BJPsych International最新文献

{"title":"Impact of a movie club on the well-being of Buckinghamshire psychiatry doctors facing moderate-to-high burnout risk.","authors":"Sureyya Melike Toparlak","doi":"10.1192/bji.2024.43","DOIUrl":"10.1192/bji.2024.43","url":null,"abstract":"<p><p>Burnout is a common issue among healthcare professionals and can have a negative impact on both personal and professional well-being. This initiative follows a group of doctors working in Buckinghamshire, UK, who are at moderate to high risk of burnout, over 6 months to determine whether participation in a movie club, as a form of stress relief and social support, can have a positive impact on well-being. The aim of the project was to investigate the impact on doctors' well-being by improving connectedness, reducing the feeling of isolation and encouraging face-to-face activities.</p>","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"22 3","pages":"97-98"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13054156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147639850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"War, mental health and the emergence of 'geopsychiatry'.","authors":"Hussien Elkholy","doi":"10.1192/bji.2025.10044","DOIUrl":"10.1192/bji.2025.10044","url":null,"abstract":"","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"22 3","pages":"61"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13054157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147639690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Missed opportunities in early psychosis care: retrospective chart review of cardiovascular disease monitoring, disengagement and weight changes in a Ghanaian psychiatric hospital.","authors":"Joel Agorinya, Emelda Edem Adzo Asem-Ahiablee, Emefa Adzo Dzordzorme, Jude Nazir Ayambila, Elsie Agyeman Amaning, Chukwuebuka Ohakpougwu, Abdulai Rafiq Arhin, Kwadwo Marfo Obeng, Belinda Lennox","doi":"10.1192/bji.2025.7","DOIUrl":"10.1192/bji.2025.7","url":null,"abstract":"<p><strong>Background: </strong>Patients with psychosis face an elevated risk of cardiovascular mortality and are more likely to disengage from care. While antipsychotics are essential for treatment, they further increase this risk. Despite this, Ghana lacks a national policy for monitoring cardiovascular risk factors in individuals on antipsychotics.</p><p><strong>Aims: </strong>To evaluate disengagement in care and weight changes among newly diagnosed psychotic patients at Accra Psychiatric Hospital, and to inform clinical practice.</p><p><strong>Method: </strong>A retrospective review of medical records was conducted for patients newly diagnosed with non-affective psychotic disorders between June 2022 and May 2023. Patients were reviewed for 6 months, with assessments at baseline, 3 months and 6 months. Outcomes included antipsychotic prescription patterns, dropout rates, cardiovascular disease monitoring and weight changes. Descriptive statistics, multinomial logistic regression and linear mixed-effects models were used for analysis.</p><p><strong>Results: </strong>The number of patients disengaged from care within the first month was 53.1%, and within 6 months 75.5%; 62.8% received olanzapine at baseline. Weight gain was exponential, with 40% experiencing clinically significant weight gain at 3 months, increasing to 58% at 6 months. Less than 50% of patients had their blood sugar and lipid profiles checked before starting antipsychotics. Higher baseline weight was associated with increased weight over time (<i>β</i> = 0.96, <i>t</i> = 80, <i>P</i> < 0.001, 95% CI 0.93, 0.98).</p><p><strong>Conclusions: </strong>High disengagement rates, low cardiovascular disease monitoring and exponential weight gain were observed. Targeted interventions, robust monitoring protocols and further research are needed to improve patient outcomes.</p>","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"22 3","pages":"78-85"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13054155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147639682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An international initiative to improve mental healthcare in Palestine through a tripartite collaboration.","authors":"Leen Farouki, Nadia Dabbagh, Richard Braithwaite, Samah Jabr, Agnes Raboczki, Vivek Agarwal, Susannah Grant, Mohammed Al-Uzri","doi":"10.1192/bji.2025.8","DOIUrl":"10.1192/bji.2025.8","url":null,"abstract":"<p><p>The number of people living in Palestine with mental disorders is significantly higher than the global average. Military occupation, violence and poverty contribute to collective trauma. International agencies have emphasised the need for collective action and systemic solutions. The Ministry of Health in Palestine, Medical Aid for Palestinians and the Royal College of Psychiatrists have collaborated to develop a national strategy for child and adolescent mental health, enhance psychiatric training and improve electroconvulsive therapy provision. The article details how this collaboration has demonstrated partnership and local ownership to empower Palestinian communities to make sustainable mental healthcare improvements.