The tyranny of average and guideline development for PPE

The reviewers identified researchers found it difficult to control for variation

In this opinion piece Mark-Steven Howe considered the challenges of basing decisions on of average values for decision making when infection is not evenly distributed either geographically nor demographically

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Personality disorder: new position statement from the Royal College of Psychiatrists

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Keir Harding summarises the recently published position statement on personality disorder from the Royal College of Psychiatrists.

Readers interested in personality disorder research and services should follow #BIGSPD2020 on Twitter for the British and Irish Group for the Study of Personality Disorder conference on 24-26 March 2020.

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Treating PTSD in children and young people #ISTSS2019

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In Dr David Trickey’s debut blog for Mental Elf, he comments on the new ISTSS treatment guidelines for children and young people with post traumatic stress disorder.

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Pregnancy and bipolar disorder: international prescribing consensus?

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Dean Connolly looks at an international study which asks: Is there consensus across evidence-based guidelines for the psychotropic drug management of bipolar disorder during the perinatal period?

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How consistent are international treatment guidelines for bipolar disorder?

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Steven Marwaha publishes his debut blog on a review article that asks if there is consensus across international evidence-based guidelines for the management of bipolar disorder.

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What is the evidence for evidence-based guidelines?

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Andrew Shepherd returns to the woodland with a blog about the evidence-practice gap in specialist mental healthcare; highlighting a recent systematic review and meta-analysis of guideline implementation studies.

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What works to manage demand in planned care, in what circumstances?

crowded hospital

Alison Turner presents a realist synthesis, which aims to understand how demand management interventions work in different settings.

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Guidance to improve service user experience: how NICE is that?

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Lucy Simons and Paul Radin summarise the latest Evidence Update from NICE relating to their 2011 guidance to improve service user experience

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What impact do guidelines actually have on patient outcomes for people with schizophrenia?

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Using research findings to improve care in mental health should be easy. Notice an understudied area, do a study on it, write a guideline based on your results and watch mental health professionals modify their practice accordingly. Hooray for science. But in reality, this process is convoluted and murky. Though we’re fairly good at churning out [read the full story…]