scholarly journals Experience of tele-psychiatry during COVID-19 amongst doctors working in a mental health trust: A survey

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S13-S14
Author(s):  
Pallavi Chandra ◽  
Nilamadhab Kar ◽  
Abdalla Yahia
Keyword(s):  
Mental Health ◽  
Clinical Outcomes ◽  
Response Rate ◽  
Clinical Care ◽  
Child And Adolescent Psychiatry ◽  
Delivery Of Care ◽  
Beneficial Effects ◽  
West Midlands ◽  
Adult Psychiatry ◽  
Health Trust

AimsThere is paucity of information about perspectives of psychiatrists about telemedicine practice during COVID-19 pandemic. It was intended to explore the experience of doctors using tele-psychiatry for provision of clinical care during the COVID-19 pandemic in a Mental Health Trust covering four cities in West Midlands, UK.MethodThe study was conducted as an anonymized questionnaire survey. A 10-item questionnaire was designed with items related to the clinical outcomes, challenges and provider satisfaction when using tele-psychiatry. It had mostly yes/no dichotomous responses along with the scope for making additional comments for each question. An online link of the questionnaire was sent via email to doctors of all grades working across the Black Country Healthcare NHS foundation Trust, in the West Midlands. The survey was open between July and October 2020; and monthly reminders were sent.ResultThe questionnaire was sent out to 159 doctors and 34 responded (response rate of 21.3%). Just over 50% had used both telephone and video consultations, whereas 47.1% responders had used telephone only. More than half (55.8%) reported that the tele-psychiatry affected clinical outcomes; and it was considered positive in around half (52.9%). Most (73.5%) of the responders found that limitations or challenges of using technology impacted on delivery of care remotely. However 64.7% psychiatrists were satisfied with the process overall; and 79.4% reported that they would like to use tele-psychiatry in the future as well.Survey captured many observations from the psychiatrists. Positive comments from the psychiatrists included expedited delivery of care, reduced non-attendance rates, as well as successful multidisciplinary meetings. Challenges in specific sub-specialties such as Child and Adolescent Psychiatry or Older Adult psychiatry were reported where complete assessments were not achieved successfully. The process was felt to be appropriate in general for stable or follow-up patients in comparison to new or acutely unwell patients. There was some worry expressed about missing out non-verbal cues which assist with mental state examination.ConclusionInspite of a low response rate, the survey provided some understanding about the experience of doctors practicing tele-psychiatry during pandemic. While technological challenges were acknowledged, tele-psychiatry seemed to have been accepted by a majority of doctors who are also willing to continue it in their future clinical practice. There is a need to explore in a larger sample involving both patients and clinicians about the beneficial effects of tele-psychiatry that can be incorporated in the usual psychiatric practice.

A Survey of Training in Child and Adolescent Psychiatry

1983 ◽  
Vol 143 (5) ◽  
pp. 498-504 ◽  
Author(s):  
M. E. Garralda ◽  
M. Wieselberg ◽  
D. A. Mrazek
Keyword(s):  
Great Britain ◽  
Family Therapy ◽  
Response Rate ◽  
Treatment Method ◽  
Child And Adolescent Psychiatry ◽  
Psychiatric Training ◽  
Academic Experience ◽  
Training Experience ◽  
Adult Psychiatry ◽  
Predominant Orientation

SummaryIn a survey of training in child psychiatry in Great Britain, all senior registrars were sent questionnaires; the response rate was 69 per cent. We describe background factors of the trainees, details of the clinical and academic experience available to them, and their attitudes towards their training.Most trainees had had extensive previous experience in adult psychiatry and the predominant orientation was psychoanalytic. In general, they approved of the guidelines for training issued by the Joint Committee for Higher Psychiatric Training. Family therapy was the most popular treatment method. We comment on their training experience where the interest expressed was not matched by adequate availability of the training facilities.

scholarly journals Staff awareness of the use of cannabidiol (CBD): a trust-wide survey study in the UK

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Obioha Ukaegbu ◽  
Jared Smith ◽  
David Hall ◽  
Thomas Frain ◽  
Cyrus Abbasian
Keyword(s):  
Mental Health ◽  
Side Effects ◽  
Healthcare Professionals ◽  
Mental Health Problems ◽  
Response Rate ◽  
Free Text ◽  
Specific Method ◽  
Addiction Services ◽  
Therapeutic Properties ◽  
Health Trust

