Inpatient care: identifying factors that influence the length of stay

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In her debut blog, Sophia Pillai looks at a recent retrospective case-cohort study on patient and service-level factors affecting the length of inpatient stay in an acute mental health service.

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CBT versus counselling for depression: it ain’t what you do, it’s the way that you do it

This review focuses on medication, but ignores psychosexual treatment for sexual dysfunction for people with serious mental illness.

Mark Smith channels Ella Fitzgerald whilst reviewing evidence from the 2nd UK National Audit of psychological therapies, which compares CBT and generic counselling in the treatment of depression.

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Can audits of family contact for out of area placements inform improvements in practice?

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Russell Woolgar summarises a study of family contact during out of area placements for patients in a specialist forensic intellectual disability service.

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What is the trend in surgery for proximal humerus fractures?

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Jennifer Lane considers this retrospective audit which examined current practice in the US to discover the current trends in treatment of proximal humerus fractures.

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Second National Audit of Schizophrenia highlights lack of progress for service users and carers

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André Tomlin summarises the second National Audit of Schizophrenia, which highlights that many people with schizophrenia are still not getting the high quality psychological and medical treatment they deserve.

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Monitoring for metabolic syndrome in people with learning disabilities prescribed anti-psychotic medication found to be below agreed minimum standards

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Anti-psychotic medications comprise between 30–50% of all psychotropics prescribed for people with learning disabilities. One of the potential side effects is metabolic syndrome (a group of risk factors that occur together and increase the risk for coronary artery disease, stroke and type 2 diabetes in people with learning disabilities who have been prescribed antipsychotic medication.) [read the full story…]

Community Treatment Orders used differently for people with learning disabilities

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Community Treatments Orders (CTOs) were introduced to enable people who had been detained under certain sections of the Mental Health Act 1983 to be discharged from the hospital and treated in the community. The supervising doctor however retains the power to recall that person to hospital if necessary The majority of studies into the use [read the full story…]

People with learning disabilities still not getting adequate information and support to make decisions about medications

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Making the decision to consent to medical treatment requires access to information, presented in clear and understandable ways. There is evidence that that people with learning disabilities do not always understand information about medications they are prescribed, for example from the medication matters project carried out at the Norah Fry centre  which produced a series of [read the full story…]

Trail showed that distant feedback improved quality of panoramic radiographs in short term.

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  Panoramic radiographs are regularly used in dental practice and a number of studies have highlighted that the quality of these films is often less the optimal.T he aim of this trial was to assess the value of a quality improvement programme for panoramic radiography. 40 volunteer dental practices were randomly allocated to active (n=20) [read the full story…]

National Schizophrenia Audit calls for improved monitoring of physical health in people with schizophrenia

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Back in 2010, NICE published an updated edition of their schizophrenia guideline, to guide the treatment and management of patients with schizophrenia in primary and secondary care. The National Schizophrenia Audit is a new initiative led by the Royal College of Psychiatrists and involving 8 other partner organisations including various professional membership organisations and 2 [read the full story…]