Involuntary psychiatric hospitalisation in children and young people: who is at higher risk?

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Alice Wickersham summarises a recent review exploring the clinical and social factors associated with involuntary psychiatric hospitalisation. The review finds that intellectual disability, psychosis, risk of harm to self and/or others, Black ethnicity, and older adolescence were strong predictors of involuntary versus voluntary hospitalisation in children and young people.

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‘The Expert’ and ‘The Patient’: analysing Parliamentary debates on the 2007 Mental Health Act

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Alison Faulkner writes about a discourse analysis of the House of Commons’ debates regarding the 2007 Mental Health Act, which is very relevant to the current White Paper consultation on the Reform of the Mental Health Act.

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Play in the pandemic

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Helen Dodd summarises a recent rapid review of the impact of quarantine and restricted environments on children’s play and health outcomes.

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Fluoride varnish for caries prevention in pre-school children

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This review of the effectiveness of fluoride varnish in reducing the risk of new caries in primary teeth included 20 studies suggesting modest effects in pre-school children.

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Antipsychotic efficacy measured by real-world observational study

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Tracey Roberts examines whether a retrospective observational study accurately investigates the effectiveness of second and first generation antipsychotics.

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Childhood traumatic brain injuries predict risk of poor long-term outcomes

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Eleanor Kennedy reports on a nationwide Swedish cohort study, which finds that traumatic brain injury consistently predicted later risk of premature mortality, psychiatric inpatient admission, psychiatric outpatient visits, disability pension, welfare recipiency and low educational attainment.

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Outcomes in first episode manic psychosis

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Matthew Broome writes his debut Mental Elf blog on a three-year clinical and functional outcome comparison between first episode manic psychosis and first-episode schizophrenia.

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Learning Disability National Audit – feasibility study and recommendations and future plans

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The results of the feasibility study into a national clinical audit of learning disabilities was published last month. Here we consider the findings and the response from NHS England

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Atlas maps health of adults with learning disabilities in Ontario, Canada

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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…]

Ombudsman finds service failures once again in report on death of young woman with learning disabilities

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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…]