scholarly journals A national survey of old age psychiatry services in Wales

2002 ◽  
Vol 26 (1) ◽  
pp. 18-20
Author(s):  
Alison Napier
Keyword(s):  
Service Quality ◽  
Old Age ◽  
National Survey ◽  
Royal College ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
Service Levels ◽  
Provision Of Services ◽  
Old Age Psychiatry

Aims and MethodA postal questionnaire was circulated to all consultants in old age psychiatry in Wales, examining provision of services with reference to the indicative service levels defined by the Royal College of Psychiatrists and Royal College of Physicians.ResultsThe response rate was 100%. Levels of staffing and resources overall fell well below recommendations and varied widely between services. The average population over 65 served by a whole time consultant was 22 995; more than twice that recommended. No association was found between morale or how well population needs were perceived as being met, and the size of the population served.Clinical ImplicationsConsiderable investment in staff and other resources is needed for the recommendations made by the royal Colleges concerning service levels and, by implication, service quality to be met.

scholarly journals Survey of clozapine use by consultant old age psychiatrists

2006 ◽  
Vol 30 (11) ◽  
pp. 410-412 ◽  
Author(s):  
Raghupathy Paranthaman ◽  
Robert C. Baldwin
Keyword(s):  
Elderly Patients ◽  
Old Age ◽  
Random Sample ◽  
Older Patients ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Published Data ◽  
Clinical Implications ◽  
Old Age Psychiatry

Aims and MethodThe aim of the survey was to assess the attitudes of specialists in old age psychiatry towards the use of clozapine in elderly patients. A postal questionnaire was sent to a random sample of 155 consultant old age psychiatrists in England.ResultsThe response rate was 87%. A majority of respondents felt that clozapine had a useful place in the treatment of elderly patients, although they expressed concerns about the lack of published data and about safety and practical difficulties in monitoring. Prescribers of clozapine (n=45) were significantly more positive about its role in treating older patients than those who had not used it.Clinical ImplicationsThe findings suggest that familiarity with and confidence in clozapine and practical difficulties in monitoring are important determinants of its use in older patients.

scholarly journals Guidelines on antipsychotics for dementia: are we losing our minds?

2009 ◽  
Vol 33 (2) ◽  
pp. 57-60 ◽  
Author(s):  
Camilla Haw ◽  
Graeme Yorston ◽  
Jean Stubbs
Keyword(s):  
Old Age ◽  
Royal College ◽  
Response Rate ◽  
Psychiatric Symptoms ◽  
Clinical Excellence ◽  
Clinical Judgement ◽  
Clinical Implications ◽  
Anonymous Questionnaire

Aims and MethodThe National Institute for Health and Clinical Excellence (NICE) and the Royal College of Psychiatrists have each issued guidance on the use of antipsychotics for behavioural and psychiatric symptoms of dementia (BPSD). We sent all old age psychiatrists an anonymous questionnaire asking for their opinions on these documents and for details of their use of antipsychotics for BPSD.ResultsThe response rate was 202 out of 648 (31.2%). the two documents, though similar in content provoked very different responses, with the College guidance being much more favourably received. All respondents prescribed antipsychotics for BPSD, most commonly quetiapine.Clinical ImplicationsWhen prescribing antipsychotics for behavioural and psychiatric symptoms of dementia, psychiatrists should take both NICE and College guidelines into account and use their clinical judgement.

scholarly journals Safety for psychiatrists – from trainee to consultant

2008 ◽  
Vol 32 (3) ◽  
pp. 85-87 ◽  
Author(s):  
Claire Dibben ◽  
Rory O'Shea ◽  
Ricci Chang ◽  
Joanna Woodger
Keyword(s):  
General Hospital ◽  
Old Age ◽  
Royal College ◽  
Response Rate ◽  
District General Hospital ◽  
Clinical Implications ◽  
East Anglia ◽  
Self Perceptions ◽  
The Past ◽  
Perceptions Of Safety

Aims and MethodsTo assess safe practice in psychiatry and self-perceptions of safety among trainees (Senior House Officers (SHOs) and Specialist Registrars (SpRs)) and consultants, a questionnaire was sent out to all general adult and old age psychiatrists, including trainees, in a teaching hospital and a district general hospital in East Anglia.ResultsA total of 29 SHOs, 11 SpRs and 27 consultants were approached (response rate 92%). In the past year 69% SHOs, 45% SpRs and 11% consultants attended breakaway training. Interview rooms were frequently below the Royal College of Psychiatrists' standards; 87% of the rooms did not have a panic button and 62% were isolated. Most doctors had felt threatened over the past 6 months but only 31% carried a personal alarm. Despite similar frequencies of assaults, consultants felt safer at work than trainees.Clinical ImplicationsSafety is important for doctors throughout their careers and should be regularly reviewed by individuals as well as audited by hospital trusts.

