scholarly journals Assertive outreach teams in London: Patient characteristics and outcomes

2003 ◽  
Vol 183 (2) ◽  
pp. 148-154 ◽  
Author(s):  
Stefan Priebe ◽  
Walid Fakhoury ◽  
Joanna Watts ◽  
Paul Bebbington ◽  
Tom Burns ◽  
...  
Keyword(s):  
Substance Misuse ◽  
Patient Characteristics ◽  
Violent Behaviour ◽  
Assertive Outreach ◽  
The Past ◽  
Outreach Services ◽  
Wide Range ◽  
The Uk ◽  
Team Types

BackgroundAlthough the model of assertive outreach has been widely adopted, it is unclear who receives assertive outreach in practice and what outcomes can be expected under routine conditions.AimsTo assess patient characteristics and outcome in routine assertive outreach services in the UK.MethodPatients (n=580) were sampled from 24 assertive outreach teams in London. Outcomes – days spent in hospital and compulsory hospitalisation – were assessed over a 9-month follow-up.ResultsThe 6-month prevalence rate of substance misuse was 29%, and 35% of patients had been physically violent in the past 2 years. During follow-up, 39% were hospitalised and 25% compulsorily admitted. Outcome varied significantly between team types. These differences did not hold true when baseline differences in patient characteristics were controlled for.ConclusionsRoutine assertive outreach serves a wide range of patients with significant rates of substance misuse and violent behaviour. Over a 9-month period an average of 25% of assertive outreach patients can be expected to be hospitalised compulsorily. Differences in outcome between team types can be explained by differences in patient characteristics.

scholarly journals Characteristics of teams, staff and patients: associations with outcomes of patients in assertive outreach

2004 ◽  
Vol 185 (4) ◽  
pp. 306-311 ◽  
Author(s):  
Stefan Priebe ◽  
Walid Fakhoury ◽  
Ian White ◽  
Joanna Watts ◽  
Paul Bebbington ◽  
...  
Keyword(s):  
Patient Characteristics ◽  
Favourable Outcome ◽  
Assertive Outreach ◽  
The Past ◽  
Eleven Patient ◽  
Team Working ◽  
Outreach Services ◽  
Burn Out ◽  
The Uk

BackgroundLittle is known about what characteristics of teams, staff and patients are associated with a favourable outcome of severe mental illness managed by assertive outreach.AimsTo identify predictors of voluntary and compulsory admissions in routine assertive outreach services in the UK.MethodNine features of team organisation and policy, five variables assessing staff satisfaction and burn-out and eleven patient characteristics taken from the baseline data of the Pan-London Assertive Outreach Study were tested as predictors of voluntary and compulsory admissions within a 9-month follow-up period.ResultsWeekend working, staff burn-out and lack of contact of the patient with other services were associated independently with a higher probability of both voluntary and compulsory admission. In addition, admissions in the past predicted further voluntary and compulsory admissions, and teams not working extended hours predicted compulsory admissions in the follow-up period.ConclusionsCharacteristics of team working practice, staff burn-out and patients' history are associated independently with outcome. Patient contact with other services is a positive prognostic factor.

scholarly journals Stimulant use still going strong

2005 ◽  
Vol 11 (4) ◽  
pp. 262-269 ◽  
Author(s):  
Nicholas Seivewright ◽  
Charles McMahon ◽  
Paul Egleston
Keyword(s):  
Mood Disorders ◽  
Dual Diagnosis ◽  
Drug Screening ◽  
Mental Illnesses ◽  
Stimulant Use ◽  
The Past ◽  
Wide Range ◽  
The Uk ◽  
Paranoid Psychosis

Amphetamines, cocaine and methylenedioxymethamphetamine (MDMA, ‘ecstasy’) have been prominent on the UK drugs scene over the past decade. Much cocaine is now in the form of ‘crack’, which produces particularly acute versions of well-known complications including paranoid psychosis, mood disorders and cardiovascular problems. Ecstasy has additional hallucinogenic properties, and the slightly different range of psychiatric effects can be long-lasting. Assessment for stimulant misuse should include drug screening more than is currently common in general settings. Management comprises psychosocial (particularly behavioural counselling) and pharmacological approaches. A wide range of dopaminergic and other medications have been studied in cocaine misuse, and specialised substitute prescribing may be appropriate for heavy amphetamine injecting. There has been recent focus on problems of dual diagnosis, with particular strategies required to address stimulant misuse by people with severe mental illnesses.

The Performance of Multilingual and ‘Ultralingual’ Devotional Practices by Young British Muslims

2021 ◽  
Author(s):  
Andrey Rosowsky
Keyword(s):  
The Past ◽  
Wide Range ◽  
Devotional Practices ◽  
British Muslims ◽  
The Uk

This book examines the wide range of multilingual devotional performances engaged in by young Muslims in the UK today. It evaluates the contemporary mosque school in the UK and contrasts this with practices from the past and with prevailing discourses (both political and other) which suggest that such institutions are problematic.