</p>","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"22 3","pages":"86-88"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13054149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147639743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health and addiction services and reform in Aotearoa-New Zealand.","authors":"Peter McGeorge, Susanna Every-Palmer","doi":"10.1192/bji.2025.15","DOIUrl":"10.1192/bji.2025.15","url":null,"abstract":"<p><p>This paper reviews the development of Aotearoa-New Zealand's (New Zealand's) specialist Mental Health and Addiction Services (MH&A Services) and Mental Health and Addiction plans (MH&A Plans) to improve the mental well-being of all New Zealanders. It does so in the context of New Zealand's 2022 health reforms, and the government's response to its 2018 Inquiry into MH&A (He Ara Oranga). First, the context for reform is described, including New Zealand's sociodemography, existing data monitoring systems, mental health epidemiology and a current overview of its specialist MH&A Services. The findings of the He Ara Oranga Inquiry and the goals of the MH&A plans are then outlined, along with progress in establishing new initiatives related to them. Finally, challenges to the new direction for New Zealand's MH&A system are reviewed, with possible strategies to address them and other key implementation challenges involving the separation and operationalisation of the main strategies of MH&A plans. A high-level view of MH&A Services is taken, rather than one detailing speciality services such as age-related, cultural or addiction services.</p>","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"22 3","pages":"89-96"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13054147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147639686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pandora's box.","authors":"","doi":"10.1192/bji.2025.10049","DOIUrl":"10.1192/bji.2025.10049","url":null,"abstract":"","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"22 3","pages":"99-100"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13054140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147639751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of the increased asylum seeker population on a UK mental health crisis service.","authors":"Helen Lashwood, Mark Toynbee, Bradley Hillier, Derek Tracy","doi":"10.1192/bji.2025.6","DOIUrl":"10.1192/bji.2025.6","url":null,"abstract":"<p><strong>Background: </strong>A large proportion of applicants for asylum in the UK are housed in contingency hotels while awaiting the outcome of their claim. As the prevalence of severe mental illness (SMI) among asylum seekers is estimated to be around 61%, a measurable impact on mental health services local to these hotels might be expected.</p><p><strong>Aims: </strong>To evaluate the proportion of asylum seekers on the caseload of a crisis mental health team serving an area with a high concentration of contingency hotels, and to briefly explore the care needs of this population.</p><p><strong>Method: </strong>Retrospective cross-sectional analysis of all referrals to the Hounslow Crisis Assessment and Home Treatment Team (HCAHTT) in London, UK, between 1 April and 30 September 2023.</p><p><strong>Results: </strong>Of the 718 referrals to HCAHTT, 536 were taken on the caseload, of whom 9 were asylum seekers. No difference was found in the proportion of asylum seekers on the caseload compared with the general population. Asylum seekers were often moved at short notice, over half required an interpreter and all 9 had a history of trauma.</p><p><strong>Conclusions: </strong>Asylum seekers housed in Hounslow are not over-represented on the HCAHTT caseload compared with the general population. Given that higher rates of SMI in the asylum seeker population are well-established, this result is more likely to be due to systemic factors than to represent an unusually low rate of asylum seekers experiencing SMI. Asylum seekers tended to require interpretation services and have high rates of reported trauma. Continuity of care is affected by the asylum accommodation process. Better active outreach to vulnerable populations to raise awareness of services might be required.</p>","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"22 3","pages":"62-69"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13054181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147639964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and acceptability of a solution-focused approach to strengthen lay counselling for common mental disorders (DIALOG+) in Pakistan: mixed methods study.","authors":"Saniya Saleem, Anayat Baig, Onaiza Qureshi, Sana Sajun, Victoria Bird, Stefan Priebe, Aneeta Pasha","doi":"10.1192/bji.2025.4","DOIUrl":"10.1192/bji.2025.4","url":null,"abstract":"<p><strong>Background: </strong>Depression and anxiety are widespread globally, with significant treatment gaps in low-resource settings. In Pakistan, where prevalence is high and specialists are scarce, brief psychological interventions by trained lay counsellors show promise. DIALOG+ is a novel technology-assisted, solution-focused approach for leveraging resource-oriented approaches in routine community mental health treatment.</p><p><strong>Aims: </strong>To explore the feasibility and acceptability of using DIALOG+ for community-based treatment of common mental disorders delivered by non-specialist lay counsellors in a low-resource setting (trial registration: ISRCTN14528579).