Liaison psychiatry brings together medical and psychiatric staff in hospital wards and emergency departments, with the aim of more adequately addressing comorbidities between physical and mental health. It’s something that’s been discussed in the Woodland before, with recommendations for wider implementation. The Guardian recently published an article discussing the findings of a recent study and [read the full story…]
Results: 167
For: hospital admissionsCritical illness and risk of psychiatric diagnosis
Out in the woodland we are pleased that recent advances in medical care mean that more patients are surviving critical illnesses within intensive care units (ICU). “But what does that have to do with the Mental Elf?” I hear you say. Well, we Mental Elves are wondering whether this advancement in medical technology and technique are actually putting people [read the full story…]
Learning disability census finds high use of medication, incidents and restraint in specialist services
Last week, the Health and Social Care Information Centre published the findings from the 2013 learning disabilities census. The census was commissioned as one of the 63 initiatives in ‘Transforming Care: A national response to Winterbourne View Hospital’ in response to the abuse at Winterbourne View Hospital. The aim was to provide an audit of [read the full story…]
Community treatment orders simply don’t work
Community Treatment Orders (CTOs) were introduced in the UK in the last revisions of the Mental Health Act. They are highly controversial, and unpopular amongst the mental health community. They clearly impact on an individual’s Human Rights. Interestingly, they cannot enforce a treatment but can require an individual to return to hospital or a place of treatment. [read the full story…]
Introduction of Positive Behavioural Support in assessment and treatment unit associated with significant outcome gains
Background The recent position paper by the Royal College of Psychiatrists on the need for in-patient beds for people with learning disabilities was published as part of the response to the Winterbourne View scandal. The paper made it clear that it was important to make a very clear distinction between the function of in-patient support [read the full story…]
Systematic review finds no good evidence to restrict the freedom of people with mental health problems
Compulsory community treatment (CCT) is a method used in many industrialized nations, including the UK and Australia, that allows clinicians to legally oblige those with severe mental illness to comply with treatment in the community and can allow clinicians to recall them to hospital merely because they are not compliant with an aspect of treatment [read the full story…]
Does staying in hospital longer make you better?
De-institutionalisation, the advent of community care and development of psychotropic medicines are implicated in the reduction in hospital bed numbers and mean length of stay. There remains a huge variance in length of stay and outcomes across the UK and beyond (NHS Confederation, 2011). Figures on length of stay and service configuration are difficult to [read the full story…]
People who died by suicide are more likely to have been last discharged from a general hospital
Suicide is a significant public health concern in the UK and globally. Recently it was reported that the UK male suicide rate in 2012 was 3.5 times that of women (Siddique, 2014). In 1981, when the data series these reports were based on began, the male suicide rate was 1.9 times that for women. However, overall [read the full story…]
Vulnerabilities of people with learning disabilities continue to compromise their safety in NHS hospitals
Background A number of reports in recent years have highlighted concerns about the treatment of patients with learning disabilities in NHS hospitals, highlighting poor communication, incorrect assumptions about quality of life and poor understanding by healthcare professionals putting people at continued risk of poor care – and even death. In 2008, the publication of the [read the full story…]
Atlas maps health of adults with learning disabilities in Ontario, Canada
Background We have posted extensively about the current state of knowledge around the health care needs of people with learning disabilities and the nature of the responses by UK health providers. The Mencap Getting it Right campaign launched after the publication of Death by Indifference’, aims to support local campaigners, health professionals, GP surgeries, hospitals [read the full story…]