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The influence of type of consultation and patient characteristics on non-attendence at adult ADHD consultation. 成人ADHD会诊类型及患者特征对未出席率的影响。
IF 2.2
BJPsych Bulletin Pub Date : 2025-06-05 DOI: 10.1192/bjb.2025.35
Paul Stephenson, Marianne Durand, Matthew Humphreys, Alex Stewart
{"title":"The influence of type of consultation and patient characteristics on non-attendence at adult ADHD consultation.","authors":"Paul Stephenson, Marianne Durand, Matthew Humphreys, Alex Stewart","doi":"10.1192/bjb.2025.35","DOIUrl":"https://doi.org/10.1192/bjb.2025.35","url":null,"abstract":"<p><strong>Aims and method: </strong>Non-attendance at out-patient appointments of adult attention-deficit hyperactivity disorder (ADHD) services incurs significant costs and contributes to lost service provision and unmet clinical needs. This cross-sectional study of clinical contacts, between 1 July 2022 and 30 June 2023 in a specialist adult ADHD service, aimed to identify factors, including type of consultation, associated with non-attendance.</p><p><strong>Results: </strong>Of 3673 organised clinic appointments, 2815 (77%) were attended: 2314 (82%) by telephone and 501 (18%) as in-person appointments; non-attendance rates were 17 and 42%, respectively. Patient characteristics associated with improved attendance included: female gender, age >30 years and presence of other psychiatric diagnoses.</p><p><strong>Clinical implications: </strong>This study will assist adult ADHD service providers to maximise patient attendance. The role of telephone (or virtual) clinics must be considered. Enhanced appointment reminders and improving access to services targeting at-risk groups could also improve attendance rates.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-7"},"PeriodicalIF":2.2,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A national survey of neuropsychiatry training experiences. 一项全国神经精神病学培训经验调查。
IF 2.2
BJPsych Bulletin Pub Date : 2025-06-04 DOI: 10.1192/bjb.2025.34
Harry Costello, Matthew Baum, Cameron Watson, James B Badenoch, Ella Burchill, Jonathan P Rogers, Rachel Thomasson, David Okai, Timothy R Nicholson, Anthony David, Eileen M Joyce, Michael Dilley, Graham Blackman
{"title":"A national survey of neuropsychiatry training experiences.","authors":"Harry Costello, Matthew Baum, Cameron Watson, James B Badenoch, Ella Burchill, Jonathan P Rogers, Rachel Thomasson, David Okai, Timothy R Nicholson, Anthony David, Eileen M Joyce, Michael Dilley, Graham Blackman","doi":"10.1192/bjb.2025.34","DOIUrl":"https://doi.org/10.1192/bjb.2025.34","url":null,"abstract":"<p><strong>Aims and method: </strong>Neuropsychiatry training in the UK currently lacks a formal scheme or qualification, and its demand and availability have not been systematically explored. We conducted the largest UK-wide survey of psychiatry trainees to examine their experiences in neuropsychiatry training.</p><p><strong>Results: </strong>In total, 185 trainees from all UK training regions completed the survey. Although 43.6% expressed interest in a neuropsychiatry career, only 10% felt they would gain sufficient experience by the end of training. Insufficient access to clinical rotations was the most common barrier, with significantly better access in London compared with other regions. Most respondents were in favour of additional neurology training (83%) and a formal accreditation in neuropsychiatry (90%).</p><p><strong>Clinical implications: </strong>Strong trainee interest in neuropsychiatry contrasts with the limited training opportunities currently available nationally. Our survey highlights the need for increased neuropsychiatry training opportunities, development of a formalised training programme and a clinical accreditation pathway for neuropsychiatry in the UK.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-6"},"PeriodicalIF":2.2,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144214722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Natural language processing application to identify covert administration of medicines: development and pilot audit. 自然语言处理应用于识别药物的秘密管理:开发和试点审计。
IF 2.2
BJPsych Bulletin Pub Date : 2025-05-23 DOI: 10.1192/bjb.2025.28
Ninoslav Majkic, Jyoti Sanyal, Robert Stewart, Nicola Funnell, Delia Bishara
{"title":"Natural language processing application to identify covert administration of medicines: development and pilot audit.","authors":"Ninoslav Majkic, Jyoti Sanyal, Robert Stewart, Nicola Funnell, Delia Bishara","doi":"10.1192/bjb.2025.28","DOIUrl":"https://doi.org/10.1192/bjb.2025.28","url":null,"abstract":"<p><strong>Aims and method: </strong>The covert administration of medicines is associated with multiple legal and ethical issues. We aimed to develop a natural language processing (NLP) methodology to identify instances of covert administration from electronic mental health records. We used this NLP method to pilot an audit of the use of covert administration.</p><p><strong>Results: </strong>We developed a method that was able to identify covert administration through free-text searching with a precision of 72%. Pilot audit results showed that 95% of patients receiving covert administration (<i>n</i> = 41/43) had evidence of a completed mental capacity assessment and best interests meeting. Pharmacy was contacted for information about administration for 77% of patients.