Abstract Introduction Cannabidiol (CBD) is now a legal substance in Europe and is available in ‘high street shops’, usually as CBD oil. However, in the United Kingdom (UK), there is no clear consensus among healthcare professionals and organisations over how to manage CBD use in their patients. This is an important issue as CBD is a constituent of ‘medicinal and recreational cannabis’ and is gaining support in the scientific literature and lay media for use in physical and mental health problems. Given the aforementioned, this study is an exploration of healthcare professionals’ beliefs and attitudes with regard to CBD. Methods In July 2018, we sent requests by email to approximately 2000 clinical staff (including 319 physicians) at a mental health trust in South West London to answer 8 questions in a single survey using Surveyplanet.com, about their beliefs regarding CBD. There was no specific method of choosing the staff, and the aim was to get the email request sent to as many staff as possible on each service line. We did an analysis to see how the attitudes and beliefs of different staff member groups compared. We also gave them space to offer free text responses to illustrate their ideas and concerns. We used chi-squared tests for comparison across groups and used odds ratio for pairwise group comparisons. Results One hundred ninety surveys were received in response, and of these, 180 were included in the final sample. The physician response rate was 17.2% (55/319); the response rate for non-physicians could not be estimated as their total number was not known at outset. 32.2% of the responders had the right to prescribe (58/180) and 52.8% had an experience of working in addiction services (95/180). We found that staff members who can prescribe were 1.99 times as likely to believe CBD has potential therapeutic properties compared to those who do not (OR = 1.99, CI = 1.03, 3.82; p = 0.038) and 2.94 times less likely to think it had dangerous side effects (OR = 0.34, CI = 0.15, 0.75; p = 0.006). Prescribing healthcare professionals were 2.3 times as likely to believe that CBD reduces the likelihood of psychosis (OR = 2.30, CI = 1.10, 4.78; p = 0.024). However, prescribing healthcare professionals with the ability to prescribe were 2.12 times as likely to believe that CBD should be prescription only (OR = 2.12, CI = 1.12, 4.01; p = 0.02). Individuals experienced in addiction services were 2.22 times as likely to be associated with a belief that CBD has therapeutic properties (OR = 2.22, CI = 1.22, 4.04; p = 0.009). Staff in general reported a lack of knowledge about CBD in their free text responses. Conclusions With almost 95% of prescribers being physicians, they appear to demonstrate awareness of potential therapeutic benefit, reduced likelihood of psychosis and seeming lack of dangerous side effects with CBD. However, their higher stringency about the need for prescription implies an attitude of caution. There was also a suggestion that biases about cannabis were influencing responses to questions as well. The external validity of this study could be diminished by sampling bias and limitation to a single mental health trust. Nonetheless, some of the results drew a reasonable comparison with similar studies.

scholarly journals Which outcomes are most important to measure in patients with COVID-19 and how and when should these be measured? Development of an international standard set of outcomes measures for clinical use in patients with COVID-19: a report of the International Consortium for Health Outcomes Measurement (ICHOM) COVID-19 Working Group

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e051065
Author(s):  
William H Seligman ◽  
Luz Fialho ◽  
Nick Sillett ◽  
Christina Nielsen ◽  
Farhala M Baloch ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Health Outcomes ◽  
Clinical Outcomes ◽  
Working Group ◽  
Clinical Care ◽  
Related Factors ◽  
Delivery Of Care ◽  
Outcomes Measurement ◽  
International Consortium ◽  
Treatment Practices

ObjectivesThe COVID-19 pandemic has resulted in widespread morbidity and mortality with the consequences expected to be felt for many years. Significant variation exists in the care even of similar patients with COVID-19, including treatment practices within and between institutions. Outcome measures vary among clinical trials on the same therapies. Understanding which therapies are of most value is not possible unless consensus can be reached on which outcomes are most important to measure. Furthermore, consensus on the most important outcomes may enable patients to monitor and track their care, and may help providers to improve the care they offer through quality improvement. To develop a standardised minimum set of outcomes for clinical care, the International Consortium for Health Outcomes Measurement (ICHOM) assembled a working group (WG) of 28 volunteers, including health professionals, patients and patient representatives.DesignA list of outcomes important to patients and professionals was generated from a systematic review of the published literature using the MEDLINE database, from review of outcomes being measured in ongoing clinical trials, from a survey distributed to patients and patient networks, and from previously published ICHOM standard sets in other disease areas. Using an online-modified Delphi process, the WG selected outcomes of greatest importance.ResultsThe outcomes considered by the WG to be most important were selected and categorised into five domains: (1) functional status and quality of life, (2) mental functioning, (3) social functioning, (4) clinical outcomes and (5) symptoms. The WG identified demographic and clinical variables for use as case-mix risk adjusters. These included baseline demographics, clinical factors and treatment-related factors.ConclusionImplementation of these consensus recommendations could help institutions to monitor, compare and improve the quality and delivery of care to patients with COVID-19. Their consistent definition and collection could also broaden the implementation of more patient-centric clinical outcomes research.

