scholarly journals Assessment of deliberate self-harm on medical wards

1992 ◽  
Vol 16 (5) ◽  
pp. 262-263 ◽  
Author(s):  
C. V. R. Blacker ◽  
R. Jenkins ◽  
T. Silverstone
Keyword(s):  
Social Security ◽  
Royal College ◽  
Working Party ◽  
Medical Team ◽  
Deliberate Self Harm ◽  
Department Of Health ◽  
Self Harm ◽  
Medical Wards ◽  
New Guidelines

In 1984, the Department of Health and Social Security issued guidelines, based upon the recommendations of a working party of the Royal College of Psychiatrists, on the management of patients admitted to hospital following acts of deliberate self-harm (DSH). Unlike the 1968 Hill report (which recommended that all such patients should be assessed by a psychiatrist before discharge) the new guidelines placed the responsibility for psychosocial assessments on the admitting medical team.

scholarly journals The Management of Violent or Potentially Violent Patients

1978 ◽  
Vol 2 (7) ◽  
pp. 123-127
Keyword(s):  
Social Security ◽  
Royal College ◽  
Working Party ◽  
Department Of Health ◽  
Hospital Patients ◽  
College Of Nursing ◽  
Special Working

The COHSE Special Working Party Report was a response to guidance issued by the Department of Health and Social Security in HC(76)11 entitled The Management of Violent or Potentially Violent Hospital Patients, which the Confederation considered inadequate. The DHSS Circular had been prepared after protracted discussions with the Royal College of Nursing (Rcn) and the Royal College of Psychiatrists. The COHSE Report extends beyond the issue of the management of violence, and we did not consider all the points put forward in the document (see page 124, para. 2 and page 125, para. 5 below).

scholarly journals Clinical practice guidelines: the priorities

1996 ◽  
Vol 20 (1) ◽  
pp. 40-42 ◽  
Author(s):  
Claire Palmer
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Royal College ◽  
Guideline Development ◽  
Service Users ◽  
Department Of Health ◽  
Health Community ◽  
Self Harm

The Clinical Practice Guidelines (CPG) Steering Group commissioned a survey to find out which areas of clinical practice the mental health community view as priority for the development of clinical practice guidelines (CPGs). Fifty per cent of all professionals and service users surveyed considered the assessment of risk and management of deliberate self-harm and dangerousness' a priority area for guideline development. These findings provided the basis for a successful bid to the Department of Health for the development of The Royal College of Psychiatrists' first CPG.

Cost of Treatment of Deliberate Self-Harm

Crisis ◽  
2008 ◽  
Vol 29 (4) ◽  
pp. 213-215 ◽  
Author(s):  
Muhammad Shahid ◽  
Murad M. Khan ◽  
Haider Naqvi ◽  
Junaid Razzak
Keyword(s):  
Tertiary Care ◽  
Length Of Hospital Stay ◽  
Cost Of Treatment ◽  
Deliberate Self Harm ◽  
Discharged Patients ◽  
Self Harm ◽  
The Mean ◽  
Medical Wards ◽  
The Cost ◽  
Mean Cost

A retrospective review of 98 patients through medical and billing records, over a period of 12 months (January to December 2004), was conducted to evaluate the cost of treatment of patients presenting with deliberate self-harm (DSH) to a private tertiary care teaching hospital in Karachi, Pakistan. After initial treatment in the Emergency Department (ED), 34 patients were admitted to the medical wards for further treatment and 64 patients were either discharged or left against medical advice from ED. The mean cost for admitted and discharged patients was US $255 and US $55.60, respectively. One patient was intubated in the ED and shifted to intensive care unit. The cost of treatment of DSH is extremely high in a country like Pakistan, where the patients have to bear the hospital cost out of their own pocket. The most important determinant of cost was length of hospital stay, averaging 2.91 days.

scholarly journals General hospital services for those who carry out deliberate self-harm

1998 ◽  
Vol 22 (2) ◽  
pp. 88-91 ◽  
Author(s):  
Tom Hughes ◽  
Susan Hampshaw ◽  
Edward Renvoize ◽  
David Storer
Keyword(s):  
Implementation Strategy ◽  
Emergency Service ◽  
Structured Interview ◽  
Hospital Services ◽  
National Guidelines ◽  
Specialist Service ◽  
Deliberate Self Harm ◽  
Department Of Health ◽  
Accident And Emergency ◽  
Self Harm

The Royal College of Psychiatrists has published national guidelines for services for those who carry out deliberate self-harm. This study aimed to discover whether these recommendations are being followed. We conducted a semi-structured interview with a professional from the accident and emergency service and one from the specialist service at each of 16 hospitals in the former Yorkshire Regional Health Authority. The findings are that services are not adhering to the guidelines. The production of guidelines without an adequate implementation strategy is ineffective. The Department of Health should endorse the College guidelines, and produce an implementation strategy to secure the involvement of purchasers and providers.

Registration of Psychotherapists

1977 ◽  
Vol 5 (1) ◽  
pp. 8-12
Keyword(s):  
United Kingdom ◽  
Social Security ◽  
Working Party ◽  
Strong Case ◽  
Department Of Health ◽  
The United Kingdom ◽  
Psychological Medicine

One of the major conclusions of the Foster Report was that there was a strong case for legislation in the United Kingdom to control the practice of psychological medicine. Following the publication of that Report in December 1971, the Department of Health & Social Security invited comments. At a meeting, held on 24th May 1974, at the initiative of the British Psycho-Analytical Society, between officials of the DHSS and representatives of seven organisations representing practitioners of psychotherapy, Sir John Foster's recommendations were further discussed. Following that meeting, the Department in a letter dated 22nd January 1975 suggested that the organisations concerned might wish to consider establishing a joint Working Party which could develop the proposals in more detail in consultation with others.

An Evaluation of Protocols for Child and Adolescent Deliberate Self-harm

1998 ◽  
Vol 3 (4) ◽  
pp. 156-160 ◽  
Author(s):  
Claire Dorer
Keyword(s):  
Young People ◽  
Royal College ◽  
Child And Adolescent ◽  
Medical Services ◽  
The West ◽  
Deliberate Self Harm ◽  
West Midlands ◽  
Self Harm

Child and adolescent deliberate self-harm is a common problem faced by medical services. In 1982 the Royal College of Psychiatrists recommended that certain guidelines be followed in all cases of child and adolescent self-harm. This paper examines to what extent these guidelines are being incorporated into child and adolescent self-harm policies in the West Midlands region. The implications of the findings are discussed for young people and the NHS Trusts who treat them.

Surgical care practitioner – a confusing and misleading title

2006 ◽  
Vol 88 (3) ◽  
pp. 98-100 ◽  
Author(s):  
R Moorthy ◽  
J Grainger ◽  
A Scott ◽  
JW Powles ◽  
SG Lattis
Keyword(s):  
Royal College ◽  
Surgical Care ◽  
Working Party ◽  
Department Of Health ◽  
Steering Group ◽  
Curriculum Framework

In March 2005 the Department of Health released the Curriculum Framework for the Surgical Care Practitioner for consultation. The curriculum framework has been developed by a working party drawn from The Royal College of Surgeons of England (RCSE) Council and an NHS Changing Workforce Programme steering group, which represented a number of involved associations. As well as inviting responses on the curriculum itself, the consultation invited comments with respect to the title of 'surgical care practitioner'.

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