Passing the Baton:

2003 ◽  
Vol 3 (3-4) ◽  
pp. 191-195
Author(s):  
Jerry Dupont
Keyword(s):  
Digital Library ◽  
The Past ◽  
Wide Range ◽  
The Us ◽  
On Line ◽  
The Law ◽  
The Uk ◽  
Law Library

I work for the Law Library Microform Consortium (LLMC), a cooperative with some 900 participating members. Most are in the US, with a fair number in Canada and some in Australia, the UK and sixteen other countries. For over a quarter of a century LLMC has provided its member libraries with a wide range of legal titles, including much Commonwealth material, on microfiche. We grew hoary in that task, but have been rejuvenated in a new role. We've just launched an on-line digital library, LLMC-Digital, which will provide vastly enhanced access to our materials. The foundation for this endeavour is our backfile of 92,000 volumes (some 49-million page images) filmed during the past 27 years. To that base will be added every new title acquired in LLMC's future filming or scanning.

The UK Government’s Global Partnership Programme: Its Achievements Over the Past Five Years and Challenges Ahead

2007 ◽  
Author(s):  
Alan Heyes
Keyword(s):  
Significant Contribution ◽  
Weapons Of Mass Destruction ◽  
Chemical Weapons ◽  
The European Union ◽  
The Past ◽  
Global Partnership ◽  
Wide Range ◽  
Nuclear Security ◽  
The Uk ◽  
Made In

Through the Global Partnership the UK continues to make a significant contribution to improve national and global security. Over the past year the UK has continued to implement a wide range of projects across the breadth of its Global Partnership Programme. As well as ensuring the Programme is robust and capable of dealing with new challenges, the UK has cooperated with other donor countries to help them progress projects associated with submarine dismantling, scientist redirection, enhancing nuclear security and Chemical Weapons Destruction. The Global Partnership, although only five years old, has already achieved a great deal. Some 23 states, plus the European Union, are now working closer together under the Global Partnership, and collectively have enhanced global regional and national security by reducing the availability of Weapons of Mass Destruction (WMD) materials and expertise to both states of concern and terrorists. Considerable progress has already been made in, for example: • Improving the security of fissile materials, dangerous biological agents and chemical weapons stocks; • Reducing the number of sites containing radioactive materials; • Working towards closure of reactors still producing weapon-grade plutonium; • Improving nuclear safety to reduce the risks of further, Chernobyl style accidents; • Constructing facilities for destroying Chemical Weapons stocks, and starting actual destruction; • Providing sustainable employment for former WMD scientists to reduce the risk that their expertise will be misused by states or terrorists. By contributing to many of these activities, the UK has helped to make the world safer. This paper reports on the UK’s practical and sustainable contribution to the Global Partnership and identifies a number of challenges that remain if it is to have a wider impact on reducing the threats from WMD material.

Mental health services for single homeless people

2020 ◽  
pp. 1-11
Author(s):  
Philip Timms ◽  
Jenny Drife
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Personality Disorder ◽  
Health Services ◽  
Substance Misuse ◽  
Homeless People ◽  
Psychiatric Services ◽  
Background Information ◽  
The Past ◽  
The Uk

SUMMARY Homelessness has long been associated with high rates of psychosis, alcohol and substance misuse, and personality disorder. However, psychiatric services in the UK have only recently engaged actively with homeless people. This article provides some background information about homelessness and mental illness and describes the elements of inclusion health and some of the models of service for homeless people that have been established over the past 30 years.

scholarly journals Memory and cognitive effects of ECT: informing and assessing patients†

2006 ◽  
Vol 12 (3) ◽  
pp. 228-237 ◽  
Author(s):  
Harold Robertson ◽  
Robin Pryor
Keyword(s):  
Adverse Effects ◽  
Cognitive Disability ◽  
Cognitive Effects ◽  
National Guidelines ◽  
The Past ◽  
Permanent Memory ◽  
Policy Statements ◽  
The Uk ◽  
Research And Policy

Over the past few years electroconvulsive therapy (ECT) has come under increased scrutiny in the UK, with the first systematic review of patients' experiences and new national guidelines. Our aim in this article is to translate recent and sometimes confusing research and policy statements into practical guidance that benefits patients. We examined the evidence on the permanent memory and cognitive effects of ECT, with a focus on delineating their nature, understanding how ECT may cause them, informing prospective patients about them, and assessing their impact on former patients. We describe a simple and effective method for assessing retrograde amnesia. Data do not exist at this time to confirm the mechanisms by which ECT exerts its adverse effects, but clinicians should fully inform patients of the possible permanent adverse effects of the treatment, which include amnesia, memory disability and cognitive disability, and should provide follow-up testing using relevant instruments.

