bluuebunny/crossref_metadata_2025 huggingface dataset:
Đánh giá kết quả sớm phẫu thuật sửa toàn bộ tứ chứng Fallot ở trẻ dưới 1 tuổi
Authors: Thành Nguyễn Hữu
Published: January 2023

Mục tiêu: Đánh giá kết quả sớm phẫu thuật sửa toàn bộ tứ chứng Fallot ở trẻ em dưới 1 tuổi tại Bệnh viện Tim Hà Nội và Bệnh viện Nhi Thanh Hóa. Đối tượng và phương pháp: Nghiên cứu mô tả tiến cứu thực hiện trên 115 bệnh nhân tại Bệnh viện Nhi Thanh Hóa và Bệnh viện Tim Hà Nội. Kết quả: Tuổi trung bình: 8,2 ± 2,7 tháng. Phần lớn bệnh nhân nghiên cứu ở nhóm 6-12 tháng tuổi chiếm 75,7%. Thời gian cặp động mạch chủ và tuần hoàn ngoài cơ thể trung bình là 73,4 ± 22,4 phút và 99,3 ± 26,9 phút. Thời gian cặp động mạch chủ và tuần hoàn ngoài cơ thể trung bình trẻ dưới 6 tháng tuổi cao hơn so với nhóm từ 6 tháng tuổi đến 1 tuổi (79,8 ± 21,2 và 71,2 ± 22,5 phút) và (105,9 ± 27,1 phút và 97,2 ± 26,6 phút). Thời gian nằm viện trung bình 21,5 ± 10,2 ngày, thời gian nằm viện ở nhóm trẻ dưới 6 tháng thấp hơn nhóm từ 6 tháng tuổi đến 1 tuổi (20,1 ± 7,0 và 23,0 ± 17,4 ngày). Tỷ lệ biến chứng cao hơn ở nhóm trẻ dưới 6 tháng so với nhóm trên 6 tháng. Tuy nhiên, sự khác biệt không có ý nghĩa thống kê, ngoại trừ tỷ lệ tràn dịch màng phổi và nhiễm trùng. Tỷ lệ tử vong sớm 1/115 bệnh nhân chiếm tỷ lệ 0,9%. Không có sự khác biệt về mức độ suy tim, tỷ lệ loạn nhịp, chênh áp tối đa qua van động mạch phổi cũng như mức độ hở van động mạch phổi và van ba lá theo nhóm tuổi khi ra viện. Kết luận: Kết quả nghiên cứu cho thấy phẫu thuật sửa toàn bộ tứ chứng Fallot ở trẻ dưới 1 tuổi có tỷ lệ tử vong thấp. Kết quả phẫu thuật không có khác biệt đáng kể giữa nhóm trẻ dưới 6 tháng tuổi và trên 6 tháng-12 tháng tuổi.
Ho ra máu mức độ nặng do vỡ phình động mạch phổi: Thông báo trường hợp lâm sàng
Authors: Thủy Trần Xuân
Published: January 2023

Phình động mạch phổi là bệnh lý hiếm gặp trong các bệnh lý về mạch máu ở phổi. Nguyên nhân gây bệnh rất đa dạng có thể phát sinh sau nhiễm trùng, bệnh lý ác tính, bệnh tim bẩm sinh hoặc viêm thành mạch. Triệu chứng bệnh thường không đặc hiệu, khiến cho việc chẩn đoán và điều trị dự phòng khó khăn. Ho ra máu do vỡ phình động mạch là biến cố nặng nề có thể đe dọa tính mạng bệnh nhân nếu như không được xử lý kịp thời. Chúng tôi báo cáo 01 trường hợp lâm sàng ho ra máu mức độ nặng do vỡ phình động mạch phổi được điều trị can thiệp nút mạch và phẫu thuật cắt thùy phổi thành công tại Bệnh viện Trung ương Quân đội 108.
Nghiên cứu vai trò cagPAI của Helicobacter pylori ở bệnh nhân ung thư dạ dày
Authors: Khánh Phạm Hồng
Published: January 2023

Mục tiêu: Nghiên cứu mối liên quan giữa cagPAI của H. pylori với ung thư dạ dày tại Việt Nam. Đối tượng và phương pháp: Nghiên cứu cắt ngang 179 bệnh nhân (89 bệnh nhân ung thư dạ dày và 90 bệnh nhân viêm dạ dày mạn) nhiễm H. pylori. Chẩn đoán ung thư dạ dày và viêm dạ dày mạn dựa trên mô bệnh học. Xác định sự hiện diện của cagPAI thông qua ba gen cagA, cagE, cagT bằng kỹ thuật realtime PCR. Kết quả: 100% các chủng H. pylori mang gen cagPAI dương tính, trong đó tỷ lệ H. pylori mang gen cagPAI nguyên vẹn là: 126/179 (70,4%). Nhóm ung thư dạ dày có tỷ lệ cagPAI nguyên vẹn cao hơn so với nhóm viêm dạ dày mạn (79,8% so với 61,1%), sự khác biệt có ý nghĩa thống kê (OR = 2,5, p<0,01). Ở bệnh nhân ung thư dạ dày: Không có sự khác biệt về tỷ lệ nhiễm H. pylori mang gen cagPAI theo nhóm tuổi, theo giới, đặc điểm đại thể trên nội soi (theo phân loại Borrmann) và trên mô bệnh học (theo phân loại Lauren). Kết luận: Tỷ lệ cagPAI của H. pylori nguyên vẹn ở bệnh nhân ung thư dạ dày cao hơn so với tỷ lệ cagPAI ở bệnh nhân viêm dạ dày mạn.
Analysis of Child Mortality on Geographical Basis Over Different Centuries
Authors: Javed Zainab , Javaid Anam , Javaid Sumbal , Javed Arsalan
Published: January 2023

