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A core competency framework for mental health peer supporters of older adults in a Chinese community: cross-culturally informed Delphi study. 中国社区老年人心理健康同伴支持者的核心能力框架：跨文化德尔菲研究。
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-01 DOI: 10.1192/bjb.2023.45
Edwin Lok Yan Wong, Jessie Ho-Yin Yau, Lesley Cai Yin Sze, Hotinpo Sky Kanagawa, Dara Kiu Yi Leung, Tianyin Liu, Gloria Hoi Yan Wong, Terry Yat Sang Lum
{"title":"A core competency framework for mental health peer supporters of older adults in a Chinese community: cross-culturally informed Delphi study.","authors":"Edwin Lok Yan Wong, Jessie Ho-Yin Yau, Lesley Cai Yin Sze, Hotinpo Sky Kanagawa, Dara Kiu Yi Leung, Tianyin Liu, Gloria Hoi Yan Wong, Terry Yat Sang Lum","doi":"10.1192/bjb.2023.45","DOIUrl":"10.1192/bjb.2023.45","url":null,"abstract":"<p><strong>Aims and method: </strong>Non-Western literature on the core competencies of mental health peer supporters remains limited. Therefore, we used a three-round Delphi study with peer supporters, service users (i.e. someone using peer support services) and mental health professionals to develop a core competency framework for peer supporters in the Chinese context.</p><p><strong>Results: </strong>The final framework included 35 core competencies, the conceptual origins of which were local (14.3%), Western (20%) and both local and Western (65.7%). They were grouped into five categories in ascending peer supporter role specificity: (1) self-care and self-development, (2) general work ethics, (3) work with others, (4) work with service users and (5) peer support knowledge.</p><p><strong>Clinical implications: </strong>A culturally valid mental health peer support competency framework can minimise role confusion and refine training and practice guidelines. In a Chinese context, peer supporters were valued as generic support companions, whereas functions highlighted in the West, such as role modelling, were perceived as less critical.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"92-99"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9622302","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}
引用次数: 0
Training in neuropsychiatry: views of early career psychiatrists from across the world. 神经精神病学培训：世界各地早期职业精神病学家的观点。
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-01 DOI: 10.1192/bjb.2023.32
Rosa Molina-Ruiz, Yukako Nakagami, Sabrina Mörkl, Martin Vargas, Mohammadreza Shalbafan, Jane Pei-Chen Chang, Yugesh Rai, Champion T Seun-Fadipe, Gamze Erzin, Firoz Kazhungil, Pablo Vidal, Sawitri Brihastami, Eren Yıldızhan, Tanay Maiti, Ilya Fedotov, Irena Rojnic-Palavra, Toru Horinouchi, Vasanth Renganathan, Mariana Pinto da Costa
{"title":"Training in neuropsychiatry: views of early career psychiatrists from across the world.","authors":"Rosa Molina-Ruiz, Yukako Nakagami, Sabrina Mörkl, Martin Vargas, Mohammadreza Shalbafan, Jane Pei-Chen Chang, Yugesh Rai, Champion T Seun-Fadipe, Gamze Erzin, Firoz Kazhungil, Pablo Vidal, Sawitri Brihastami, Eren Yıldızhan, Tanay Maiti, Ilya Fedotov, Irena Rojnic-Palavra, Toru Horinouchi, Vasanth Renganathan, Mariana Pinto da Costa","doi":"10.1192/bjb.2023.32","DOIUrl":"10.1192/bjb.2023.32","url":null,"abstract":"<p><strong>Background: </strong>Training and practice in neuropsychiatry varies across the world. However, little is known about the experiences and opinions of early career psychiatrists (ECPs) across different countries regarding neuropsychiatry.</p><p><strong>Aims and method: </strong>To investigate neuropsychiatry training experiences, practices and opinions among ECPs across different countries. An online survey was distributed to ECPs in 35 countries across the world.</p><p><strong>Results: </strong>A total of 522 participants took part in this study. Responses show that neuropsychiatry is integrated to a variable extent in psychiatric training curricula across the world. Most respondents were not aware of the existence of neuropsychiatric training or of neuropsychiatric units. Most agreed that training in neuropsychiatry should be done during or after the psychiatry training period. Lack of interest among specialty societies, lack of time during training, and political and economic reasons are regarded as the main barriers.</p><p><strong>Clinical implications: </strong>These findings call for an improvement in the extent and in the quality of neuropsychiatry training across the world.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"78-84"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9737645","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}
