A5033199851- Suicide and Self-Harm Studies
- Emergency and Acute Care Studies
- Child and Adolescent Psychosocial and Emotional Development
- COVID-19 and Mental Health
- Psychiatric care and mental health services
- Child and Adolescent Health
- Schizophrenia research and treatment
- Bipolar Disorder and Treatment
- Infant Health and Development
- Healthcare Systems and Technology
- Pharmaceutical Practices and Patient Outcomes
- Health disparities and outcomes
- Migration, Health and Trauma
- Adolescent and Pediatric Healthcare
- Healthcare Decision-Making and Restraints
- Youth Substance Use and School Attendance
- Child Abuse and Trauma
Central and North West London NHS Foundation Trust
2020-2024
West London Mental Health NHS Trust
2021
Imperial College London
2004-2005
Parkside Hospital
1998
Community Hospital
1998
To compare psychiatric emergencies and self-harm at emergency departments (EDs) 1 year into the pandemic, to early pandemic pre-pandemic, examine changes in characteristics of presentations.This retrospective cohort study expanded on Pandemic-Related Emergency Psychiatric Presentations (PREP-kids) study. Routine record data March April 2019, 2020, 2021 from 62 EDs 25 countries were included. ED presentations made by children adolescents for any mental health reasons analyzed.Altogether,...
Background There is strong evidence that the rates of psychiatric admission for psychosis in UK are elevated Black adult population compared with White population. adults also have a higher rate involuntary admissions. been no studies this country investigating links between ethnic background and adolescent Aims To investigate whether adolescents from London over represented in-patient settings they more likely to be detained under Mental Health Act 1983. Method Cross-sectional survey aged...
Lockdown during the pandemic has had significant impacts on public mental health. Previous studies suggest an increase in self-harm and suicide children adolescents. There been little research roles of stringent lockdown.To investigate mediating predictive lockdown policy stringency measures emergency psychiatric presentations.This was a retrospective cohort study. We analysed data 2073 presentations adolescents from 23 hospital catchment areas ten countries, March to April 2019...
Abstract Background Children and young people’s (CYP) mental health is worsening, an increasing number are seeking psychiatric care. Whilst many CYPs with low-to-medium levels of distress can be treated in outpatient services, crisis often require inpatient hospital treatment. Although necessary cases, care distressing for their families. Amongst other things, stays isolate from support networks disrupt education. In response to such limitations, order effectively complex needs, intensive...
Background: Suicide is the second leading cause on death in young people and self-harm one of strongest predictors by suicide. Little known about impact covid-19 lockdown hospital presentations with self-harm.Method: We used electronic patient records from 23 emergency departments 10 countries to examine differences psychiatric for youths through age 18 March April 2020 compared same period 2019. To compare number a negative binomial model was used. For other variables, individual...
This article is concerned with the small numbers of refugee children and adolescents who, for psychiatric reasons, have significant social impairment, difficulties in functioning within their families school. Data from recent studies carried out London are presented regarding characteristics this group. The show that impaired psychiatrically heterogeneous, but had high exposure to past violence losses, they experience levels isolation, compared non-refugee peers. These adversities...
Abstract Background Over 3,000 young people under the age of 18 are admitted to Tier 4 Child and Adolescent Mental Health Services (CAMHS) inpatient units across UK each year. The average length hospital stay for all psychiatric in is 120 days. Research needed identify most effective efficient ways care (YP) with emergencies. This study aims evaluate clinical effectiveness cost-effectiveness intensive community service (ICCS) compared treatment as usual (TAU) Methods a multicentre two-arm...
Abstract Background Over 3000 young people under the age of 18 are admitted to Tier 4 Child and Adolescent Mental Health Services (CAMHS) inpatient units across UK each year. The average length hospital stay for all psychiatric in is 120 days. Research needed identify most effective efficient ways care (YP) with emergencies. This study aims evaluate clinical effectiveness cost-effectiveness intensive community service (ICCS) compared treatment as usual (TAU) Methods a multicentre two-arm...
Aims and method Antipsychotic medication, an effective treatment modality in the management of psychiatric/behaviour disorders people with learning disability, is often criticised because poor clinical practice. Rational judicious use, subject to evidence-based guidelines systematic monitoring, mandatory. A five-year audit programme on quality prescribing for this clientele was undertaken. Results Significant improvement minimal resource consumption demonstrated. Clinical implications...
Purpose The purpose of this study is to describe the characteristics severely psychiatrically impaired adolescents requiring day hospital management and effectiveness service using standardised outcome measures. Design/methodology/approach data was collected on aged 13‐17 years in two London boroughs, attending over a period one year. Outcome measures were HoNOSCA, CGAS, SDQ qualitative from feedback forms parents. Findings ( n =22) had varied disorders, but mainly depression, =9) psychosis...
Aims Specialised inpatient mental health services for children and young people are commissioned managed by NHS England (NHSE) provided as well independent sector. The access to beds has been nationally with admitted far from home. There were capacity issues identified in London. To address these concerns, NHSE invited organisations work partnership co-design establish new models of care. This is one the first such projects, set up manage budget people's on behalf change way managing...
Aims • To provide emergency psychiatric assessment throughout the COVID-19 pandemic. maintain patient and staff safety by minimising exposure to infection risk reducing A&E contact. alleviate pressures on department enabling CAMHS patients be seen in an alternative setting. a more appropriate environment for of young people acute distress. Method Service live 8th April 2020 June 2020. Exclusion criteria: 1) confirmed/suspected overdose; 2) self-harm with injuries requiring medical...