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Found 280 results
  1. News Article
    The UK’s main gender identity development service for children is leaving thousands of vulnerable young people at risk of self-harm as they wait years for their first appointment, according to a highly critical report. The Care Quality Commission (CQC) took immediate enforcement action against the Tavistock and Portman NHS foundation trust when it completed the inspection in November, which rated the service overall “inadequate” and highlighted overwhelming caseloads, deficient record-keeping and poor leadership. The commission, which heard from young people using the service, parents, carers and staff in the course of its inspection, told the trust that services and waiting times in the Gender Identity Development Services (GIDS) in both their London and Leeds clinics “must improve significantly”, demanding monthly updates on numbers on waiting lists and actions to reduce them. The service has faced major scrutiny in recent years, with some former staff and campaigners raising concerns about the “overdiagnosing” of gender dysphoria, the consequences of early medical interventions and the significant increase in referrals of girls questioning their gender identity. Read full story Source: The Guardian, 20 January 2021
  2. Content Article
    Support material: Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic Moral injury and the COVID-19 pandemic: reframing what it is, who it affects and how care leaders can manage it Moral injury. Psychoanalytic Psychology Moral Injury: The Invisible Epidemic in COVID Health Care Workers This film has been commissioned by the London Transformation and Learning (LTLC), a joint initiative between Health Education England and NHE England and NHS Improvement aimed at supporting the cross-skilling of the London NHS workforce to manage.
  3. Content Article
    ARK Behavioral Health has a number of resources on: The effects of the COVID-19 pandemic on mental health and substance use. List of mental health and addiction resources. Frequently asked questions (FAQ) about telehealth. Caring for a loved one who is struggling.
  4. Event
    Good mental health services are now recognised as vital to the NHS and to the health of the nation. With that in mind, the NHS Long Term Plan proposes to significantly increase mental health investment and envisages data and technology as central to transforming services. Stepping forward to 2020/21 sets out the need for continued development of the mental health workforce. We need mental health services that offer the best available care, provided by staff who can work effectively in a culture of continuous improvement. What will result when this policy alignment meets technological progress? This webinar from GovConnect will highlight the potential for emerging technologies to impact on our understanding of mental health and the care that we provide, identifying broad trends that are already underway, which are set to transform mental health services and the workforce who deliver them. Register
  5. News Article
    Many hospital staff treating the sickest patients during the first wave of the pandemic were left traumatised by the experience, a study suggests. Researchers at King's College London asked 709 workers at nine intensive care units in England about how they were coping as the first wave eased. Nearly half reported symptoms of severe anxiety, depression, post-traumatic stress disorder or problem drinking. One in seven had thoughts of self-harming or being "better off dead". Nursing staff were more likely to report feelings of distress than doctors or other clinical staff in the anonymous web-based survey, which was carried out in June and July last year. Just over half reported good well-being. Victoria Sullivan, an intensive care nurse at Queen's Hospital in Romford, said she often can't sleep because she's thinking about what is happening at the hospital. Her worst moment was breaking the news of a death on the phone, she said, adding that the screams from the patient's relatives "will honestly stay with me forever". "Telling someone over the phone and all you can say is 'I'm really sorry', whilst they're crying their heart out, is quite traumatising," she said. "Although you're saying how sorry you are, in the back of your mind, you're also thinking: 'I've got three other patients I've got to go and see, the infusions need drawing up, and meds need to be given and a nurse needs support'. "The guilt is just too much." Lead researcher Prof Neil Greenberg said the findings should be a "wake-up call" for NHS managers. He said: "The severity of symptoms we identified are highly likely to impair some ICU staff's ability to provide high-quality care as well as negatively impacting on their quality of life." Read full story Source: BBC News, 13 January 2021
  6. Content Article
    Positive results There are few results where the majority of people reported good experiences of mental health care. However, ‘organising care’ is an area where people were found to be more positive: 97% of people who have been told who is in charge of organising their care and services said they knew how to contact this person if they had a concern. 91% said the person that organised their care did so ‘very well’ (58%) or ‘quite well’ (33%). Another area where people were found to be more positive is ‘respect and dignity’: 73% reported that they were ‘always’ treated with dignity and respect. Key areas for improvement Crisis care 28% of people indicated that they would not know who to contact, out of office hours in the NHS, if they had a crisis. Of those who did try to contact this person or team, almost a fifth (17%) either did not get the help they needed or could not contact them (2%). Support and wellbeing 36% of people felt they had not had support with their physical health needs. 43% said they did not receive help or advice in finding support with financial advice or benefits. 43% of people did not get help or advice in finding support for keeping or finding paid or voluntary work, but would have liked this help. Accessing care 44% of people who had received NHS therapies in the last 12 months felt they waited too long to receive them. 24% of people felt they had not seen NHS mental health services often enough to meet their needs. 59% said they were ‘definitely’ given enough time to discuss their needs and treatment. Involvement 53% of those who had agreed with someone what care they will receive were ‘definitely’ involved as much as they wanted to be in the planning of their care. 52% of people who had been receiving medicines in the last 12 months were ‘definitely’ involved in making decisions about their medicines as much as they wanted to be. 50% of those who had received NHS therapies in the last 12 months were ‘definitely’ involved as much as they wanted to be in deciding which therapies to use. Communication 28% of people indicated that they had not been told who is in charge of organising their care. 24% of those who had been receiving medicines in the last 12 months for their mental health needs had no discussion about the possible side effects. 41% of people who had been receiving medicines had not had the purpose of discussed with them fully.