</p><p><strong>Clinical implications: </strong>We demonstrate a simple, readily deployable NLP method that has potential wider applicability to other areas. This method also has potential to be applied via real-time health record processing to prompt and facilitate active monitoring of covert administration of medicines.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-5"},"PeriodicalIF":2.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144126488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mental health social care: scoping and developing new and necessary health and care research system. 心理健康社会关怀:范围界定和发展新的和必要的健康和护理研究体系。
IF 2.2
BJPsych Bulletin Pub Date : 2025-05-16 DOI: 10.1192/bjb.2025.25
Adam O'Neill, Catherine A Robinson, Duncan Tree, Michael Clark
{"title":"Mental health social care: scoping and developing new and necessary health and care research system.","authors":"Adam O'Neill, Catherine A Robinson, Duncan Tree, Michael Clark","doi":"10.1192/bjb.2025.25","DOIUrl":"https://doi.org/10.1192/bjb.2025.25","url":null,"abstract":"<p><p>Mental health social care is an emerging and evolving field of practice and research within mental health care in the UK. It recognises the significant role played by social determinants in the development of mental illness and distress, and in recovery and well-being. By considering mental health social care as a distinct health and care research system, this paper outlines key priorities for research, funding and capacity building. It argues that mental health social care should be an essential component of mental health service delivery, and calls for a move towards holistic, person-centred care that addresses the social determinants of mental health, alongside biological and psychological factors.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-6"},"PeriodicalIF":2.2,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Speaking and thinking in Latin: some dead languages are alive and thriving in some very modern disorders. 用拉丁语说话和思考:在一些非常现代的混乱中,一些死亡的语言还活着,并蓬勃发展。
IF 2.2
BJPsych Bulletin Pub Date : 2025-05-13 DOI: 10.1192/bjb.2025.20
Jane Whittaker
{"title":"Speaking and thinking in Latin: some dead languages are alive and thriving in some very modern disorders.","authors":"Jane Whittaker","doi":"10.1192/bjb.2025.20","DOIUrl":"https://doi.org/10.1192/bjb.2025.20","url":null,"abstract":"<p><p>As psychiatrists, we are hopefully especially attuned to the power of language, especially the words we use when discussing sensations, thoughts and bodies. This article explores some of the heritage of medical language of today, drawing on classical Latin and how this interfaces with our day-to-day practice, with special reference to eating disorders.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-4"},"PeriodicalIF":2.2,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143974672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transcending the brain disease versus disorder dichotomy: a critical realist perspective on psychiatric disorders. 超越脑部疾病与精神障碍的二分法:精神障碍的批判现实主义观点。
IF 2.2
BJPsych Bulletin Pub Date : 2025-04-15 DOI: 10.1192/bjb.2025.8
Mohammed Al Alawi, Abdullah Al Ghailani, Hamed Al Sinawi
{"title":"Transcending the brain disease versus disorder dichotomy: a critical realist perspective on psychiatric disorders.","authors":"Mohammed Al Alawi, Abdullah Al Ghailani, Hamed Al Sinawi","doi":"10.1192/bjb.2025.8","DOIUrl":"https://doi.org/10.1192/bjb.2025.8","url":null,"abstract":"<p><p>In this opinion article, we discuss the application of critical realism as an alternative model to the biopsychosocial model in the understanding of psychiatric disorders. Critical realism presents a stratified view of reality and recognises mental disorders as emergent phenomena; that is, their full explanation cannot be reduced to explanations at any lower level of biological processes alone. It thus underscores the significance of the depth of ontology, the interaction between agency and structure, and the context dependency and complex nature of causality. Critical realism provides the conceptual and epistemological basis for a more subtle understanding of the aetiology of psychiatric conditions, which is polyfactorial and includes biological, psychological and social dimensions. Through the realisation of the conceptual and applicative shortcomings in the biopsychosocial model, critical realism promises to advance the understanding of mental disorders and enable a more holistic approach to the problem of people with mental disorders.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-4"},"PeriodicalIF":2.2,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143964157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Engage? Disengage? Discharge? Ethical approaches to fraught questions. 参与?解除?放电?伦理的方法来解决棘手的问题。
IF 2.2
BJPsych Bulletin Pub Date : 2025-04-15 DOI: 10.1192/bjb.2025.4
Josephine Fielding, Rachel Swain, Jo Emmanuel, Graham Behr
