Psychiatric Bulletin, 33(10), October 2009, pp.384-386.
Publisher:
Royal College of Psychiatrists
This paper presents a liaison model for the management of children with more complex epilepsy and psychiatric disorders. Services used by children with epilepsy were seen by a Child and Adolescent Mental Health Service (CAMHS) liaison psychiatry team in the West of Scotland. Case notes of patients with epilepsy were reviewed to determine service involvement. The majority of patients attended
This paper presents a liaison model for the management of children with more complex epilepsy and psychiatric disorders. Services used by children with epilepsy were seen by a Child and Adolescent Mental Health Service (CAMHS) liaison psychiatry team in the West of Scotland. Case notes of patients with epilepsy were reviewed to determine service involvement. The majority of patients attended joint psychiatry and neurology clinics. Recommendation made by the Scottish Intercollegiate Guidelines Network (SIGN) for the psychological management of children were found to have been met. Most patients had been assessed by a clinical psychologist and received educational psychology input and family treatment approaches, while half had social work involvement.
Subject terms:
mental health problems, psychiatric care, child and adolescent mental health services, epilepsy;
Services for adults with long-term conditions are examined, focusing on two conditions in particular, COPD and epilepsy. These conditions were selected because there had been little evaluation of these compared with other long-term conditions. Key messages are presented. The study involved analysis of quantitative activity data on long-term conditions, analysis of spend on long-term conditions, and interviews with staff at the SEHD and at a sample of NHS boards (including health professionals specialising in COPD or epilepsy), CHPs and council social work departments. The fieldwork was carried out in six NHS board areas: Ayrshire and Arran, Borders, Forth Valley, Greater Glasgow and Clyde, Highland and Tayside. Focus groups were held with people with COPD or epilepsy in the sample board areas and GPs
Services for adults with long-term conditions are examined, focusing on two conditions in particular, COPD and epilepsy. These conditions were selected because there had been little evaluation of these compared with other long-term conditions. Key messages are presented. The study involved analysis of quantitative activity data on long-term conditions, analysis of spend on long-term conditions, and interviews with staff at the SEHD and at a sample of NHS boards (including health professionals specialising in COPD or epilepsy), CHPs and council social work departments. The fieldwork was carried out in six NHS board areas: Ayrshire and Arran, Borders, Forth Valley, Greater Glasgow and Clyde, Highland and Tayside. Focus groups were held with people with COPD or epilepsy in the sample board areas and GPs and practice nurses in the sample board areas were surveyed.
Subject terms:
long term care, long term conditions, cost effectiveness, epilepsy;
Services for adults with long-term conditions were examined, focusing on two conditions in particular: COPD and epilepsy. These conditions were selected because there has been little evaluation of these compared with other long term conditions. The study included analysis of quantitative activity data on long-term conditions, analysis of current spend on long-term conditions, a review of documents and interviews with staff at the SEHD and at a sample of NHS boards (including health professionals specialising in COPD or epilepsy), CHPs and council social work departments, 14 focus groups with people with COPD or epilepsy in the sample board areas, and surveys of GPs and practice nurses in the sample board areas. The fieldwork at boards was carried out in six areas: Ayrshire and Arran,
Services for adults with long-term conditions were examined, focusing on two conditions in particular: COPD and epilepsy. These conditions were selected because there has been little evaluation of these compared with other long term conditions. The study included analysis of quantitative activity data on long-term conditions, analysis of current spend on long-term conditions, a review of documents and interviews with staff at the SEHD and at a sample of NHS boards (including health professionals specialising in COPD or epilepsy), CHPs and council social work departments, 14 focus groups with people with COPD or epilepsy in the sample board areas, and surveys of GPs and practice nurses in the sample board areas. The fieldwork at boards was carried out in six areas: Ayrshire and Arran, Borders, Forth Valley, Greater Glasgow and Clyde, Highland and Tayside.
Subject terms:
long term care, long term conditions, cost effectiveness, epilepsy;
Journal of Intellectual Disability Research, 54(11), November 2010, pp.966-980.
Publisher:
Wiley
... and risk factors in terms of the nature of the disability. The impact Incident injury was predicted by having epilepsy and not having autism. Incident fall injury was predicted by urinary incontinence, while Down syndrome reduced risk. It is concluded that adults with ID did have more injuries, falls and accidents when compared with the general population. The authors suggest that there needs
Injuries, and in particular falls, are a major causes of death and disability. Research indicates that young people with intellectual disabilities (ID) have a higher rate and different pattern of injuries compared to the general population, but data for adults is very limited. This study was designed to determine the incidence and types of injuries experienced in a 12-month period by a community-based cohort of adults with ID (n = 511, 53% male, mean age 43.7 years, range 16-79) living in the Glasgow area. Face-to-face interviews were conducted with participants 2 years after they had first been recruited into a longitudinal study. Incidence of at least one injury in a 12-month period was 20.5% (105), of which 12.1% were related to falls. Analyses looked at the type and causes of injuries and risk factors in terms of the nature of the disability. The impact Incident injury was predicted by having epilepsy and not having autism. Incident fall injury was predicted by urinary incontinence, while Down syndrome reduced risk. It is concluded that adults with ID did have more injuries, falls and accidents when compared with the general population. The authors suggest that there needs to be greater emphasis on individual injury/fall risk in the provision of support for people with ID at both the individual and organisational level.