There are many variables involved in real life problem child mortality so it is difficult to choose an significant results out all of possible years relating to analytical factors. Child mortality rate is an issue specially in the developing and under developed countries. Because many children died due to different kind of diseases and unavailability of the health facilities, especially in under developed countries. The current research focus on the child mortality rate analysis. The analysis is carried out for the child mortality rate by the geographical analysis over time. The results shows that the highest mortality rate was found high in Angola 392.4367 and lowest was found in 187 United kingdom. The child mortality rate was found to be different through centuries and through year in two way analysis of variance test.
WEBINAR PENDAMPINGAN PENULISAN KARYA ILMIAH BAGI MAHASISWA PENDIDIKAN BAHASA ARAB
Authors: Fauzana Annova  , Ilya Husna  , Musalwa Musalwa  , Fitri Aisyah
Published: January 2023

Kegiatan pendampingan ini bertujuan untuk meningkatkan kemampuan dan pengetahuan mahasiswa prodi pendidikan bahasa Arab dalam menyelesaikan studi khususnya dalam penulisan karya ilmiah. Metode pelaksanaan kegiatan adalah seminar dan pelatihan. Kegiatan ini terdiri dari tiga tahap, yaitu tahap persiapan, pelaksanaan dan evaluasi. Pada tahap persiapan, tim pengabdi menganalisis kebutuhan mahasiswa dengan pendekatan kualitatif. Pada tahap pelaksanaan dilaksanakan pelatihan penulisan karya ilmiah via zoom meeting dengan 6 pemateri handal yang akan menjelaskan alur penulisan karya ilmiah, mulai dari cara menemukan masalah, menentukan judul, menetapkan metode penelitian kualitatif, kuantitatif, dan metode penelitian pengembangan. Tahap evaluasi, diisi dengan menganalisis respon mahasiswa terhadap pelatihan yang dilakukan. Berdasarkan isin pada daftar eavluasi, didapatkan respon positif dari peserta pelatihan, bahwa peserta menjadi paham teknik penulisan karya ilmiah dan merasa mudah untuk memulai menulis karya ilmiah.
Inclusion in the boardroom: The challenges C-Suite women faced and overcame to operate at Board level
Authors: Potter Amanda , Connolly Rhys
Published: January 2023

Abstract Figure

Key digested message

From our research interviewing 44 high-performing C-suite women, we identified the significant trigger points, personal and professional challenges, and personal characteristics which saw these women reach the boardroom of their organisations. The research highlighted that women who reach senior leadership positions tend to share similar traits to their male counterparts, although their journeys to success are significantly different. Recommendations of practical steps for organisations to take in order to aid the removal of obstacles currently facing women in their career progression are highlighted.
Exploring the experiences of completing outcome measure questionnaires for service users at Newham CAMHS
Authors: Bhatti Farhin , Cheney Gemma
Published: January 2023

This study explores the experiences of service users completing outcome measure questionnaires (OM’s) in a CAMHS service. The study utilises a mixed methods framework with a sample of N=12 participants (6 young people and 6 mothers). Themes emerging were (1) Autonomy (2) Communication (3) Safe space (4) Efficiency vs Accuracy. Responses suggest that participants felt OM’s are an important part of their care, however expressed the need for more collaborative working with clinicia,ns. Participants felt OM’s were quick and efficient however some identified need for more in depth questions. Lastly participants identified the need for a safe space when completingOM’s. The study provides suggestions to overcome barriers to completing OM for service users (SU’s) in a CAMHS service.
Identity in context: Reflections on research with refugees
Authors: Asmal-Lee Mujahid
Published: January 2023

This reflective article considers the author’s recent research with Syrian refugees. The author considers his identity and experiences of being different, before describing how this benefitted the research context and how this context was potentially therapeutic.
Reflections on facilitating a Tree of Life group in an adoption and fostering service via an online video platform: Opportunities and challenges
Authors: Fischera Wanda , Damazer Kat
Published: January 2023

In this paper, the authors reflect on the process of modifying and delivering an 8-week Tree of Life group for five children under a Special Guardianship Order (SGO) that was delivered via an online video platform during the Covid-19 pandemic.
Helping to embed a trauma-informed clinical model in a forensic mental health service using the seven-eyed model of supervision
Authors: Young Emily
Published: January 2023

In this article we explore how a forensic mental health service incorporated trauma-informed principles into the seven-eyed model of supervision (Hawkins & Shohet, 2012) to help embed our new clinical model and improve the quality of supervision across the service.
Robbie’s Rehab: Developing a paediatric neurooncology rehabilitation psychology service
Authors: Dennison Taryn , Francis Lucy , Campion Anna , Savage Amy , Griffin Angela
Published: January 2023

