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Quantifying the experiences of Black and Dual Heritage young people in a forensic child and adolescent mental health service. 量化黑人和双重遗产青少年在法医儿童和青少年心理健康服务中的经历。
IF 2.2
BJPsych Bulletin Pub Date : 2024-10-08 DOI: 10.1192/bjb.2024.74
Michelle A Sandiford, David Moran, Jared G Smith, Heidi Hales
{"title":"Quantifying the experiences of Black and Dual Heritage young people in a forensic child and adolescent mental health service.","authors":"Michelle A Sandiford, David Moran, Jared G Smith, Heidi Hales","doi":"10.1192/bjb.2024.74","DOIUrl":"https://doi.org/10.1192/bjb.2024.74","url":null,"abstract":"<p><strong>Background: </strong>Young people from racialised backgrounds are overrepresented in justice services. This study explored differences in community support offered to young people from racialised groups referred to a forensic child and adolescent mental health service.</p><p><strong>Method: </strong>We compared support offered to 427 young people, according to five ethnic groups.</p><p><strong>Results: </strong>Over 20% of young people referred were Black (compared with 14% of the local population) and 15.8% were Dual White and Black Heritage (compared with 4% of the local population). Odds ratios showed that Black and Dual Heritage groups were more frequently involved with youth offending services (Black: 2.59, Dual Heritage: 2.88), gangs services (Black: 4.31, Dual Heritage: 7.13) and have a national referral mechanism (Black: 3.61, Dual Heritage: 4.01) than their White peers, but were less often in mainstream education compared with their Asian peers (Black: 0.26, Dual Heritage: 0.29). Black (odds ratio 0.35) and Dual Heritage (odds ratio 0.40) young people were less frequently diagnosed with a neurodevelopmental disorder than their White peers.</p><p><strong>Conclusions: </strong>Those from Black and Dual Heritage backgrounds were disproportionately disadvantaged.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387583","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
Experiences and support needs of psychiatrists under investigation. 接受调查的精神科医生的经历和支持需求。
IF 2.2
BJPsych Bulletin Pub Date : 2024-10-03 DOI: 10.1192/bjb.2024.80
Swapna Kongara, Millie Tamworth, Rachel Gibbons
{"title":"Experiences and support needs of psychiatrists under investigation.","authors":"Swapna Kongara, Millie Tamworth, Rachel Gibbons","doi":"10.1192/bjb.2024.80","DOIUrl":"https://doi.org/10.1192/bjb.2024.80","url":null,"abstract":"<p><strong>Aims and method: </strong>This study aimed to explore the experiences and support requirements of psychiatrists undergoing investigations within their mental health organisation. An anonymous online survey was distributed to all non-training psychiatrists registered as members of the Royal College of Psychiatrists.</p><p><strong>Results: </strong>Of the 815 psychiatrists who responded to the survey, 287 (35%) had been investigated. The majority (76%) were unaware of the concerns before being notified, 36% lacked understanding and 62% experienced timeline deviations. Furthermore, 34% had concerns over conflicts of interest, with 52% perceiving the investigation as unfair, 62% were not informed of their rights. Many respondents reported feeling isolated and lacking support and experienced significant psychological distress, such as symptoms of post-traumatic stress disorder. Suggestions for improvement included better communication, transparency, impartiality, adherence to timelines, proactive support and oversight, and opportunities for learning and reparation post-investigation.</p><p><strong>Clinical implications: </strong>Mental health service providers should recognise the multifaceted nature of complaints and provide comprehensive support and guidance to psychiatrists undergoing investigations.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364237","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
Moving from psychiatric practice in the UK to Australia: some personal reflections. 从英国精神科转到澳大利亚:一些个人思考。
IF 2.2
BJPsych Bulletin Pub Date : 2024-09-18 DOI: 10.1192/bjb.2024.69
Graham Walker, Andrew Carroll
{"title":"Moving from psychiatric practice in the UK to Australia: some personal reflections.","authors":"Graham Walker, Andrew Carroll","doi":"10.1192/bjb.2024.69","DOIUrl":"https://doi.org/10.1192/bjb.2024.69","url":null,"abstract":"<p><p>In this article, we reflect on factors which may tempt psychiatrists to move from working in the UK to Australia. A comparison between the UK and Australian healthcare systems is presented. Following this, G.W. offers personal reflections on his transition between working in the UK and Australia, including an experience of being a patient, the benefits of working and training in the respective countries, and personal sacrifices which must be considered. We conclude that individual clinicians must weigh up the positives and negatives of the system which they want to work within, with the best option for each person being specifically individual to them.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142280054","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