scholarly journals Exploring the past Behaviour of New Brand Buyers

2016 ◽  
Vol 58 (5) ◽  
pp. 733-747 ◽  
Author(s):  
Arry Tanusondjaja ◽  
Giang Trinh ◽  
Jenni Romaniuk
Keyword(s):  
Private Labels ◽  
Customer Base ◽  
The Past ◽  
Packaged Goods ◽  
Parent Brand ◽  
Wide Range ◽  
Marketing Activities ◽  
Buying Behaviour ◽  
The Uk

This research examines the retrospective buying behaviour of customers acquired by a new brand, both at category and brand level. New brand launches are risky endeavours for marketers, as many fail to attract a sustainable customer base. We examine new brand launches in six packaged goods categories in the UK, across a wide range of brand and category conditions, including premium brands and private labels. The results show that, in the pre-launch period, buyers of a new brand are more likely to have been heavier (more frequent) category buyers and, where applicable, heavier buyers of a parent brand. However, despite disproportionately drawing from heavy category buyers, the buyers of new launches tend to become only light brand buyers. This suggests that new brands are more likely to ‘slip’ into the repertoire of heavy category or parent brand buyers. This research contributes to our understanding of repertoire formation in packaged goods categories. It also has implications for the pre-testing of new launches and the scheduling of marketing activities.

scholarly journals Impact of parents' substance misuse on children: an update

2016 ◽  
Vol 22 (2) ◽  
pp. 108-117 ◽  
Author(s):  
Richard Velleman ◽  
Lorna J. Templeton
Keyword(s):  
Protective Factors ◽  
Substance Misuse ◽  
Service Providers ◽  
Longitudinal Research ◽  
Policy Makers ◽  
The Past ◽  
Protective Processes ◽  
Poor Outcomes ◽  
The Uk ◽  
Over Time

SummaryWe review how research over the past decade both supports existing knowledge about the risk factors that children in the UK affected by parental substance misuse face, and adds to our knowledge about the protective factors, protective processes and evidence of resilience which can reduce the likelihood that children will experience poor outcomes. Further research is needed to understand what areas of resilience are most important to target and how other variables, such as gender or age, may influence how protective factors affect the development of resilience. Longitudinal research is also needed to better understand how an individual's resilience may change over time. Finally, there remain many considerable challenges which practitioners, service providers, commissioners and policy makers face in better meeting the needs of this population of children.

scholarly journals Identity-by-descent detection across 487,409 British samples reveals fine-scale population structure, evolutionary history, and trait associations

2020 ◽  
Author(s):  
Juba Nait Saada ◽  
Georgios Kalantzis ◽  
Derek Shyr ◽  
Martin Robinson ◽  
Alexander Gusev ◽  
...  
Keyword(s):  
Population Structure ◽  
Exome Sequencing ◽  
Evolutionary History ◽  
Genetic Relatedness ◽  
Uk Biobank ◽  
The Past ◽  
Wide Range ◽  
Shared Ancestry ◽  
The Uk ◽  
Common Ancestors

AbstractDetection of Identical-By-Descent (IBD) segments provides a fundamental measure of genetic relatedness and plays a key role in a wide range of genomic analyses. We developed a new method, called FastSMC, that enables accurate biobank-scale detection of IBD segments transmitted by common ancestors living up to several hundreds of generations in the past. FastSMC combines a fast heuristic search for IBD segments with accurate coalescent-based likelihood calculations and enables estimating the age of common ancestors transmitting IBD regions. We applied FastSMC to 487,409 phased samples from the UK Biobank and detected the presence of ∼214 billion IBD segments transmitted by shared ancestors within the past 1,500 years. We quantified time-dependent shared ancestry within and across 120 postcodes, obtaining a fine-grained picture of genetic relatedness within the past two millennia in the UK. Sharing of common ancestors strongly correlates with geographic distance, enabling the localization of a sample’s birth coordinates from genomic data. We sought evidence of recent positive selection by identifying loci with unusually strong shared ancestry within recent millennia and we detected 12 genome-wide significant signals, including 7 novel loci. We found IBD sharing to be highly predictive of the sharing of ultra-rare variants in exome sequencing samples from the UK Biobank. Focusing on loss-of-function variation discovered using exome sequencing, we devised an IBD-based association test and detected 29 associations with 7 blood-related traits, 20 of which were not detected in the exome sequencing study. These results underscore the importance of modelling distant relatedness to reveal subtle population structure, recent evolutionary history, and rare pathogenic variation.

Sign in / Sign up

Export Citation Format

Share Document