This service evaluation aimed to investigate the value of clinical psychology support into paediatric neuro-oncology rehabilitation over a two year period. Positive outcome and feedback data were obtained, evidencing the need for support to be introduced to families early on.
Setting up and facilitating a virtual reflective practice group within a Community Mental Health Team
Authors: Walker Alice , Wrigley Miranda , Veale Joanne
Published: January 2023

This report describes an experience of setting up and facilitating a virtual reflective practice group (vRPG) for community mental health colleagues working from home due to the Covid-19 pandemic. It includes a discussion of participant feedback and concludes with our reflections of the process.
Can you build resilience online?
Authors: Pendrey Jacob , Lye Catherine , Stedmon Simone , Comley Ellie , Doidge Amie
Published: January 2023

A service evaluation measured the effectiveness of adapting a psychoeducational group intervention, within a CMHT, online during the Covid-19 pandemic. Outcome measures imply online interventions are as effective as face-to-face groups and may influence service provision moving forward.
Learning from practice: A locality mental health service response to the Covid-19 pandemic
Authors: Rea Sara , Davies Andrea
Published: January 2023

This paper outlines a process of utilising data themes from a small-scale study to create a context for learning and reflection on the adaptations and challenges encountered across locality mental health services during the first wave of the 2020 pandemic.
Code red: Climate heating is a safeguarding issue
Authors: Rouf Khadija
Published: January 2023

We are not in usual times, so this is not a usual journal article.

Climate heating is a safeguarding issue,

The most vulnerable in our societies will be most at risk from climate disaster,

But ultimately if we do not act now, then no-one escapes,

We are no longer in the abstract.
How can our community psychology values and experience inform our response to the climate emergency?
Authors: Harris Carl , Zlotowitz Sally
Published: January 2023

With thanks to the contributors to the BPS Covid-19 Community Action & Resilience Working Group*
Climate psychology and the Northern Irish experience
Authors: Rogers Dave
Published: January 2023

The IPCC (2017) suggest that climate communicators should tell a human story, connect with their audiences through points of local interest, and ‘lead with what you know’. Using personal experience and historical perspectives of trauma in Northern Ireland, this article explores the narratives that wed us to environmentally harmful behaviours, climate silence and inactivity; and the stories of belongingness and acceptance we can foster to cultivate change.
Finding solace in nature – A meander through the ‘One Health’ concept
Authors: Sullivan Rebekah
Published: January 2023

This article explores a theme of solace in nature from a professional (veterinary doctor) and personal (parent, expert by experience and nature enthusiast) viewpoint. The concept of ‘One Health’ is introduced, with a subsequent exploration of what such collaborative working can mean beyond the immediate remit of psychology.
Psychology and climate change: Past, present and future
Authors: Wainwright Tony
Published: January 2023

Working out the connection between the stability of planetary weather, other global systems and clinical psychology has been one of the challenges of this area of work for many, although personally I see making these connections as core to our professional responsibilities. Part 1 covers my learning about systems that promote stability and instability in geological, biological, and social contexts. Part 2 concerns how a systems approach helped me to connect clinical psychology with the climate and environmental challenges we face.

Part 3 describes the work the British Psychological Society (BPS) has been undertaking and future prospects.
Developing networks to improve practice, policy and education with Deaf communities
Authors: Terry Julia
Published: January 2023

This reflection explores my journey working with Deaf communities around improving mental health and learning how Deaf people are affected by health inequalities. It includes information on why Deaf people are at risk of mental health problems and how we can work together to improve mental health services particularly for Deaf people.
Fighting stigma in the Muslim community: A service user perspective
Authors: Khan Muhammad , Patel Rafeea , Twigg Jessica
Published: January 2023

This article discusses the stigma which is prevalent in the Muslim community. I will use my own experiences to highlight the importance of educating the community and the need for mental health professionals to learn about Islam to establish trust.
Clinical Psychology Trainees’ experiences of following a specialised Cognitive Behavioural Therapy (CBT) Pathway accredited by The British Association of Behavioural and Cognitive Psychotherapies (BABCP): A pilot evaluation
Authors: Daley Jessica , Hale Lucy , Patton Bob
Published: January 2023

The Cognitive Behavioural Therapy (CBT) pathway enables trainees to develop their CBT competencies and to meet the BABCP Level 2 Minimum Training Standards upon qualification from doctoral training.The paper outlines trainees’ experiences of the pathway, including its strengths, challenges, and future recommendations.
An evaluation of team formulation practice in an Early Intervention Service in Glasgow
Authors: Matrunola Claire , Clark Andrea , Gumley Andrew , Clark Suzy
Published: January 2023

Literature on team formulation (TF) is growing, however, there remains a need for work on how TF is implemented and evaluated in routine care. Here we outline and discuss an audit of TF practice in an Early Intervention (EI) service in Glasgow.
A service evaluation of a Tree of Life workshop for young people with congenital heart disease
Authors: Sohail Rabeeah , Carton Amelia , Samuel Rose
Published: January 2023

