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…]
Research suggests that many people with schizophrenia or related psychoses show a striking lack of insight into their condition (Dam, 2006). Poor insight can have a negative impact on several outcomes, including general adjustment (Stefanopoulou et al., 2009), quality of life (Drake et al., 2007), social functioning (Drake et al., 2007) and rehospitalisation. With this [read the full story…]
What’s the relationship between violence and psychosis? It’s an emotive debate that’s been running for years. On the one hand we have the net curtain-twitching, tabloid-reading brigade who picture axe-wielding psychopaths as soon as they read the word schizophrenia. On the other we have patients, carers, mental health charities and many clinicians who claim that [read the full story…]
Recent work by Suzanne Fitzpatrick and colleagues from Heriot Watt University has investigated the experiences of people who are affected by what they call multiple exclusion homelessness; a combination of homelessness, substance misuse, ‘street’ activities such as begging and street drinking, and institutional care (e.g. prison). Their quantitative survey shows that there is considerable overlap [read the full story…]
Schizophrenia is a debilitating illness that affects an estimated 25 million people worldwide. People with the condition can experience a huge amount of disability (both social, physical and psychological), but we know that early intervention can help reduce the duration of the illness and prevent further episodes of relapse. People with schizophrenia usually experience a [read the full story…]
Everyone who read the extracts from Michael Schofield’s memoir, published by the Guardian on January 19th, must surely have been moved by the sometimes harrowing description of his daughter Janni who was diagnosed with child-onset schizophrenia aged just 7 years old. Janni is an exception, as schizophrenia generally starts between the ages of 15 and [read the full story…]
The NICE guideline on psychosis with coexisting substance misuse was published in 2011, which means it’s now nearly 3 years out of date. This is because guidelines take many months to produce, so by the time they are published the evidence in them is 1 year old at best. Some NICE guidelines are supplemented by [read the full story…]
The hallucinations and delusions associated with psychosis can be frightening and may sometimes result in aggressive or violent behaviour. Of course, this can be incredibly challenging for the patient, but it can also be a real test for mental health staff who have to try and minimise the harm that patients do to themselves and others. Haloperidol [read the full story…]
The research and campaigns relating to life outcomes for people with schizophrenia and psychosis are truly shocking. It seems unbelievable that people with schizophrenia face a lifespan 15-20 years shorter than the general population and that only 7% are able to hold down a job. Paul Jenkins from Rethink Mental Illness sums it up nicely: [read the full story…]
There is a great deal of interest in using information and communication technology (ICT) to support and treat people with mental health conditions. In the broadest sense, ICT includes not just computers, but also telephones, TV and radio; essentially any medium that can communicate information in a multimedia format. ICT interventions can be delivered at [read the full story…]
