Venous thromboembolism (VTE) risk assessment for patients admitted to old age psychiatric units has been a neglected area.[1][1] Both the National Institute for Health and Care Excellence’s and the Department of Health’s guidelines[2][2],[3][3] recommend that every patient admitted to hospital
{"title":"Venous thromboembolism risk assessment in old age psychiatry","authors":"A. Choudry","doi":"10.1192/PB.37.11.372A","DOIUrl":"https://doi.org/10.1192/PB.37.11.372A","url":null,"abstract":"Venous thromboembolism (VTE) risk assessment for patients admitted to old age psychiatric units has been a neglected area.[1][1] Both the National Institute for Health and Care Excellence’s and the Department of Health’s guidelines[2][2],[3][3] recommend that every patient admitted to hospital","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"266 1","pages":"372-372"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77709732","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}
Pub Date : 2013-11-01DOI: 10.1192/PB.BP.113.044925
Isabelle Akin-Ojo
Where There is No Child Psychiatrist: A Mental Healthcare Manual Valsamma Eapen, Philip Graham, Shoba Srinath RCPsych Publications, 2012, £10.00, pb, 208 pp. ISBN: 9781908020482 This manual is for primary care health professionals working in low- and middle-income (LAMI) countries. Studies have
Valsamma Eapen, Philip Graham, Shoba Srinath RCPsych Publications, 2012，£10.00,pb, 208 pp. ISBN: 9781908020482本手册适用于在低收入和中等收入(LAMI)国家工作的初级保健卫生专业人员。研究
{"title":"Where There is No Child Psychiatrist: A Mental Healthcare Manual","authors":"Isabelle Akin-Ojo","doi":"10.1192/PB.BP.113.044925","DOIUrl":"https://doi.org/10.1192/PB.BP.113.044925","url":null,"abstract":"Where There is No Child Psychiatrist: A Mental Healthcare Manual Valsamma Eapen, Philip Graham, Shoba Srinath RCPsych Publications, 2012, £10.00, pb, 208 pp. ISBN: 9781908020482 \u0000\u0000This manual is for primary care health professionals working in low- and middle-income (LAMI) countries. Studies have","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"51 1","pages":"375-376"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86460361","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}
Van Zyl et al ’s study[1][1] highlights the importance of increased awareness of venous thromboembolism (VTE) in mental health services for older people. However, it is also important to be aware of the risks of thromboprophylaxis within this setting. The authors claim that the incidence rates of
Van Zyl等人的研究[1][1]强调了在老年人精神卫生服务中提高对静脉血栓栓塞(VTE)的认识的重要性。然而，在这种情况下，了解血栓预防的风险也很重要。作者声称，发病率
{"title":"Venous thromboembolism prophylaxis - beware of potential risks","authors":"R. Patel","doi":"10.1192/PB.37.11.372","DOIUrl":"https://doi.org/10.1192/PB.37.11.372","url":null,"abstract":"Van Zyl et al ’s study[1][1] highlights the importance of increased awareness of venous thromboembolism (VTE) in mental health services for older people. However, it is also important to be aware of the risks of thromboprophylaxis within this setting. The authors claim that the incidence rates of","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"28 1","pages":"372-372"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85477925","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}
Pub Date : 2013-11-01DOI: 10.1192/PB.BP.113.042945
Nuwan Galappathie, R. Harsh, Mathew Thomas, A. Begum, D. Kelly
Aims and method To evaluate patient awareness of the mental health tribunal and identify any association between capacity to request a tribunal and frequency of completed hearings. A cohort of detained patients within a secure hospital were assessed and data for past tribunals evaluated by presence of capacity and mode of application. Results Of the 65 patients evaluated, 78% were aware of the tribunal’s power to discharge, 14% were aware of its power to recommend leave and 4% were aware of its power to recommend transfer; 12% lacked capacity to request a tribunal. Patients with capacity received more completed hearings per year than those without, both overall (0.58 v . 0.29 per year, P = 0.04) and by patient application (0.45 v . 0.12 per year, P = 0.03). Clinical implications Hospital managers should ensure that all detained patients have regular assessments of their capacity to request a tribunal and that those who lack capacity are referred to the Secretary of State when it is considered that a tribunal would be in their best interests. Hospital managers should consider referring such cases to the Secretary of State every 12 months.
