Results: 9

For: secondary care AND randomised controlled trial

Opening ward doors doesn’t make staff any more coercive

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John Baker summarises a new Norwegian trial published last week, which compares an open-door policy to treatment-as-usual in urban psychiatric inpatient wards.

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We can safely deliver therapy to suicidal inpatients, but we still don’t know if it works

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John Baker reviews a pilot randomised controlled trial of cognitive-behavioural suicide prevention therapy for mental health inpatients, which found that the therapy was acceptable and feasible to deliver.

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After the crisis: self-management and peer-support

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Jenny Collom, Maria Giorgalli and Derek Tracy welcome a new RCT published yesterday in The Lancet which demonstrates the benefits of peer-supported self-management for people discharged from a mental health crisis team.

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Staff training to improve patient experiences of mental health inpatient wards

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Danielle Lamb writes her debut elf blog on a recent RCT that investigates how staff training can improve patient experiences of mental health inpatient care.

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Searching for solutions: a new brief intervention for comorbid substance misuse in acute psychiatric inpatients

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Ian Hamilton presents the findings of a recent pilot randomised trial of a brief intervention for comorbid substance misuse in psychiatric inpatient settings.

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Mindfulness-based cognitive therapy cannot substitute maintenance antidepressants for preventing depression relapse

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Ioana Cristea takes a closer look at a recent non-inferiority RCT, which compares mindfulness-based cognitive therapy (MBCT) plus discontinued antidepressants versus MBCT and maintenance antidepressants.

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Empowering patients can lead to fewer hospital readmissions, according to small RCT

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Clarissa Giebel presents the findings of a small RCT that evaluates the impact of a social work care coordination intervention on hospital readmissions in older adults.

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Bridging the gap: low intensity collaborative care for patients with recent cardiac events can improve mental health and quality of life

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There are many interfaces in mental health services, such as the one between physical and mental health. Where there are interfaces, there are inevitably gaps for patients to fall through. Consequently opportunities are missed to treat mental health problems in those with physical health problems. There is mounting evidence for the effectiveness of Collaborative Care (CC) [read the full story…]

Adherence therapy no more cost-effective than health education for people with schizophrenia

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When two interventions are demonstrably equivalent in terms of clinical outcomes, it is unclear which should be provided. One obvious decision rule in this case is to implement the intervention that is least costly and therefore most cost-effective. A recent economic evaluation by Patel and colleagues estimates the cost-effectiveness of adherence therapy for people with [read the full story…]