Pub Date : 2013-07-01DOI: 10.1192/PB.BP.112.041889
Scott Hardie, R. Ion, J. Cumming, N. Henderson
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. Results 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. Clinical 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.
{"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}
Pub Date : 2013-06-01DOI: 10.1192/PB.BP.112.040873
Kamaleeka Mukherjee, M. Maier, S. Wessely
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.
{"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}
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. The curriculum is mostly designed in a way that means psychiatry is only encountered in the 4th year with very
{"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}
Pub Date : 2013-06-01DOI: 10.1192/PB.BP.112.039420
J. Milton, R. Ruck
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. Results 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. Clinical 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.
{"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}
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
{"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}
Pub Date : 2013-06-01DOI: 10.1192/PB.BP.113.042770
S. Agius
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.
{"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}
Pub Date : 2013-06-01DOI: 10.1192/PB.BP.112.041459
A. Moreton, Andrew Collier
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.
目的与方法确定为基础医生提供精神病学教学直至专业应用。2010年进入培训的基础医生队列数据是从默西迪纳里和西北基础学校的教学项目中收集的。结果提供资料的17家医院，“保护教学”时间累计2354小时;1.8%的时间用于精神病学，有4家医院没有提供关于心理健康主题的教学。大学教学医院精神病学平均教学时间(3 h 34 min)高于区综合医院(2 h 57 min);近四分之一的教学课程只以“精神病学”为题。临床意义对于许多基础医生来说，他们唯一的精神病学经验将是通过教学课程，这可能是改变观点和培养对该专业兴趣的唯一机会。精神科医生需要在为基础医生提供高质量的教学方面发挥更积极的作用，并成为目前缺乏的可见的榜样。
{"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}
Pub Date : 2013-06-01DOI: 10.1192/PB.BP.113.042861
A. Jain
Management of Treatment-Resistant Major Psychiatric Disorders Edited by Charles B. Nemeroff Oxford University Press, 2012, £55.00, hb, 400 pp. ISBN: 9780199739981 Treatment-resistant disorders are challenging for psychiatrists and the team, causing suffering for patients and their families and
{"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}
Pub Date : 2013-06-01DOI: 10.1192/PB.BP.112.039958
Stavros Bekas
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. Results 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. Clinical 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.
{"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}
Pub Date : 2013-06-01DOI: 10.1192/PB.BP.113.042713
O. Bowden-Jones
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.
{"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}
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：