目的和方法评估患者对精神卫生法庭的认识，并确定请求法庭的能力与完成听证会的频率之间的联系。对一所安全医院内一批被拘留的病人进行了评估，并对过去法庭的数据进行了评估，以评估其是否具备能力和适用方式。结果受访的65例患者中，78%的患者知道仲裁庭有权出院，14%的患者知道其有权建议休假，4%的患者知道其有权建议转院;12%的人没有向法庭提出请求的能力。有能力的患者比没有能力的患者每年完成的听证会次数更多，两者总体上(0.58 v。0.29 v /年，P = 0.04)和患者应用(0.45 v /年)。每年0.12,P = 0.03)。临床影响医院管理人员应确保定期评估所有被拘留的病人请求法庭的能力，并在认为法庭将符合其最大利益时，将没有能力的病人转交给国务大臣。医院管理人员应考虑每12个月将此类病例提交给国务大臣。
{"title":"Patients’ awareness of the mental health tribunal and capacity to make requests","authors":"Nuwan Galappathie, R. Harsh, Mathew Thomas, A. Begum, D. Kelly","doi":"10.1192/PB.BP.113.042945","DOIUrl":"https://doi.org/10.1192/PB.BP.113.042945","url":null,"abstract":"Aims and method To evaluate patient awareness of the mental health tribunal and identify any association between capacity to request a tribunal and frequency of completed hearings. A cohort of detained patients within a secure hospital were assessed and data for past tribunals evaluated by presence of capacity and mode of application.\u0000\u0000Results Of the 65 patients evaluated, 78% were aware of the tribunal’s power to discharge, 14% were aware of its power to recommend leave and 4% were aware of its power to recommend transfer; 12% lacked capacity to request a tribunal. Patients with capacity received more completed hearings per year than those without, both overall (0.58 v . 0.29 per year, P = 0.04) and by patient application (0.45 v . 0.12 per year, P = 0.03).\u0000\u0000Clinical implications Hospital managers should ensure that all detained patients have regular assessments of their capacity to request a tribunal and that those who lack capacity are referred to the Secretary of State when it is considered that a tribunal would be in their best interests. Hospital managers should consider referring such cases to the Secretary of State every 12 months.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"51 1","pages":"363-366"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74037184","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}
Pub Date : 2013-11-01DOI: 10.1192/PB.BP.113.043505
D. Whiting, P. Cowen
Agomelatine is a new antidepressant, licensed for the treatment of unipolar major depression, with a mode of action that combines activation of melatonin receptors with blockade of 5-HT 2C receptors. Agomelatine is notable for its short duration of action in the body and modest side-effect burden; however, a number of theoretical and practical challenges have limited its adoption into mainstream treatment in the UK. Current meta-analyses show marginal clinical benefits of agomelatine relative to placebo and an association with occasional increases in liver transaminases. Theoretically it is not clear whether agomelatine does block brain 5-HT 2C receptors in humans at therapeutic doses and the optimum daily timing of administration in depression has not been clearly established. However, agomelatine’s novel mode of action justifies further study, perhaps with the eventual aim of matching its use in depression to patients with specific disturbances in circadian rhythm.
{"title":"Drug information update: agomelatine","authors":"D. Whiting, P. Cowen","doi":"10.1192/PB.BP.113.043505","DOIUrl":"https://doi.org/10.1192/PB.BP.113.043505","url":null,"abstract":"Agomelatine is a new antidepressant, licensed for the treatment of unipolar major depression, with a mode of action that combines activation of melatonin receptors with blockade of 5-HT 2C receptors. Agomelatine is notable for its short duration of action in the body and modest side-effect burden; however, a number of theoretical and practical challenges have limited its adoption into mainstream treatment in the UK. Current meta-analyses show marginal clinical benefits of agomelatine relative to placebo and an association with occasional increases in liver transaminases. Theoretically it is not clear whether agomelatine does block brain 5-HT 2C receptors in humans at therapeutic doses and the optimum daily timing of administration in depression has not been clearly established. However, agomelatine’s novel mode of action justifies further study, perhaps with the eventual aim of matching its use in depression to patients with specific disturbances in circadian rhythm.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"28 1","pages":"356-358"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87976188","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 team from the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness recently posted a report on quality of risk assessment prior to suicide and homicide.[1][1] The report describes an un-masked retrospective survey of the risk assessments found in the case notes
{"title":"Look back in anger: flaws in the retrospective evaluation of risk assessment","authors":"M. Large, O. Nielssen","doi":"10.1192/PB.37.11.373","DOIUrl":"https://doi.org/10.1192/PB.37.11.373","url":null,"abstract":"The team from the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness recently posted a report on quality of risk assessment prior to suicide and homicide.[1][1] The report describes an un-masked retrospective survey of the risk assessments found in the case notes","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"34 1","pages":"373-373"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84299650","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}
Szmukler et al [1][1] should be warmly congratulated on their clear, authoritative critique of the recent developments in the law of England and Wales concerning mental health. Their analysis of the assessment of risk is particularly telling: ‘Rare events are virtually impossible to predict with