scholarly journals Ambiguity in Section 136 of the Mental Health Act 1983

2001 ◽  
Vol 25 (10) ◽  
pp. 388-390 ◽  
Author(s):  
Laofe Ogundipe ◽  
Femi Oyebode ◽  
Amanda Knight
Keyword(s):  
Mental Health ◽  
Random Sample ◽  
Response Rate ◽  
Clinical Implications ◽  
Early Assessment ◽  
The West ◽  
Police Station ◽  
Mental Health Act ◽  
West Midlands

AIMS and MethodTo investigate the interpretation of Section 136 of the Mental Health Act 1983 by Section 12(2) approved doctors and to describe a pathway that facilitates early assessment of people detained under Section 136. We surveyed a random sample of Section 12(2) approved doctors in the West Midlands.ResultsA response rate of 70% was achieved. Approximately 65% believe that it would be illegal to transfer a person under Section 136 from the police station to a further place of safety, such as hospital. Thirty-five per cent believed that this could be done legally or were unsure.Clinical ImplicationsAmbiguity still remains about the legal interpretations of the provisions of Section 136 of the Mental Health Act 1983, which needs to be rectified.

Duty senior nurse and unit coordinator roles in terms of burnout: a survey

2019 ◽  
Vol 8 (4) ◽  
pp. 188-197
Author(s):  
Simon McArdle ◽  
Simon Sherring ◽  
Francis Adzinku ◽  
Mazen Nazzal
Keyword(s):  
Mental Health ◽  
Response Rate ◽  
Support Staff ◽  
Further Training ◽  
Staff Support ◽  
Electronic Survey ◽  
Senior Nurse ◽  
Unit Coordinator ◽  
Health Trust ◽  
Improve Service Delivery

Background/Aims: Stress-related burnout among nursing staff has been found to negatively affect their attitude and to impact patient satisfaction and mortality. The aim of this article was to study stress-related burnout among duty senior nurses and unit coordinators. Methods: An electronic survey was sent to all duty senior nurses/unit coordinators (n=50) at one London Mental Health Trust. A total of 27 duty senior nurses/unit coordinators responded (54% response rate). Results: Age and number of years in clinical practice were protective factors against stress-related burnout in staff acting as Senior Duty Nurses or Unit Coordinators. Conclusion: Further training, staff support and better coordination with the police are some of the areas that need addressing to support staff in the role and to improve service delivery.

scholarly journals Violence against psychiatrists by patients: survey in a London mental health trust

2007 ◽  
Vol 31 (10) ◽  
pp. 371-374 ◽  
Author(s):  
Saleh Dhumad ◽  
Anusha Wijeratne ◽  
Ian Treasaden
Keyword(s):  
Mental Health ◽  
Response Rate ◽  
Psychiatric Patients ◽  
Psychological Support ◽  
Psychiatric Ward ◽  
Clinical Implications ◽  
Health Trust

Aims and MethodA survey was undertaken to investigate assaults of psychiatrists by patients in a 12-month period. Surveys were sent to 199 psychiatrists representing all sub-specialties and grades in a London mental health trust.ResultsThere were 129 returned responses (response rate 64.8%). In the 12-month study period, 12.4% of all psychiatrists and 32.4% of senior house officers were assaulted. None received or took up offers of formal, as opposed to informal, psychological support. Most assaults occurred on a psychiatric ward. Vulnerability to assaults was not influenced by courses on prevention and management of violence or by the attitudes of psychiatrists to violence by psychiatric patients.Clinical ImplicationsSenior house officers are most vulnerable to assaults. Greater attention may need to be given to psychiatric wards where most assaults occurred. Trusts should ensure that those assaulted are identified and offered support.

scholarly journals Psychiatry in Prague: some personal impressions

1991 ◽  
Vol 15 (1) ◽  
pp. 4-6 ◽  
Author(s):  
Alan Kerr ◽  
Edward Peck
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Child And Adolescent Psychiatry ◽  
Communist Regime ◽  
Counselling Services ◽  
Mental Health Funding ◽  
Medical Issues ◽  
Psychiatric Units ◽  
Adult Psychiatry

