UK Junior Doctors Strike April 2016

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The BMA is organising a junior doctors strike this week. The BMA website section on the strike reads:-

‘Emergency care only between 8am on Wednesday 6 April and 8am on Friday 8 April (48 hours)’

Later in the month a further strike is being organised but this time it will involve withdrawal of emergency cover by striking doctors.

Full withdrawal of labour between the hours of 8am and 5pm on Tuesday 26 and Wednesday 27 April (18 hours in total)

The NHS Employers website has published the new junior doctors contract on this section of their website.

The government has published an impact assessment of the new contract here. This is turn has resulted in a discussion about the impact of the contract on female doctors who are single parents.

The primary concern of doctors is to provide a service to patients and there is no doubt that there has been considerable frustration expressed by many UK doctors about the current situation.

Various judgements are being made about the consequences in the short and medium to long-term from action or inaction.

The full withdrawal of labour marks an escalation in the strike action.

The Academy of Medical Royal Colleges has published a statement on their website

This is a time of unprecedented crisis for the NHS. With this in mind and in the spirit of placing patient welfare first and foremost we are writing in response to the escalation of the junior doctor’s dispute in England.

We call on both sides in the dispute to step back from the brink by suspending imposition of the contract and the all-out strike and urge a return to negotiations.

We believe that this is essential if the current impasse is to be broken and progress made in resolving this extremely damaging stand-off for the benefit of all NHS stakeholders, particularly our patients and trainees

 

 

 

 

 

 

Mental Health Service Developments in California: A TEDx Talk by Darrell Steinberg

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Darrell Steinberg’s TEDx talk is about his vision of the future of mental health. Darrell Steinberg is a California state senator. Steinberg discusses an early intervention in psychosis program which is being rolled out in California. Here in the UK, there is a lot of experience with early intervention in psychosis (EIP) services and it’s likely that the Californian program will replicate the success seen in the UK and Australia. Steinberg also discusses the issue of mental health in homeless people. Steinberg also talks about parity of mental and physical health. These are important themes that echo some of the discussion about mental health here in the UK.

 

Our New Paper on Smartphone Mental Health Apps

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The current edition of the British Journal of Psychiatry Bulletin is a special technology issue looking at a range of technology and informatics issues including the use of Facebook, YouTube and Google by doctors as well as a broader debate on whether doctors should use online information*.

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Our new paper on smartphone mental health apps is also featured in this technology issue where we provide a broad overview of mental health apps as well as some of the challenges which include regulation. Although we discuss smartphone apps, the principles can also be applied to tablets and smartwatches.

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(Updated on 12.12.15)

Index: There are indices for the TAWOP site here and here

Twitter: You can follow ‘The Amazing World of Psychiatry’ Twitter by clicking on this link.

TAWOP Channel: You can follow the TAWOP Channel on YouTube by clicking on this link.

Responses: If you have any comments, you can leave them below or alternatively e-mail justinmarley17@yahoo.co.uk.

Disclaimer: The comments made here represent the opinions of the author and do not represent the profession or any body/organisation. The comments made here are not meant as a source of medical advice and those seeking medical advice are advised to consult with their own doctor. The author is not responsible for the contents of any external sites that are linked to in this blog.

Conflicts of Interest: *For potential conflicts of interest please see the About section.

 

 

 

 

World Mental Health Day 2015 (TM) – Dignity in Mental Health

iStock_000005349409Small SmileToday is World Mental Health Day. The World Federation for Mental Health initiated the first World Mental Health Day back in 1992 and it’s been going strong ever since. The theme for this year’s World Mental Health Day is Dignity in Mental Health.

There’s a handy document at the World Federation’s site for those who want to delve a bit deeper. This document has been well planned and covers a broad range of issues relevant to the theme of dignity in mental health. There are first person narratives on experiences of mental illness, a mental health first aid action plan from Australia as well as a look at how dignity can be achieved in organisations, health sectors and in public health messages.

World Mental Health Day has taken on a life of its own and its great to see how organisations as well as people struggling with mental illness are able to rally around this day while sharing their own stories or offering advice and insights.

The World Health Organisation has a high profile campaign as we would expect from an organisation of this gravitas. Many high profile figures have also supported this day, helping to bring a much wider awareness.

The King’s Fund has released an alternative guide to mental health to coincide with World Mental Health Day

and the inimitable Stephen Fry has teamed up with Think Ahead to support the much needed recruitment of mental health social workers.

Before I finish I thought I might add a few points of my own. I see things through the ‘illness lens’. I am interested in helping people to diagnosis, overcome, recover from or manage illness. After all that’s why people see psychiatrists. There are many different mental illnesses. People have vastly differing experiences of mental illness. For this reason it is difficult for me to draw any broad conclusions about dignity in mental health.