Assessing and managing the suicidal patient: forget the Reverend Bayes and try game theory. 评估和管理有自杀倾向的病人:忘掉贝叶斯牧师,尝试博弈论。
IF 2.2
BJPsych Bulletin Pub Date : 2024-09-18 DOI: 10.1192/bjb.2024.76
Olav Nielssen
{"title":"Assessing and managing the suicidal patient: forget the Reverend Bayes and try game theory.","authors":"Olav Nielssen","doi":"10.1192/bjb.2024.76","DOIUrl":"https://doi.org/10.1192/bjb.2024.76","url":null,"abstract":"<p><p>Probability-based estimates of the future suicide of psychiatric patients are of little assistance in clinical practice. This article proposes strategic management of the interaction between the clinician and the patient in the assessment of potentially suicidal patients, using principles derived from game theory, to achieve a therapeutic outcome that minimises the likelihood of suicide. Further developments in the applications of large language models could allow us to quantify the basis for clinical decisions in individual patients. Documenting the basis of those decisions would help to demonstrate an adequate standard of care in every interaction.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142280053","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 community-based treatment and rehabilitation pathway for people with mental disorders recently convicted of an offence. 为最近被判定有罪的精神失常者提供基于社区的治疗和康复途径。
IF 2.2
BJPsych Bulletin Pub Date : 2024-09-18 DOI: 10.1192/bjb.2024.71
Lara Arsuffi, Kerry Ozcelik, Clare Bingham, Pamela J Taylor, Mignon French
{"title":"A community-based treatment and rehabilitation pathway for people with mental disorders recently convicted of an offence.","authors":"Lara Arsuffi, Kerry Ozcelik, Clare Bingham, Pamela J Taylor, Mignon French","doi":"10.1192/bjb.2024.71","DOIUrl":"https://doi.org/10.1192/bjb.2024.71","url":null,"abstract":"<p><p>People with mental disorders can receive treatment in the community. Some, however, fall out of services and into the criminal justice system, running the risk of imprisonment and a deteriorating mental health cycle. This editorial describes Mental Health Treatment Requirements (MHTRs), that is court-imposed sentences that enable people in the UK to access treatment in the community and divert them from short custodial sentences. MHTRs have proven successful for people with primary care mental health needs. It remains difficult to secure these sentences for people with secondary care mental health needs. Three new 'proof of concept' sites for secondary care MHTRs may help understand barriers and find solutions.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142280052","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 step-by-step guide for remote working in the NHS: evaluation of a virtual consultant psychiatrist hiring scheme. 国家医疗服务系统远程工作分步指南:虚拟精神科顾问聘用计划评估。
IF 2.2
BJPsych Bulletin Pub Date : 2024-08-27 DOI: 10.1192/bjb.2024.56
Megan Havard, Nyembezi Faith Ndebele, Suyog Dhakras, Gemma Johns, Ian McCafferty, Alka Ahuja
{"title":"A step-by-step guide for remote working in the NHS: evaluation of a virtual consultant psychiatrist hiring scheme.","authors":"Megan Havard, Nyembezi Faith Ndebele, Suyog Dhakras, Gemma Johns, Ian McCafferty, Alka Ahuja","doi":"10.1192/bjb.2024.56","DOIUrl":"https://doi.org/10.1192/bjb.2024.56","url":null,"abstract":"<p><strong>Aims and method: </strong>In 2021, Solent NHS Trust advertised for a fully remote consultant psychiatrist to meet increasing clinical demand. This pilot scheme was evaluated to determine its success. The job applications underwent content analysis, recruitment and support staff were interviewed, and in-depth rolling interviews were conducted with the three now-employed virtual psychiatrists.</p><p><strong>Results: </strong>We have gained an objective understanding of this new and innovative way of working and, overall, shown that fully remote working in the National Health Service (NHS) is feasible.</p><p><strong>Implications: </strong>The findings were used to create a step-by-step guide for the remote hiring process, which outlines the necessary steps for conducting it in a safe, swift and successful way. This guide could help other NHS organisations to advertise, recruit and manage fully remote employees.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142071930","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
Social psychiatry in Oxford and its ecological niche, 1959-1988. 牛津的社会精神病学及其生态位,1959-1988 年。
IF 2.2
BJPsych Bulletin Pub Date : 2024-08-15 DOI: 10.1192/bjb.2024.44
Rob Poole