{"title":"The risk in risk assessment","authors":"K. Dudleston","doi":"10.1192/PB.37.11.372C","DOIUrl":"https://doi.org/10.1192/PB.37.11.372C","url":null,"abstract":"Szmukler et al [1][1] should be warmly congratulated on their clear, authoritative critique of the recent developments in the law of England and Wales concerning mental health. Their analysis of the assessment of risk is particularly telling: ‘Rare events are virtually impossible to predict with","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"11 1","pages":"372-373"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88900482","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}
Mark Cohen’s editorial on the organisational processes surrounding the investigation of serious events[1][1] is a valuable contribution to an area of great importance in the work of mental health professionals. However, in my view, he might have commented on other areas, further emphasising the
Mark Cohen关于围绕严重事件调查的组织过程的社论是对精神卫生专业人员工作中非常重要的领域的宝贵贡献。然而，在我看来，他可能已经评论了其他领域，进一步强调
{"title":"Psychodynamic understanding of serious events","authors":"Paul Foster","doi":"10.1192/PB.37.10.340B","DOIUrl":"https://doi.org/10.1192/PB.37.10.340B","url":null,"abstract":"Mark Cohen’s editorial on the organisational processes surrounding the investigation of serious events[1][1] is a valuable contribution to an area of great importance in the work of mental health professionals. However, in my view, he might have commented on other areas, further emphasising the","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"7 1","pages":"340-341"},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84286129","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}
We work in a national mental health diversion service; this gives us a good overview of a range of mental health services across the country. We are writing to draw attention to a new development in a range of adult mental health services around the country (we have had experience of this in several
{"title":"Opt-in letters","authors":"Simon Wilson, Frank Farnham, S. Henley","doi":"10.1192/PB.37.10.340","DOIUrl":"https://doi.org/10.1192/PB.37.10.340","url":null,"abstract":"We work in a national mental health diversion service; this gives us a good overview of a range of mental health services across the country. We are writing to draw attention to a new development in a range of adult mental health services around the country (we have had experience of this in several","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"58 1","pages":"340-340"},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85341008","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}
Pub Date : 2013-10-01DOI: 10.1192/PB.BP.112.038703
D. Coyle, R. Macpherson, C. Foy, A. Molodynski, Maya Biju, J. Hayes
Aims and method We surveyed the views and experiences of all mental health professionals in adult community mental health teams and approved mental health professionals in 2Gether and Oxford Health NHS Foundation Trusts, regarding the use of community treatment orders (CTOs). Results A total of 288 surveys were completed (response rate 48%). Forty-eight (83%) psychiatrists and 142 (67%) non-psychiatrist mental health professionals were in favour of CTOs. The decision-making regarding CTOs was overwhelmingly clinically oriented for all professional groups. However, there were significant differences in views between groups regarding the effects of bureaucracy, the infringement of human rights and coercion. Clinical implications Multidisciplinary team involvement is crucial in decisions regarding CTOs and may protect against idiosyncratic or unhelpful practice. Further training for staff is urgently required and there may be a case for creating small local reference groups that can develop expertise and provide advice and support for clinical teams.
{"title":"Compulsion in the community: Mental health professionals' views and experiences of CTOs","authors":"D. Coyle, R. Macpherson, C. Foy, A. Molodynski, Maya Biju, J. Hayes","doi":"10.1192/PB.BP.112.038703","DOIUrl":"https://doi.org/10.1192/PB.BP.112.038703","url":null,"abstract":"Aims and method We surveyed the views and experiences of all mental health professionals in adult community mental health teams and approved mental health professionals in 2Gether and Oxford Health NHS Foundation Trusts, regarding the use of community treatment orders (CTOs). Results A total of 288 surveys were completed (response rate 48%). Forty-eight (83%) psychiatrists and 142 (67%) non-psychiatrist mental health professionals were in favour of CTOs. The decision-making regarding CTOs was overwhelmingly clinically oriented for all professional groups. However, there were significant differences in views between groups regarding the effects of bureaucracy, the infringement of human rights and coercion. Clinical implications Multidisciplinary team involvement is crucial in decisions regarding CTOs and may protect against idiosyncratic or unhelpful practice. Further training for staff is urgently required and there may be a case for creating small local reference groups that can develop expertise and provide advice and support for clinical teams.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"1 1","pages":"315-321"},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83128122","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：