BJPsych Bulletin最新文献

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Development of the Prevention of Suicide Behaviour in Prisons: Enhancing Access to Therapy (PROSPECT) logic model and implementation strategies. 开发 "预防监狱自杀行为":PROSPECT 逻辑模型和实施战略。
IF 2.2
BJPsych Bulletin Pub Date : 2024-05-06 DOI: 10.1192/bjb.2024.22
Rebecca Crook, Charlotte Lennox, Yvonne Awenat, Dawn Edge, Sarah Knowles, David Honeywell, Patricia Gooding, Gillian Haddock, Helen Brooks, Daniel Pratt
{"title":"Development of the Prevention of Suicide Behaviour in Prisons: Enhancing Access to Therapy (PROSPECT) logic model and implementation strategies.","authors":"Rebecca Crook, Charlotte Lennox, Yvonne Awenat, Dawn Edge, Sarah Knowles, David Honeywell, Patricia Gooding, Gillian Haddock, Helen Brooks, Daniel Pratt","doi":"10.1192/bjb.2024.22","DOIUrl":"10.1192/bjb.2024.22","url":null,"abstract":"<p><strong>Aims and method: </strong>This study aimed to develop and articulate a logic model and programme theories for implementing a new cognitive-behavioural suicide prevention intervention for men in prison who are perceived to be at risk of death by suicide. Semi-structured one-to-one interviews with key stakeholders and a combination of qualitative analysis techniques were used to develop programme theories.</p><p><strong>Results: </strong>Interviews with 28 stakeholders resulted in five programme theories, focusing on: trust, willingness and engagement; readiness and ability; assessment and formulation; practitioner delivering the 'change work' stage of the intervention face-to-face in a prison environment; and practitioner training, integrating the intervention and onward care. Each theory provides details of what contextual factors need to be considered at each stage, and what activities can facilitate achieving the intended outcomes of the intervention, both intermediate and long term.</p><p><strong>Clinical implications: </strong>The PROSPECT implementation strategy developed from the five theories can be adapted to different situations and environments.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-9"},"PeriodicalIF":2.2,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847092","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
Assisted death for prisoners and forensic patients: complexity and controversy illustrated by four recent cases. 囚犯和法医病人的辅助死亡:最近四个案例说明的复杂性和争议。
IF 2.2
BJPsych Bulletin Pub Date : 2024-05-06 DOI: 10.1192/bjb.2024.23
Roland M Jones, Alexander I F Simpson
{"title":"Assisted death for prisoners and forensic patients: complexity and controversy illustrated by four recent cases.","authors":"Roland M Jones, Alexander I F Simpson","doi":"10.1192/bjb.2024.23","DOIUrl":"10.1192/bjb.2024.23","url":null,"abstract":"<p><p>Medical assistance in dying (MAiD) (which includes euthanasia and assisted suicide) is available in an increasing number of countries. In Belgium, The Netherlands and Switzerland (and was due to be implemented in Canada from 2024) eligibility includes mental suffering in the absence of any physical disorder. There are particular ethical and legal issues when considering MAiD for those involuntarily detained in prisons and hospitals. We describe four recent cases that illustrate these complexities, and highlight issues of equivalence of healthcare and self-determination against concerns about the criteria for determining eligibility of those with non-terminal conditions as well as the objections raised by victims and families and the demands for justice.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-6"},"PeriodicalIF":2.2,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847959","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
Integration of neuroscience into psychiatric training and practice: suggestions for implementation. 将神经科学纳入精神病学培训和实践:实施建议。
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-29 DOI: 10.1192/bjb.2024.24
Isabel Mark, Norman Poole, Niruj Agrawal
{"title":"Integration of neuroscience into psychiatric training and practice: suggestions for implementation.","authors":"Isabel Mark, Norman Poole, Niruj Agrawal","doi":"10.1192/bjb.2024.24","DOIUrl":"https://doi.org/10.1192/bjb.2024.24","url":null,"abstract":"<p><p>Mainstream psychiatric practice requires a solid grounding in neuroscience, an important part of the biopsychosocial model, allowing for holistic person-centred care. There have been repeated calls for better integration of neuroscience into training, although so far with less focus on implementation for life-long learning. We suggest that such training should be accessible and utilised by all psychiatrists, not solely those with a special interest in neuropsychiatry. By considering recent positive developments within the general psychiatry curricula and neuropsychiatric resource implementation, we propose strategies for how this can be progressed, minimising regional disparities within the growing world of virtual learning.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-7"},"PeriodicalIF":2.6,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861898","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
