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The Individual Recovery Outcomes Counter: preliminary validation of a personal recovery 个人恢复结果计数器:个人恢复的初步验证
The psychiatrist Pub Date : 2013-07-01 DOI: 10.1192/PB.BP.112.041889
Scott Hardie, R. Ion, J. Cumming, N. Henderson
{"title":"The Individual Recovery Outcomes Counter: preliminary validation of a personal recovery","authors":"Scott Hardie, R. Ion, J. Cumming, N. Henderson","doi":"10.1192/PB.BP.112.041889","DOIUrl":"https://doi.org/10.1192/PB.BP.112.041889","url":null,"abstract":"Aims and method The Individual Recovery Outcomes Counter (I.ROC) is to date the only recovery outcomes instrument developed in Scotland. This paper describes the steps taken to initially assess its validity and reliability, including factorial analysis, internal consistency and a correlation benchmarking analysis.\u0000\u0000Results The I.ROC tool showed high internal consistency. Exploratory factor analysis indicated a two-factor structure comprising intrapersonal recovery (factor 1) and interpersonal recovery (factor 2), explaining between them over 50% of the variance in I.ROC scores. There were no redundant items and all loaded on at least one of the factors. The I.ROC significantly correlated with widely used existing instruments assessing both personal recovery and clinical outcomes.\u0000\u0000Clinical implications I.ROC is a valid and reliable measure of recovery in mental health, preferred by service users when compared with well-established instruments. It could be used in clinical settings to map individual recovery, providing feedback for service users and helping to assess service outcomes.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"16 1","pages":"221-227"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86147593","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: 26
UK crisis in recruitment into psychiatric training 英国精神病学培训招聘危机
The psychiatrist Pub Date : 2013-06-01 DOI: 10.1192/PB.BP.112.040873
Kamaleeka Mukherjee, M. Maier, S. Wessely
{"title":"UK crisis in recruitment into psychiatric training","authors":"Kamaleeka Mukherjee, M. Maier, S. Wessely","doi":"10.1192/PB.BP.112.040873","DOIUrl":"https://doi.org/10.1192/PB.BP.112.040873","url":null,"abstract":"Psychiatry recruitment in the UK is in crisis. In this paper we review reasons and solutions for the current predicament, focusing on the UK situation. We assert that there are specific national issues over and above more general and well-established ones, such as stigma and bad-mouthing, which need to be considered. These include factors that are an unintended consequence of recent changes in postgraduate training, as well as the organisation of the National Health Service. We conclude with some suggestions for psychiatrists, whether trainee or consultant, to help address the situation.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"30 1","pages":"210-214"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73072133","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: 36
Psychiatry for undergraduates: towards a solution 大学生精神病学:寻找解决方案
The psychiatrist Pub Date : 2013-06-01 DOI: 10.1192/PB.37.6.215A
P. Carter, Hannah Bradbury, E. Cowan
{"title":"Psychiatry for undergraduates: towards a solution","authors":"P. Carter, Hannah Bradbury, E. Cowan","doi":"10.1192/PB.37.6.215A","DOIUrl":"https://doi.org/10.1192/PB.37.6.215A","url":null,"abstract":"There is more that can be done to improve the undergraduate experience.[1][1] This can be through curriculum design, preparation before the placement and what is done during the placement.\u0000\u0000The curriculum is mostly designed in a way that means psychiatry is only encountered in the 4th year with very","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"87 1","pages":"215-215"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74813986","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
Library use by patients in an English maximum security hospital 英国最高安全级别医院的病人使用图书馆
The psychiatrist Pub Date : 2013-06-01 DOI: 10.1192/PB.BP.112.039420
J. Milton, R. Ruck
{"title":"Library use by patients in an English maximum security hospital","authors":"J. Milton, R. Ruck","doi":"10.1192/PB.BP.112.039420","DOIUrl":"https://doi.org/10.1192/PB.BP.112.039420","url":null,"abstract":"Aims and method Scant clinical attention is usually paid to (a) forensic patients' reading interests or (b) the potential that library services may offer in providing information and therapy to patients. We undertook a cross-sectional service evaluation of patients' library attendance and use at Rampton high secure hospital in a 12-month period between July 2009 and June 2010.\u0000\u0000Results We collected information for 326 patients across all 28 wards. Almost 79% used the library service in some way, 66% borrowing music, 67% borrowing books and some borrowing both. Factual books were borrowed more than fiction, with graphic novels, talking books and self-help books about mental disorder all proving popular.\u0000\u0000Clinical implications Reading and library use should be considered by clinicians in terms of the positive impact of improving literacy to enhance wider recovery, in relation to the impact of illness and medication effects on reading ability and the potential for providing health-related messages, illness education and reading therapy.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"85 1","pages":"188-191"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73442334","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
Community treatment orders: current practice with regard to the Human Rights Act 社区治疗令:关于《人权法》的现行做法
The psychiatrist Pub Date : 2013-06-01 DOI: 10.1192/PB.37.6.215
Maung Oakarr, Bernadette Rheeder
{"title":"Community treatment orders: current practice with regard to the Human Rights Act","authors":"Maung Oakarr, Bernadette Rheeder","doi":"10.1192/PB.37.6.215","DOIUrl":"https://doi.org/10.1192/PB.37.6.215","url":null,"abstract":"We were struck by the potential legal implications surrounding the discretionary conditions of a community treatment order, in particular social conditions such as conditions on driving, restricted family visits and checking mail, which are authoritarian in their approach. Lepping & Malik rightly","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"241 1","pages":"215-215"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75781000","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
Qualitative research: its value and applicability 质性研究的价值与适用性
The psychiatrist Pub Date : 2013-06-01 DOI: 10.1192/PB.BP.113.042770
S. Agius