scholarly journals Effectiveness of the research day in psychiatric training: survey of consultant psychiatrists

2006 ◽  
Vol 30 (7) ◽  
pp. 275-277 ◽  
Author(s):  
Dennis Okolo ◽  
Laofe O. Ogundipe
Keyword(s):  
Old Age ◽  
Response Rate ◽  
Psychiatric Training ◽  
Clinical Implications ◽  
The West ◽  
Positive View ◽  
West Midlands ◽  
Old Age Psychiatry

Aims and MethodWe explored the views of consultant psychiatrists (trainers and non-trainers) on the effectiveness of the research day. We sent out postal questionnaires to consultant psychiatrists in general adult and old age psychiatry in the West Midlands to evaluate their own experience of the research day and how useful they felt it was.ResultsThe survey had a response rate of 72% (88 out of 122) and the majority of respondents had a positive view of their experience (31 trainers, 60%; 25 non-trainers, 69%). However, more consultant trainers (37, 71%) compared with non-trainers (15, 42%) felt that the research day in its current format should be modified.Clinical ImplicationsThe research day is useful for the training of specialist registrars and our study confirms this view from the consultants surveyed. Some improvement is required in order for specialist registrars to obtain optimal benefit. We make some suggestions for improving the day's effectiveness.

scholarly journals Survey of Scottish psychiatrists' views on neuropsychology training

2009 ◽  
Vol 33 (12) ◽  
pp. 454-457 ◽  
Author(s):  
Johan D. Jurgens ◽  
Maggie MacKinnon
Keyword(s):  
Neuropsychological Assessment ◽  
National Survey ◽  
Royal College ◽  
Service Provision ◽  
Postgraduate Training ◽  
Response Rate ◽  
Assessment Tools ◽  
Clinical Implications ◽  
Consultant Psychiatrist ◽  
Training Opportunities

Aims and MethodA national survey of members of the Scottish division of the Royal College of Psychiatrists to establish the training in neuropsychology they have received, their views on neuropsychology service provision and on potential formal postgraduate neuropsychology training opportunities.ResultsA 54% (n = 288) consultant psychiatrist response rate was achieved. the responses suggest that where specialist neuropsychology services exist, they are not perceived to be sufficient to deal with clinical demand. Consultant psychiatrists indicated that there are limited training opportunities in neuropsychology for psychiatrists, and this seems to be reflected in their limited confidence in interpreting basic recommended neuropsychological assessment tools. There seems to be a definite desire among consultant psychiatrists for postgraduate training opportunities.Clinical ImplicationsScottish psychiatrists desire an increase in formal neuropsychology training opportunities.

scholarly journals Teaching provision for old age psychiatry in medical schools in the UK and Ireland: a survey

2017 ◽  
Vol 41 (5) ◽  
pp. 287-293 ◽  
Author(s):  
Sophia Bennett ◽  
Poppy Ilderton ◽  
John T. O'Brien ◽  
John-Paul Taylor ◽  
Andrew Teodorczuk
Keyword(s):  
Old Age ◽  
Teaching Methods ◽  
Online Survey ◽  
Response Rate ◽  
Medical Schools ◽  
Clinical Implications ◽  
Old Age Psychiatry ◽  
Original Survey ◽  
The Uk ◽  
School Curricula

Aims and methodThis work builds on a survey first done in 1999 to understand how old age psychiatry teaching is embedded in undergraduate medical schools in the UK and Ireland and the influence of academic old age psychiatrists on teaching processes. We invited deans of 31 medical schools in the UK and Ireland in 2015 to complete an online survey to reassess the situation 16 years later.ResultsResponse rate was 74%. As found in the original survey, there was variation across medical schools in how old age psychiatry is taught. Half of schools stated there was not enough space in the curriculum dedicated to old age psychiatry, and not all medical school curricula offered a clinical attachment. Medical schools that involved academic old age psychiatrists in teaching (59%) showed a greater diversity of teaching methods.Clinical implicationsThere is a need to recognise the importance of old age psychiatry teaching, with the consensus of opinion continuing to be that more curriculum space needs to be given to old age psychiatry. To achieve this we advocate increasing the number of old age psychiatrists with teaching roles, as relying on academics to teach and lead on curriculum development is challenging given their greater research pressures.

scholarly journals Old age psychiatry: a speciality in transition

1999 ◽  
Vol 23 (6) ◽  
pp. 331-335 ◽  
Author(s):  
John Wattis ◽  
Andrew MacDonald ◽  
Paul Newton
Keyword(s):  
Old Age ◽  
Response Rate ◽  
Academic Development ◽  
Postal Survey ◽  
Psychiatric Services ◽  
Clinical Implications ◽  
Early Onset Dementia ◽  
Catchment Areas ◽  
Old Age Psychiatry

