In the wake of the dreadful events at Winterbourne view and the subsequent inquiries and reports, there is now a real push to consider the place of inpatient services for people with learning disabilities who present with complex needs and behavioural challenges. We have posted recently about alternatives to inpatient services, for example the Association [read the full story…]
Patients who suffer from depression after acute coronary syndrome (ACS) may benefit from stepped treatment, which takes patient preference into account, a recent study suggests. Furthermore this course of action does not appear to result in a significant increase in healthcare costs. Crucially post-ACS depression has been associated with both an increased risk of ACS [read the full story…]
Although there have been huge advances in the treatment of heart disease, it is still the UK’s biggest killer (more information on heart disease can be found at the British Heart Foundation’s website). Depression after a heart attack is common (roughly 20% prevalence) and can worsen heart disease and increase the risk of death. A [read the full story…]
The successful transition from inpatient to outpatient psychiatric care is an important step along the road to recovery. It can be a difficult and turbulent time for patients, so much so that there is a risk that patients will suffer a relapse of their illness and need to be readmitted into hospital (Herman, Mattke, Somekh [read the full story…]
Good mental health care should involve the patient in determining their treatment, and should involve the least restrictive form of care possible. Although the Care Programme Approach (CPA) has resulted in patients in England routinely participating in planning their care, compulsory admissions to psychiatric hospitals have continued to rise over the past decade. Involuntary treatment [read the full story…]
We have posted a number of times about the healthcare needs of people with learning disabilities and in particular the responses of the healthcare services. Recently, the results of the Confidential Inquiry into Premature Deaths of People with Learning Disabilities was published which found that men with learning disabilities died on average 13 years earlier [read the full story…]
As you know here at Elf towers, we are committed to bringing you the evidence, so that you can make informed decisions about practice. However I hope you’ll forgive a slight deviation from this aim this Friday, as we bring to your attention the publication of yet another report that highlights poor NHS care. On [read the full story…]
Community treatment orders (CTO’s) provide compulsory supervision outside of psychiatric hospital. They require patients to accept clinical monitoring in the community and enable them to be recalled to hospital for assessment if necessary. They do not authorise forcible treatment; however whilst on a CTO a patient may be ordered to meet certain requirements, such as [read the full story…]
We recently posted about the publication of the final report of the confidential inquiry into premature deaths in people with learning disabilities. The Inquiry found 43% of the deaths of people with learning disabilities were unexpected and for a substantial number, there was significant difficulty or delay in diagnosis, investigation or specialist referral. The Inquiry [read the full story…]
Some days even the most committed of Elves can be a little reluctant to return to work in the woodland. What must it be like though to feel like that every day? Apathy (diminished motivation, lack of emotion, interest or concern) is thought to be a frequent complication of stroke associated with poorer outcomes, but [read the full story…]
