A5020902908- Healthcare Decision-Making and Restraints
- Psychiatric care and mental health services
- Disaster Response and Management
- Schizophrenia research and treatment
- Psychopathy, Forensic Psychiatry, Sexual Offending
- COVID-19 and Mental Health
- Mental Health and Psychiatry
- Maternal Mental Health During Pregnancy and Postpartum
- Personality Disorders and Psychopathology
- Emergency and Acute Care Studies
- Homicide, Infanticide, and Child Abuse
- Psychosomatic Disorders and Their Treatments
- Grief, Bereavement, and Mental Health
- Maternal and Perinatal Health Interventions
- Child Abuse and Trauma
- Sepsis Diagnosis and Treatment
- Empathy and Medical Education
- Intensive Care Unit Cognitive Disorders
- Torture, Ethics, and Law
- Physical Education and Gymnastics
- Policing Practices and Perceptions
- Healthcare Quality and Management
- Workplace Violence and Bullying
- Impact of Technology on Adolescents
- Music Therapy and Health
Dorset HealthCare University NHS Foundation Trust
2021-2023
Poole Hospital NHS Foundation Trust
2022
Maudsley Hospital
2013-2021
South London and Maudsley NHS Foundation Trust
2012-2020
West London Mental Health NHS Trust
2020
National Health Service
2018
Aarhus University
2015
Royal College of Psychiatrists
2013
East London NHS Foundation Trust
2009-2011
Mile End Hospital
2011
The British Association for Psychopharmacology and the National of Psychiatric Intensive Care Low Secure Units developed this joint evidence-based consensus guideline clinical management acute disturbance. It includes recommendations practice an algorithm to guide treatment by healthcare professionals with various options outlined according their route administration category evidence. Fundamental overarching principles are included highlight importance treating underlying disorder. There is...
Aims and method A comparative analysis of emotional intelligence between psychiatrists surgeons using the Bar-On Emotional Quotient Inventory (Bar-On EQ-i) validated assessment tool. Applied to with postgraduate membership in Greater London. Results total 148 individuals were recruited. The median scores for Total EQ average, no difference ( P = 0.872). Psychiatrists scored significantly higher subscales self-awareness 0.002), empathy 0.005), social responsibility 0.04) impulse control...
Aims and method We aimed to evaluate the availability nature of services for people affected by personality disorder in England conducting a survey English National Health Service (NHS) mental health trusts independent organisations. Results In England, 84% organisations reported having at least one dedicated service. This represents fivefold increase compared with 2002 survey. However, only 55% that patients had equal access across localities these services. Dedicated commonly good levels...
Aims. Within acute psychiatric inpatient services, patients exhibiting severely disturbed behaviour can be transferred to a intensive care unit (PICU) and/or secluded in order manage the risks posed patient and others. However, whether specific groups are more likely subjected these coercive measures is unclear. Using robust methodological statistical techniques, we aimed determine demographic, clinical behavioural predictors of both PICU seclusion. Methods. Data were extracted from an...
Background Seclusion (the isolation of a patient in locked room) and transfer to psychiatric intensive care unit (PICU; specialised higher-security ward with higher staffing levels) are two common methods for the management disturbed behaviour within acute hospitals. Some hospitals do not have seclusion rooms or easy access an on-site PICU. It is known how these differences affect outcomes. Objectives To (1) assess factors associated use PICU care, (2) estimate consequences on subsequent...
Abstract Aims The aim of this study was to compare across different service configurations the acceptability containment methods acute ward staff and speed initiation manual restraint. Background One primary remits inpatient psychiatric care is reduction in risks. Where risks are higher than normal, patients can be transferred a intensive unit or placed seclusion. abolition these two some hospitals may trigger compensatory increases other forms which have potential How members manage risk...
The emergence of a drive to reduce restrictive interventions has been accompanied particularly in the UK by debate focussing on restraint positions. Any intervention delivered poorly can potentially lead serious negative outcomes. More research is required reliably state risk attached particular position clinical circumstance.Declaration interestF.S. consultant psychiatrist Psychiatric Intensive Care at Maudsley Hospital, London. He Executive Committee National Association and Low Secure...
SUMMARY When a patient in an in-patient psychiatric setting allegedly commits crime, psychiatrists are sometimes asked to assess their fitness be interviewed by the police. This article describes how conduct this assessment, outlines criminal justice process leading police interviews (with particular reference legal system England and Wales) highlights practical issues consider when assessing context.
The interface between mental health services and the criminal justice system presents challenges both for professionals patients. Both systems are stressed inherently complex. Section 136 of Mental Health Act is unusual being an aspect a power arrest. It has long controversial history related to concerns about who been detained how section was applied. More recently, had public profile stemming from use police cells as places safety young, mentally disturbed individuals. This paper explores...
Evidence regarding medical practice in seclusion is limited, and far outweighed by opinion. Here, we present one approach to reviews of patients rooms, aiming drive consistent practice. We address the work clinicians prior their arrival area, information-gathering entry into room, relevant aspects history-taking mental state examination implications for clinical risk-management. discuss issues raised logistics planning undertaking consultation. Physical examinations secluded are commonly...
Over the next year there will be a major change in way mental health services are funded within UK. Block contracts dismantled and future populated by clusters of patients along pathways that costed for agreed upon locally between commissioners (who pay pathway) service providers deliver what is specified (Department Health, 2011). However, these lead to gold or muddied confusion maze complexity due variations ill defined care? This paper highlights potential difficulties with proposed...
It is widely acknowledged in hospitals that the quality of design and environment can influence patient care, sense therapeutic security experience staff. This women's PICU collaborated with charity Hospital Rooms to realise valuable role art within clinical environment. Experienced artists were commissioned work genuine partnership patients staff re-envision physical installation eight imaginative, inventive compliant works.<br/> The implementation, both perspectives evaluated. There...
Summary The COVID-19 pandemic has put the UK's National Health Service under extreme pressure, and acute psychiatric services have had to rapidly adapt a new way of working. This editorial describes experience London intensive care unit (PICU) where all nine in-patients ultimately tested positive.
Background : Patients in mental health services' seclusion require regular physical assessments to identify, prevent and manage clinical deterioration. Sometimes it may be unsafe or counter-therapeutic for staff enter the room, making challenging meet local standards assessments. Alternatives standard assessment models are required such circumstances assure high quality safe care. Aim The primary aim was improve of monitoring by accurate vital sign measurements more frequently available....
Background : The use of sensory-based treatment developed in paediatric and neurodevelopment care is a relatively new practice psychiatric intensive acute mental health settings. This report briefly reviews the literature on sensory rooms units settings, outlines development room female unit.<br/> Method We provide an account process establishing unit setting, including considerations, protocol, training feedback. settings was reviewed using PubMed database Google Scholar for 'grey'...
Abstract Firesetting is traditionally a forensic problem which nevertheless frequent co-morbidity within mental health settings. The associations between and firesetting are diverse poorly understood, with services under increasing pressure, non-forensic settings may be increasingly expected to manage such presentations. With this in mind, the absence of specific risk assessment tool, we propose care pathway rationale for its use management individuals behaviours as part their presentation.
Ward round is an integral platform for patients and the multidisciplinary team to communicate, assess plan treatment. With such a key process, it vital that effectiveness of ward maximised reliable follow information addressed. This can be achieved using lean methodology.Aim: To improve quality rounds, particularly reliability patient experience.Method: quantitative improvement study used plan-do-study-act cycle, including process mapping. The improvements were measured by objective survey,...