  7. News Article
    People who suffer from the debilitating effects of long Covid should be offered psychiatric care, the first clinical guidance to be published on the subject recommends. The guidelines urge healthcare professionals to look out for signs that patients who continue to suffer symptoms of COVID-19 for weeks after contracting the virus are at risk of self-harm. In the new advice, the National Institute for Health and Care Excellence (NICE) and the Royal College of General Practitioners, say people with ongoing symptomatic COVID-19 or suspected post-Covid 19 syndrome, whose symptoms last longer than 12 weeks, should be “urgently” referred for assessment if they have severe psychiatric symptoms or are at risk of self-harm or suicide. The guidelines state: “Follow relevant national or local guidelines on referral for people who have anxiety and mood disorders or other psychiatric symptoms. Consider referral for psychological therapies if they have common mental health symptoms, such as symptoms of mild anxiety and mild depression, or to a liaison psychiatry service if they have more complex needs (especially if they have a complex physical and mental health presentation).” Read full story (paywalled) Source: The Telegraph, 18 December 2020
  8. Content Article
    View Leadership for patient safety during COVID-19 webinar on YouTube Presenters: Helen Hughes, Chief Executive, Patient Safety Learning, Dr Abdulelah Alhawsawi, Director General, Saudi Patient Safety Center, Professor Ted Baker, Chief Inspector of Hospitals, Care Quality Commission. or sign up for the replica replay page for the webinar.
  9. News Article
    More people signed off sick with mental health problems during lockdown, analysis reveals. Millions of people expected to need help after effect of coronavirus on UK A GP fit note is issued after the first seven days of sickness absence if a doctor agrees the patient is too ill to work The proportion of people applying for fit notes from their GP for mental health reasons jumped 6% during lockdown in England, according to new research. It adds to growing concern the UK will see a surge in mental health problems as a result of the pandemic and the impact on society and the economy. It could be the first signs of increasing mental health illnesses since the pandemic started. The Centre for Mental Health think tank has warned the government needs to prepare for the aftermath of COVID-19. Its analysis, based on research into COVID-19 and the effects of other epidemics on mental health, predicts 8.5 million adults and 1.5 million children in England will need support for depression, anxiety, post-traumatic stress disorders and other mental health difficulties in the coming months and years. That is the equivalent of 20 per cent of all adults and 15 per cent of all children. A third of patients would need help for the first time. Read full story Source: Independent, 6 December 2020
  10. News Article
    Across Britain, intensive care nurses and doctors are being pushed to their limits as they try to save lives from coronavirus. During 12-hour shifts in sweltering conditions, they are faced with technical and emotional challenges that many have never faced as they tackle a virus that has swept across the globe in a matter of days, threatening to kill tens of thousands in the UK. Britain has yet to even hit the peak of infections, but intensive care specialists are already asking how long they can keep working relentlessly. “We are trained for and used to dealing with difficult and emotional scenarios, but this is like a major incident that never ends,” says critical care nurse Karin Gerber. As an advanced nurse practitioner in critical care outreach, the 47-year-old sees patients in hospital who are getting sicker and may need to be admitted to intensive care. She says she has never seen anything “at this intensity”. The Royal London Hospital is at the forefront of the capital’s fight against the virus and has created more than 200 extra beds at its Whitechapel site in east London. They are filled with COVID-19 patients. Simon Richards, senior charge nurse at the Royal London’s critical care unit, tells The Independent: “In 20 years as a nurse this situation is by far the worst I have ever seen and totally unexpected, but the team spirit that people have shown has been amazing. “It’s extremely difficult, we are working so hard. The whole team is being pushed to their limit and you do wonder how long can this be sustained for? I wish we could see light at the end of the tunnel.” Read full story Source: The Independent, 24 November 2020
  11. Event
    This virtual conference will focus on reducing restrictive interventions in line with national guidance and ensuring adherence to the National NICE Quality Standard on Violence and Aggression. This focus on reducing restrictive practice is particularly important in light of COVID-19 where mental health services have reported spikes in incidents of physical restraint or seclusion on patients, driven by covid-19 restrictions (HSJ 5th June 2020). Further information and to book your place or email kate@hc-uk.org.uk Follow the conversation on Twitter #reducingrestrictivepractice We are pleased to offer hub members a 10% discount. Email: info@pslhub.org for the code.
