A5026692757- Mental Health and Psychiatry
- Schizophrenia research and treatment
- Psychiatric care and mental health services
- Primary Care and Health Outcomes
- Sexuality, Behavior, and Technology
- Migration, Health and Trauma
- Resilience and Mental Health
- Mental Health Research Topics
- Posttraumatic Stress Disorder Research
- Palliative Care and End-of-Life Issues
- Child Abuse and Trauma
- Marriage and Sexual Relationships
- Healthcare Systems and Technology
- Digital Mental Health Interventions
- LGBTQ Health, Identity, and Policy
- Torture, Ethics, and Law
- Healthcare Policy and Management
- Attachment and Relationship Dynamics
- Child and Adolescent Health
- Healthcare Decision-Making and Restraints
- Health Systems, Economic Evaluations, Quality of Life
- Sexual function and dysfunction studies
- Deception detection and forensic psychology
- Patient Satisfaction in Healthcare
- Opioid Use Disorder Treatment
South London and Maudsley NHS Foundation Trust
2008-2020
Maudsley Hospital
2005-2017
University of Oxford
2017
National Institute for Health Research
2015
Bethlem Royal Hospital
2013
National Health Service
2013
Guy's Hospital
1993-2008
University Hospital Lewisham
1998-2005
Calvary Riverina Hospital
1998-2000
Duchess Of Kent Hospital
1996
Background The increasingly large sample size requirements of modern adult mental health research suggests the need for a data collection and diagnostic application that can be used across broad range clinical populations. Aims To develop settings. Method We expanded redeveloped OPCRIT system into broadly applicable data-collection package carried out an interrater reliability study this new tool. Results OPCRIT+ performed well in with relatively inexperienced clinicians, giving combined,...
An abstract is not available for this content. As you have access to content, full HTML content provided on page. A PDF of also in through the ‘Save PDF’ action button.
An abstract is not available for this content. As you have access to content, full HTML content provided on page. A PDF of also in through the ‘Save PDF’ action button.
Abstract Despite progress in the variety and availability of different psychological physical approaches offered as treatment for sexual dysfunction, there have been relatively few studies on characteristics people seeking help problems. This paper aims to describe demographic characteristics, sources referral types problem patients referred an inner-city psychosexual problems clinic over a recent four-year period study relationship between measures distress reported primary presenting...
The mental state examination (MSE) provides crucial information for healthcare professionals in the assessment and treatment of psychiatric patients as well potentially providing valuable data health researchers accessing electronic records (EHRs). We wished to establish if improvements could be achieved documenting MSEs by junior doctors within a large United Kingdom trust following introduction an EHR based semi-structured MSE template (OPCRIT+). First, three consultant psychiatrists using...
Aims and Method In-patient psychiatric care needs urgent improvement development. A new model of (triage) has been used for 6 months across an adult service covering a London borough. Results Preliminary results show that the reduced bed occupancy, leading to more-efficient throughput, with positive feedback from patients staff. Important factors contributing these changes include whole-systems approach, senior medical input days week, creative use information technology highly skilled...
Progress in personalised psychiatry is dependent on researchers having access to systematic and accurately acquired symptom data across clinical diagnoses. We have developed a structured psychiatric assessment tool, OPCRIT+, that being introduced into the electronic medical records system of South London Maudsley NHS Foundation Trust which can help achieve this. In this report we examine utility collected with tool. Cross-sectional mental state from mixed-diagnostic cohort 876 inpatients was...
Thirteen per cent of referrals ex-servicemen to a military psychiatric centre for the treatment combat-related post-traumatic stress disorder (PTSD) in 12-month period have proved be factitious. A simple classification factitious PTSD into those with no service and but false claims combat is described. The possible causes this behaviour are discussed guide detection psychiatrists without experience given.
Summary Over the past 15 years there has been a move away from consultants having responsibility for care of patients both in community and when hospital towards functional split responsibility. In this article Tom Burns Martin Baggaley debate merits or otherwise split, identifying leadership, expertise continuity as key issues; recognise that is not evidence based.
SUMMARY In value-based healthcare (VBHC) value is defined as outcomes that matter to patients divided by the cost of achieving these outcomes. Value measured for discrete medical conditions across whole cycle care. Data on achieved different providers openly shared. Providers increase using quality improvement (QI) techniques improve outcomes, reduce costs or both. Patients commissioners choose provider greatest value. Units should compete regionally nationally. There are challenges...
A significant proportion of patients referred to psychiatric out-patient clinics fail attend the first appointment. Previous work suggested that typically 30% do not (Burgess & Harrington, 1964; Skuse, 1975) and this results in an inefficient utilisation psychiatrists' time. One solution would be overbook new by 30%. Unfortunately non-attendance at each clinic is variable difficult estimate advance. Psychiatrists have been shown poor predictors from examining referral letters (Woods,...
Aims and method We examined the effect on civil sections rate of appeals against them amendments made to Mental Health Act 1983 as a result 2007. gathered data for year before after introduction these changes. Results found increased use Section 2 (56.8% 65.8% ( P < 0.001)) decreased 3 (39.5% 31.2% 0.001)). The number (697 692 after) but there was an 8.0% increase in proportion mental health tribunals. There decrease admissions under (817 733 after). Clinical implications These changes...
Abstract This paper examines the outcome of all patients referred to an inner-city psychosexual clinic with a diagnosis erectile failure over three year period. Despite using multidisciplinary approach, study found high drop-out rate and relatively poor response treatment. The factors predictive good were being treated as couple, low BDI SCL-90-R scores at initial assessment.
The long term military careers of soldiers who had completed an in-patient alcohol treatment programme in 1983 were examined. Compared to a matched control group, received served for significantly shorter time post-treatment. Only 40% the group discharged from service on normal grounds. It is suggested that post-treatment career provides useful outcome measure and indicates even after extensive inpatient treatment, results are poor.
A key element of good in-patient psychiatric care is the multidisciplinary review, with accurate and legible recording outcome discussion. Traditionally, junior doctor nurse act as ‘scribes' on ward rounds, outcomes in or separate medical nursing notes. There are a number ways which this process can fail. First, scribe may simply misunderstand decision team, given complexity variety decisions setting. Second, understand what to record, but written be illegible. Finally, people present at...
An abstract is not available for this content so a preview has been provided. As you have access to content, full PDF via the ‘Save PDF’ action button.
An abstract is not available for this content. As you have access to content, full HTML content provided on page. A PDF of also in through the ‘Save PDF’ action button.
Progress in personalised psychiatry is dependent on researchers having access to systematic and accurately acquired symptom data across clinical diagnoses.We have developed a structured psychiatric assessment tool, OPCRIT+, that being introduced into the electronic medical records system of South London Maudsley NHS Foundation Trust which can help achieve this.In this report we examine utility collected with tool.Cross-sectional mental state from mixed-diagnostic cohort 876 inpatients was...