A5090706635- Schizophrenia research and treatment
- Mental Health Treatment and Access
- Mental Health and Psychiatry
- Psychiatric care and mental health services
- Migration, Health and Trauma
- Mental Health and Patient Involvement
- Diet and metabolism studies
- Adolescent and Pediatric Healthcare
- Healthcare Decision-Making and Restraints
- Patient-Provider Communication in Healthcare
- Pharmaceutical Practices and Patient Outcomes
- Sleep and related disorders
- Bipolar Disorder and Treatment
- Family Caregiving in Mental Illness
- Health Policy Implementation Science
- Child and Adolescent Psychosocial and Emotional Development
- Ethics in Clinical Research
- Tryptophan and brain disorders
- Biomedical Text Mining and Ontologies
- Electroconvulsive Therapy Studies
- Bariatric Surgery and Outcomes
- Maternal Mental Health During Pregnancy and Postpartum
- Obesity and Health Practices
- Homelessness and Social Issues
- Eating Disorders and Behaviors
University of East Anglia
2019-2025
Norwich Research Park
2019-2025
Cambridgeshire and Peterborough NHS Foundation Trust
2024-2025
South London and Maudsley NHS Foundation Trust
2016-2024
University of Birmingham
2024
Fulbourn Hospital
2024
King's College London
2013-2019
NIHR Maudsley Biomedical Research Centre
2017
Recovery has become an increasingly prominent concept in mental health policy internationally. However, there is a lack of guidance regarding organisational transformation towards recovery orientation. This study evaluated the implementation recovery-orientated practice through training across system services. The intervention comprised four full-day workshops and in-team half-day session on supporting recovery. It was offered to 383 staff 22 multidisciplinary community rehabilitation teams...
Little is known about patients with a first episode of psychosis (FEP) who had presented to prodromal services an "at risk mental state" (ARMS) before making the transition psychosis. We set out identify proportion FEP in ARMS state, and compare these did not have prior contact services. In this study information on 338 aged ≤37 years health between 2010 2012 was examined. The data pathways care, clinical socio-demographic characteristics were extracted from Biomedical Research Council Case...
Introduction Mental health problems are the most significant cause of disability and have high annual economic costs; hence, they a priority for government, service providers policymakers. Consisting largely coastal rural communities, populations Norfolk Suffolk, UK, elevated burdens mental problems, areas with levels deprivation an increasing migrant population. However, these communities underserved by research greatest needs not represented or engaged in research. This National Institute...
Abstract Purpose Delays in treatment for individuals experiencing early signs of psychosis are associated with poorer outcomes. Few people presenting first episode (FEP) access intervention (EIP) services during the prodromal stage. In this study, we compared pathways to care (PtC) At-Risk Mental States (ARMS) and FEP explored sociodemographic factors accessing EIP ARMS or FEP. Methods Sociodemographic PtC data were collected from Cambridgeshire Peterborough NHS Foundation Trust (CPFT)...
Abstract Social care practitioners are often under-represented in research activity and output. This article presents findings from a National Institute for Health Care Research (NIHR) funded realist evaluation to understand explain how, why, whom, what contexts mental health social engage with research. The study uses current NIHR-funded study—REalist Synthesis Of non-pharmacologicaL interVEntions antipsychotic-induced weight gain (RESOLVE)—as an illustrative example. Semi-structured...
Abstract Purpose To explore key stakeholders from rural communities’ perspectives of help-seeking for mental health difficulties. Methods/design Semi-structured interviews and a focus group were conducted with participants living in the East England, UK. Thematic analysis was used to organise analyse data. Results Nine recruited. Participants described barriers facilitators help-seeking. Barriers included: lengthy waiting times, socioeconomic means, poor therapeutic relationships,...
Objective The proportion of people with mental health disorders who participate in clinical research studies is much smaller than for those physical disorders. It sometimes assumed that this reflects an unwillingness to volunteer studies. We examined issue a large sample patients psychosis. Design Cross-sectional study. Setting Anonymised electronic record data from the South London and Maudsley NHS Foundation Trust (SLaM). Participants 5787 adults diagnosed psychotic disorder. Exposure...
