First episode psychosis in prison: is our screening effective?

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Danny Whiting explores the issue of screening for first episode psychosis in prison using a retrospective cohort study from Australia.

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NHS England’s new framework for community mental health services

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Andy Bell reviews NHS England’s recently published Community Mental Health Framework for Adults and Older Adults, which sets out the changes it expects to see in community mental health services over the next five years.

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Continuity of care: a luxury or need?

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LucÍa Almazán Sánchez and Derek Tracy appraise a new paper in the British Journal of Psychiatry on continuity of care and clinical outcomes in the community for people with severe mental illness.

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Community supported discharge service for teenagers leaving psychiatric hospital

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Robyn Murphy summarises an RCT that compares the effectiveness and cost-effectiveness of an intensive community supported discharge service versus treatment as usual for adolescents with psychiatric emergencies.

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Hope for recovery: REFOCUS-PULSAR recovery training in specialist mental health care

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Simon Bradstreet welcomes the positive findings of the REFOCUS-PULSAR trial, which evaluated recovery-oriented practice training in specialist mental health care.

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Psychodynamic programmes for personality disorders: residential versus community treatment

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Keir Harding explores a recent study of community-based, step-down, and residential specialist psychodynamic programmes for personality disorders, which includes some surprising findings.

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Finding the right care in a crisis

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Derek Tracy writes his debut Mental Elf blog on a recent study that explored the clinical factors that impacted on outcomes in crisis resolution services across two large mental health Trusts in London.

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Improve local community mental health services using this framework

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This work, developed by accountancy firm Mazars LLP, has been commissioned by NHS Confederation and Strategic Health Authority Mental Health Leads. It is a diagnostic tool aimed at mental health commissioners working for clinical commissioning groups (CCGs), helping them to identify where the gaps are in their local service provision and what they need to [read the full story…]