A Tree of Life workshop was delivered to young people (YP) with congenital heart disease. The workshop helped YP experience greater peer acceptance and recognise their strengths and skills, with narratives around YP’s heart conditions becoming less problem-saturated.
Sifting a golden haystack: The challenges of Higher Assistant Psychologist recruitment
Authors: Verity Sarah Jane , Borrill Heather
Published: January 2023

The shortlisting of assistant psychologist posts is experienced as costly and time intensive by many employers. The current article makes recommendations including altering person specifications to reduce the burden on candidates and employers.
Teaching Critical Disability (Studies) within D.Clin.Psy. Training: An ethico-political act
Authors: Ktenidis Antonios , Wood Nick
Published: January 2023

This paper offers an insight into how and what about disability (studies) can be taught to clinical psychologists studying for their doctorate. Combining reflective and academic writing, we discuss our pedagogical approaches to teaching Critical Disability Studies, as well as the content of our sessions. In opposition to the biomedical, deficit-orientated understanding(s) of disability, which often permeates psychology curricula, we advocate for Critical Disability Studies (CDS) to be(come) an integral part of how disability is taught, as it enables a more critical and politicised, intersectional-understanding of disability. Such a shift in how disability is viewed can lead to a more humanising professional practice.
Using a population mental health perspective in a psycho-oncology service for uveal melanoma survivors
Authors: Brown Stephen L. , Hope-Stone Laura , Cherry M. Gemma
Published: January 2023

Clinical psychology services frequently use mass-reach approaches, such as self-help resources, to extend services into the population. We describe opportunities and challenges of population mental health at service level and the need for basic and service-level research to support these. We present an example of a psycho-oncology service designed along mass-reach lines to support uveal melanoma survivors.
Primary Mental Health Treatment Requirements – An evaluation of the service user experience of the 18 Month Staffordshire service pilot
Authors: Cudmore Kate , Haynes Jennifer , Waldron Tia , Waite Jonathan
Published: January 2023

Primary Mental Health Treatment Requirements (PMHTR) are one of three under the umbrella ‘Community Sentence Treatment Requirements’. PMHTRs have been designed to reduce offenders’ recidivism by offering psychological therapy to individuals with primary level mental health issues. In 2020, Midlands Partnership Foundation Trust (MPFT) began offering PMHTR services across Staffordshire. This study evaluates Staffordshire’s service users’ experience of their PMHTR through thematic analysis. Semi-structured interviews were completed with six participants who were contacted at random from all individuals who had finished their PMHTR. Themes such as consistency, learning skills and counselling emerged. Results demonstrate that participants’ experiences of their PMHTR was reported positively, with the theme of a tailored package of therapeutic care appearing to play a key role in this. Participants reported their experience of engaging in the PMHTR in a more affirmative manner in comparison to similar interventions they had experienced across other mental health services. Conversely, due to the limited participant sample, this may limit the level of representation of this population, thus restricting the scope of generalisability. The limitations of this evaluation are discussed. To expand and enhance further, routinely requesting feedback from service users after completion of their PMHTR is advocated and thus repeating this evaluation again longitudinally. Nevertheless, PMHTRs are demonstrating the ability to fill a gap in service provision for offenders with mental health issues.
SupportingChildrenWithBurns.co.uk: Reporting on three years of use of a website developed for the psychosocial support of parents of burn-injured children
Authors: Heath Jennifer
Published: January 2023

SupportingChildrenWithBurns.co.uk was developed and tested with UK-based parents, burn-care professionals, and members of support organisations. The aim being to create an innovative patient-centred resource, tailored to meet the specific needs of parents/carers of children with burn-injuries, that would be a valuable addition to paediatric burn-care (Heath, 2020). Whilst websites can never replace the services offered by the NHS, or address the challenges they face, it was hoped that the resource could support services and charities in providing the best care to patients/families in line with models of stepped-care. Having a trusted resource that parents can access any time/place, providing advice for self-care, whilst also normalising access to support, and directing parents to different forms of formal/informal support, may mean that more parents find their needs are, or can be, met. Evaluation of the website is important to ensure that it is being accessed and to drive future development. Data regarding public access to, and use of, the website over three years (17 October 2018–13 October 2021) has been collated using Google Analytics and analysed using descriptive statistics.Data demonstrates that the website is currently visited an average of 192-times-per-month from users around the world. Information regarding which pages are visited, most often and for longest, suggests that parents’ primary focus is their injured child, not their own psychosocial needs; however, accessing information/advice, and seeking shared experiences from peers, is also sought and valued. Further evaluation of the website’s impact on the emotional wellbeing of parents/carers following a child’s burn-injury would be welcomed.
It can’t all be about CAMHS
Authors: Willingham Bethanne
Published: January 2023

This opinion piece considers representations of children and young people’s (CYP) emotional/mental health in the UK, in the context of recent increases in referrals to CAMHS, workforce shortages and views on mental healthcare from young people themselves.
It’s all about relationships: Creating a whole system response to meeting the emotional and mental health needs of children and young people
Authors: Burns Gemma
Published: January 2023