{"title":"Social psychiatry in Oxford and its ecological niche, 1959-1988.","authors":"Rob Poole","doi":"10.1192/bjb.2024.44","DOIUrl":"https://doi.org/10.1192/bjb.2024.44","url":null,"abstract":"<p><p>This paper reflects on a special edition of the journal <i>History of Psychiatry</i> and a related symposium held at Somerville College, Oxford, exploring the innovations in mental healthcare in Oxfordshire led by Dr Bertram Mandelbrote between 1959 and 1988. I draw on clinical culture, biography, mental health policy and my lived experience to understand Mandelbrote's life and work, and his legacy and lessons for contemporary psychiatrists. I explore the ecological niche that Mandelbrote created and conclude with the probable importance of his relationship with Professor Michael Gelder, who led the University of Oxford Department of Psychiatry at the time.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141981571","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
Good character: the implications of personality development and psychopathology for citizenship. 良好品格:人格发展和心理病理学对公民身份的影响。
IF 2.2
BJPsych Bulletin Pub Date : 2024-08-14 DOI: 10.1192/bjb.2024.60
Stephen Attard, Solange Valdez-Symonds, Steve Valdez-Symonds, Andrew Iles, Frances Maclennan
{"title":"Good character: the implications of personality development and psychopathology for citizenship.","authors":"Stephen Attard, Solange Valdez-Symonds, Steve Valdez-Symonds, Andrew Iles, Frances Maclennan","doi":"10.1192/bjb.2024.60","DOIUrl":"https://doi.org/10.1192/bjb.2024.60","url":null,"abstract":"<p><p>The introduction of new legislation in 2006 brought about changes to the way citizenship applications were considered in the UK. Over the intervening years, several hundred children born in the UK have been denied British citizenship as a result of changes to the 'good character' requirement in the legislation - namely its extension to cover all those aged 10 years or older applying for citizenship, including individuals who were born in the UK. As a result of the formulaic way in which this requirement is assessed, citizenship can be denied on the basis of historical patterns of behaviour or offending from childhood. This article will consider whether the current approach to assessment of character in the context of applications for British citizenship is meaningful or appropriate, given developments in our understanding of normative psychological and neurological development and also the impact of psychosocial adversity, trauma, and broader psychopathological or neurodevelopmental conditions.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141975027","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 benefits and hazards of psychodrama in the management of mental illness: qualitative study linked to nidotherapy. 心理剧在精神疾病治疗中的益处和危害:与尼迪疗法相关的定性研究。
IF 2.2
BJPsych Bulletin Pub Date : 2024-08-09 DOI: 10.1192/bjb.2024.57
Zenab Ahmed, Peter Tyrer
{"title":"The benefits and hazards of psychodrama in the management of mental illness: qualitative study linked to nidotherapy.","authors":"Zenab Ahmed, Peter Tyrer","doi":"10.1192/bjb.2024.57","DOIUrl":"https://doi.org/10.1192/bjb.2024.57","url":null,"abstract":"<p><p>Drama therapy is a popular form of management in mental illness, as it reaches out beyond many other therapies. Few studies have examined both the advantages and disadvantages of this medium. This qualitative study examines both, and finds gains and hazards.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141905798","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 local review of section 17 leave forms in conjunction with the Mental Health Act Code of Practice: recommendations for future practice. 结合《精神健康法实施细则》对第 17 条休假表格进行地方审查:对未来做法的建议。
IF 2.2
BJPsych Bulletin Pub Date : 2024-08-09 DOI: 10.1192/bjb.2024.54
Shayanthan Pathmanathan, Georgina Edgerley Harris, Giles Townsend
{"title":"A local review of section 17 leave forms in conjunction with the Mental Health Act Code of Practice: recommendations for future practice.","authors":"Shayanthan Pathmanathan, Georgina Edgerley Harris, Giles Townsend","doi":"10.1192/bjb.2024.54","DOIUrl":"https://doi.org/10.1192/bjb.2024.54","url":null,"abstract":"<p><strong>Aims and method: </strong>The aim of this project was to set out recommendations for the section 17 leave form to reflect guidance provided in the Mental Health Act 1983: Code of Practice, following local Care Quality Commission feedback. We reviewed guidance in the Code and publicly available leave forms to identify items to include in the leave form. Then, we determined which publicly available leave forms included each item and reviewed whether the item should be included in the leave form and whether any reformulation was needed.</p><p><strong>Results: </strong>Using the method described, we identified a list of items that should be included in the leave form. When comparing the leave forms of different trusts, there was considerable variation with respect to which items were included in each form.</p><p><strong>Clinical implications: </strong>We provide some recommendations for future practice regarding section 17 leave forms to facilitate consistency with the Code and between different trusts.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141905797","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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