The sudden collapse of the communist order in Czechoslovakia and the formal installation of the new government in June 1990 has led, inter alia, to a fundamental reappraisal of mental health care. On a visit to Prague in September 1990 the system under the 40-year-old communist regime was still largely intact but clearly about to undergo major changes. Among the reform proposals made by a working group of the Ministry of Health and Social Affairs of the Czech republic are practices familiar to western psychiatrists: mental health care and specialist liaison in primary care settings; formal specialisation within psychiatry into general adult psychiatry, psychogeriatrics, child and adolescent psychiatry, psychotherapy; psychiatric units in general hospitals; community care with restructuring of funding away from the mental hospital budget and devolution to districts. More “humanisation” of psychiatry is envisaged, with choice of consultant, increased competition between doctors and legal definitions of involuntary treatment (Potucek et al, 1990). Voluntary organisations, existing until recently only underground, will be encouraged as also will be counselling services. Dementia, and drugs and alcohol misuse, are seen more as social service than medical issues. Of particular interest is a proposal to separate mental health funding from the rest of the health care budget.

Child and adolescent psychiatry training in Europe: Views of trainee representatives for 2009 – 2010 to the European federation of psychiatric trainees

2011 ◽  
Vol 26 (S2) ◽  
pp. 266-266 ◽  
Author(s):  
E.P. Barrett ◽  
A. Nawka ◽  
A. Malik ◽  
D. Giacco ◽  
M. Rojnic Kuzman ◽  
...  
Keyword(s):  
Adolescent Psychiatry ◽  
Response Rate ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
European Federation ◽  
Psychiatry Training ◽  
Separate Variable ◽  
Industry Standard ◽  
Adult Psychiatry

Background and objectivesThe European Federation of Psychiatric Trainees (EFPT) is an independent federation of psychiatric trainees’ associations. Previous studies have shown that up to 1/3 of countries surveyed did not have separate CAP training We surveyed trainees to gain insights regarding current training within the member countries of the EFPT.MethodsTen item Survey of Trainee representatives from 32 countries- using surveymonkey questionnaire.Industry standard encryption technology utilisied.Results27 respondent countries. Response rate 84.4% In many countries CAP and General Adult Psychiatry training were not separate Variable availability of training posts (surplus posts 23%, no posts/ long waits 19.2%) Duration of training: 3 years (19.2%),4 years (23.1%), 5 years (26.9%). In 35% of countries CAP training was entirely separate from commencement of training. In 40%, entry to CAP training occurred after training in general adult psychiatry. Trainees in 61.5% of respondent countries indicate their intention to specialise in CAP before entering training in psychiatry; 15% of trainees can indicate this at any time.ConclusionsThis is a survey of trainee representatives to the EFPT of ten items related to CAP training experiences. It highlights significant differences in training experiences in 27 respondent countries. From 2010 the EFPT aims to record detailed information on CAP training yearly. CAP trainees are an integral part of EFPT, and there are specific areas of needs in CAP training.

Consultant psychiatrists' experiences and attitudes following the introduction of the Mental Health Act 2001: a national survey

2009 ◽  
Vol 26 (1) ◽  
pp. 23-26 ◽  
Author(s):  
Brian O'Donoghue ◽  
Paul Moran
Keyword(s):  
Mental Health ◽  
Substance Misuse ◽  
Response Rate ◽  
Child And Adolescent Psychiatry ◽  
Postal Survey ◽  
Junior Doctors ◽  
Mental Health Act ◽  
The Republic ◽  
Similar Risk

AbstractObjective: This study explored the attitudes and experiences of consultant psychiatrists regarding the Mental Health Act 2001.Method: A postal survey was distributed to all consultant psychiatrists (n=238) in the Republic of Ireland. All specialties were included except Child and Adolescent Psychiatry.Results: A response rate of 70% was achieved. Care of involuntarily admitted patients has improved according to 32%, but 48% found that the care of voluntary patients has deteriorated. Sixty-nine per cent of consultant psychiatrists acknowledge that involuntarily admitted patients are being changed to voluntary early to avoid a tribunal, and 21 % believe it occurs in over 40% of cases. Fourteen per cent of consultant psychiatrists have re-admitted a patient involuntarily immediately after a tribunal revoked the original Involuntary Order. Junior doctors' training by consultant psychiatrists has been reduced in 57% of placements as a result of the increased demands of the MHA 2001. Eighty-seven per cent report an increase in their on call service workload but only 23% report a sufficient increase in the number of consultants within their service. While 78% agree that patients should not be admitted involuntarily solely on the grounds that the person is suffering from a personality disorder, 58% feel that there is a risk in such patients not being involuntarily admitted in situations in which it is clinically necessary. Fifty-six per cent feel that there is a similar risk in patients with a diagnosis of substance misuse.Conclusion: Resources required to implement the Mental Health Act 2001 have not been sufficient leading to poorer quality of service and negatively affecting NCHDs training.

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