Aims and methodsWe aimed to update Information on the development of old age psychiatric services using a postal survey of consultants.ResultsThe response rate (51%) was lower than previous surveys in the 1980s. Senior academic appointments showed little increase and academic posts were largely National Health Service (NHS) funded. Services had smaller catchment areas and increased numbers of staff in medicine, nursing and social work, but not in occupational therapy, physiotherapy and psychology. Relative workload was increasing and most services included early-onset dementia. There was a decrease in provision of NHS long-stay beds with only marginal changes in other facilities.Clinical implicationsServices were offering more to patients than previously. Weakness in academic development may cause problems for the future; the results suggested that recruitment in some disciplines may already be problematical. There is a need to develop the role of NHS long-stay facilities.

scholarly journals Community treatment orders in England and Wales: national survey of clinicians' views and use

2011 ◽  
Vol 35 (9) ◽  
pp. 328-333 ◽  
Author(s):  
Catherine Manning ◽  
Andrew Molodynski ◽  
Jorun Rugkåsa ◽  
John Dawson ◽  
Tom Burns
Keyword(s):  
Decision Making ◽  
National Survey ◽  
Royal College ◽  
Research Evidence ◽  
Response Rate ◽  
Community Treatment ◽  
Clinical Implications ◽  
Community Treatment Orders ◽  
England And Wales ◽  
And Training

Aims and methodTo ascertain the views and experiences of psychiatrists in England and Wales regarding community treatment orders (CTOs). We mailed 1928 questionnaires to members of the Royal College of Psychiatrists.ResultsIn total, 566 usable surveys were returned, providing a 29% response rate. Respondents were generally positive about the introduction of the new powers, more so than in previous UK studies. They reported that their decision-making regarding compulsion was based largely on clinical grounds.Clinical implicationsIn the absence of research evidence or a professional consensus about the use of CTOs, multidisciplinary input in decision-making is essential. Further research and training are urgently needed.

scholarly journals Cognitive therapy training for psychiatrists: impact on individual clinical practice

2004 ◽  
Vol 28 (4) ◽  
pp. 117-119 ◽  
Author(s):  
G. Swift ◽  
I. Durkin ◽  
C. Beuster
Keyword(s):  
Clinical Practice ◽  
Cognitive Therapy ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
Previous Survey ◽  
Therapy Training ◽  
Training And Supervision ◽  
Improved Outcomes ◽  
Therapy Sessions

Aims and MethodWe aimed to survey how psychiatrists with in-depth training in cognitive therapy use these skills. A postal questionnaire based on a previous survey was sent to all psychiatrists who are accredited members of the British Association for Behavioural and Cognitive Psychotherapies.ResultsThere was a 94% response rate. Psychiatrists in non-psychotherapy posts used formal cognitive therapy, with an average of 20% of new patients compared with 65% for those in psychotherapy posts, and were less satisfied with the extent to which they were able to use their skills (20%v. 80%). A total of 85% of respondents described themselves as being involved in teaching, training and supervision of cognitive therapy.Clinical ImplicationsUnless psychiatrists are planning on working in specialised psychotherapy posts, they are unlikely to use cognitive therapy training in formal therapy sessions. Further research is needed to determine whether cognitive therapy training for psychiatrists translates into improved outcomes for patients.

scholarly journals Attitudes of psychiatrists to evidence-based guidelines

2002 ◽  
Vol 26 (11) ◽  
pp. 421-424 ◽  
Author(s):  
Harvey Rees ◽  
Attila Sipos ◽  
Matthew Spence ◽  
Glynn Harrison
Keyword(s):  
Response Rate ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
Evidence Based ◽  
Previous Survey ◽  
Health Partnership ◽  
Improved Outcomes ◽  
Actual Use ◽  
Evidence Based Guidelines ◽  
Improving Patient Care

Aims and MethodWe aimed to survey clinicians' attitudes on using evidence-based guidelines. A postal questionnaire based on a previous survey of general practitioners was sent to 105 psychiatrists working within Avon and Western Wiltshire Mental Health Partnership NHS Trust.ResultsThere was a 91% response rate. Respondents were generally in favour of clinical guidelines, with scores indicating a positive attitude to guidelines in 13 of the 18 statements. The majority felt that guidelines were effective in improving patient care, could be used flexibly to suit individual patients and did not impinge on their clinical judgement.Clinical ImplicationsPsychiatrists welcomed the increasing use of guidelines. Further research is needed to determine whether this will translate into actual use and improved outcomes for patients.

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