Retirement intentions of older consultant psychiatrists

2004 ◽  
Vol 28 (4) ◽  
pp. 130-132 ◽  
Author(s):  
Alex Mears ◽  
Tim Kendall ◽  
Cornelius Katona ◽  
Carole Pashley ◽  
Sarah Pajak
Keyword(s):  
Early Retirement ◽  
Response Rate ◽  
Important Determinant ◽  
Clinical Implications ◽  
Consultant Psychiatrist ◽  
Health Officer ◽  
Decisions To Leave ◽  
The Mean ◽  
The Uk ◽  
Retirement Intentions

Aims and MethodThis survey gathered data on the retirement intentions of consultant psychiatrists over the age of 50 years, in order to address retention issues. A questionnaire was sent to all 1438 consultants over this age in the UK.ResultsA total of 848 questionnaires were returned, an adjusted response rate of 59%. The mean age at which consultants intended to retire in this sample was 60 years (s.d. 4.16), suggesting a potential loss of 5725 consultant years. Reasons for early retirement are complex: factors encouraging retirement include too much bureaucracy, lack of free time and heavy case-loads; those discouraging retirement include enjoyment of work, having a good team and money. Mental Health Officer status is an important determinant in the decision to retire early.Clinical ImplicationsWith numerous vacancies in consultant psychiatrist posts throughout the UK, premature retirement is a cause for concern, possibly contributing to an overall reduction in consultant numbers of 5%. Addressing factors that influence consultants' decisions to leave the health service early should form an important part of an overall strategy to increase consultant numbers.

scholarly journals Stigmatised attitudes towards the ‘stressed’ or ‘ill’ models of mental illness

2011 ◽  
Vol 35 (10) ◽  
pp. 370-373 ◽  
Author(s):  
Jason Luty ◽  
Joby Maducolil Easow ◽  
Vania Mendes
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Psychosocial Stress ◽  
Response Rate ◽  
Clinical Implications ◽  
Major Objective ◽  
Stress Group ◽  
Stigma Score ◽  
The Mean ◽  
The Uk

Aims and methodTackling discrimination, stigma and inequalities in mental health is a major objective of the UK government. The project aimed to determine the effect of presenting a person with a mental illness as having either a biological illness or a disorder that arose from psychosocial stress to a randomised representative panel of members of the general public. The 20-point Attitude to Mental Illness Questionnaire (AMIQ) was used to assess stigmatised attitudes.ResultsOverall, 187 individuals returned their questionnaires (74% response rate). The mean AMIQ stigma score for the ‘ill’ group was 1.4 (s.e. = 0.3; n = 94). The mean AMIQ score for the ‘stress’ group was 0.5 (s.e. = 0.3; median n = 106; P = 0.0837, median difference = 1; power (for 5% significance) 81%).Clinical implicationsThere was no difference in the stigmatised attitudes towards a person with mental illness regardless of whether they were presented as biologically ill or as having an illness that was a response to psychosocial stress.

scholarly journals Retirement intentions of consultant psychiatrists

2005 ◽  
Vol 29 (10) ◽  
pp. 374-376 ◽  
Author(s):  
John M. Eagles ◽  
Karen Addie ◽  
Tom Brown
Keyword(s):  
Early Retirement ◽  
Postal Survey ◽  
Clinical Implications ◽  
Full Data ◽  
The Mean ◽  
Job Content ◽  
Retirement Intentions

Aims and MethodThrough a postal survey we sought to determine the current retirement intentions of consultant psychiatrists working in Scotland. Consultants were asked their likely date of retirement, whether they might return as a locum and what might induce them to retire later.ResultsFull data were returned by 180 consultants. The mean planned age at retirement was 58.0 years. Women intended to retire significantly earlier than men. Most respondents could be persuaded to retire later through changes in services, conditions or job content; only 7% regarded their proposed retirement date as immutable.Clinical ImplicationsEarly retirement among consultants is likely to contribute to an even more seriously understaffed service. It is necessary to seek national and individual changes to the factors that give rise to early retirement in psychiatry.

scholarly journals Stress in psychiatrists: coping with a decade of rapid change

2011 ◽  
Vol 35 (4) ◽  
pp. 130-134 ◽  
Author(s):  
Shanaya Rathod ◽  
Minal Mistry ◽  
Ben Ibbotson ◽  
David Kingdon
Keyword(s):  
National Health Service ◽  
Early Retirement ◽  
Response Rate ◽  
Rapid Change ◽  
Clinical Implications ◽  
Personal Lives ◽  
The Past ◽  
Working Lives ◽  
Adverse Impacts ◽  
The Impact

