Major barriers implementing family involvement for patients with psychosis

shutterstock_46154587

Raphael Underwood summarises a recent systematic review looking at implementing family involvement in the treatment of patients with psychosis.

[read the full story...]

Long duration of untreated psychosis is associated with a range of poor outcomes

shutterstock_111899612

Joe Judge appraises a recent systematic review and meta-analysis looking at the duration of untreated psychosis as a predictor of long-term outcomes in schizophrenia.

[read the full story...]

Efficacy of high vs. low-potency first-generation antipsychotics for schizophrenia

Screen Shot 2014-10-03 at 13.24.52

Laurence Palfreyman summarises 3 recent Cochrane reviews, which investigate high-potency versus low-potency first-generation antipsychotic drugs for schizophrenia. The reviews find little difference in efficacy between the high-potency antipsychotics Trifluoperazine, Haloperidol, Fluphenazine, and low-potency typical antipsychotics.

[read the full story...]

Helping young people with psychosis return to work: early intervention services need to do more

shutterstock_165697589

Stephen Wood summarises a recent cluster RCT of vocational rehabilitation in early psychosis, which finds that early intervention services need to do more to help young people with psychosis return to work.

[read the full story...]

Meta-review presents the risks of all-cause and suicide mortality in mental disorders

shutterstock_177940451

This recent and well-conducted meta-review concludes that the impact on mortality and suicide of mental disorders is substantial, and probably poorly appreciated as a public health problem. Raphael Underwood’s blog summarises the data for all-cause and suicide mortality in mental disorders.

[read the full story...]

Joint crisis plans: cost-effective for whom?

shutterstock_127894958

Chris Sampson looks at the economic outcomes of a recent RCT of joint crisis plans to reduce compulsory treatment for people with psychosis. The study reports the potential for gains specifically among Black patients.

[read the full story...]

Childhood abuse and adverse life events interact synergistically to produce a high risk for psychotic experiences

shutterstock_126856253

This recent study concludes that childhood abuse creates an enduring vulnerability to psychosis that is realised in the event of exposure to further stressors and risk factors, such as separation, bereavement, or being involved in an accident or physical attack.

[read the full story...]

Shared decision making in antipsychotic prescribing: the perspective of psychiatrists

shutterstock_190044902

Shared decision making is now commonplace, but will this approach ever be fully embraced in relation to antipsychotic prescribing? Liz Hughes reports on a recent qualitative study of consultant psychiatrists’ experiences that sheds some light on the issue.

[read the full story...]

Antipsychotics and mood stabilisers may reduce violent crime

shutterstock_150668030

John Baker reports on the first population based report of the positive effects of antipsychotic medication and mood stabilisers on reducing the risk of a conviction for violent crime, published in the Lancet in May.

[read the full story...]

Art therapy for schizophrenia: an effective add-on treatment?

matisse

The MATISSE trial in 2012 concluded that group art therapy did no better than standard care at improving symptoms for people with schizophrenia. A new critique of that RCT from the British Association of Art Therapists says the therapy can be more useful.

[read the full story...]