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Critical Values Based Practice Network

C-VBP-N

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Making Sense of Psychiatric Drugs

Written by Steven Coles on September 12, 2014. Posted in Clinical Psychology Bite-Size

Making Sense of Psychiatric Drugs

Issue 41 – September 2014

Authors: Steven Coles and Joanna Moncrieff (steven.coles@nottshc.nhs.uk)

Key points

  • Service users’ experiences of taking psychiatric drugs are varied, but often ignored
  • Evidence for the chemical imbalance theory of psychiatric drug action is weak
  • An alternative ‘drug model’ views psychiatric medications as working in a similar manner to other non-prescription drugs such as alcohol, and highlights the subjective experience of taking medication
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Power and decision making on acute wards

Written by Philip Houghton on July 12, 2014. Posted in Clinical Psychology Bite-Size

Power and decision making on acute wards

Issue 40 – July 2014

Authors: Phil Houghton, Gemma Stacey, Ann Felton, Alistair Morgan, Theo Stickley, Matt Willis, Bob Diamond, Bev Johnson, John Dumenya, James Shutt (contact authors via philip.houghton@nottshc.nhs.uk)

Key points

  • Recent research by the Values MIN provides evidence that neither service users, carers or healthcare workers feel there is currently shared decision making on the acute wards.
  • The current ward round structure is not fit for practice.
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Intervention and Dialogue with Families

Written by Jon Crossley on June 12, 2014. Posted in Clinical Psychology Bite-Size

Intervention and Dialogue with Families

Issue 39 – June 2014

Authors: Jon Crossley (Clinical Psychologist, Leicester University) – contact via steven.coles@nottshc.nhs.uk

Key points

  • A robust evidence base has been established for Family Intervention with psychosis in research settings, however, questions have been raised about how this can be transferred into day to day practice
  • The Open Dialogue Approach illustrates the potential for routine mental health care to be based on family-centred models for people with a label of psychosis

 Implications for practice

  • View families as a potential asset and resource
  • Recognise that family interventions for psychosis vary in content and approach
  • Draw on an approach that fits with the family’s needs and preferences
  • Seek to engage in dialogue rather than impose ideas
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Open Dialogue I: Introduction

Written by Steven Coles on April 1, 2014. Posted in Clinical Psychology Bite-Size

Open Dialogue I: Introduction

Issue 38 – April 2017

Authors: Caroline Fox and Steven Coles (steven.coles@nottshc.nhs.uk)

Key points

  • Open Dialogue focuses on developing dialogue within a social network
  • Experiences labelled as psychosis are seen as having meaning
  • Research shows Open Dialogue has very good outcomes in Finland
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Trauma and Psychosis: What Has Happened to You?

Written by Steven Coles on December 1, 2013. Posted in Clinical Psychology Bite-Size

Trauma and Psychosis: What Has Happened to You?

Issue 37 – December 2013

Authors: Steven Coles (steven.coles@nottshc.nhs.uk)

Key points

  • There is a growing body of research recognising that a range of traumatic circumstances are a cause of experiences labelled as psychosis or schizophrenia.
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