The following article describes the journey that has been undertaken within the South East Wales region of Gwent to transform services to more effectively meet the emotional and mental health needs of children and young people.
‘Opening doors: A summary of innovative preventative ways of working with the community in South Wales’
Authors: Cobner Rhiannon , Arroyo-Jarrin Pamela , Christiansen Charlotte , Freeman Katherine , Mills Debbie , Perry Katie
Published: January 2023

We are a Community Psychology team working within and across communities in Gwent to support children’s wellbeing and resilience. We work with a range of different sectors and organisations to support psychosocial ways of understanding distress as well as working with systems to support cultural change and mental health. Through a co-production approach, we aim to create the conditions for people to achieve their own change. We talk about five examples of our work.
How much are senior UK public health professionals taught about mental health?
Authors: Frenken Hannah , Harper David
Published: January 2023

Directors, consultants and specialists in public mental health play a major role in developing and implementing local and national mental health policy. This study focuses on what academic training they receive about mental health via Master of Public Health (MPH) programmes. If you are a clinical psychologist involved in teaching on a MPH course we would be interested in hearing about your experiences.
Power and meaning within patriarchal societies: Thinking within, against and beyond the system
Authors: Darcy Anne , Armstrong Jemimah , Vaughan Sharon
Published: January 2023

The See Me Before the PD Group (SMBPD) are a coproduction group of Experts by Experience and Experts by Profession in Northern Ireland, who came together through seeking or providing treatment for suicidal distress and chronic self-harm. The purpose of the group is to promote a positive image of people labelled as having ‘personality disorder’. Coproduction work and engaging with community activists is a powerful route to addressing social inequalities and enhancing our knowledge base and approaches.
Choose your words carefully: The language dilemmas of positive autistic identity and pragmatic navigation of systems
Authors: Redhead Anthony
Published: January 2023

How do we navigate the dilemmas of language around autism, when holding in mind the formation of positive autistic identity and the practicalities of negotiating support systems? The experiences of an autistic clinical psychologist, also carer to a young autistic son.
University of East Anglia (UEA) International training opportunities with Thrive Well, Malaysia
Authors: Parke Sheryl , Odgers Kelsey , Ooi Jinnie , Othman Ellisha , Fisher Paul , Burgess Aaron , Coker Sian
Published: January 2023

This piece will offer a reflection on an international training opportunity between Clinical Psychology trainees at the University of East Anglia and Thrive Well (a social enterprise) based in Malaysia. It will describe how the usual in-person placement was offered virtually, due to Covid-19 travel restrictions in place, share information on the pieces of work undertaken and offer reflections from both University of East Anglia and Malaysian colleagues.
Roles reversed: The patient experience for staff on a mental health ward
Authors: Turnbull Lorraine Bobbie , Green Eleanor
Published: January 2023

Reflections following an experiential study involving staff members being admitted to an inpatient mental health ward. The reflections offer the perspectives of the researchers, the participants and some of the patients on the ward.
PIE in PICU and NICU: Developing Psychologically Informed Environments
Authors: Atkins Ellie , Syed-Sabir Hena
Published: January 2023

This paper sets out how the Psychologically Informed Environments (PIE) model, which originated in the homelessness sector, can be applied to the complex medical environments of Neonatal and Paediatric Intensive Care (P/NICU). Whilst there are key differences between NICUs and PICUs, there exist so many commonalities, most notably the similarity of parent and staff experiences and the coexisting medical, psychological and developmental needs of babies and children. PIE provides a whole systems approach to improving psychological wellbeing in all those in the environment: babies, children, parents, families and staff. The paper explores how PIE methodology could be applied to P/NICUs; offering examples grounded in practice; and describing how PIE can meet the fundamental needs of babies and children, parents and staff and has the potential to prevent the challenging environment having a negative impact on those who are exposed to it.
The need for psychotherapeutic services for people with Parkinson’s disease
Authors: Bender Michael , Wainwright Tony
Published: January 2023

‘– is it not what we expect in men, that they should have numerous strands of experience lying side by side and never compare them one with the other?’George Eliot (1872/1994),Middlemarch, p.560.
Promoting psychological approaches to fear of falling: Bibliotherapy and staff training in a physical health team
Authors: Parlane Vicki , Read Jessica
Published: January 2023

Recent Government policy highlights the importance of clinical psychologists training and supporting frontline health care staff in the identification, basic management, and appropriate referring on of mild mental health difficulties. In intermediate care services, fear of falling is a particularly common presenting issue and reason for referral to psychology. As fear of falling potentially has serious physical and psychological consequences, this issue was targeted for intervention. A self-help booklet was produced for older people with fear of falling, and staff in intermediate care and other health and social care providers were trained in identification and basic management of fear of falling. Evaluation showed a high level of staff and client satisfaction with the booklet, and an increase in staff knowledge of, and confidence in, managing fear of falling. Implications for further research and for service provision are discussed.
The thorny problem of challenging behaviour units
Authors: Ross Kate
Published: January 2023

This is a synopsis of a paper presented in Brighton at the 2006 PSIGE Conference.
Stroke: Experience and adjustment
Authors: Kneebone Ian
Published: January 2023