Conceptual competence in psychiatric training: building a culture of conceptual inquiry. 精神病学培训中的概念能力:建立概念探究文化。
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-02 DOI: 10.1192/bjb.2024.12
Awais Aftab, John Z Sadler, Brent M Kious, G Scott Waterman
{"title":"Conceptual competence in psychiatric training: building a culture of conceptual inquiry.","authors":"Awais Aftab, John Z Sadler, Brent M Kious, G Scott Waterman","doi":"10.1192/bjb.2024.12","DOIUrl":"https://doi.org/10.1192/bjb.2024.12","url":null,"abstract":"<p><p>Building a culture of conceptual inquiry in psychiatric training requires the development of conceptual competence: the ability to identify and examine assumptions that constitute the philosophical foundations of clinical care and scientific investigation in psychiatry. In this article, we argue for the importance of such competence and illustrate approaches to instilling it through examples drawn from our collective experiences as psychiatric educators.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-6"},"PeriodicalIF":2.6,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140334612","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 service use and costs associated with complex emotional needs and a diagnosis of personality disorder: analysis of routine data. 与复杂情感需求和人格障碍诊断相关的精神健康服务使用情况和成本:常规数据分析。
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-01 DOI: 10.1192/bjb.2023.41
Joseph Botham, Alan Simpson, Paul McCrone
{"title":"Mental health service use and costs associated with complex emotional needs and a diagnosis of personality disorder: analysis of routine data.","authors":"Joseph Botham, Alan Simpson, Paul McCrone","doi":"10.1192/bjb.2023.41","DOIUrl":"10.1192/bjb.2023.41","url":null,"abstract":"<p><strong>Aims and method: </strong>We aimed to estimate the costs of care for people with a personality disorder diagnosis and compare service use and costs for those receiving specialist input and those receiving generic care. Service use data were obtained from records and costs calculated. Comparisons were made between those who received care from specialist personality disorder teams and those who did not. Demographic and clinical predictors of costs were identified with regression modelling.</p><p><strong>Results: </strong>Mean total costs before diagnosis were £10 156 for the specialist group and £11 531 for the non-specialist group. Post-diagnosis costs were £24 017 and £22 266 respectively. Costs were associated with specialist care, comorbid conditions and living outside of London.</p><p><strong>Clinical implications: </strong>Receiving increased support from a specialist service may reduce the need for in-patient care. This may be clinically appropriate and results in a distribution of costs.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"85-92"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9613375","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
A new insomnia treatment service: the benefits and challenges of establishing a trainee-led service. 一项新的失眠症治疗服务:建立以受训者为主导的服务的益处与挑战。
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-01 DOI: 10.1192/bjb.2023.46
Lauren Z Waterman, Michael Creed
{"title":"A new insomnia treatment service: the benefits and challenges of establishing a trainee-led service.","authors":"Lauren Z Waterman, Michael Creed","doi":"10.1192/bjb.2023.46","DOIUrl":"10.1192/bjb.2023.46","url":null,"abstract":"<p><p>Chronic insomnia is undertreated in the UK despite being a common mental disorder that severely affects quality of life. The lead author, a psychiatry trainee, implemented a new group cognitive-behavioural therapy for insomnia (CBT-I) service for secondary care patients in London with chronic insomnia and comorbid mental illness. Expertise was propagated by trainees teaching other trainees. Nine patients completed all sessions, all with moderate-to-severe insomnia on the Insomnia Severity Index (ISI) at baseline assessment (mean score 21.6). All patients seen at follow-up had improved, scoring in the 'subthreshold' or 'no clinically significant insomnia' ranges on the ISI (mean 6.6), and all with improvements in comorbid psychiatric symptoms and functioning. This evaluation demonstrates that group CBT-I can be easily learned and delivered by those without formal CBT or sleep medicine training. This could increase the availability and accessibility of treatment. However, bureaucratic challenges were faced, and trainee-led innovations should be better facilitated.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"127-133"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9693287","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
RE: Parity of esteem within the biopsychosocial model: is psychiatry still a psychological profession? RE:生物-心理-社会模式中的对等尊重:精神病学还是心理学专业吗?
