The interface between general and prison psychiatry – the consultant's perception

2002 ◽  
Vol 26 (4) ◽  
pp. 130-132 ◽  
Author(s):  
Sara Smith ◽  
Vincent Baxter ◽  
Martin Humphreys
Keyword(s):  
Psychiatric Care ◽  
Discharge Planning ◽  
Postal Questionnaire ◽  
Psychiatric Services ◽  
Clinical Implications ◽  
The West ◽  
Care Programme ◽  
West Midlands ◽  
Prison Psychiatry

AIMS AND METHODA postal questionnaire was sent to 100 Section 12 (2) approved consultant psychiatrists in the West Midlands to ascertain their perceptions of the role of general psychiatric services in the care of imprisoned patients with mental disorder previously cared for by generic services.RESULTSOf 59 respondents 90% believed they could contribute to the care of imprisoned patients with mental disorders. Ten per cent would delegate total responsibility to specialist forensic services. Lack of awareness of imprisonment of patients was a common problem.CLINICAL IMPLICATIONSInsufficient liaison between prison and general psychiatric services may impede the provision of psychiatric care in prison and prevent discharge planning in line with the Care Programme Approach and current Government guidelines.

scholarly journals The role of the educational supervisor

2000 ◽  
Vol 24 (6) ◽  
pp. 216-218 ◽  
Author(s):  
Edward Day ◽  
Nick Brown
Keyword(s):  
Response Rate ◽  
Educational Development ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
The West ◽  
Educational Plan ◽  
West Midlands ◽  
Educational Supervision ◽  
Educational Supervisor

Aims and MethodsA postal questionnaire of all pre-membership psychiatric trainees in the West Midlands was used to investigate the role of the educational supervisor. The trainees were asked about their experience of educational supervision, and also asked to rank a number of possible roles for their supervisor in order of importance.ResultsA response rate of 70% was achieved. Trainees rated regular appraisal and assessment of skills and deficits as the most important role of the educational supervisor, but had only experienced this in 55% of their training posts thus far. Less than half of the respondents had developed a written educational plan with their educational supervisors, and trainees rated this the least important task of good educational supervision.Clinical ImplicationsThe results of this survey inform the training agenda for trainers, and emphasise the need to equip consultants with the skills to appraise their trainee's educational development.

scholarly journals New Ways not working? Psychiatrists' attitudes

2009 ◽  
Vol 33 (6) ◽  
pp. 204-207 ◽  
Author(s):  
Jenny Dale ◽  
Gabrielle Milner
Keyword(s):  
Response Rate ◽  
Quality Of Work Life ◽  
Clinical Implications ◽  
Direct Experience ◽  
The West ◽  
Quality Of Work ◽  
New Ways Of Working ◽  
West Midlands

Aims and MethodA questionnaire survey of general adult psychiatric consultants and specialist registrars in the West Midlands was conducted to examine attitudes towards New Ways of Working (NWW) for psychiatrists; these were measured using a 5-point Likert scale. Participants were also asked about their own experiences of NWW. the data were analysed using Mann–Whitney U-test.ResultsThe response rate was 31.2%. Attitudes were generally negative, particularly regarding the effect on patient care, the erosion of the professional role of the consultant and effect on quality of work life. the attitudes of those who did not have any direct experience of working to the NWW models were more negative than those who had direct experience of NWW.Clinical ImplicationsThere are significant concerns about NWW among consultants and specialist registrars. There is a need for further debate and research with regard to the proposals.

scholarly journals A survey of ward round practice

2005 ◽  
Vol 29 (5) ◽  
pp. 171-173 ◽  
Author(s):  
Richard Hodgson ◽  
A. Jamal ◽  
B. Gayathri
Keyword(s):  
Response Rate ◽  
Postal Questionnaire ◽  
Ward Round ◽  
Clinical Implications ◽  
The West ◽  
Team Members ◽  
Professional Groups ◽  
West Midlands ◽  
Ward Rounds ◽  
Effective Use

Aims and MethodA postal questionnaire was sent to consultant psychiatrists in the West Midlands to establish their current ward round practice. This questionnaire addressed ward round etiquette, practical issues and educational function. Consultants received only one mailing.ResultsA total of 96 (out of 139) consultants replied (69% response rate). The majority of consultants saw patients on the ward round (97%) and all consultants introduced both themselves and team members to the patient; 72% explained the purpose of the ward round. A median of seven professionals attended the ward round with psychology (6.5%) and pharmacy services (0%) being underrepresented. When consultants added comments, the recurrent themes were that ward rounds were an effective use of professional time but were often daunting for patients.Clinical ImplicationsOur results indicate some uniformity in the conduct of ward rounds. The lack of representation at ward rounds for certain professional groups may adversely affect the range of opinions and therapies for patients. Changes could be made to incorporate the views of users, which would make ward rounds more productive for users and professionals.