Perhaps we should focus on very specific issues. Maybe we should measure progress as well. After all that’s how many things tend to be done well. World Mental Health Day could be the first of 365 days to make big changes. Each of us could advance this agenda. Even those with little or no experience can use an approach such as the Australian Mental Health First Aid action plan.

One thing though is very clear to me. As I write this in the last few hours of World Mental Health Day I am pleasantly surprised to see that there has already been a big conversation about this today. This conversation is already evidence of mental health being treated with dignity by the global community.

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Index: There are indices for the TAWOP site here and here Twitter: You can follow ‘The Amazing World of Psychiatry’ Twitter by clicking on this link. Podcast: You can listen to this post on Odiogo by clicking on this link (there may be a small delay between publishing of the blog article and the availability of the podcast). It is available for a limited period. TAWOP Channel: You can follow the TAWOP Channel on YouTube by clicking on this link. Responses: If you have any comments, you can leave them below or alternatively e-mail justinmarley17@yahoo.co.uk. Disclaimer: The comments made here represent the opinions of the author and do not represent the profession or any body/organisation. The comments made here are not meant as a source of medical advice and those seeking medical advice are advised to consult with their own doctor. The author is not responsible for the contents of any external sites that are linked to in this blog. Conflicts of Interest: For potential conflicts of interest please see the About section.

New Theory on the Action of Antidepressants News Round-Up February 2014 1st Edition

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Scientific American elaborates on a recent theory about the action of antidepressants. The theory states that antidepressants enhance the processing of positive emotions while dampening the processing of negative emotions. Furthermore the theory states that this action occurs quickly. A cumulative effect results in the changes seen in the medium term. This theory should generate an interesting debate.

via @vaughanbell, the Dana Foundation has a piece on memory research in the last few decades.

Humans express four basic emotions according to this study.

Chris Chambers looks at the changes happening in Psychology research and how this might impact on other branches of the life sciences.

International Psychoanalysis have an interesting piece contrasting the two main proponents of the philsophy of science – Thomas Kuhn and Karl Popper.

Appendix

News Round-Up 2008-2011

News Round-Up 2012

Index: There are indices for the TAWOP site here and here Twitter: You can follow ‘The Amazing World of Psychiatry’ Twitter by clicking on this link. Podcast: You can listen to this post on Odiogo by clicking on this link (there may be a small delay between publishing of the blog article and the availability of the podcast). It is available for a limited period. TAWOP Channel: You can follow the TAWOP Channel on YouTube by clicking on this link. Responses: If you have any comments, you can leave them below or alternatively e-mail justinmarley17@yahoo.co.uk. Disclaimer: The comments made here represent the opinions of the author and do not represent the profession or any body/organisation. The comments made here are not meant as a source of medical advice and those seeking medical advice are advised to consult with their own doctor. The author is not responsible for the contents of any external sites that are linked to in this blog. Conflicts of Interest: For potential conflicts of interest please see the About section.

Research Productivity in Mental Health Mapped in NHS News Roundup January 2014 4th Edition

Dr Alex Mitchell and medical student John Gill have published a paper on the research productivity in NHS mental health services. The paper is published in the open-access journal ‘The Psychiatric Bulletin’ TPB *.

This open-access TPB paper looks at the effects of using national and European guidelines on neuroimaging in memory services on the practice in one service.

Can librarians be integrated into mental health services? This open-access TPB paper summarises a pilot study into the integration of a clinical librarian into 4 mental health teams. Benefits identified included the rapid assembly of evidence to answer specific clinical questions.

This open-access TPB paper on an audit of the management of Wernicke’s Encepalopathy also looks at the evidence base.

Researchers in two studies have mapped the neuroanatomical and temporal progression of the spread of the misfolded protein TDP-43 through the brain in Dementia In Alzheimer’s Disease and Frontotemporal Dementia.

Appendix

News Round-Up 2008-2011

News Round-Up 2012

News Round-Up 2013

Index: There are indices for the TAWOP site here and here Twitter: You can follow ‘The Amazing World of Psychiatry’ Twitter by clicking on this link. Podcast: You can listen to this post on Odiogo by clicking on this link (there may be a small delay between publishing of the blog article and the availability of the podcast). It is available for a limited period. TAWOP Channel: You can follow the TAWOP Channel on YouTube by clicking on this link. Responses: If you have any comments, you can leave them below or alternatively e-mail justinmarley17@yahoo.co.uk. Disclaimer: The comments made here represent the opinions of the author and do not represent the profession or any body/organisation. The comments made here are not meant as a source of medical advice and those seeking medical advice are advised to consult with their own doctor. The author is not responsible for the contents of any external sites that are linked to in this blog. Conflicts of Interest*: For potential conflicts of interest please see the About section.