Psychiatric outpatients clinic improves prescribing of medication in people with learning disabilities

medicine in blisterpack

Many studies have looked at the difficulties associated with medication management in people with learning disabilities. This study set out to looked at an approach to medication management and treatment in an outpatient psychiatry clinic for 198 community-residing children and adults with learning disability who were referred to the clinic and subsequently discharged over an [read the full story…]

NHS publishes hospital prescribing bulletin for 2010, which focuses on ADHD and psychoses

shutterstock_73916767 pharmacist

This bulletin from the NHS Information Centre reports on the use of medicines in hospitals and puts their use into context by comparing it with their use in primary care and with medicines prescribed in hospitals but dispensed in the community. The bulletin explores the use of medicines used in the management of Attention Deficit [read the full story…]

The causes of aggression and violence in psychiatric settings: new systematic review

shutterstock_85566016_angry man violence aggression

Despite what you read in the tabloid press, the vast majority of people with mental health problems are not violent. However, when violence does occur in hospitals, it’s important that healthcare professionals know how to manage the situation. This new systematic review has been conducted by a team of Italian researchers who searched a range [read the full story…]

Smoking cessation for people with severe mental illness

shutterstock_33368995 smoking cessation

I’ve blogged before about mental health and smoking cessation, so I was interested to read about this new review on the subject published by a researcher in Spain, which aims to assess the best way for adults with major depression, schizophrenia and psychosis to give up smoking. The review searched a very wide range of [read the full story…]

High levels of psychosis, attempted suicide and cannabis use amongst prisoners with learning disabilities

man at fence

There continues to be some debate about the numbers of people with learning disabilities in UK prisons, partly due to the lack of consensus on definitions of learning disability in studies and different approaches to establishing the boundaries between learning difficulty, borderline learning disability and learning disability. The Bradley report  recommended amongst its key recommendations [read the full story…]

People with psychosis are more likely to be convicted of arson

shutterstock_26621449 burning match

Existing studies have identified associations between psychosis and serious crimes such as homicide, but to date it has been unclear to what extent psychotic disorders are associated with arson (the crime of intentionally or maliciously setting fire to buildings or the natural environment). This study conducted by researchers at Oxford University used data from the Swedish [read the full story…]

Child sexual abuse may be important cause of schizophrenia

iStock_000004250579XSmall young girl abused

Childhood sexual abuse is a strong predictor of schizophrenia in later life, a leading psychiatrist has told the International Congress of the Royal College of Psychiatrists 2011. It is a contributing cause of 17 per cent of cases of psychotic illness including schizophrenia, Professor Paul Bebbington, Head of the Department of Mental Health Sciences at [read the full story…]

More evidence that using cannabis may cause earlier onset of psychosis

iStock_000015958345XSmall cannabis

This meta-analysis adds more weight to the argument that cannabis use plays a causal role in the development of psychosis in some patients. The review pooled 83 studies that reported on age at onset of psychotic illness in substance-using and non–substance-using groups. The study found that: Age at onset of psychosis for cannabis users was [read the full story…]

Early intervention for psychosis: updated Cochrane review remains inconclusive

cochrane logo

The Cochrane Scizophrenia Group have updated the systematic review that brings together all randomised controlled trials (RCTs) designed to prevent progression to psychosis in people showing prodromal symptoms, or to improve outcome for people with first-episode psychosis. The reviewers found 18 RCTs this time around, but (as is often the case with systematic reviews) the [read the full story…]

Case study identifies need for better evidence base for alternative strategies in treatment resistant psychosis

Window_look

People with learning disabilities with schizophrenia and related psychoses have been found to be more likely to be treatment resistant than those without learning disabilities. This paper describes a case study which highlights many of the issues faced when carrying out assessments and developing management plans for such individuals. The authors point out that Clozapine, [read the full story…]