{"title":"Commissioning dementia services","authors":"D. Anderson","doi":"10.1192/PB.37.7.246","DOIUrl":"https://doi.org/10.1192/PB.37.7.246","url":null,"abstract":"Iliffe[1][1] makes important points about complex conditions but offers a very limited view of the possibilities for commissioning dementia services.\u0000\u0000Any qualified provider broadens the options and there is no reason why the whole system needs to be commissioned from a single provider. In acute","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"90 1","pages":"246-246"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83910594","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}
The psychiatristPub Date : 2013-07-01DOI: 10.1192/PB.BP.113.043661
L. Clein
{"title":"Dr Nathaniel Minton MA, DPM, FRCPsych","authors":"L. Clein","doi":"10.1192/PB.BP.113.043661","DOIUrl":"https://doi.org/10.1192/PB.BP.113.043661","url":null,"abstract":"![Figure][1] \u0000\u0000Dr Nathaniel Minton, who was born on 28 May 1935, had a unique training in psychiatry for a British graduate, because he spent 3 years (1965-1968) training in psychoanalysis and depth psychotherapy at the C. G. Jung Institute in Zurich, trained individually by Jolande Jacobi,","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"20 1","pages":"248-248"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84108391","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}
The psychiatristPub Date : 2013-07-01DOI: 10.1192/PB.BP.112.040147
R. Macpherson, Praveen Thyarappa, G. Riley, Hannah Steer, Mike Blackburn, C. Foy
{"title":"Evaluation of three assertive outreach teams","authors":"R. Macpherson, Praveen Thyarappa, G. Riley, Hannah Steer, Mike Blackburn, C. Foy","doi":"10.1192/PB.BP.112.040147","DOIUrl":"https://doi.org/10.1192/PB.BP.112.040147","url":null,"abstract":"Aims and method\u0000 To evaluate outcomes for service users during their first year of treatment in three English assertive outreach teams. Changes in health and social functioning, engagement with services, service use and need (rated by staff and service users) were evaluated.\u0000 Results\u0000 In 49 service users we found a significant increase in mean staff-rated met needs up to 6 months of treatment. There were no significant changes in ratings of engagement or Health of the Nation Outcome Scales (HoNOS) scores at 6 and 12 months. Unmet needs rated by service users and staff showed a non-significant trend for improvement across a range of individual health and social domains. Duration of hospital admission reduced significantly between the 12 months before the evaluation and the 12 months of the evaluation. Formal and informal admission and levels of contact with crisis teams reduced over the study period.\u0000 Clinical implications\u0000 Although these results offer some support to the assertive outreach approach, further research in larger samples is needed to identify which changes in health and social functioning are associated with transfer to assertive outreach teams.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"11 4 1","pages":"228-231"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79576168","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}
{"title":"Getting it right for people with dementia","authors":"S. Benbow, I. Greaves, D. Jolley","doi":"10.1192/PB.37.7.245A","DOIUrl":"https://doi.org/10.1192/PB.37.7.245A","url":null,"abstract":"Steve Ilife’s editorial is perceptive, diplomatic and hopefully not too late.[1][1] As he makes clear, dementia is not, for most people, a stand-alone condition. Once established it remains significant in determining quality of life and need for help and support right to the end of an individual","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"9 ","pages":"245-246"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1192/PB.37.7.245A","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72426457","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}
{"title":"Acute assessments in psychiatry","authors":"A. Choudry","doi":"10.1192/PB.37.7.244","DOIUrl":"https://doi.org/10.1192/PB.37.7.244","url":null,"abstract":"As a core trainee in psychiatry, I feel the issue of trainees working out of hours is vitally important.\u0000\u0000With changes to rotas as described by Conn & Husain,[1][1] trainees find themselves not having to do acute crisis assessments and instead, nurse-led assessments are becoming more common. These","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"17 1","pages":"244-244"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75344740","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}
{"title":"A message to psychiatry trainees: keep your finger on the pulse","authors":"A. Lennox, B. Wildblood","doi":"10.1192/PB.37.7.244A","DOIUrl":"https://doi.org/10.1192/PB.37.7.244A","url":null,"abstract":"In light of the recent Royal College of Psychiatrists’ report on achieving parity between mental and physical health,[1][1] the paper by Yadav & Vidyarthi[2][2] came as a timely illustration of the need for trainees to take responsibility for their continuing professional development and the role","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"53 1","pages":"244-245"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91344642","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}