This paper provides a brief overview of a symposium on stroke presented at the 26th PSIGE Annual Conference held at the University of Sussex in July, 2006. The principal conclusion from the discussion, arising from the papers presented, was that psychologists should be taking a broader (more holistic, systemic) approach to post-stroke adjustment.
Staffs’ perceptions of alcohol misuse in older people
Authors: Stephenson Malcolm , Fraser Fiona , Askew Kristina
Published: January 2023

Alcohol misuse within the older population has received increasing attention in recent years. Due to population increases within this cohort, together with recent Government guidelines, this issue has become an important area within the arena of health care provision for older people. This study explores health care professionals’ knowledge and practices with respect to alcohol use and misuse in older people. Three specific areas are addressed: (i) the extent to which staff perceive alcohol misuse to be an issue; (ii) specialist knowledge and training; and (iii) clinical practice. A survey of all health care professionals working in an integrated older people service was undertaken. The results showed that the issue was not routinely addressed as part of the assessment process, and thus its incidence was probably being under reported. Staff also reported limited specialist knowledge and training experience, and the majority felt that the profile of alcohol misuse should be raised within the service. These results have implications for service development at both a service and clinical level.
Driving with dementia: In need of an A–Z
Authors: Patience Lynne
Published: January 2023

(on behalf of the North East PSIGE Driving with Dementia Steering Group)

Dementia Steering Group members:

Lynne Patience, Katharina Reichelt, Maire Sharkey, Ian James, Gillian Bowie & Angus Macgregor.
The Psychological Professions Network
Authors: Bhutani Gita , Baguley Clare
Published: January 2023

The Psychological Professions Network (PPN) North West was set up to bring together the multi-professional workforce to enable them to work collectively in promoting psychological approaches in health and social care. This article provides an outline of the history of the network and the principles of systems leadership that have supported the development of the network.
There is more to CST than the manual
Authors: Banach Natalia , Evans Kathryn
Published: January 2023

In this article we will explore the notion that there is more to CST than the manual by contrasting two CST groups that we facilitated in a six-month period: ‘Friends’ (moderate to severe dementia) and ‘The Hopefuls’ (mild dementia). We will look at different applications of CST theory to practice, the adaptability of the manual, and the importance of supervision in the process of running the groups. Finally, we will discuss the qualitative and quantitative effects of being in the group and look at CST in the broader context of group work with people with dementia.

This article is written from a first person perspective. The use of ‘we’ relates to myself, an Assistant Psychologist, together with a co-facilitator, either a trainee clinical psychologist or a support worker.
Improving mental and physical healthcare for older adults: An inpatient service development project by frontline staff
Authors: Majeed Nadia , Williams Elaine
Published: January 2023

The complexities of working in older adults services where clients often experience co-morbid conditions can highlight the necessity for collaborative working between physical and mental healthcare providers. Three older adult mental and physical health wards based in a psychiatric and community hospital started a collaborative service development project to improve holistic patient care. This article discusses how providing staff with the authority and autonomy to make organisational changes can have a positive impact for patients, staff and the trust.
Fear of appearing impaired – The implications of perceived communication difficulties following stroke
Authors: Addy Karen , Carruthers Jacqui
Published: January 2023

Communication difficulties are often a common cause for referral to speech and language therapy following acquired brain injuries. For a number of clients there is a disparity between the actual level of impairment identified on formal cognitive assessment and their perception of the level of the communication problem experienced. In many of these cases, anxiety and meaning of being perceived by others as having a significant communication problem cause secondary impairments in occupational ability, functional communication and associated emotional distress. This paper explores a case of a 62 year-old man who suffered mild cognitive impairment secondary to a CVA (stroke) and presents a model of anxiety associated with the perception of communication difficulties, which it is hoped will provide a framework for other clinicians working with cognitive impairment-based anxiety.
Compassion focused expressive writing (CFExW) among carers of people with dementia: Some reflections
Authors: Lacey Jenny , Hiskey Syd , Andrews Leanne
Published: January 2023

This paper considers our experience of running a compassion focused expressive writing (CFExW) study among carers of people with dementia. Difficulties during the research process led us to reflect upon the results we obtained and generate a number of themes for consideration that might inform future work in this area. These include barriers to recruitment, screening considerations, design features of CFExW and individual differences/applicability. We conclude that compassion focused therapeutic techniques may be of use to this population, although careful thought may be needed to best evidence this.
Evaluation of post diagnostic support within an integrated memory service: Benefits and barriers to access
Authors: Faulkner Thomas
Published: January 2023

This article summarises an evaluation at the Southport Memory Service on the delivery of post-diagnostic support. Semi-structured interviews were conducted to gain professional’s views on the current process and how it can be improved, whilst an analysis of the records looked at whether the service provides sufficient access for service users and families. Finally an evaluation of feedback forms provided an understanding of the effectiveness of the current support for service users and carers. The report identifies some of the challenges faced by post-diagnostic facilitators and makes recommendations for future post-diagnostic support with both improvements to the service and the referral process considered
‘It plays a big part in the way I think about myself’: An evaluation of a gardening group for people recently diagnosed with dementia
Authors: Woodbridge Rachel
Published: January 2023

