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Future clinical priorities in neurodevelopmental disorders: an international perspective 神经发育障碍的未来临床重点:国际视角
IF 1.3
BJPsych Advances Pub Date : 2022-10-07 DOI: 10.1192/bja.2022.69
A. Roy, M. Roy, H. Shah
{"title":"Future clinical priorities in neurodevelopmental disorders: an international perspective","authors":"A. Roy, M. Roy, H. Shah","doi":"10.1192/bja.2022.69","DOIUrl":"https://doi.org/10.1192/bja.2022.69","url":null,"abstract":"SUMMARY In this reflection we summarise the various obstacles to accessing healthcare encountered by people with neurodevelopmental disorders (intellectual disability, autism and attention-deficit hyperactivity disorder) with and without mental health problems. We outline different service models from around the world, ranging from the person centred to the institutional. Finally, we suggest ways of addressing some of the problems identified, including a model of integrated care involving intellectual disability, neurodevelopmental and mental health services that would better serve this population.","PeriodicalId":9336,"journal":{"name":"BJPsych Advances","volume":"2006 1","pages":"318 - 321"},"PeriodicalIF":1.3,"publicationDate":"2022-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86980108","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: 2
Hypnotherapy and therapeutic suggestion: bridging the gap between evidence and utility 催眠疗法与治疗建议:弥合证据与效用之间的鸿沟
IF 1.3
BJPsych Advances Pub Date : 2022-10-03 DOI: 10.1192/bja.2022.68
Henry Orewa, I. Udo
{"title":"Hypnotherapy and therapeutic suggestion: bridging the gap between evidence and utility","authors":"Henry Orewa, I. Udo","doi":"10.1192/bja.2022.68","DOIUrl":"https://doi.org/10.1192/bja.2022.68","url":null,"abstract":"\u0000 The use of hypnotherapy in psychiatry has been controversial. However, evidence presented by Chan and colleagues shows that it is beneficial to the promotion of good mental health and well-being, specifically being applicable in the management of mental disorders. But what does this mean for practice? This commentary looks at what we agree and disagree with, what we opine is missing from the article and what now needs to happen. Patients should be able to access hypnotherapy or hypnosis routinely on the National Health Service. Since it works, who may it work for and how may we make this available to those who could benefit from it?","PeriodicalId":9336,"journal":{"name":"BJPsych Advances","volume":"779 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2022-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91129433","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
Pharmacological management of psychopathology in people with intellectual disabilities and/or autism spectrum disorder 智力残疾和/或自闭症谱系障碍患者精神病理的药理学管理
IF 1.3
BJPsych Advances Pub Date : 2022-10-03 DOI: 10.1192/bja.2022.61
S. Deb, M. Roy, B. Limbu
{"title":"Pharmacological management of psychopathology in people with intellectual disabilities and/or autism spectrum disorder","authors":"S. Deb, M. Roy, B. Limbu","doi":"10.1192/bja.2022.61","DOIUrl":"https://doi.org/10.1192/bja.2022.61","url":null,"abstract":"SUMMARY On average, 49–63% of people with intellectual disabilities and/or autism spectrum disorder (ASD) are prescribed psychotropic medications to treat psychopathology, including psychiatric illness, behaviours that challenge and the core symptoms and associated behaviours of these developmental disorders. In many cases, psychotropics, particularly antipsychotics, are used off-label without a proper indication, particularly to manage behaviours that challenge. The RCTs show moderate evidence supporting the efficacy of low-dose risperidone and some preliminary evidence for aripiprazole in treating behaviours that challenge among children with ASD and/or intellectual disabilities. The RCT-based evidence for the other psychotropics is equivocal, so no definitive conclusions can be made on their efficacy. Polypharmacy and the use of high doses of antipsychotics are prevalent in this population, leading to the risk of adverse events and drug–drug interactions. Despite various national and international guidelines, and government initiatives encouraging reduced psychotropic use, there is little evidence of this happening; on the contrary, the use of antidepressants, mood stabilisers and benzodiazepines may be increasing. A concerted multi-agency effort is urgently needed to address this significant public health concern of the overmedication of people with intellectual disabilities and/or ASD.","PeriodicalId":9336,"journal":{"name":"BJPsych Advances","volume":"44 1","pages":"322 - 333"},"PeriodicalIF":1.3,"publicationDate":"2022-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73833030","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: 8