Abstract Background A higher incidence of psychotic disorders has been consistently reported among black and other minority ethnic groups, particularly in northern Europe. It is unclear whether these rates have changed over time. Methods We identified all individuals with a first episode psychosis who presented to adult mental health services between 1 May 2010 30 April 2012 were resident London boroughs Lambeth Southwark. estimated age-and-gender standardised overall by group, then compared...
Compared with the majority population, those from minority ethnic groups in UK are more likely to be admitted compulsorily during a first episode of psychosis (FEP). We investigated whether these disparities pathways care continue.We analysed data two studies, conducted same geographical area south London 15 years apart: Aetiology and Ethnicity Schizophrenia Other Psychosis (AESOP) Clinical Record Interactive Search-First Episode (CRIS-FEP) studies. The inclusion/exclusion criteria for case...
Social care practitioners are often under-represented in research activity and output. Evidence-based practice enables social to develop/engage the skills evaluate evidence be more actively involved research. REalist Synthesis Of non-pharmacologicaL interVEntions for antipsychotic-induced weight gain (RESOLVE) is a NIHR-funded study where realist synthesis used understand explain how, why, whom, what contexts non-pharmacological interventions help service users, with severe mental illness,...
Abstract Background Current research has identified how ethnic minority women experience poorer health outcomes during the perinatal period. In United Kingdom, specialist mental services provide treatment for throughout Service users have previously highlighted that are hard to access and lack cultural sensitivity, whereas healthcare professionals described limited opportunities resources developing competency. Objectives We explored experiences of with National Health (NHS) teams what...
Objectives Key challenges for mental health healthcare professionals to implement research alongside clinical activity have been highlighted, such as insufficient time apply skills and lack of support resources. We examined the impact employing dedicated staff promote in community settings. Design Quasiexperiment before after study. Setting South London Maudsley National Health Service Foundation Trust. Participants 4455 patients receiving care from 15 teams between 1 December 2013 31 2014....
Objectives Research registers using Consent for Contact (C4C) can facilitate recruitment into mental health research studies, allowing investigators to contact patients based on clinical records information. We investigated whether such a register was useful research, seeking the perspectives of and investigators. Setting design In 2012, C4C developed in large secondary provider within UK; almost 9000 have joined. This mixed-method study audited effectiveness register. Participants A...
Natural language processing is being pressed into use to facilitate the selection of cases for medical research in electronic health record databases, though study inclusion criteria may be complex, and linguistic cues indicating eligibility subtle.Finding first episode psychosis raised a number problems automated approaches, providing an opportunity explore how machine learning technologies might used overcome them.A system was delivered that achieved AUC 0.85, enabling 95% relevant...
People with severe mental illnesses (SMI) such as schizophrenia die on average 15 to 20 years earlier than everyone else. Two thirds of these deaths are from preventable physical hypertension, cardiovascular disease, and diabetes, which worsened by weight gain. Antipsychotics associated significant In REalist Synthesis Of non-pharmacologicaL interVEntions (RESOLVE), a realist synthesis, combining primary secondary data, will be used understand explain how, why, for whom, in what contexts...
Little is known about patients with a first episode of psychosis (FEP) who had presented to prodromal services an “at risk mental state” (ARMS) before making the transition psychosis. We set out identify proportion FEP in ARMS state, and compare these did not have prior contact services. In this study information on 338 aged ≤37 years health between 2010 2012 was examined. The data pathways care, clinical socio-demographic characteristics were extracted from Biomedical Research Council Case...
Abstract Objectives There is inconsistent evidence on the influence of ethnicity duration untreated psychosis (DUP). We investigated ethnic differences in DUP a large epidemiological dataset first episode patients an inner city area south London, UK. Methods analysed data 558 at South London and Maudsley NHS Trust, between 2010 2012. performed multivariable logistic regression to estimate odds short (≤ 6 months) by group, controlling for confounders. Results was no that associated with...