scholarly journals What constitutes ‘good practice’ in early intervention for psychosis? Analysis of clinical guidelines

2017 ◽  
Vol 23 (3) ◽  
pp. 185-193 ◽  
Author(s):  
Paolo Corsico ◽  
Michelle Griffin-Doyle ◽  
Ilina Singh
Keyword(s):  
Early Intervention ◽  
Clinical Guidelines ◽  
Good Practice

Information and Process in Health

2021 ◽  
pp. 263-279
Author(s):  
Patrik Eklund
Keyword(s):  
Integrated Care ◽  
Clinical Guidelines ◽  
Good Practice ◽  
Healthy Ageing ◽  
Process Models ◽  
Older Person ◽  
Social Data ◽  
Care Processes ◽  
Algebraic Framework ◽  
Process Structure

Cooperation and partnership in healthy ageing enhances and enriches the underlying information and process models within integrated care. On information, functioning oriented data as part of health and social data describes medical conditions and functioning capacity of the older person. Similarly, the notion of a good practice, as embracing a conglomerate of guidelines, is also well understood but less so in terms of process substance. Process structure granularity is often quite coarse and less formal, comparable to process descriptions annotated with clinical guidelines. This chapter describes an algebraic framework for representation of functioning data typically found in contexts of integrated care processes in healthy ageing.

scholarly journals International standards on return to work for social security institutions

2014 ◽  
Vol 9 ◽  
Author(s):  
Friedrich Mehrhoff
Keyword(s):  
Early Intervention ◽  
Social Security ◽  
Return To Work ◽  
Good Practice ◽  
Disability Management ◽  
International Standards ◽  
Work Place ◽  
Persons With Disabilities ◽  
Security Association ◽  
International Social

The Guidelines on Return to Work and Reintegration of the International Social Security Association (ISSA) in Geneva published 2013 provides key-elements for successful disability management programs worldwide: Early intervention, personal-centred, work-place orientated, holistic-driven and multi-disciplined approach. Lots of tools and good practice from various countries and stakeholders in prevention and rehabilitation support the efforts of retaining and restore the employability of persons with disabilities within societies. The lecture offers an overview of the ISSA Guidelines and how they could be used as standard in social security institutions.

scholarly journals Research and practice for ultra-high risk for psychosis: A national survey of early intervention in psychosis services in England

2017 ◽  
Vol 41 (S1) ◽  
pp. S191-S192
Author(s):  
H. Stain ◽  
L. Mawn ◽  
S. Common ◽  
M. Pilton ◽  
T. Andrew
Keyword(s):  
Early Intervention ◽  
High Risk ◽  
Clinical Guidelines ◽  
Online Survey ◽  
Family Intervention ◽  
Behavioural Therapy ◽  
Self Report ◽  
Family Work ◽  
Ultra High Risk ◽  
Early Intervention In Psychosis

ObjectivesEvidence from meta-analyses of randomised clinical trials shows interventions for young people at ultra-high risk (UHR) of developing psychosis are effective both clinically and economically. While research evidence has begun to be integrated into clinical guidelines, there is a lack of research on the implementation of these guidelines. This paper examines service provision for UHR individuals in accordance with current clinical guidelines within the National Health Service (NHS) in England.MethodA self-report online survey was completed by clinical leaders of Early Intervention in Psychosis (EIP) teams (n = 50) within the NHS across the UK.ResultsOf the 50 EIP teams responding (from 30 NHS Trusts), 53% reported inclusion of the UHR group in their service mandate, with age range predominantly 14–5 years (81%) and service provided for at least 12 months (53%). Provision of services according to NICE clinical guidelines showed 50% of services offered cognitive behavioural therapy (CBT) for psychosis, and 42% offered family intervention. Contrary to guidelines, 50% of services offered antipsychotic medication. Around half of services provided training in assessment by CAARMS, psycho-education, CBT for psychosis, family work and treatment for anxiety and depression.ConclusionsDespite clear evidence for the benefit of early intervention in this population, current provision for UHR within EIP services in England does not match clinical guidelines. While some argue this is due to a lack of allocated funding, it is important to note the similar variable adherence to clinical guidelines in the treatment of people with established schizophrenia.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Clinical Guidelines and Practice

2010 ◽  
Vol 34 (4) ◽  
pp. 413-420 ◽  
Author(s):  
Derek J. Hoare ◽  
Deborah A. Hall
Keyword(s):  
Clinical Guidelines ◽  
Chronic Condition ◽  
Good Practice ◽  
Management Strategies ◽  
Evidence Based ◽  
Effective Management ◽  
Management Options ◽  
Policy Makers ◽  
Subjective Tinnitus ◽  
High Level

Subjective tinnitus is an enigmatic and chronic condition that is predominantly managed as symptomatic. Little high-level evidence exists for the efficacy and specificity of the various tinnitus management strategies currently used, and this is reflected in documents that aim to guide clinicians. As a consequence, there are clear gaps in evidence-based practice linking diagnosis to the most effective management strategies as well as a general lack of consensus about which are appropriate strategies for assessment and management. Several guidelines have been produced from research efforts and from expert opinion. All recommend standardization of assessment and a range of management options but do not yet provide a means to link the two. The authors call for clinicians, scientists, and policy makers to work together to address this barrier to good practice.

scholarly journals The NICE schizophrenia guidelines: the challenge of implementation1

2004 ◽  
Vol 10 (6) ◽  
pp. 403-412 ◽  
Author(s):  
Paul Rowlands
Keyword(s):  
Clinical Guidelines ◽  
Good Practice ◽  
Successful Implementation ◽  
Service Users ◽  
Sense Of Ownership ◽  
Full Implementation ◽  
Structural Problems ◽  
Collaborative Working ◽  
Organisational Level

I explore implementation of the National Institute for Clinical Excellence's clinical guidelines for schizophrenia at an individual practitioner level and at an organisational level. Integrating effective individual and team approaches into a systematic organisational approach with collaborative working between managers, clinicians and service users will be essential to successful implementation and is likely to require a strong lead from senior clinicians. Implementation is likely to be best achieved through a sense of ownership of the guidelines and a process that borrows from their spirit, which emphasises collaboration, building on the strengths and good practice already present. Although full implementation will require additional resources, current resources must be employed effectively. The task of implementation is immense, however, and in some areas resource deficiencies and other structural problems might present insurmountable obstacles.

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