{"title":"Engage? Disengage? Discharge? Ethical approaches to fraught questions.","authors":"Josephine Fielding, Rachel Swain, Jo Emmanuel, Graham Behr","doi":"10.1192/bjb.2025.4","DOIUrl":"https://doi.org/10.1192/bjb.2025.4","url":null,"abstract":"<p><p>This article presents a framework to assist with the making of often challenging decisions about engagement and disengagement with patients across mental health services. The framework is based on Beauchamp & Childress's four principles of clinical ethics. We pose practical questions, illustrated by a clinical vignette, around these four principles in order to aid implementation of ethics-based decision-making. The framework is useful in both complex and seemingly straightforward issues. It can be used as a means of communicating what are often controversial decisions to fellow clinicians and patients.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-5"},"PeriodicalIF":2.2,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The menopause transition: a call for a holistic approach. 更年期的过渡:呼吁一个整体的方法。
IF 2.2
BJPsych Bulletin Pub Date : 2025-03-25 DOI: 10.1192/bjb.2025.17
Rachel Gibbons
{"title":"The menopause transition: a call for a holistic approach.","authors":"Rachel Gibbons","doi":"10.1192/bjb.2025.17","DOIUrl":"https://doi.org/10.1192/bjb.2025.17","url":null,"abstract":"<p><strong>Summary: </strong>This paper advocates for a holistic approach to the menopause transition and challenges the current dominant narrative that frames this transition primarily in biological terms. It examines the psychological, social and cultural dimensions, addresses the stigma faced by older women and advocates for the vital role psychiatrists have to play in supporting postmenopausal women.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-3"},"PeriodicalIF":2.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An overview of a 4-year period of admissions of young people with eating difficulties to a general admissions unit. 概述了4年期间的招生青少年有饮食困难的一般招生单位。
IF 2.2
BJPsych Bulletin Pub Date : 2025-03-18 DOI: 10.1192/bjb.2025.6
Victoria Thomas, Amy Wright, Jessica Jobling, David O'Sullivan
{"title":"An overview of a 4-year period of admissions of young people with eating difficulties to a general admissions unit.","authors":"Victoria Thomas, Amy Wright, Jessica Jobling, David O'Sullivan","doi":"10.1192/bjb.2025.6","DOIUrl":"https://doi.org/10.1192/bjb.2025.6","url":null,"abstract":"<p><strong>Aims and method: </strong>To review and explore the eating disorder admissions to an in-patient child and adolescent mental health hospital which had restarted taking such presentations. This was done by conducting three audits using RiO (an electronic patient records system) and including all young people with eating disorders or related difficulties admitted between 1 February 2019 and 30 June 2023. As part of this, relevant practice standards were identified using the baseline assessment tool in UK national guidelines.</p><p><strong>Results: </strong>The audits identified 46 completed admissions, detailing demographic information, nasogastric and restraint feeding, therapeutic interventions and medication, admission and discharge routes, length of admission and more.</p><p><strong>Clinical implications: </strong>The review highlighted the apparent overall success of a general admission unit in treating eating disorders and related difficulties and identified key areas of importance and development in terms of clinical practice.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-5"},"PeriodicalIF":2.2,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reporting of oral chemical restraint in the Mental Health Services Monthly Statistics for England. 英国精神卫生服务每月统计中关于口服化学约束的报告。
IF 2.2
BJPsych Bulletin Pub Date : 2025-03-17 DOI: 10.1192/bjb.2025.10
Thomas Cranshaw, Harry Matchette-Downes, Keith Reid
{"title":"Reporting of oral chemical restraint in the Mental Health Services Monthly Statistics for England.","authors":"Thomas Cranshaw, Harry Matchette-Downes, Keith Reid","doi":"10.1192/bjb.2025.10","DOIUrl":"https://doi.org/10.1192/bjb.2025.10","url":null,"abstract":"<p><strong>Aims and method: </strong>This study examines more than 5.8 million bed days of data from private and National Health Service care providers who contribute to the Mental Health Services Monthly Statistics in the UK. The use of oral chemical restraint is compared with provider size, and the relative use of oral chemical restraint as opposed to seclusion is investigated.</p><p><strong>Results: </strong>The data-set has large amounts of missing data. The use of oral chemical restraint is proportional to provider size in terms of bed days. Analysis of those providers who reliably submit data demonstrates patterns of reported use of oral chemical restraint versus use of seclusion.</p><p><strong>Clinical implications: </strong>Further research is required into the institutional characteristics that are correlated with increased use of oral chemical restraint. Efforts to investigate the use of restrictive interventions in mental health settings are frustrated by inconsistent reporting.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-5"},"PeriodicalIF":2.2,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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