  12. Event
    The advancing mental health equalities strategy published in September 2020 outlines the core enabling actions NHS England and NHS Improvement will take with the support of the Advancing Mental Health Equalities Taskforce – an alliance of sector experts, including patients and carers, who are committed to creating more equitable access, experience and outcomes in mental health services in England. It sits alongside the NHS Mental Health Implementation Plan 2019/20–2023/24 and as such is similarly focused in scope. This strategy is also an important element of the overall NHS plans to accelerate action to address health inequalities in the next stage of responding to COVID-19. This webinar lead by Dr Jacqui Dyer MBE will introduce advancing mental health equalities strategy and summarise the core actions that NHS England and NHS Improvement will take to bridge the gaps for communities fairing worse than others in mental health services. Register
  13. News Article
    Mothers are being needlessly separated from their babies under strict hospital restrictions introduced to stop the spread of COVID-19, doctors and charities have warned. The measures preventing UK parents from staying with their babies when one or both require hospital treatment are causing trauma and increasing the risk of physical and mental health problems, it is claimed. Some parents of sick babies are also being barred from seeing their child in neonatal units, which is causing distress and preventing bonding. Campaigners have written to the health secretary, Matt Hancock, to raise their concerns. They want hospitals to review these policies urgently and have called for a working group to draw up national standards to meet families’ needs during pregnancy, birth and breastfeeding. Read full story Source: The Guardian, 16 November 2020
  14. News Article
    "It's a full-time job that you can't quit. It's a massive burden that you didn't ask for, didn't expect." Diagnosed with type 1 diabetes at the age of 19, Naomi, now 33, says she reached a point where she simply could not handle "the physical or mental challenges of diabetes any more", a condition known as "diabetes burnout". About 250,000 people in England have type 1 diabetes, which means the body cannot produce insulin, the hormone that controls blood sugar levels. It can lead to organ damage, eyesight problems and - in extreme cases - limb amputation. But for many there is also a significant psychological impact of learning to manage the condition. Naomi felt she could no longer bear testing her blood sugar levels many times each day to calculate how much insulin she needed to inject, even though she knew she was risking her long-term health and putting herself in extreme danger, at risk of developing diabetic ketoacidosis (DKA), which can lead to a coma. She became so ill she was admitted to an eating disorder unit even though she was not struggling to eat. The head of the unit, Dr Carla Figueirdo, says of her diabetes patients: "These people are seriously unwell, seriously unwell. They are putting themselves at harm every day of their lives if they don't take their insulin." Naomi's consultant at the Royal Bournemouth Hospital, Dr Helen Partridge, says the psychological impact of a diabetes diagnosis should not be underestimated. The hospital is hosting one of two NHS England pilot projects looking at how to treat type 1 diabetes patients whose chronic illness affects their mental health. NHS England diabetes lead Prof Partha Kar says: "The NHS long-term plan commits strongly on getting mental and physical health together. If we do tackle these two together, it will help improve outcomes." Read full story Source: BBC News, 16 November 2020
  15. News Article
    Eight months after phrases such as “stay at home,” “flatten the curve” and “social distancing” started to become part of our daily vocabulary, people are experiencing a type of burnout experts call COVID-19 fatigue. “By this point, we know people are tired — tired of missing family and friends, tired of not having a routine, of not going into the office,” said Jeanne Marrazzo, M.D., director of the University of Alabama at Birmingham (UAB) Division of Infectious Diseases. “Whatever disruptions to a person’s normal life have occurred, there is no denying the mental, physical and emotional toll people are experiencing. What we’ve learned — and what we keep learning — is how to combat burnout in safe ways that minimize the spread of the virus and enable us to feel some sense of normalcy.” Figuring out how to safely navigate the new normal is more important than ever, explain UAB experts, particularly heading into more vulnerable and trying winter months that present unique challenges. Read full story Source: University of Alabama at Birmingham, USA, 6 November 2020
  16. News Article
    One in five COVId-19 patients were diagnosed with a mental illness for the first time within three months of their infection, a study has shown. Mental health experts said the findings, which were based on an analysis of the electronic medical records of 69 million people in the US, suggest that coronavirus survivors could have an increased risk of developing psychiatric disorders. Of the almost 70 million people whose records were examined in the study, 62,354 individuals had confirmed COVID-19 cases. Researchers at the University of Oxford and the NIHR Oxford Health Biomedical Research Centre found that one in five of these patients went on to receive a first time diagnosis of anxiety, depression or insomnia within 90 days of testing positive for the virus. This was roughly twice as high as the figure for other individuals over the same time frame, according to the researchers. People with a history of mental health disorders who contracted the virus were also discovered to be more likely to have new psychiatric diagnoses. Paul Harrison, a psychiatry professor at the University of Oxford who led the research, said: "People have been worried that COVID-19 survivors will be at greater risk of mental health problems, and our findings in a large and detailed study show this to be likely. Read full story Source: The Independent, 10 November 2020