Joint Crisis Plans: empowering service users with psychotic disorders

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Raphael Underwood reports on a thematic analysis of joint crisis plans, which explores what service users with psychotic disorders want in a mental health crisis or relapse.

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Reflections on #UnderstandingPsychosis

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Something a bit different today; a reflective blog from André Tomlin who has spent most of the last week discussing the new DCP #UnderstandingPsychosis report on Twitter. He considers the pros and cons of social media and what this whole discussion means for the future of the Mental Elf.

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Understanding Psychosis and Schizophrenia: a critique by Laws, Langford and Huda

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Keith Laws, Alex Langford and Samei Huda provide a critique of the British Psychological Society Division of Clinical Psychology report published today.

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Major barriers implementing family involvement for patients with psychosis

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

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

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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.

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

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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.

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

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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.

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

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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.

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Joint crisis plans: cost-effective for whom?

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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.

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

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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.

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