引用次数: 0
The first appearance of EEG evidence in a UK court of law: a cautionary tale. 脑电图证据首次出现在英国法庭：一个警世故事。
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-01 DOI: 10.1192/bjb.2022.88
Ken Barrett
{"title":"The first appearance of EEG evidence in a UK court of law: a cautionary tale.","authors":"Ken Barrett","doi":"10.1192/bjb.2022.88","DOIUrl":"10.1192/bjb.2022.88","url":null,"abstract":"<p><p>Electroencephalogram-based evidence was accepted in a UK law court for the first time in 1939. This paper gives an account of that case, not previously clinically reported, and the individuals involved. Why it was not published in the literature at the time is explored and parallels with more recent technologies are highlighted.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"124-126"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10847252","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}
引用次数: 0
Our values and our historical understanding of psychiatrists. 我们的价值观和我们对精神科医生的历史理解。
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-01 DOI: 10.1192/bjb.2023.16
Claire Hilton
{"title":"Our values and our historical understanding of psychiatrists.","authors":"Claire Hilton","doi":"10.1192/bjb.2023.16","DOIUrl":"10.1192/bjb.2023.16","url":null,"abstract":"<p><p>Many people like to perceive themselves as better than previous generations: more knowledgeable, moral, tolerant and humane. Values associated with these aspects of ourselves may affect how we understand our professional forebears. In the early 20th century, some psychiatrists adopted new biomedical theories, including focal sepsis and eugenics, which resulted in inestimable harm. Detrimental clinical practices arose and were perpetuated in the context of societal values, medical ethics and other forces within and outside the medical profession. Historical understanding of the processes by which these things took place may help inform debate concerning current and future challenges of providing psychiatric care. The methods by which psychiatrists consider their predecessors may also have a bearing on how psychiatrists of the future will perceive us, the psychiatrists of the 2020s.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"117-120"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9257910","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}
引用次数: 0
The validity of the selection methods for recruitment to UK core psychiatry training: cohort study. 英国核心精神病学培训招生选拔方法的有效性：队列研究。
IF 2.6
BJPsych Bulletin Pub Date : 2024-03-27 DOI: 10.1192/bjb.2024.9
Paul A Tiffin, Emma Morley, Lewis W Paton, Nandini Chakraborty, Fiona Patterson
{"title":"The validity of the selection methods for recruitment to UK core psychiatry training: cohort study.","authors":"Paul A Tiffin, Emma Morley, Lewis W Paton, Nandini Chakraborty, Fiona Patterson","doi":"10.1192/bjb.2024.9","DOIUrl":"https://doi.org/10.1192/bjb.2024.9","url":null,"abstract":"<p><strong>Aims and method: </strong>Selection into core psychiatry training in the UK uses a computer-delivered Multi-Specialty Recruitment Assessment (MSRA; a situational judgement and clinical problem-solving test) and, previously, a face-to-face Selection Centre. The Selection Centre assessments were suspended during the COVID-19 pandemic. We aimed to evaluate the validity of this selection process using data on 3510 psychiatry applicants. We modelled the ability of the selection scores to predict subsequent performance in the Clinical Assessment of Skills and Competencies (CASC). Sensitivity to demographic characteristics was also estimated.</p><p><strong>Results: </strong>All selection assessment scores demonstrated positive, statistically significant, independent relationships with CASC performance and were sensitive to demographic factors.</p><p><strong>Implications: </strong>All selection components showed independent predictive validity. Re-instituting the Selection Centre assessments could be considered, although the costs, potential advantages and disadvantages should be weighed carefully.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-10"},"PeriodicalIF":2.6,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140292578","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
How to quit cannabis when you have a mental illness. A study from the perspective of patients who have successfully quit - ERRATUM. 患有精神疾病时如何戒除大麻。从成功戒毒患者的角度进行研究 - ERRATUM.