Risk assessment in clinical practice: a framework for decision-making in real-world complex systems 临床实践中的风险评估:现实世界复杂系统中的决策框架
IF 1.3
BJPsych Advances Pub Date : 2022-09-29 DOI: 10.1192/bja.2022.67
R. Nathan, S. Bhandari
{"title":"Risk assessment in clinical practice: a framework for decision-making in real-world complex systems","authors":"R. Nathan, S. Bhandari","doi":"10.1192/bja.2022.67","DOIUrl":"https://doi.org/10.1192/bja.2022.67","url":null,"abstract":"\u0000 Risk assessment in clinical practice is often characterised as a process of analysing information so as to make a judgement about the likelihood of harmful behaviour occurring in the future. However, this characterisation is brought into question when the evidence does not support the current use of risk assessment approaches to predict, or provide probability estimates of, future behaviour in a way that is usable in single instances arising in individual cases. This article sets out a broader and more clinically applicable description of risk assessment which takes account of the wider influences on how this clinical activity takes place. In so doing, it provides a framework to guide clinicians, researchers and authors of practice guidance who are interested in improving approaches to risk assessment.","PeriodicalId":9336,"journal":{"name":"BJPsych Advances","volume":"33 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89430285","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
Challenging behaviour in children with developmental disabilities: an overview of behavioural assessment and treatment methods 发育障碍儿童的挑战性行为:行为评估和治疗方法概述
IF 1.3
BJPsych Advances Pub Date : 2022-09-07 DOI: 10.1192/bja.2022.59
Celeste Tevis, J. Matson
{"title":"Challenging behaviour in children with developmental disabilities: an overview of behavioural assessment and treatment methods","authors":"Celeste Tevis, J. Matson","doi":"10.1192/bja.2022.59","DOIUrl":"https://doi.org/10.1192/bja.2022.59","url":null,"abstract":"SUMMARY Challenging behaviours often co-occur at high rates among those with autism spectrum disorder and intellectual disability. Challenging behaviours, including self-injury, aggression and property destruction, can be associated with social impairment and increased caregiver demands and stress. These behaviours often arise from and are maintained by a combination of biological and environmental risk factors throughout the lifespan. Given the impact of challenging behaviours on development, function-based assessment and intervention approaches are crucial. The prevalence, risk factors, assessment tools and evidence-based treatment options utilised for individuals with developmental disorders are discussed.","PeriodicalId":9336,"journal":{"name":"BJPsych Advances","volume":"13 1","pages":"401 - 409"},"PeriodicalIF":1.3,"publicationDate":"2022-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89645875","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
The great safety net: the inherent jurisdiction and vulnerable adults 巨大的安全网:固有的管辖权和脆弱的成年人
IF 1.3
BJPsych Advances Pub Date : 2022-09-07 DOI: 10.1192/bja.2022.58
N. Brindle, Z. Jawaid, Michael Kennedy
{"title":"The great safety net: the inherent jurisdiction and vulnerable adults","authors":"N. Brindle, Z. Jawaid, Michael Kennedy","doi":"10.1192/bja.2022.58","DOIUrl":"https://doi.org/10.1192/bja.2022.58","url":null,"abstract":"\u0000 Clinicians should be aware of the inherent jurisdiction of the High Court in providing a ‘safety net’ to protect ‘vulnerable’ adults who are not within the scope of the Mental Capacity Act 2005 (MCA) or the Mental Health Act (MHA) 1983. Many situations in which the inherent jurisdiction has been deployed have been to safeguard vulnerable adults where there is abuse, coercion or undue influence, but the person does not lack decision-making capacity under the MCA. We explain the nature of the inherent jurisdiction, including descriptions of concepts surrounding ‘vulnerability’; as an intervention of last resort, we consider what statutory alternatives may exist, including safeguarding law under the Care Act 2014; we discuss decision-making capacity in relation to contact with others and, using real cases, the types of order that may be made under the court's inherent jurisdiction. It is important to be mindful that although there may be a legal remedy to safeguard this ‘vulnerable but capacitous’ group, there is a delicate and challenging balance between protecting those at risk and respecting their autonomy.","PeriodicalId":9336,"journal":{"name":"BJPsych Advances","volume":"48 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2022-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76892975","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
