for international discussion and guidance about a measure that, although widely used, is becoming increasingly controversial in light of the existing evidence and human rights norms...
June 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28584654/drug-information-update-unconventional-treatment-strategies-for-schizophrenia-polypharmacy-and-heroic-dosing
#6
Bret A Moore, Debbi A Morrissette, Jonathan M Meyer, Stephen M Stahl
The majority of patients respond to antipsychotic monotherapy at standard doses, but a subset of patients will require more heroic measures that include antipsychotic polypharmacy and high-dose monotherapy. Indeed, research has shown that roughly 30% of patients with psychosis are prescribed multiple antipsychotic medications. We discuss the potential benefits and challenges of these approaches and provide a rationale for why and when they should be utilised.
June 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28584653/known-unknowns-and-unknown-unknowns-in-suicide-risk-assessment-evidence-from-meta-analyses-of-aleatory-and-epistemic-uncertainty
#7
REVIEW
Matthew Large, Cherrie Galletly, Nicholas Myles, Christopher James Ryan, Hannah Myles
Suicide risk assessment aims to reduce uncertainty in order to focus treatment and supervision on those who are judged to be more likely to die by suicide. In this article we consider recent meta-analytic research that highlights the difference between uncertainty about suicide due to chance factors (aleatory uncertainty) and uncertainty that results from lack of knowledge (epistemic uncertainty). We conclude that much of the uncertainty about suicide is aleatory rather than epistemic, and discuss the implications for clinicians...
June 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28584652/civil-and-forensic-patients-in-secure-psychiatric-settings-a-comparison
#8
Nuwan Galappathie, Sobia Tamim Khan, Amina Hussain
Aims and method To evaluate differences between male patients in secure psychiatric settings in the UK based on whether they are detained under civil or forensic sections of the Mental Health Act 1983. A cohort of patients discharged from a secure psychiatric hospital were evaluated for length of stay and frequency of risk-related incidents. Results Overall, 84 patients were included in the study: 52 in the forensic group and 32 in the civil group. Civil patients had more frequent incidents of aggression, sex offending, fire-setting and vulnerability, whereas forensic patients had more frequent episodes of self-harm...
June 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28584651/an-analysis-of-whether-a-working-age-ward-based-liaison-psychiatry-service-requires-the-input-of-a-liaison-psychiatrist
#9
Elspeth A Guthrie, Aaron T McMeekin, Sylvia Khan, Sally Makin, Ben Shaw, Damien Longson
Aims and method This article presents a 12-month case series to determine the fraction of ward referrals of adults of working age who needed a liaison psychiatrist in a busy tertiary referral teaching hospital. Results The service received 344 referrals resulting in 1259 face-to-face contacts. Depression accounted for the most face-to-face contacts. We deemed the involvement of a liaison psychiatrist necessary in 241 (70.1%) referrals, with medication management as the most common reason. Clinical implications A substantial amount of liaison ward work involves the treatment and management of severe and complex mental health problems...
June 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28584650/are-men-under-treated-and-women-over-treated-with-antidepressants-findings-from-a-cross-sectional-survey-in-sweden
#10
Lena Thunander Sundbom, Kerstin Bingefors, Kerstin Hedborg, Dag Isacson
Aims and method To examine gender differences in self-reported depression and prescribed antidepressants (ADs). The Hospital Anxiety and Depression Scale was used to assess depression, and information on prescribed ADs was obtained from the Swedish Prescribed Drug Register. Results Depression was reported by 11.7% of the participants (12.3% men and 11.2% women). ADs were prescribed for 7.6% of the participants (5.3% men, 9.8% women). Among men, 1.8% reported depression and used ADs, 10.5% reported depression but did not use ADs, and 3...
June 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28584649/adherence-to-nice-guidance-on-lifestyle-advice-for-people-with-schizophrenia-a-survey
#11
Lizzie Swaby, Daniel Hind, Rebecca Gossage-Worrall, David Shiers, Jonathan Mitchell, Richard I G Holt
Aims and method The STEPWISE trial (STructured lifestyle Education for People WIth SchizophrEnia, schizoaffective disorder and first episode psychosis) is currently evaluating a lifestyle education programme in addition to usual care. However, it is difficult to define what constitutes 'usual care'. We aimed to define 'usual care' for lifestyle management in people with schizophrenia, schizoaffective disorder and first-episode psychosis in STEPWISE study sites. Ten National Health Service (NHS) mental health trusts participated in a bespoke survey based on the National Institute for Health and Care Excellence (NICE) guidance...
