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…]
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…]
This collection of case studies is aimed at all people involved in the development and delivery of quality health services, in particular, commissioners, local authorities, voluntary sectors, and health professionals in all settings, including primary and secondary care. Some of the CCGs are also working with organisations from the retail sector, for example John Lewis. [read the full story…]
When I am not being an elf, I am very proud to work within Liaison Psychiatry and to be actively developing Liaison services across Kent and Medway. For those of you who haven’t come across Liaison before, we work within the overlapping area between physical health and mental health, so dealing with physical health problems and [read the full story…]
Over 40% of all cigarettes smoked in England are smoked by people with severe mental illnesses. This group are more likely to become physically ill than the rest of the population, but they are less likely to be given help to quit. Smoking is especially common among people with mental health problems: whilst 1 in [read the full story…]
Carers are integral to health care improvement. This report highlights evidence that shows “the economic value of the contribution they make is £119bn per year”. However, without support, carers can feel isolated, depressed, and may be living in poor financial circumstances, which can lead to poor health for the carer too. The problem health and [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…]
Last September I blogged about a cohort study in the Lancet that highlighted the links between self-harm and poor physical health. This same dataset (drawn from over 30,000 patients from 6 hospitals in Oxford, Manchester and Derby from 2000-7) has now spawned a longitudinal study published in the European Child and Adolescent Psychiatry journal. This [read the full story…]
Mind have published a number of resources aimed at improving mental health crisis care, which they say is ‘under-resourced, understaffed and overstreched’. The charity have used Freedom of Information requests to obtain data from mental health trusts, have conducted a survey of nearly 1,000 patients and are also involved in a research project with colleges [read the full story…]