scholarly journals Droperidol dropped; consultants not consulted

2003 ◽  
Vol 27 (08) ◽  
pp. 301-304
Author(s):  
Gavin Reid ◽  
Mark Hughson
Keyword(s):  
Questionnaire Survey ◽  
Clinical Care ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
The West ◽  
Abrupt Withdrawal ◽  
Before And After ◽  
Adequate Evaluation ◽  
Psychiatric Profession ◽  
The Impact

Aims and Method We conducted a postal questionnaire survey of the practice of rapid tranquillisation among 215 consultant psychiatrists in the West of Scotland, before and after the withdrawal of droperidol by the manufacturer. Results One hundred and eighty questionnaires (84% of those sent) were returned. Droperidol had been used extensively, often combined with lorazepam, for rapid tranquillisation. The main replacement suggested for droperidol was haloperidol. About half of the respondents to our survey chose to comment on the withdrawal of droperidol. More than half of the comments were unfavourable, including lack of an adequate replacement and lack of consultation with the psychiatric profession. Clinical Implications The abrupt withdrawal of droperidol, partly for commercial reasons, was regrettable. There was no time for an adequate evaluation of possible replacement medications and a lack of consultation with the profession regarding the impact on clinical care.

scholarly journals Psychiatrists' views of evidence-based psychiatric practice

1999 ◽  
Vol 23 (3) ◽  
pp. 159-161 ◽  
Author(s):  
Stephen Carey ◽  
David J. Hall
Keyword(s):  
Decision Making ◽  
Critical Analysis ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
Evidence Based ◽  
Further Training ◽  
The West ◽  
Effective Care ◽  
Almost All ◽  
Based Medicine

Aims and methodTo determine the attitudes of psychiatrists towards the practice of evidence-based medicine by use of a postal questionnaire. A survey was sent to Consultant Psychiatrists and to Higher Trainees in Psychiatry in the West of Scotland Region.ResultsWhile older influences on decision-making such as tradition and deference still play a part, almost all respondents consider the adoption of more effective care based on best available external evidence desirable; most think it attainable. The technology is generally available, but further training is desired to access the information and its critical analysis.Clinical implicationsEducational activities should increasingly focus on skills for data search and critical analysis.

scholarly journals A survey of workplace bullying of psychiatric trainees in the West Midlands

2004 ◽  
Vol 28 (6) ◽  
pp. 225-227 ◽  
Author(s):  
Imthiaz A. Hoosen ◽  
Rhiannon Callaghan
Keyword(s):  
National Health Service ◽  
Workplace Bullying ◽  
Postal Survey ◽  
Clinical Implications ◽  
Junior Doctors ◽  
The West ◽  
West Midlands ◽  
The Individual ◽  
Problem Awareness ◽  
Foreign Doctors

Aims and MethodA postal survey was conducted to ascertain the prevalence of bullying behaviour experienced by psychiatric trainees in the West Midlands. Questionnaires were sent to 232 junior doctors, 76% of whom responded.ResultsIn the preceding year, 47% of trainees had experienced one or more bullying behaviours. Only 46% reported that they knew whom to contact if they were bullied. Foreign doctors were significantly less likely to take action when bullied than local doctors.Clinical ImplicationsWorkplace bullying is commonly experienced by psychiatric trainees and other junior doctors in the National Health Service. This behaviour could have adverse effects for both the individual and the employer. To tackle this problem, awareness needs to be raised, and action is required at a number of levels.

Psychiatric Treatment in Prison: A missed opportunity?

2003 ◽  
Vol 43 (2) ◽  
pp. 122-126 ◽  
Author(s):  
S S Smith ◽  
V J Baxter ◽  
M S Humphreys
Keyword(s):  
National Health Service ◽  
Psychiatric Treatment ◽  
Discharge Planning ◽  
Psychiatric Services ◽  
Care Programme ◽  
Health Service Executive ◽  
Perceived Need ◽  
The Government ◽  
High Level ◽  
Missed Opportunity

National Health Service Executive guidelines require psychiatric services to maintain links with prisoners previously subject to the Care Programme Approach (CPA) and to participate in discharge planning. We are unaware of previous studies assessing the involvement of general psychiatric services with patients in prison or prisoners' perceptions of their needs. Consecutive referrals to a prison psychiatric liaison service over a three-month period were screened for previous psychiatric contact. Half of those interviewed reported previous psychiatric contact. Two-thirds were in contact with services at the time of detention. One-third believed services knew of their imprisonment. Ninety-three per cent believed they would require psychiatric support after release. Few patients received input from general psychiatric services during imprisonment despite a high level of perceived need. Improved liaison would help facilitate both care in prison and discharge planning in the spirit of CPA and the government directive.