</p><p><strong>Method: </strong>An open, uncontrolled trial in community settings in Karachi, Pakistan, was conducted with 40 patients with depression and anxiety visiting two primary care clinics between June 2019 and February 2020. Patients were enrolled for monthly sessions delivered over 6 months by lay counsellors. Subjective quality of life along with symptoms of depression and anxiety were measured at baseline and endline (following the 6-month intervention) on the Manchester Short Assessment of Quality of Life (MANSA) and Aga Khan University Anxiety and Depression Scale (AKUADS). Changes in measures were evaluated before and after the intervention using a <i>t</i>-test analysis. Post-intervention, in-depth interviews were held with patients and lay counsellors to gather insights into their experience of the intervention.</p><p><strong>Results: </strong>In total, 146 DIALOG+ sessions were conducted with 40 patients. At the 6-month post-intervention assessment, 33 patients showed improved subjective quality of life and reduced self-reported depression and anxiety scores. Patients reported that the intervention helped strengthen the therapeutic relationship with their lay counsellors, helped them track their progress through therapy and enhanced their self-management of negative emotions and behaviours.</p><p><strong>Conclusions: </strong>Structured communication can help strengthen lay counsellors' ability to improve therapeutic outcomes of people with common mental disorders in resource-constrained community settings. Future clinical trials are recommended to further evaluate the long-term impact of the DIALOG+ intervention on mental health outcomes.</p>","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"22 3","pages":"70-77"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13054143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147639786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric properties of the Greek-language Opinions Relative to Inclusion of Students with Autism Spectrum Disorder scale (ORI-ASD) and Teachers' Sense of Efficacy Scale - Autism Spectrum Disorder (TSES-ASD).","authors":"Sotiria Mitroulaki, Ermis Merkouris, Gregory Tripsianis, Maria Kadoglou, Maria Samakouri, Aspasia Serdari","doi":"10.1192/bji.2025.2","DOIUrl":"10.1192/bji.2025.2","url":null,"abstract":"<p><strong>Background: </strong>In recent decades inclusion of children with autism spectrum disorder (ASD) in mainstream settings has gained momentum all over the world. However, teachers' attitudes to this have an impact on the success of implementing inclusive practices, while their efficacy beliefs are a crucial factor for promoting educational reform.</p><p><strong>Aims: </strong>To explore the psychometric properties of the Opinions Relative to Inclusion of Students with Autism Spectrum Disorder (ORI-ASD) and the Teachers' Sense of Efficacy Scale - Autism Spectrum Disorder (TSES-ASD).</p><p><strong>Method: </strong>A total of 853 educators (155 preschool teachers, 388 primary school teachers and 310 university students) reported sociodemographic characteristics and completed the ORI-ASD and TSES-ASD, which were Greek-language adapted versions of the Opinions Relative to Integration of Students with Disabilities scale and the Teachers' Sense of Efficacy Scale. Confirmatory and exploratory factor analyses were conducted.</p><p><strong>Results: </strong>Exploratory and confirmatory factor analyses were performed for the two scales. Confirmatory factor analyses confirmed the three-factor structure of the ORI-ASD and one-factor structure of the TSES-ASD for both pre-service and in service teachers, which show satisfactory psychometric properties. Moreover, the results showed that educators hold moderate self-efficacy beliefs.</p><p><strong>Conclusions: </strong>The translated and adapted ORI-ASD and TSES-ASD showed good psychometric properties in a Greek sample of teachers and university students. The current study indicates that the ASD-adapted versions of the ORI and TSES are reliable and valid scales for rating pre-service and in-service teachers' opinions related to perceived self-efficacy and the inclusion of students with ASD. Our findings could have important implications for policy and practice relating to inclusive education.</p>","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"22 2","pages":"35-42"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12131038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating perinatal mental health integration in maternal and child health services: progress and priorities for research and practices in Pakistan.","authors":"Waqas Hameed, Atif Rahman","doi":"10.1192/bji.2024.42","DOIUrl":"10.1192/bji.2024.42","url":null,"abstract":"<p><p>We synthesise perinatal mental health (PMH) evidence and provide recommendations for future research and practices in Pakistan. The burden is significantly higher relative to many other countries, with adverse effects on women and children. Few locally developed interventions involving non-specialists have shown promise, but integrating these into maternal and child health services (MCH) at scale remains a challenge. We recommend broadening the scope of PMH research in accordance with the World Health Organization's stepped care model, and advancing the use of implementation science, digital technology and exploring low-cost models. Programmes and policies should prioritise incorporating PMH into MCH services in health planning and budgeting.</p>","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"22 2","pages":"28-31"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12131039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}