Aims and methodThe study explored the impact of National Health Service changes on the working and personal lives of psychiatrists. A questionnaire survey was carried out with psychiatrists working in the South Eastern Division of the Royal College of Psychiatrists.ResultsThe response rate was 44.9%. Changes to services have reduced stress in some areas, but increased stress in others. Over the past decade early retirement has become less popular, but psychiatrists have been more likely to self-prescribe and have suicidal thoughts.Clinical implicationsThe increasing involvement of psychiatrists in leadership may be a way to reduce adverse impacts of future changes on their working lives.

scholarly journals Towards the development of a reciprocal liaison service

2000 ◽  
Vol 24 (10) ◽  
pp. 379-381 ◽  
Author(s):  
Mark Davies
Keyword(s):  
Response Rate ◽  
Psychiatric Patients ◽  
Surgical Patients ◽  
Clinical Implications ◽  
Total Response ◽  
District Health ◽  
Total Response Rate ◽  
The Mean ◽  
Equity Of Access

Aims and MethodThe aim of this survey was to determine attitudes among consultants in different specialities towards the development of a reciprocal liaison service providing access for psychiatric patients to medical and surgical liaison services equal to the access of medical and surgical patients to psychiatric liaison services. All medical, surgical and psychiatric consultants in a district health service were surveyed, with a total response rate of 48%.ResultsThe mean number of medical and surgical patients requiring a psychiatric liaison service was 6%. The mean number of psychiatric patients requiring medical and surgical liaison services was 11%. Ratings overall for various components of the two types of liaison service were generally similar, with acute assessments and follow-up being given a high priority for both types.Clinical ImplicationsAs liaison services are developed, the notion of equity of access for all patients is paramount. Commissioning of such services should thereby specify the reciprocal nature of development. This survey shows that generally there is a positive attitude to the development of such a service.

scholarly journals Availability and acceptability of home treatment for acute psychiatric disorders

2000 ◽  
Vol 24 (5) ◽  
pp. 169-171 ◽  
Author(s):  
Andrew J. Owen ◽  
S. P. Sashidharan ◽  
Lyse J. Edwards
Keyword(s):  
Mental Health ◽  
Response Rate ◽  
Postal Survey ◽  
Home Treatment ◽  
Clinical Implications ◽  
Health Authorities ◽  
Low Levels ◽  
The Uk ◽  
Do So ◽  
Future Plans

Aims and MethodsTo ascertain current levels of access to home treatment for those with acute mental illness and future plans of trusts and purchasing authorities to provide such services. Also, to assess the attitudes of these organisations towards this form of treatment. A postal survey of all mental health trusts and purchasing authorities within the UK was carried out.ResultsOne hundred and seventy-two trusts and 82 health authorities returned questionnaires, representing a response rate of 75% and 67% respectively. Only 27 (16%) of trusts provided home treatment but 58 (40%) had plans to do so. All health authorities and 97% of trusts were in favour of the principle of providing home treatment.Clinical ImplicationsDespite the low levels of provision of home treatment trusts and health authorities were strongly in favourof it. There is likely to be a large increase in its availability over the next 12 months.

scholarly journals Clozapine – a survey of patient perceptions

2000 ◽  
Vol 24 (12) ◽  
pp. 450-452 ◽  
Author(s):  
D. Taylor ◽  
L. Shapland ◽  
G. Laverick ◽  
J. Bond ◽  
J. Munro
Keyword(s):  
Response Rate ◽  
Patient Perceptions ◽  
Large Majority ◽  
Clinical Implications ◽  
Blood Testing ◽  
Clozapine Therapy ◽  
Clozapine Treatment ◽  
The Uk ◽  
Adherence To Therapy ◽  
Structured Questionnaire

Aims and MethodWe aimed to find out how patients on clozapine felt about clozapine treatment. A structured questionnaire was given to 1284 consecutive patients attending 27 clozapine clinics in the UK.ResultsThe response rate was 44.4% (570 forms returned). This cohort of responders to the questionnaire consisted, for the most part, of Caucasian males who had been taking clozapine for more than 2 years. Respondents expressed largely favourable views on clozapine treatment. For example, 86.1% claimed to feel better on clozapine and 88.6% claimed to prefer to remain on clozapine than to change to another drug. Many patients stated that they disliked having to undergo blood testing, but a large majority (87.0%) felt that the advantages of clozapine outweighed disadvantages. All other responses supported this overall favourable view of clozapine therapy.Clinical ImplicationsPatients stabilised on clozapine are largely content with their treatment. These results suggest that clozapine is effective as assessed by patients' own standards and that adherence to therapy is likely to be good.

scholarly journals Stigmatised attitudes towards intellectual disability: a randomised crossover trial