June 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28584648/vitamin-d-deficiency-in-adolescents-in-a-tier-4-psychiatric-unit
#12
Neil F Stewart, Simon N Lewis
Aims and method To review the current clinical practice and guidelines for testing and treating vitamin D deficiency in adolescents admitted to a tier 4 adolescent psychiatric unit in north London. The blood test results of 56 patients admitted between 2012 and 2014 were examined to determine whether vitamin D levels had been tested. For those individuals who were tested for vitamin D, results were analysed by gender and ethnicity. Results Of 56 patients admitted, 48% were tested for vitamin D deficiency and in 81...
June 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28584647/big-data-in-mental-health-research-do-the-ns-justify-the-means-using-large-data-sets-of-electronic-health-records-for-mental-health-research
#13
EDITORIAL
Peter Schofield
Advances in information technology and data storage, so-called 'big data', have the potential to dramatically change the way we do research. We are presented with the possibility of whole-population data, collected over multiple time points and including detailed demographic information usually only available in expensive and labour-intensive surveys, but at a fraction of the cost and effort. Typically, accounts highlight the sheer volume of data available in terms of terabytes (10(12)) and petabytes (10(15)) of data while charting the exponential growth in computing power we can use to make sense of this...
June 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28400975/antipathy-towards-people-with-personality-disorders
#14
Peter Tyrer
No abstract text is available yet for this article.
April 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28400974/understanding-challenges-around-implementation-of-specialist-service-recommendations-for-obsessive-compulsive-disorder
#15
Karen J Walker, David M B Christmas
No abstract text is available yet for this article.
April 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28400973/critical-reflections-on-psychiatry-could-thomas-szasz-still-have-relevance-in-modern-medical-practice
#16
Janaki Bansal
No abstract text is available yet for this article.
April 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28400972/the-writings-of-thomas-szasz
#17
Ronald W Pies
No abstract text is available yet for this article.
April 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28400971/the-mini-pat-as-a-multi-source-feedback-tool-for-trainees-in-child-and-adolescent-psychiatry-assessing-whether-it-is-fit-for-purpose
#18
Gill Salmon, Lesley Pugsley
This paper discusses the research supporting the use of multi-source feedback (MSF) for doctors and describes the mini-Peer Assessment Tool (mini-PAT), the MSF instrument currently used to assess trainees in child and adolescent psychiatry. The relevance of issues raised in the literature about MSF tools in general is examined in relation to trainees in child and adolescent psychiatry as well as the appropriateness of the mini-PAT for this group. Suggestions for change including modifications to existing MSF tools or the development of a specialty-specific MSF instrument are offered...
April 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28400970/niemann-pick-type-c-disease-the-tip-of-the-iceberg-a-review-of-neuropsychiatric-presentation-diagnosis-and-treatment
#19
REVIEW
William R H Evans, Chris J Hendriksz
Niemann-Pick type C (NP-C) disease is a rare neurodegenerative lysosomal storage disorder. It is highly heterogeneous, and there is limited awareness of a substantial subgroup that has an attenuated adolescent/adult-onset disease. In these patients psychiatric features, often a psychosis, may dominate the initial impression, although often there is an associated ataxia and cognitive impairment. Typically, patients experience a substantial diagnostic delay. In this review we highlight the importance of early recognition and discuss the pathophysiology, neuropsychiatric presentation and recent changes in the investigation and work-up of these patients, and treatment options...
April 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28400969/antipsychotic-prescribing-of-consultant-forensic-psychiatrists-working-in-different-levels-of-secure-care-with-patients-with-schizophrenia
#20
Anna Machin, Lucy McCarthy
Aims and method To detect any differences in the antipsychotic prescribing practices of consultant forensic psychiatrists working in different levels of secure care with patients diagnosed with schizophrenia, and to identify potential reasons for any differences. Prescribing data were collected from four secure hospitals within one National Health Service trust. A questionnaire was sent to consultant forensic psychiatrists working at those hospitals as well as those working in the trust's community forensic services...
April 2017: BJPsych Bulletin
journal
journal
50024
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"