Digital literacy in contemporary mental healthcare: online assessments and mobile health apps 当代精神卫生保健中的数字素养:在线评估和移动健康应用程序
IF 1.3
BJPsych Advances Pub Date : 2022-09-07 DOI: 10.1192/bja.2022.60
D. Tracy, R. Gadelrab, A. Rahim, Gabrielle Pendlebury, Hashim Reza, R. Bhattacharya, Asif M. Bachlani, K. Worlley, David Rigby, Maria Heath, S. Dave
{"title":"Digital literacy in contemporary mental healthcare: online assessments and mobile health apps","authors":"D. Tracy, R. Gadelrab, A. Rahim, Gabrielle Pendlebury, Hashim Reza, R. Bhattacharya, Asif M. Bachlani, K. Worlley, David Rigby, Maria Heath, S. Dave","doi":"10.1192/bja.2022.60","DOIUrl":"https://doi.org/10.1192/bja.2022.60","url":null,"abstract":"\u0000 ‘Digital’ is an omnipresent yet often vague, misunderstood or feared topic in health services. There are many current and potential gains for individual patients and local populations, clinicians and organisations through optimisation of digital technologies. We argue that understanding the various aspects of digital psychiatry is an essential contemporary need. This is the first of two articles on the subject, exploring the gains and challenges of virtual/online assessments, including ethical considerations and the use of virtual reality and electronic prescribing.","PeriodicalId":9336,"journal":{"name":"BJPsych Advances","volume":"11 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2022-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90225959","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
BJA volume 28 issue 5 Cover and Front matter BJA第28卷第5期封面和封面问题
IF 1.3
BJPsych Advances Pub Date : 2022-08-29 DOI: 10.1192/bja.2022.55
{"title":"BJA volume 28 issue 5 Cover and Front matter","authors":"","doi":"10.1192/bja.2022.55","DOIUrl":"https://doi.org/10.1192/bja.2022.55","url":null,"abstract":"","PeriodicalId":9336,"journal":{"name":"BJPsych Advances","volume":"6 1","pages":"f1 - f1"},"PeriodicalIF":1.3,"publicationDate":"2022-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79156790","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
New from CPD eLearning CPD在线学习的新内容
IF 1.3
BJPsych Advances Pub Date : 2022-08-29 DOI: 10.1192/bja.2022.57
{"title":"New from CPD eLearning","authors":"","doi":"10.1192/bja.2022.57","DOIUrl":"https://doi.org/10.1192/bja.2022.57","url":null,"abstract":"B CPD credits: b 0.5 Other recently published CPD eLearning podcasts (each worth 0.5 CPD credits and freely accessible) include: • Are you ignorant about the pandemic? CPD eLearning (formerly CPD Online) is a resource provided by the Royal College of Psychiatrists for mental health professionals, housed on our new eLearning Hub. For more information, visit CPD eLearning on the eLearning Hub: https://elearninghub.rcpsych.ac.uk I BJPsych Advances i and CPD eLearning work together to produce regular joint commissions to enhance learning for mental health professionals. [Extracted from the article] Copyright of BJPsych Advances is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)","PeriodicalId":9336,"journal":{"name":"BJPsych Advances","volume":"12 1","pages":"279 - 279"},"PeriodicalIF":1.3,"publicationDate":"2022-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79504863","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
BJA volume 28 issue 5 Cover and Back matter BJA第28卷第5期封面和封底
IF 1.3
BJPsych Advances Pub Date : 2022-08-29 DOI: 10.1192/bja.2022.56
Javier Ortiz-Orendain, S. Covarrubias-Castillo, A. O. Vázquez-Álvarez, Santiago Castiello-de Obeso, Gustavo E. Arias Quiñones, Maya Seegers, L. Colunga-Lozano, Noura Al-Juffali, M. Horowitz, David Taylor, G. Malhi, Erica Bell, Idura N. Hisham, Jacqueline Sin, K. Rouf, Danny Taggart, Giles Townsend, Angela Sweeney, Claire A. Wilson, Shirley McNicholas, Emina Redzic, Maneek Sahota, Vincent Kirchner, Gerrit Glas
{"title":"BJA volume 28 issue 5 Cover and Back matter","authors":"Javier Ortiz-Orendain, S. Covarrubias-Castillo, A. O. Vázquez-Álvarez, Santiago Castiello-de Obeso, Gustavo E. Arias Quiñones, Maya Seegers, L. Colunga-Lozano, Noura Al-Juffali, M. Horowitz, David Taylor, G. Malhi, Erica Bell, Idura N. Hisham, Jacqueline Sin, K. Rouf, Danny Taggart, Giles Townsend, Angela Sweeney, Claire A. Wilson, Shirley McNicholas, Emina Redzic, Maneek Sahota, Vincent Kirchner, Gerrit Glas","doi":"10.1192/bja.2022.56","DOIUrl":"https://doi.org/10.1192/bja.2022.56","url":null,"abstract":"","PeriodicalId":9336,"journal":{"name":"BJPsych Advances","volume":"3 1","pages":"b1 - b2"},"PeriodicalIF":1.3,"publicationDate":"2022-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82931620","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
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