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-01 Epub Date: 2024-03-25 DOI: 10.1192/bjb.2024.5
Mustafa Alachkar
{"title":"RE: Parity of esteem within the biopsychosocial model: is psychiatry still a psychological profession?","authors":"Mustafa Alachkar","doi":"10.1192/bjb.2024.5","DOIUrl":"10.1192/bjb.2024.5","url":null,"abstract":"","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":"48 2","pages":"145"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140206318","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
Evidence versus expectancy: the development of psilocybin therapy. 证据与期望:迷幻药疗法的发展。
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-01 DOI: 10.1192/bjb.2023.28
James J Rucker
{"title":"Evidence versus expectancy: the development of psilocybin therapy.","authors":"James J Rucker","doi":"10.1192/bjb.2023.28","DOIUrl":"10.1192/bjb.2023.28","url":null,"abstract":"<p><strong>Summary: </strong>Although the development of psilocybin therapy has come as a surprise to many, modern research with the drug has been ongoing for 25 years. Psilocybin therapy is composed of psilocybin dosing sessions embedded within a wider process of psychoeducation, psychological support and integration. Early phase clinical trial evidence is promising, particularly for treatment-resistant depression. However, masking probably fails and expectancy effects may be a part of the mechanism of change. Disambiguating between drug and expectancy effects is a necessary part of the development process, yet this is difficult if masking fails. Hitherto, masking and expectancy have not been routinely measured in psilocybin or other medication trials. Doing so represents an opportunity for research and may influence psychiatry more widely. In this opinion piece I summarise the clinical development process of psilocybin therapy thus far, discussing the hope, the hype, the challenges and the opportunities along the way.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"110-117"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9534953","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
Breaking down barriers: promoting journals beyond the page with open access journal clubs. 打破壁垒:通过开放获取期刊俱乐部促进期刊超越页面。
IF 2.2
BJPsych Bulletin Pub Date : 2024-04-01 DOI: 10.1192/bjb.2024.3
Angharad N de Cates, Donncha Mullin, Lucy Stirland, Mariana Pinto da Costa, Derek Tracy
{"title":"Breaking down barriers: promoting journals beyond the page with open access journal clubs.","authors":"Angharad N de Cates, Donncha Mullin, Lucy Stirland, Mariana Pinto da Costa, Derek Tracy","doi":"10.1192/bjb.2024.3","DOIUrl":"10.1192/bjb.2024.3","url":null,"abstract":"<p><p>In 2020, during the early days of the COVID-19 pandemic, the <i>British Journal of Psychiatry</i> (<i>BJPsych</i>) established a series of free online teaching sessions called <i>BJPsych</i> Journal Clubs. Their educational purpose is two-fold: (a) to provide junior psychiatrists with a friendly but large-scale platform to evaluate and critically appraise recent articles published in the <i>BJPsych</i> and (b) to present new research findings in an open and accessible manner. In this paper, we discuss our framework, the challenges we encountered, how the original model is evolving based on feedback from trainees, and tips for success when delivering international online journal clubs.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-4"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140334611","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
Blame or discovery? Walter Benjamin's Jetztzeit, Purdue Pharma LP and 'our values and our historical understanding of psychiatrists'. 指责还是发现?瓦尔特-本雅明(Walter Benjamin)的《Jetztzeit》、普渡制药公司(Purdue Pharma LP)以及 "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.2023.39
George Ikkos
{"title":"Blame or discovery? Walter Benjamin's <i>Jetztzeit,</i> Purdue Pharma LP and 'our values and our historical understanding of psychiatrists'.","authors":"George Ikkos","doi":"10.1192/bjb.2023.39","DOIUrl":"10.1192/bjb.2023.39","url":null,"abstract":"<p><p>This commentary explores issues of professional identity, fairness and discovery in the history of psychiatry in the light of Walter Benjamin's (1892-1940) philosophy of history, especially his concept of <i>Jetztzeit</i> (now-time) and the profession's relationship with the founder and owners of Purdue Pharma LP.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"121-122"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9639996","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
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