{"title":"Qualitative research: its value and applicability","authors":"S. Agius","doi":"10.1192/PB.BP.113.042770","DOIUrl":"https://doi.org/10.1192/PB.BP.113.042770","url":null,"abstract":"Qualitative research has a rich tradition in the study of human social behaviour and cultures. Its general aim is to develop concepts which help us to understand social phenomena in, wherever possible, natural rather than experimental settings, to gain an understanding of the experiences, perceptions and/or behaviours of individuals, and the meanings attached to them. The effective application of qualitative methods to other disciplines, including clinical, health service and education research, has a rapidly expanding and robust evidence base. Qualitative approaches have particular potential in psychiatry research, singularly and in combination with quantitative methods. This article outlines the nature and potential application of qualitative research as well as attempting to counter a number of misconceptions.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"70 1","pages":"204-206"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77003151","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: 20
Trainees need more psychiatric teaching sessions and role models: exposure to psychiatry in the Foundation Programme 学员需要更多的精神病学教学课程和榜样:在基础课程中接触精神病学
The psychiatrist Pub Date : 2013-06-01 DOI: 10.1192/PB.BP.112.041459
A. Moreton, Andrew Collier
{"title":"Trainees need more psychiatric teaching sessions and role models: exposure to psychiatry in the Foundation Programme","authors":"A. Moreton, Andrew Collier","doi":"10.1192/PB.BP.112.041459","DOIUrl":"https://doi.org/10.1192/PB.BP.112.041459","url":null,"abstract":"Aims and method To determine the provision of teaching in psychiatry for foundation doctors up to the point of making specialty applications. Data for the cohort of foundation doctors entering training in 2010 were collected from teaching programmes across the Mersey Deanery and North Western Foundation Schools. Results In the 17 hospitals that provided data, ‘protected teaching’ totalled 2354 h; 1.8% of time was dedicated to psychiatry, with 4 hospitals providing no teaching on mental health topics. The mean duration of psychiatry teaching was higher in university teaching hospitals (3 h 34 min) than district general hospitals (2 h 57 min); and almost a quarter of teaching sessions were titled only ‘psychiatry’. Clinical implications For many foundation doctors their only experience of psychiatry will be through teaching sessions, and this is potentially the only time to change opinions and build interest in the specialty. Psychiatrists need to take a more active role in the provision of high-quality teaching for foundation doctors and become the visible role models which are currently lacking.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"1 1","pages":"207-209"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75113317","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
Management of Treatment-Resistant Major Psychiatric Disorders 难治性重大精神障碍的管理
The psychiatrist Pub Date : 2013-06-01 DOI: 10.1192/PB.BP.113.042861
A. Jain
{"title":"Management of Treatment-Resistant Major Psychiatric Disorders","authors":"A. Jain","doi":"10.1192/PB.BP.113.042861","DOIUrl":"https://doi.org/10.1192/PB.BP.113.042861","url":null,"abstract":"Management of Treatment-Resistant Major Psychiatric Disorders Edited by Charles B. Nemeroff Oxford University Press, 2012, £55.00, hb, 400 pp. ISBN: 9780199739981 \u0000\u0000Treatment-resistant disorders are challenging for psychiatrists and the team, causing suffering for patients and their families and","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"1 1","pages":"216-216"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85755582","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: 9
Complex needs survey: informing the development of a community recovery and rehabilitation team 复杂需求调查:为社区恢复和康复团队的发展提供信息
The psychiatrist Pub Date : 2013-06-01 DOI: 10.1192/PB.BP.112.039958
Stavros Bekas
{"title":"Complex needs survey: informing the development of a community recovery and rehabilitation team","authors":"Stavros Bekas","doi":"10.1192/PB.BP.112.039958","DOIUrl":"https://doi.org/10.1192/PB.BP.112.039958","url":null,"abstract":"Aims and method To inform the development of a new, recovery-oriented rehabilitation service, identify local needs and create a pathway for appropriate referrals, accelerating the build up of case-load. We surveyed 1353 secondary service users using a purpose-made needs assessment and case identification questionnaire, completed by nominated care coordinators.\u0000\u0000Results Significant unmet need for rehabilitation and recovery-oriented interventions was found. The results were used to invite referrals, create a case-load of 150 and allocate the appropriate resources for the new team.\u0000\u0000Clinical implications The results highlight the untapped recovery potential among users of mainstream secondary mental health services and support investment in rehabilitation at a time of resource restriction. This work also supports a similar, evidence-based approach to targeting appropriate referrals during the development and the early stages of rehabilitation services.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"30 1","pages":"192-197"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82773000","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
‘Legal highs’ and other ‘club drugs’: why the song and dance? “合法兴奋剂”和其他“俱乐部毒品”:为什么要载歌载舞?
The psychiatrist Pub Date : 2013-06-01 DOI: 10.1192/PB.BP.113.042713
O. Bowden-Jones
{"title":"‘Legal highs’ and other ‘club drugs’: why the song and dance?","authors":"O. Bowden-Jones","doi":"10.1192/PB.BP.113.042713","DOIUrl":"https://doi.org/10.1192/PB.BP.113.042713","url":null,"abstract":"Patterns of drug use are changing, with an increase in the use of a new group of psychoactive substances known as ‘club drugs’. Comprising both legal and illegal drugs, many club drugs can be purchased online, increasing their availability. The harmful consequences are now emerging and include severe affective and psychotic symptoms as well as physical symptoms such as ketamine-induced ulcerative cystitis. Psychiatrists need to consider club drugs as a precipitating factor for psychiatric presentation. This editorial will describe the more common substances and their effects.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"19 1","pages":"185-187"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74027589","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: 10
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