The psychiatristPub Date : 2013-07-01DOI: 10.1192/PB.BP.113.042788
J. Campion
{"title":"Public mental health: the local tangibles","authors":"J. Campion","doi":"10.1192/PB.BP.113.042788","DOIUrl":"https://doi.org/10.1192/PB.BP.113.042788","url":null,"abstract":"Public mental health involves a number of important elements relevant to psychiatrists. This includes estimation of the level and impact of unmet need for treatment of mental disorder, prevention of mental disorder and promotion of mental well-being particularly in higher-risk groups. In the UK, the majority of people with mental disorder receive no intervention. This is despite the large impact and costs of mental disorder and existence of cost-effective interventions which result in economic savings even in the short term. Furthermore, spend is virtually absent for interventions to prevent mental disorder and promote mental well-being despite prominence within government policy and a good evidence base. At a time of budget cuts, local information about level, impact and costs of such unmet need as well as effective interventions are important to accurately inform the required investment for treatment of mental disorder, its prevention and promotion of mental well-being. Information about impact of interventions including economic savings across a broad range of sectors can also be estimated. This article summarises recent public mental health commissioning guidance which provides such information.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"22 1","pages":"238-243"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81365120","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}
{"title":"Dementia commissioning - a missed opportunity","authors":"S. Sikdar","doi":"10.1192/PB.37.7.246A","DOIUrl":"https://doi.org/10.1192/PB.37.7.246A","url":null,"abstract":"Professor Iliffe finishes his editorial with a question,[1][1] but does not address a much more important issue in dementia care in this country - that although dementia is considered a public health priority by the World Health Organization,[2][2] the Department of Health’s dementia commissioning","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"116 1","pages":"246-246"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87912498","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}
The psychiatristPub Date : 2013-07-01DOI: 10.1192/PB.BP.113.042697
Mark E. Cohen
{"title":"Organisational processes around the investigation of serious events","authors":"Mark E. Cohen","doi":"10.1192/PB.BP.113.042697","DOIUrl":"https://doi.org/10.1192/PB.BP.113.042697","url":null,"abstract":"This editorial focuses on a psychosocial application of psychoanalytic thinking to the processes which are in place to investigate serious events in psychiatric healthcare. It argues that the structures and processes in place can be understood with reference to organisational defences and to the ‘actor-network theory’. A common reason for such an investigation is a completed suicide. It is suggested that defensive processes may occur in response to the anxieties associated with serious events such as suicide and are of concern in terms of psychiatric care retaining a capacity for emotionally involved practice.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"85 1","pages":"217-220"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80543822","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}
The psychiatristPub Date : 2013-07-01DOI: 10.1192/PB.BP.112.039933
Rebecca A. Carpenter, J. Falkenburg, T. White, D. Tracy
{"title":"Crisis teams: systematic review of their effectiveness in practice","authors":"Rebecca A. Carpenter, J. Falkenburg, T. White, D. Tracy","doi":"10.1192/PB.BP.112.039933","DOIUrl":"https://doi.org/10.1192/PB.BP.112.039933","url":null,"abstract":"Aims and method Crisis resolution and home treatment teams (variously abbreviated to CRTs, CRHTTs, HTTs) were introduced to reduce the number and duration of in-patient admissions and better manage individuals in crisis. Despite their ubiquity, their evidence base is challengeable. This systematic review explored whether CRTs: (a) affected voluntary and compulsory admissions; (b) treat particular patient groups; (c) are cost-effective; and (d) provide care patients value. Results Crisis resolution teams appear effective in reducing admissions, although data are mixed and other factors have also influenced this. Compulsory admissions may have increased, but evidence that CRTs are causally related is inconclusive. There are few clinical differences between ‘gate-kept’ patients admitted and those not. Crisis resolution teams are cheaper than in-patient care and, overall, patients are satisfied with CRT care. Clinical implications High-quality evidence for CRTs is scarce, although they appear to contribute to reducing admissions. Patient-relevant psychosocial and longitudinal outcomes are under-explored.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"34 1","pages":"232-237"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83736809","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}
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