Who’s got the obs sheets? Can QI methods reduce violence and restrictive practices on inpatient mental health wards?

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This large-scale quality improvement project across 55 mental health wards tested Board Relay, Zonal Observations, and Life Skills activities to improve therapeutic engagement. Results showed promising reductions in aggression, restrictive practices, and staff sickness.

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Collaborative care for depression: what are the key components?

Collaborative care is a complex intervention for chronic disease that has been shown to be significantly more effective for depression than usual care. Yet, implementation in routine practice is rare.

Despite strong evidence, collaborative care remains underused in the NHS. This blog explores new findings that highlight which components of the model are most effective in reducing depression symptoms.

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Working on the edge: the therapeutic alliance in suicide prevention

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Laura Melzer considers a qualitative review of client and therapist perspectives on the therapeutic alliance in the context of psychotherapy for suicidal feelings.

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The impact of risk management on recovery in psychiatric hospitals: a patient-centred study

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Sahar Seidl summarises a qualitative study on the ontological insecurity of inattentiveness, which looks at how risk management processes in acute psychiatric care can have a negative impact on patient recovery.

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Blended CBT for depression: does it affect the working alliance?

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Destiny Kumari summarises a study on practitioners’ experience of the working alliance in a blended CBT intervention for depression.

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Homeless hostel residents and staff struggle to access health and social care services

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In her debut blog, Ava Phillips summarises a paper that finds both people living in homeless hostels, and staff working there, feel marginalised and struggle to access the health and social care they need.

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Videoconference delivered CBT for anxiety disorders: working alliance and intolerance of uncertainty

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Tyler Hughes blogs about a randomised controlled trial which explores therapeutic alliance in videoconference delivered CBT for anxiety.

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Therapeutic alliance and goal setting in youth mental health #ActiveIngredientsMH

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Jenna Jacob and Jermaine Dambi summarise a recent study which looks at therapeutic alliance in remote versus in-person settings.

They also present initial findings from their two active ingredients reviews which explore working alliance, collaborative goal setting and tracking for young people with depression or anxiety.

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Trauma-informed care in mental health: why we need it and what it should look like

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Aneta Zarska blogs about a qualitative research study from Australia that outlines what trauma-informed care should look like, by asking people with experience of mental health difficulties.

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Young people who self-harm: perspectives on primary care

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In her debut blog, Amelia Talbot summarises a qualitative study investigating young adult’s experiences and perspectives of general practice care for self-harm.

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