2010 ◽  
Vol 34 (8) ◽  
pp. 318-322 ◽  
Author(s):  
Sabu John Varughese ◽  
Jason Luty
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Down Syndrome ◽  
Intellectual Disability ◽  
Crossover Trial ◽  
Response Rate ◽  
Clinical Implications ◽  
Control Groups ◽  
People With Intellectual Disabilities ◽  
The Mean

Aims and methodTackling discrimination, stigma and inequalities in mental health is a major UK government objective yet people with intellectual disabilities continue to suffer serious stigma and discrimination. The project aimed to determine the effect of viewing a picture of a person with intellectual disability on stigmatised attitudes. The 20-point Attitude to Mental Illness Questionnaire (AMIQ) was used and a representative panel of members of the general public were randomised to complete the questionnaire either with (experimental) or without (control) looking at a picture of a man with Down syndrome. Six months later the same experiment was performed with the groups crossed over.ResultsResults were received for 360 participants (response rate 87–93%). The sequence (control or experimental) had no significant effect on the outcome. The mean AMIQ score in the control groups was 1.56 (s.d. = 2.85, s.e. = 0.21,n=186) and in the experiment group (after looking at the pictures) was 2.43 (s.d. = 2.59, s.e. = 0.12,n= 174; median difference 1,P= 0.0016 Mann-WhitneyU-test; effect size 0.23).Clinical implicationsLooking at a picture of a man with Down syndrome significantly reduces reported stigmatised attitudes.

Latest trends in the assessment and management of paediatric snoring and sleep apnoea

2016 ◽  
Vol 130 (5) ◽  
pp. 482-489 ◽  
Author(s):  
S D Sharma ◽  
H Kanona ◽  
G Kumar ◽  
B Kotecha
Keyword(s):  
Pulse Oximetry ◽  
Obstructive Sleep Apnoea ◽  
Response Rate ◽  
Sleep Apnoea ◽  
Obstructive Sleep ◽  
Management Protocol ◽  
The Mean ◽  
The Uk ◽  
Telephone Questionnaire

AbstractObjective:To investigate the assessment and management of paediatric snoring and obstructive sleep apnoea in UK otolaryngology departments.Method:A telephone questionnaire survey of UK otolaryngology departments was conducted over a 16-week period.Results:The response rate was 61 per cent (85 out of 139 trusts). Use of pre-operative pulse oximetry was reported by 84 per cent of respondents, mainly to diagnose obstructive sleep apnoea (73 per cent) or stratify post-operative risk (46 per cent). Thirty-one per cent of respondents reported using post-operative pulse oximetry. Twenty-five per cent of respondents have a dedicated management protocol for paediatric obstructive sleep apnoea and snoring. Thirty-four per cent require prior clinical commissioning group approval before performing surgery. Fifty-eight per cent of respondents reported following up their obstructive sleep apnoea patients after surgery. The mean follow-up period (±standard deviation) was 6.8 ± 1.2 weeks.Conclusion:There is variation in the assessment and management of paediatric snoring and obstructive sleep apnoea across the UK, particularly in the use of pre- and post-operative pulse oximetry monitoring, and further guidelines regarding this are necessary.

scholarly journals Impact of positive images of a person with intellectual disability on attitudes: randomised controlled trial

2011 ◽  
Vol 35 (11) ◽  
pp. 404-408 ◽  
Author(s):  
Sabu John Varughese ◽  
Vania Mendes ◽  
Jason Luty
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Intellectual Disability ◽  
Response Rate ◽  
Controlled Trial ◽  
Clinical Implications ◽  
Stigma Score ◽  
The Mean ◽  
The Difference ◽  
Randomised Controlled

Aims and methodTackling discrimination, stigma and inequalities in mental health is a major UK government objective yet people with intellectual disability (also known as learning disability in UK health services) continue to suffer serious stigma and discrimination. We examine the effect of viewing pictures of a person with intellectual disability on stigmatised attitudes. The 20-point Attitude to Mental Illness Questionnaire (AMIQ) was used to assess stigmatised attitudes. Members of the general public were randomised to complete the questionnaire having looked at a good (attractive) or bad (unattractive) photograph of a person with intellectual disability.ResultsQuestionnaires were received from 187 participants (response rate 74%). The mean AMIQ stigma score for the bad photo group was 1.3 (s.e. = 0.3, median 1, interquartile range (IQR) = 0–3,n= 82). The mean AMIQ score for the good photo group was 2.8 (s.e. = 0.3, median 3, IQR = 1–5,n= 105). The difference in AMIQ stigma score was highly significant (two-sidedP= 0.0001, median difference 2, Mann–WhitneyU-test).Clinical implicationsLooking at a good (attractive) picture of a person with intellectual disability significantly reduces reported stigmatised attitudes, whereas a bad (unattractive) picture has no effect.

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.

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