This article summarises an evaluation of a 6-month gardening group for people recently diagnosed with dementia and their family members. This group was initiated by Bolton Memory Service and developed in conjunction with Bolton Council and the voluntary sector. Focus groups and feedback questionnaires were conducted to gain views from service users on what the gardening group meant to them in relation to their wellbeing and adjustment to the diagnosis. This report summarises this feedback and discusses the potential benefits of providing opportunities for purposeful activities for people recently diagnosed with dementia in the memory service.
A scarce resource: Psychiatrists’ perceptions of referring over 75s for psychological therapy
Authors: Merriman Juanitas , Keohane Pete , Hodges Emma
Published: January 2023

This study sought to understand why referrals for psychological therapies reduce with age within an older person’s mental health service. Individual interviews took place with six psychiatrists and a thematic analysis was conducted. Findings suggest that being over 75 signalled the presence of other factors such as; suitability of alternative interventions, cohort characteristics and doubts over therapeutic efficacy. Referral behaviour did not seem to be driven by prejudice but was influenced by the referrers’ knowledge and bias, service availability and age related complexities. This highlights the risk of inadvertently disadvantaging older people and suggests more psychology provisions are required to meet their needs.
Evaluating interventions for Behaviours that Challenge (BtC) in dementia care – what instruments do specialist practitioners working in the UK use?
Authors: Dunn Rosie , Moniz-Cook Esme
Published: January 2023

Written feedback was examined from participants who attended the February 2019 consultation. This informed the 35-item online survey that followed (May–June 2019). One item questioned practice on instruments used by specialist BtC practitioners to evaluate the effects of their interventions. Analysis of quantitative and qualitative data from this question is summarised in this article. We discuss what might be useful instruments for practitioners to use in routine practice in recognition of what might be considered clinically significant BtC in family and care home settings. We conclude that more work needs to be done with respect to evaluation of BtC work in family care settings. This should focus on use of instruments for recognition of BtC and evaluation of how families cope with BtC following the specialist interventions they have received.
Working towards a psychologically informed environment in an older adult acute context
Authors: Cox Kathy J. , Keohane Pete
Published: January 2023

The role of psychologists in older adult inpatient or acute settings is often complex; one must consider how to best support a psychologically ‘healthy’ or informed environment with limited time and resources. Indirect ways of working, such as providing staff training, can support positive cultural changes. Compassion is increasingly a focus of health care services and compassion focused staff training has previously be found to have a positive impact on health care staff self-compassion and self-criticism (Beaumont et al., 2016). This paper described the initial stages of a project to introduce staff training and supervision sessions to a National Health Service (NHS) older adult acute mental health unit. The project aimed to increase staff understanding of psychologically informed approaches and develop a more psychologically informed environment rooted in compassion. Although the project is ongoing, a description of the project context, development, evaluation aims and initial reflections will be provided.
Older prisoners; health, ethics and justice questions
Authors: Peacock Marian
Published: January 2023

You are getting people… in their late 60s, 70s – even into the 80s – which is… quite a different level of care. Their needs are different, it’s more around medical, health issues; not really any control problems as you get with the younger population, no real control problems at all… health… they’ve got family problems because of the offence, if it was committed in the family… some of the men haven’t got anybody. But it is a marked difference. (Governor, Vulnerable Prisoner (VP) Wing)
A service evaluation of the staff perception of psychological input onto an acute mental health ward for older people
Authors: Asquith Ian , Gostolo Kim , Graham Gemma
Published: January 2023

Increasingly, the case has been made for the provision of clinical psychology into inpatient settings for older people. This service evaluation aimed at assessing staff perception of clinical psychology, which had recently been established into an acute inpatient mental health service for older people. Overall, psychology was felt to be positive on the ward, providing a formulation based alternative to case management, which staff perceived to improved outcomes. The outcome of the service evaluation, the impact of the results and limitations of the service evaluation are discussed.
Service user satisfaction with the neuropsychological assessment process in a memory assessment service
Authors: Tucker James & , Loyal Alice
Published: January 2023

Currently little is known about how service users perceive the neuropsychological testing process in a memory clinic setting. This service evaluation sort to gain information about patient’s satisfaction with the neuropsychological assessment process. Using a patient satisfaction survey adapted from Foran et al. (2016) patient satisfaction across different facits of the neuropsychological assessment process was examined. Overall patient satisfaction with the neuropsychological assessment process was high with no difference found between subscales. Qualitative data from the questionnaire identified areas of importance to patients relating to test anxiety, pressure of timed tests, and length/comfort of test sessions.
Personality difficulties and complex trauma (PACT) within older people’s services: Evaluation of a training session to raise awareness
Authors: Wood Fiona , Rutter & Louise , Bell Laura
Published: January 2023

Mental health services are in the midst of a cultural shift with regards to how personality difficulties are perceived and understood. There is increasing recognition of the need to acknowledge the role of trauma in presentations historically labelled as personality disorder. For Cumbria, Northumberland, Tyne and Wear (CNTW) NHS Foundation Trust, trauma-informed care is a priority. The current paper introduces the initiatives developed in CNTW older people’s services. An evaluation of a training session designed to enhance staff understanding, capabilities and attitudes when working with personality difficulties and complex trauma is presented. The evaluation follows a pre-test/post-test design with 78 attendees completing an adaptation of the Personality Disorder-Knowledge, Attitudes and Skills questionnaire (PD-KASQ) and a rating of the training’s clinical utility. Pre and post-scores are compared with paired samples t-tests. Findings are considered in the broader context of trauma-informed care and next steps for CNTW older people’s services.
Piloting an emotional check-in group on a male dementia ward
Authors: Hollingworth Emily , Donovan Fiona , Watson Ruth
Published: January 2023