Educating for the Cooperative Society

2019 ◽  
pp. 355-373
Author(s):  
Suzanna Tomassi
Keyword(s):  
Case Studies ◽  
Soft Skills ◽  
Public Institution ◽  
The West ◽  
Cooperative Society ◽  
West Midlands ◽  
The Uk ◽  
The Impact ◽  
The Relationship

This chapter investigates the relationship between industry and academia from the perspective of industry. In addition to the theoretical review, it is based on feedback from industry leaders on how they see the role of their organizations in wider society. This chapter utilizes case studies to examine the relationship between specific companies, their academic partners, and the wider society. It focuses on the UK experience reflecting the location of its author. It specifically looks at the links between Coventry University, a British public institution located in the West Midlands, and its selected partners: the Unipart Group, Horiba MIRA, Interserve, and KPIT in India. It also refers to a bespoke Global Leaders Programme which is an exclusive, extra-curricular offering, designed to enhance students’ leadership and soft skills and prepare them for future employment after graduation. Wherever possible, the author aimed to obtain feedback from the industry representatives to assess their views on the impact of their companies on the wider society. In the same spirit, relevant colleagues from Coventry University were asked for their feedback to ensure that both perspectives were fairly captured. The examples given, and indeed, the philosophy behind the projects could be transferred to other countries and applied to other industries.

scholarly journals Logbook for specialist registrars in general adult psychiatry: development and peer evaluation

2005 ◽  
Vol 29 (9) ◽  
pp. 339-341
Author(s):  
Sanju George ◽  
Mike Jorsh ◽  
Joe Johnson
Keyword(s):  
Postal Survey ◽  
Learning Objectives ◽  
Clinical Implications ◽  
Peer Evaluation ◽  
Training Curriculum ◽  
The West ◽  
Training Assessment ◽  
West Midlands ◽  
Adult Psychiatry ◽  
Training Schemes

Aims and MethodDespite the Royal College of Psychiatrists' recommendation that higher specialist trainees in general adult psychiatry should use logbooks to record their training-related activities, none is currently available. We developed a logbook and conducted a postal survey of specialist registrars in general adult psychiatry in the West Midlands and Merseyside Training Schemes to elicit their perceptions of its usefulness and feasibility.ResultsAll of the 35 specialist registrars who completed the questionnaire felt that there was scope for a logbook and that this format was easy to use. Three-quarters of the respondents suggested that their training curriculum should be incorporated into the logbook and 71% felt that the use of logbooks ought to be mandatory. Despite all acknowledging the need for a logbook, only 14% were currently using one.Clinical ImplicationsLogbooks would greatly help higher specialist trainees to organise (identify, record and review learning objectives) the multifaceted aspects of their training. They would also help immensely in preparing for the Record of In-Training Assessment, appraisal and revalidation. There is clearly scope for a more ‘centrally’ produced (College) logbook for specialist registrars in general adult psychiatry, as indicated by the results of this survey. For logbooks to work in practice, they need to be simple and easy to use.

scholarly journals Part-time training: will it lead to part-time consultant?

2000 ◽  
Vol 24 (2) ◽  
pp. 64-65 ◽  
Author(s):  
Lucy Caswell ◽  
Kate Lowe
Keyword(s):  
Exponential Growth ◽  
Questionnaire Survey ◽  
Overall Response Rate ◽  
Response Rate ◽  
Workforce Planning ◽  
Clinical Implications ◽  
The West ◽  
Flexible Working ◽  
West Midlands ◽  
Part Time

Aims and MethodTo determine the preference of flexible trainees in psychiatry for consultant posts. A questionnaire survey was conducted among all flexible trainees in psychiatry in the West Midlands Region.ResultsThe overall response rate was 19 out of 21 (90%). The majority 15 out of 19 (68%) hoped to gain such a post at the end of their training. Of those wanting a consultant post, 15 of the 19 (79%) would only consider working part-time. If such a parttime consultant post was not available, 12 of the15 (80%) said they would considera non-career grade post.Clinical ImplicationsIn the West Midlands Region there has been an exponential growth in the number of flexible trainees. Approximately a third are within psychiatry alone and most wish to continue flexible working patterns as consultants. This has major workforce planning implications for the future.

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