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Drug policy reform - the opportunity presented by ‘legal highs’ 毒品政策改革——“合法高潮”带来的机遇
The psychiatrist Pub Date : 2013-08-01 DOI: 10.1192/PB.BP.113.043711
Baroness Molly C. Meacher
{"title":"Drug policy reform - the opportunity presented by ‘legal highs’","authors":"Baroness Molly C. Meacher","doi":"10.1192/PB.BP.113.043711","DOIUrl":"https://doi.org/10.1192/PB.BP.113.043711","url":null,"abstract":"Current UK policy on drugs does little to reduce the potential harms to young people using drugs and in some ways can exacerbate them. The dramatic increase in the number of new psychoactive substances available in the UK carries the risk of increasing those harms and demands a new approach to drug regulation. The All-Party Parliamentary Group for Drug Policy Reform calls for an independent drugs classification body, the introduction of a new category for psychoactive substances whereby their supply can be regulated and a review of the government lead for drugs to ensure a health focus. The Group’s proposal and supporting evidence are set out in full.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"41 1","pages":"249-252"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84115242","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: 18
Medical students are susceptible to the public image of psychiatry 医科学生容易受到精神病学的公众形象的影响
The psychiatrist Pub Date : 2013-08-01 DOI: 10.1192/PB.37.8.276B
C. W. Rusius
{"title":"Medical students are susceptible to the public image of psychiatry","authors":"C. W. Rusius","doi":"10.1192/PB.37.8.276B","DOIUrl":"https://doi.org/10.1192/PB.37.8.276B","url":null,"abstract":"Mukherjee and colleagues[1][1] concentrate mainly on interventions in medical training, but it is also important to bear in mind that, as members of the public, medical students are constantly exposed to public perceptions and media portrayals of psychiatry. The poor public perception of psychiatry","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"114 1","pages":"276-277"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89552808","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: 1
Dropping out of dialectical behaviour therapy in the NHS: the role of care coordination 辩证行为疗法在国民健康保险制度中的退出:护理协调的作用
The psychiatrist Pub Date : 2013-08-01 DOI: 10.1192/PB.BP.112.041251
A. Gaglia, J. Essletzbichler, K. Barnicot, Nyla Bhatti, S. Priebe
{"title":"Dropping out of dialectical behaviour therapy in the NHS: the role of care coordination","authors":"A. Gaglia, J. Essletzbichler, K. Barnicot, Nyla Bhatti, S. Priebe","doi":"10.1192/PB.BP.112.041251","DOIUrl":"https://doi.org/10.1192/PB.BP.112.041251","url":null,"abstract":"Aims and method Dialectical behaviour therapy (DBT) is associated with particularly high drop-out rates in the National Health Service (NHS). This paper seeks to investigate the characteristics of patients with borderline personality disorder dropping out from DBTand the role of care coordination in this phenomenon. Data for the 102 patients receiving DBT in east London, 58% of whom had dropped out of treatment prematurely, were analysed.\u0000\u0000Results In a multivariable analysis, a history of care coordination was the only variable significantly correlated with drop out: 88% of patients with a history of care coordination dropped out prematurely compared with 52% of patients without such history.\u0000\u0000Clinical implications The experience of comprehensive care within the care programme approach, particularly care coordination at the start of DBT, affects the retention of patients in DBT. Further qualitative research is required to understand how care coordination and DBT drop out are related, which could lead to changes in how the therapy is delivered in the UK and influence decisions regarding the use of care coordination with patients with borderline personality disorder.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"5 1","pages":"267-271"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86614150","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: 12
Stigma of mental illness and help-seeking intention in university students 大学生心理疾病耻感与求助意向
The psychiatrist Pub Date : 2013-08-01 DOI: 10.1192/PB.BP.112.041483
J. Lally, Aengus ó Conghaile, S. Quigley, E. Bainbridge, C. Mcdonald
{"title":"Stigma of mental illness and help-seeking intention in university students","authors":"J. Lally, Aengus ó Conghaile, S. Quigley, E. Bainbridge, C. Mcdonald","doi":"10.1192/PB.BP.112.041483","DOIUrl":"https://doi.org/10.1192/PB.BP.112.041483","url":null,"abstract":"Aims and method\u0000 A cross-sectional study to ascertain levels of personal and perceived public mental illness stigma in a university student population and the association between the respective levels of stigma and help-seeking intention. An adaptation of the Discrimination-Devaluation scale was used.\u0000 Results\u0000 A total of 735 students participated in the study (response rate 77%). There were higher mean perceived public stigma levels than personal stigma levels. Perceived public stigma was not significantly associated with future non-help-seeking intention (odds ratio (OR) = 0.871, P = 0.428). Personal stigma was significantly associated with a decreased likelihood of future help-seeking intention (OR = 1.44, P = 0.043). Being younger than 25, having no history of or treatment for mental illness and having no personal contact with someone with a history of mental illness were all associated with higher personal stigma levels.\u0000 Clinical implications\u0000 This study indicates that personal stigma as distinct from perceived public stigma is a significant barrier to mental health utilisation for a student population and future stigma reduction campaigns could strategically focus on this.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"224 1","pages":"253-260"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76614034","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: 112
Why psychiatry isn’t sexy... 为什么精神病学不性感…
The psychiatrist Pub Date : 2013-08-01 DOI: 10.1192/PB.37.8.276A
Nicky Jecks