This paper describes the development of an emotional ‘check-in’ group, conducted on a male dementia ward at an older adult mental health hospital, in Salford (Greater Manchester). The authors planned and conducted four sessions initially, with an aim to evaluate and adjust sessions dependent on engagement levels and responses from service users (SUs). For context, SUs admitted to the ward were males with diagnosis of dementia, who presented with complex behaviours that challenge. The ward environment included a high level of acute distress and frequent incidents that involve risk. This article outlines the structure and content of the first three sessions, explores the potential impact of the sessions and reflects on the importance of providing individuals with severe levels of cognitive impairment an opportunity to discuss emotions.
Therapeutic lying in dementia care: Applying the ideas in clinical practice
Authors: Lee Katy , Reichelt Katharina , James Ian
Published: January 2023

This article seeks to explore the clinical application of therapeutic lying in the field of dementia care. We begin by summarising the approach taken in assessing the need for therapeutic lying, before outlining a useful structure for the facilitation of a ‘Best Interests’ meeting about this important ethical issue. Finally, we reflect on challenges that can present when attempting to encourage paid or family carers to utilise this intervention and suggest ideas to negotiate these.
Learning on the job: Developing care home staff support services in response to Covid-19
Authors: Lockwood Helena , Nurse Krystle , Palomo Marina
Published: January 2023

Psychologists working with older people have responded to the need to support staff working in care homes during the Covid-19 pandemic. This paper describes the results of a survey of staff offering this type of support. It highlights the diverse offer that was developed at speed in this context as well as the barriers and facilitators for care home staff accessing support. Learning from this rapid initial response will be crucial for services working to support longer-term recovery and recommendations are made from our findings to inform future work.
Working psychologically with older adults with hoarding disorder: A scoping review of psychological assessment, formulation and intervention
Authors: Tinlin Rowan , Purvis Kayleigh
Published: January 2023

Introduction

Hoarding disorder (HD) is characterised by excessive acquisition and difficulty discarding possessions, resulting in heightened distress and significant clutter. Associated social isolation, reports of heightened shame, mistrust of professionals, and risk of falls or problems with hygiene make it difficult for professionals to successfully assess and intervene. The progression of hoarding symptoms is chronic in nature, with older adult (OA) services seeing an increasing number of individuals with HD.

Method

A systematic search of several databases was conducted. Following title, abstract and full text screening, and the exclusion of research focussing on an OCD sample or hoarding within the context of dementia or psychosis, 12 primary research papers were identified for inclusion in this review. These described the assessment, formulation and intervention of OA’s with hoarding.

Results

Despite there being several psychometric measures of hoarding severity, symptoms and beliefs, only two are validated for use with older adults. Moreover, there is little evidence of the efficacy of formulation and CBT interventions for HD in an OA population. There is however, useful documented adaptations to psychological work with OAs.

Discussion

More research is required documenting the efficacy of psychological intervention with OA’s with HD, as well as adaptations for assessment tools and formulation models for HD. These should account for the transitional life stage of OAs, possible physical health and cognitive functioning barriers, time constraints, increased need for motivational interviewing, relational approaches and emphasis on social activity.
Service evaluation of a cognitive behavioural therapy based anxiety programme
Authors: Cox Mitchel
Published: January 2023

This service evaluation provides insight into the implementation of a six-week cognitive behavioural therapy based anxiety programme, conducted within the Older Adult Functional Pathway. The author developed and delivered the six-session programme under supervision from the clinical psychologist within the pathway, with the aim of evaluating and further modifying sessions, dependent upon factors relating to qualitative feedback, outcome measures and service user engagement. The focus of the anxiety programme was to provide opportunity for individuals to understand anxiety and its effects on behaviours, bodily sensations, emotions and thoughts. Individuals referred to the programme were 65 years and older, all of whom presented with anxiety related difficulties. This service evaluation outlines the content of the anxiety programme, explores possible wider implications regarding future intervention and reflects on the balance between programmatic vs idiosyncratic psychological treatment.
Understanding complex systems: A reflective account of promoting wellbeing within health and social care
Authors: Smith Phil , Ross Susan
Published: January 2023

This paper offers an insight into the approach utilised by two Clinical Psychologists in the NHS Lanarkshire Psychological Therapies for Older People team, in their attempt to understand, and respond to, resident and staff wellbeing within the complex care home system during the pandemic. We highlight relevant staff wellbeing literature with a focus on those in health and social care. We then describe our approach which has been informed by various theories, such as compassionate leadership, organisational change, and psychological safety. We define our ideas for improving staff and resident wellbeing at a systems level, framed in psychological theory and quality improvement goals. We offer our reflections throughout, which we hope will be useful to others working in similar complex systems.