IF 2.2
BJPsych Bulletin Pub Date : 2024-03-18 DOI: 10.1192/bjb.2023.87
Jojanneke Bruins, Stijn Crutzen, Wim Veling, Stynke Castelein
{"title":"How to quit cannabis when you have a mental illness. A study from the perspective of patients who have successfully quit - ERRATUM.","authors":"Jojanneke Bruins, Stijn Crutzen, Wim Veling, Stynke Castelein","doi":"10.1192/bjb.2023.87","DOIUrl":"10.1192/bjb.2023.87","url":null,"abstract":"","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11543304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140142740","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}
引用次数: 0
Jailing is failing: psychiatry can help. 监禁是失败的：精神病学可以提供帮助。
IF 2.6
BJPsych Bulletin Pub Date : 2024-03-11 DOI: 10.1192/bjb.2024.8
Andrew Carroll, Adam Brett
{"title":"Jailing is failing: psychiatry can help.","authors":"Andrew Carroll, Adam Brett","doi":"10.1192/bjb.2024.8","DOIUrl":"https://doi.org/10.1192/bjb.2024.8","url":null,"abstract":"<p><p>There is accumulating evidence that imprisonment is expensive but does little to address the underlying drivers of offending. At the same time, it is now recognised that a large proportion of prisoners are diagnosable with significant psychiatric disorders. In this piece we explore the potential role of psychiatry in addressing the societal challenge of a failing prison system. We argue that core psychiatric skills of engaging in balanced, values-based thinking and implementing sound clinical processes can play an important role in reducing reoffending risk. We briefly discuss some of the key challenges involved and outline several relevant service models.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-5"},"PeriodicalIF":2.6,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140093345","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
Extending section 12 approval under the Mental Health Act to professions other than medicine. 将《精神健康法》第 12 条的批准范围扩大到医学以外的专业。
IF 2.6
BJPsych Bulletin Pub Date : 2024-03-11 DOI: 10.1192/bjb.2024.7
John L Taylor, Carole Burrell
{"title":"Extending section 12 approval under the Mental Health Act to professions other than medicine.","authors":"John L Taylor, Carole Burrell","doi":"10.1192/bjb.2024.7","DOIUrl":"https://doi.org/10.1192/bjb.2024.7","url":null,"abstract":"<p><p>Applications for detention under civil sections of the England and Wales Mental Health Act 1983 require at least one recommendation from a registered medical practitioner who is approved under section 12 of the Act. The Mental Health Act 2007 introduced multi-professional approved clinicians who may act as a patient's responsible clinician with responsibilities that include renewal of detention for treatment. Approved clinicians who are medical practitioners are automatically approved for section 12 purposes, whereas other approved clinicians are not. It is argued in this paper that this inconsistency is illogical, has implications for patient care and needs to be remedied.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-4"},"PeriodicalIF":2.6,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140093344","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
Psychiatric trainees' experiences of workplace violence: qualitative analysis. 精神科受训人员的工作场所暴力经历：定性分析。
IF 2.6
BJPsych Bulletin Pub Date : 2024-03-04 DOI: 10.1192/bjb.2024.6
Lauren Fowler, Alisha Vara, Lillian Ng
{"title":"Psychiatric trainees' experiences of workplace violence: qualitative analysis.","authors":"Lauren Fowler, Alisha Vara, Lillian Ng","doi":"10.1192/bjb.2024.6","DOIUrl":"https://doi.org/10.1192/bjb.2024.6","url":null,"abstract":"<p><strong>Aims and method: </strong>We aimed to explore experiences of workplace violence in a New Zealand sample of psychiatric trainees and to identify barriers to achieving safe practice and ways of enhancing workplace safety. In a qualitative study, we used interpretive description to inform and design in-depth exploration of participants' experiences. We interviewed 12 psychiatric trainees. Data were analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>There were three main themes: (a) violence as 'part of the job', leading to a culture of silence; (b) empowering trainees to address a sense of learned helplessness; and (c) conflict embedded within the unique nature of psychiatry.</p><p><strong>Clinical implications: </strong>Organisation-led systems-based procedures are instrumental in promoting workplace safety. Specific measures include peer-based support and implementing clear, tailored safety protocols, particularly for situations of crisis assessment. Training should include culturally focused education with specific guidance to mitigate violence.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-6"},"PeriodicalIF":2.6,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140020828","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
Teaching, assessment and best practice in undergraduate psychiatry education in the UK: cross-sectional survey. 英国精神病学本科教育的教学、评估和最佳实践：横断面调查。
IF 2.6
BJPsych Bulletin Pub Date : 2024-02-13 DOI: 10.1192/bjb.2024.2
Deepika Sharma, Thomas Hewson, Sridevi Sira Mahalingappa, James Fallon, Declan Hyland, Seri Abraham, Alexa Sidwell, Subodh Dave
{"title":"Teaching, assessment and best practice in undergraduate psychiatry education in the UK: cross-sectional survey.","authors":"Deepika Sharma, Thomas Hewson, Sridevi Sira Mahalingappa, James Fallon, Declan Hyland, Seri Abraham, Alexa Sidwell, Subodh Dave","doi":"10.1192/bjb.2024.2","DOIUrl":"https://doi.org/10.1192/bjb.2024.2","url":null,"abstract":"<p><strong>Aims and method: </strong>We conducted a cross-sectional survey to examine how undergraduate psychiatry is taught and assessed across medical schools in the UK that have at least one cohort of graduated students.</p><p><strong>Results: </strong>In total, 27 medical schools completed the survey. Curriculum coverage of common mental disorders, assessment skills and mental health law was broadly consistent, although exposure to psychiatric subspecialties varied. Significant variation existed regarding the duration of psychiatry placements and availability of enrichment activities. Small-group teaching, lectures and e-learning were the most frequent teaching modalities and various professionals and lived experience educators (patient and/or carers) contributed to teaching. Objective structured clinical examinations and multiple-choice questions dominated assessments.</p><p><strong>Clinical implications: </strong>Medical schools should consider increasing students' exposure to different psychiatric subspecialties and integrating physical and mental health training to address comorbidity and promote holistic care. Future research should explore whether specific undergraduate experiences promote greater career interest and skills in psychiatry.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-7"},"PeriodicalIF":2.6,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139721472","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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