A5058014295- Schizophrenia research and treatment
- Mental Health and Psychiatry
- Epilepsy research and treatment
- Mental Health Treatment and Access
- Psychiatric care and mental health services
- Down syndrome and intellectual disability research
- Pharmacological Effects and Toxicity Studies
- Mental Health and Patient Involvement
- Patient-Provider Communication in Healthcare
- Chronic Disease Management Strategies
- Empathy and Medical Education
- Psychosomatic Disorders and Their Treatments
- Healthcare Decision-Making and Restraints
- Genomics and Rare Diseases
- Primary Care and Health Outcomes
- Healthcare Systems and Technology
- Gastrointestinal motility and disorders
- Genetics and Neurodevelopmental Disorders
- Child and Adolescent Health
- Healthcare innovation and challenges
- Child and Adolescent Psychosocial and Emotional Development
- Health, psychology, and well-being
- Child Nutrition and Feeding Issues
- Neurological disorders and treatments
- Family and Disability Support Research
University of Plymouth
2021-2025
Cornwall Partnership NHS Foundation Trust
2016-2025
Peninsula College of Medicine and Dentistry
2004-2024
British Psychoanalytical Society
2023
National Health Service
2021-2022
Public Health England
2021
University of Oxford
2021
National Institute for Health Research
2021
University of Bristol
2021
OG Technologies (United States)
2021
Background Obesity is a major challenge for people with schizophrenia. Aims We assessed whether STEPWISE, theory-based, group structured lifestyle education programme could support weight reduction in Method In this randomised controlled trial (study registration: ISRCTN19447796), we recruited adults schizophrenia, schizoaffective disorder or first-episode psychosis from ten mental health organisations England. Participants were randomly allocated to the STEPWISE intervention treatment as...
Background Rapid spread of coronavirus disease 2019 (COVID-19) has affected people with intellectual disability disproportionately. Existing data does not provide enough information to understand factors associated increased deaths in those disability. Establishing who is at high risk important developing prevention strategies, given or comorbidities may be different the general population. Aims To identify comorbidities, demographic and clinical individuals have died from COVID-19. Method...
There has been an increase in the development and application of serious games to support management mental ill health, but their full impact is unclear.
Background One-third to half of people with intellectual disabilities suffer from chronic constipation (defined as two or fewer bowel movements weekly taking regular laxatives three more times weekly), a cause significant morbidity and premature mortality. Research on risk factors associated is limited. Aims To enumerate in this population. Method A questionnaire was developed possible for constipation. The sent carers the case-loads four specialist disability services England. Data analysis...
Objective: To examine the cardiovascular and respiratory health of people with severe mental illness (SMI) compare findings Health Surveys for England. Method: A prospective, multi‐centre observational prevalence study 602 patients schizophrenia‐related psychoses carried out in six locations across UK over 24 months. Results: Compared general population subjects, SMI reported higher rates angina symptoms had poor lung function. Much this increased risk could be explained by lifestyle...
Background: Trust, choice and power are critical issues in clinical practice, public policies a post-modern understanding of mental health care. We aimed to investigate the experiences attitudes patients with psychosis relation trust, power. Method: conducted 20 in-depth interviews psychotic disorders care NHS services. The were subjected thematic analysis. Discussion: Patients discussed aspects their terms dimensions that enhance or undermine Two interpretive themes emerged from this data....
Abstract Background The study aims to understand system barriers research participation for people with intellectual disabilities. Methods A mixed‐methods approach examined the inclusivity of disabilities (IDs) in a random sample National Institute Health and Care Research (NIHR) studies conducted 2019–2020. An online questionnaire (stage 1) was sent selected lead investigators. expert by experience panel 25 (IDs, stage 2), discussed 1 feedback. Descriptive statistics quantitative data...
ABSTRACT The polyvagal theory proposes that the autonomic nervous system influences affective systems and top‐down emotional regulation. Vagal tone, as indexed by heart rate variability (HRV), is a measure of emotion regulation capacity. It possible non‐suicidal self‐injury (NSSI) occurs at times low vagal tone NSSI may increase it. Little known about feasibility collecting ambulatory HRV data in context NSSI. This prospective observational study examined monitoring during Ten participants...
ABSTRACT Healthcare delivery in the United Kingdom is increasingly becoming a challenging issue where demand regularly outstripping availability. This particularly challenge neurology and neuropsychiatry, delays diagnosis treatment are leading to worse health social outcomes. The Darzi report, which focused on three key tenants, has been hailed as future blueprint for National Health Service (NHS) sustainability high‐quality care delivery. These tenants moving from analogue digital...
Background: The degree to which psychiatric patients want play a role in decision making and their desire for information regarding treatment has not been studied detail.Aims: To measure the seeking decision-making preferences of patients.Method: Autonomy Preference Index (API) was adapted use psychiatry administered community mental health team (CMHT) user groups.Results: Desire illness very high. There great variation extent wanted make decisions care. greater young those...
Background Obesity is twice as common in people with schizophrenia the general population. The National Institute for Health and Care Excellence guidance recommends that psychosis or schizophrenia, especially those taking antipsychotics, be offered a healthy eating physical activity programme by their mental health care provider. There insufficient evidence to inform how these lifestyle services should commissioned. Objectives To develop intervention first episode evaluate its clinical...
Purpose One quarter of people with epilepsy have an intellectual disability (ID) and one fifth ID epilepsy. Both conditions are associated higher levels morbidity, stigma premature mortality. There been calls for action to promote more research in this group. We examined if group represented adequately current research. Methods The proportion output conferences publications relevant the on 2015–2016 were identified. As percentage children population is 17%, was compared Recognised material...
Background and purpose Good practice guidelines highlight the importance of making people with epilepsy aware risk premature mortality in particularly due to sudden unexpected death ( SUDEP ). The Seizure Safety Checklist (‘Checklist’) is a structured communication tool used UK clinics. It not known if sharing information on factors allows individuals reduce risks. aim this study was ascertain introduction clinics led individual reduction. Methods administered 130 consecutive attending...
Abstract Background Antipsychotic medications are used among 19%–58% of adults with intellectual disabilities to manage challenging behaviour against the NICE guideline recommendations. Studies show that it is possible completely withdraw antipsychotics in about one third and a dose reduction 50% or more another third. Method In Cornwall, over three years present authors developed structured pathway which involved people their carers, GPs, community learning disability team members...