Schizophrenia Bulletin – January 2018

The January edition of Schizophrenia Bulletin has been published.  This issue includes articles on reducing voices by direct dialogue and the potential of cannabidiol treatment for cannabis users with recent-onset psychosis.

Click here to view the table of contents.

Click here to request an article from the Library.

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Mental Health Act: the rise in the use of the MHA to detain people in England

Care Quality Commission, January 2018

Between 2005/06 and 2015/16, the reported number of uses of the Mental Health Act (MHA) increased by 40%. It is well established that people from Black and minority ethnic groups are much more likely to be detained than those in White British groups. In October 2017, in response to these and other concerns, the government announced an independent review of the MHA. This review will make recommendations for improvements to legislation and practice in late 2018.  This paper identifies the following key factors:

  • Changes in mental health service provision and bed management
  • Demographic and social change
  • Legal and policy developments that have influenced practice
  • Data reporting and data quality

Click here to view the full report.

Provision of mental health care to adults in the emergency department

Healthcare Safety Investigation Branch, January 2018

This bulletin relates to an investigation of a woman experiencing a mental health crisis who, having presented to her general practitioner, ambulance service and the emergency department of her local hospital, subsequently took her own life. A preliminary investigation reviewed the care pathway of the woman spanning the two years preceding her death. During the HSIB’s preliminary investigation the following safety issues were identified and will form the basis of the ongoing investigation:

  • The appropriateness of assessment tools to identify patients at risk.
  • Difficulties in the sharing of patient information within the emergency department.
  • The emergency department may not be a place of safety for a patient experiencing a mental health crisis.
  • Access to psychiatric liaison services

Click here to view the bulletin.

Sustainability and transformation in the NHS: Department of Health and Social Care

National Audit Office, January 2018

Report from the National Audit Office that finds that the NHS has received extra funding, but this has mostly been used to cope with current pressures and has not provided the stable platform intended from which to transform services. Despite its overall financial position improving, the NHS is struggling to manage increased activity and demand within its budget and has not met NHS access targets. Furthermore, measures it took to rebalance its finances have restricted money available for longer-term transformation, which is essential for the NHS to meet demand, drive efficiencies and improve the service. Repeated short-term funding-boosts could turn into the new normal, when the public purse may be better served by a long-term funding settlement that provides a stable platform for sustained improvements.

Click here to view the full report.

The Nursing Workforce

House of Commons Select Committee, January 2018

This report argues that too little attention has been given to retaining nurses in the NHS, which has resulted in more nurses now leaving than joining the professional register. It identifies various factors for the cause of the shortfall of nurses in the NHS including workload pressures, poor access to continuing professional development, pay and a general sense of being undervalued.

Click here to view the report.

Sources of resilience and their moderating relationships with harms from adverse childhood experiences

Public Health Wales, January 2018

People who have experienced abuse, neglect and other adverse childhood experiences (ACEs) such as living with domestic violence during their childhood are at much greater risk of mental illness throughout life. However, this study also found that some basic community measures help build resilience which can help protect individuals from developing the mental health problems that ACEs can cause.  Developing resilience through access to a trusted adult in childhood, supportive friends and being engaged in community activities, such as sports, reduced the risks of developing mental illness; even in those who experienced high levels of ACEs.

Click here to view the full report.

Making Every Contact Count (MECC)bulletin – January 2018

The Gosall Library, January 2018

This Library bulletin provides further reading to support the ‘Making Every Contact Count’ programme.

There are links to recent research papers and articles in each of the MECC areas to give you further background information and evidence to consolidate what you have learned in your training, and to give you ideas and confidence for using MECC in your day-to-day encounters.

Click here to view the bulletin.