NICE guidelines on treating schizophrenia – audit

Macpherson, Rob; Hovey, Nicola; Ranganath, Krishen; Uppal, Amjad; Thompson, Andrew

doi:10.1192/pb.32.2.75

Cited by 3 publications

(2 citation statements)

References 2 publications

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“…One of the factors that may contribute to the variation in reported estimates is the criteria researchers use to decide whether a service user has been "offered" an intervention or not. Other possible reasons for varied reported implementation rates may include differences in the way data are collected, with some studies using objective measures (Haddock et al, 2014;Lewis, Buffham, & Evenson, 2012;Pawel et al, 2012) and others using subjective measures (Gough et al, 2007;Macpherson, Hovey, Ranganath, Uppal, & Thompson, 2008), studies not providing information regarding the data collection process (H. Commission, 2007;Kuipers, 2011;Prytys, Garety, Jolley, Onwumere, & Craig, 2011), and uncertainty regarding the criteria used to ascertain diagnosis. This highlights a common problem in many of the published papers reporting implementation figures: There is a lack of distinction between reports of services having been "offered," "delivered," or "received."…”

Section: Rates Of Implementation Of Fis For Schizophreniamentioning

confidence: 99%

Family Interventions in Psychosis: A Review of the Evidence and Barriers to Implementation

Bucci

Berry

Barrowclough

et al. 2016

Australian Psychologist

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Objective: Family interventions for schizophrenia are recommended psychological interventions worldwide. The National Institute for Care and Clinical Excellence (UK) and the Royal Australian and New Zealand College of Psychiatrists recommend family interventions as a first-line treatment and "treatment essential," respectively, at all stages of psychosis and with all aspects of care. However, the success of the integration of these interventions into routine clinical services has been problematic and remains a major challenge. Methods: We outline the national guidelines on family interventions for schizophrenia and review the evidence for this approach. Drawing on recent systematic reviews and through searching electronic databases for relevant articles, we review the barriers and facilitators associated with implementing family interventions into routine clinical services. Results: National guidelines continue to recommend psychological interventions for schizophrenia, reflecting the evidence base to support the provision of this approach across the psychosis spectrum. Reported estimates of implementation rates remain low and vary between 0% and 53%. Barriers to implementing family interventions exist at the service user, clinician, and organisational level. Factors that facilitate implementation of family interventions have been reported to a lesser extent. Conclusions: Implementation of family interventions for schizophrenia remains poor and is below recommended levels, with wide variation of implementation rates reported. This reflects inequality in the provision of family interventions for schizophrenia. Barriers at the service user, clinician, and organisational level have influenced the implementation of family interventions. A research agenda for improving consistent implementation of family interventions for schizophrenia is discussed.

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Section: Rates Of Implementation Of Fis For Schizophreniamentioning

confidence: 99%

Family Interventions in Psychosis: A Review of the Evidence and Barriers to Implementation

Bucci

Berry

Barrowclough

et al. 2016

Australian Psychologist

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“…However, we can utilise data from the national Prescribing Observatory for Mental Health (POMH) survey on depot medication prescribing, 6 which we have already contributed to and which provides a clear framework. Audits of the implementation of NICE schizophrenia guidance have been published 7 and can be replicated locally.…”

Section: Evidence-based Practicementioning

confidence: 99%

Quality standards for community mental health teams

Laugharne

Shankar

2009

Psychiatr. bull.

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SummaryThere is an increasing requirement for mental health services to demonstrate the quality of care provided. We have developed a quality report of our local community mental health team in Cornwall and suggest quality measures that we believe are useful to patients and clinicians, and possible to implement without overwhelming busy team members. They include measures of satisfaction, accessibility, safe process and review, outcomes, evidence-based practice and staff performance. Different teams may need different standards but we hope this paper will stimulate discussion and debate.

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Advance decisions in secondary mental health services

Sidley

2012

Nursing Standard

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NICE guidelines on treating schizophrenia – audit

Cited by 3 publications

References 2 publications

Family Interventions in Psychosis: A Review of the Evidence and Barriers to Implementation

Family Interventions in Psychosis: A Review of the Evidence and Barriers to Implementation

Quality standards for community mental health teams

Advance decisions in secondary mental health services

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