{"title":"Why psychiatry isn’t sexy...","authors":"Nicky Jecks","doi":"10.1192/PB.37.8.276A","DOIUrl":"https://doi.org/10.1192/PB.37.8.276A","url":null,"abstract":"I am 2 weeks into my psychiatry placement, and have been forced to ask myself some uncomfortable questions.[1][1] As many of my fellow students, I began with a negative view of psychiatry based almost entirely on our formal (and more importantly, informal) medical training. Although I am","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"36 20","pages":"276-276"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72366143","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: 1
Blame the ‘blame culture’ 责备“责备文化”
The psychiatrist Pub Date : 2013-08-01 DOI: 10.1192/PB.37.8.276
K. Dudleston
{"title":"Blame the ‘blame culture’","authors":"K. Dudleston","doi":"10.1192/PB.37.8.276","DOIUrl":"https://doi.org/10.1192/PB.37.8.276","url":null,"abstract":"Mukherjee et al [1][1] identify several important factors which discourage young doctors from choosing to train as psychiatrists. Stigma, low-quality undergraduate training and a perception that the specialty is unscientific probably all play a part. However, I contend that these factors are likely","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"4 1","pages":"276-276"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87831301","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
Recruitment into psychiatric training - positive change 招募进入精神科培训——积极改变
The psychiatrist Pub Date : 2013-08-01 DOI: 10.1192/PB.37.8.277
W. Burn, S. Bailey, T. Brown
{"title":"Recruitment into psychiatric training - positive change","authors":"W. Burn, S. Bailey, T. Brown","doi":"10.1192/PB.37.8.277","DOIUrl":"https://doi.org/10.1192/PB.37.8.277","url":null,"abstract":"We welcome Mukherjee et al ’s article,[1][1] with its thoughtful analysis of the reasons for recruitment problems and suggestions for some helpful solutions.\u0000\u0000We are happy to report that the most recent recruitment figures show a great improvement. For 2013, we achieved a 95% fill rate of CT1 (","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"1 1","pages":"277-277"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87026993","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
Joint assessment out of hours: assessing the benefits for patients and junior doctors 非工作时间的联合评估:评估患者和初级医生的利益
The psychiatrist Pub Date : 2013-08-01 DOI: 10.1192/PB.BP.112.041210
L. Boyd, C. Crawford, E. Wong
{"title":"Joint assessment out of hours: assessing the benefits for patients and junior doctors","authors":"L. Boyd, C. Crawford, E. Wong","doi":"10.1192/PB.BP.112.041210","DOIUrl":"https://doi.org/10.1192/PB.BP.112.041210","url":null,"abstract":"Aims and method We examined the impact of implementing a new Acute Mental Health Emergency Assessment Protocol (AMHEAP) on joint psychiatric assessments out of hours within Forth Valley, Scotland, over the course of 4 calendar months. The protocol states that assessments should be carried out by a junior doctor and a registered, qualified mental health nurse. The impact measures were taken as admission rates and experience of the doctor in training. Results In the 4 months that were examined (1 June-30 September 2011), 79.5% of out-of-hours emergency assessments were performed jointly. Admission rates were significantly decreased ( P Clinical implications Joint assessment can enhance patient experience, reduce hospital admission, and provide a learning opportunity for junior doctors in emergency psychiatric assessments. However, it represents a move away from the doctor as sole decision maker.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"60 1","pages":"272-275"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86466154","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
Scottish psychiatrists’ attitudes to electroconvulsive therapy: survey analysis 苏格兰精神科医生对电休克疗法的态度:调查分析
The psychiatrist Pub Date : 2013-08-01 DOI: 10.1192/PB.BP.112.039479
Fiona Martin, T. Elworthy
{"title":"Scottish psychiatrists’ attitudes to electroconvulsive therapy: survey analysis","authors":"Fiona Martin, T. Elworthy","doi":"10.1192/PB.BP.112.039479","DOIUrl":"https://doi.org/10.1192/PB.BP.112.039479","url":null,"abstract":"Aims and method Electroconvulsive therapy (ECT) prescription rates in Scotland are decreasing. This study aims to look for possible causes, in particular psychiatrists’ attitudes. Ninety-one Scottish psychiatrists completed a survey in 2009 relating to demographics, training, current practice, National Institute for Health and Care Excellence (NICE) guidelines and attitudes.\u0000\u0000Results The mean number of times the psychiatrists had prescribed ECT in the past 2 years was twice. About 43% felt that their prescribing rates had decreased. Reasons for this included more effective medication, public and patient perception, and NICE guidelines. There was a significant correlation between doctors’ gender and estimated prescription rates ( P = 0.004), however, not with other prescription data. Almost all surveyed psychiatrists (97%) agreed that ECT has a place in current psychiatric practice.\u0000\u0000Clinical implications Despite generally positive attitudes to ECT shown by psychiatrists in this study, prescription rates were low and decreasing. With more effective medication the role of ECT in therapy appears to be changing.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"13 1","pages":"261-266"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82992098","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: 3
Why commissioners need to know about Section 136 为什么委员们需要了解第136条
The psychiatrist Pub Date : 2013-07-01 DOI: 10.1192/PB.37.7.245
J. Chalmers, M. Hampson
{"title":"Why commissioners need to know about Section 136","authors":"J. Chalmers, M. Hampson","doi":"10.1192/PB.37.7.245","DOIUrl":"https://doi.org/10.1192/PB.37.7.245","url":null,"abstract":"The article by Patrick Keown[1][1] was a timely contribution to discussions currently taking place about the use of Section 136 between the Royal College of Psychiatrists, Home Office, Department of Health, Police, Health and Social Care Information Centre, and Care Quality Commission. A major and","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"18 1","pages":"245-245"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75240293","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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