How can we help Emergency Departments better prepare for the arrival of patients with acute mental health problems?

New CLAHRC research offers the NHS a great opportunity to better support patients with mental health issues arriving at Emergency Departments.

Consultant public health physician and clinical academic Dr Helen Barratt has used NHS data to describe the population of patients who attend Emergency Departments in England, including their sociodemographic characteristics. As part of the first national study of Emergency Department mental health attendances, Dr Barratt analysed over 6 million adult visits at 97 English hospital Trusts between April 2013 and March 2014.

The data will be invaluable to the NHS in estimating the demand for liaison psychiatry services, and resourcing A & E departments to deal with patients presenting with mental health issues in what is already a stressful environment.

This work is timely as recently new NHS Access standards for emergency mental health care have been proposed – obliging Trusts to strengthen the availability of care ‘out of hours’ and the provision of resources for individuals requiring admission.

“Those coming to A&E will receive a response from a 24/7 liaison psychiatry team (or equivalent children’s and young people’s service) within the first hour of their referral, and will receive the appropriate, timely support to meet their needs and an evidence-based package of care.”
Clinically-led Review of NHS Access Standards Interim Report from the NHS National Medical Director

You can see the key figures in a presentation Helen put together below

 

What adaptations are needed to deliver psychological therapies in inpatient settings?

Psychological therapies (sometimes referred to as ‘talking therapies’) offer a chance for patients to explore difficulties in a safe and confidential setting. The therapy is delivered by a qualified professional, working in partnership with a patient to help them better understand feelings that arise from their past experiences, and attitudes towards them. Evidence suggests these therapies can make a big impact on psychiatric patients current and future wellbeing. However, they are a challenge to deliver in inpatient environments due to the short-term nature of many inpatients’ stay, added to the complex needs they often present with.

Dr Lisa Wood is a Care Pathway Lead Psychologist at North East London NHS Foundation Trust (NELFT) as well as a Lecturer in Clinical Psychology at the University of Essex. Dr Wood spent a year with the CLAHRC as part of a Fellowship funded by HEE NCEL to hone her research skills and develop research interests in her specialist area – understanding the lived experience of psychosis from a service user perspective.

In newly published research, Lisa explored the adaptations required to deliver psychological therapies to this population from the perspective of inpatient psychological practitioners. Through interviews with inpatient psychological practitioners, Dr Wood and her research team sought the adaptations required to deliver psychological interventions in this context.

Read the paper

Qual Health Res. 2019 Apr 23:1049732319843499. doi: 10.1177/1049732319843499
Psychologists’ Perspectives on the implementation of Psychological Therapy for Psychosis in the Acute Psychiatric Inpatient Setting.
Wood L Williams C Billings J Johnson S
https://www.ncbi.nlm.nih.gov/pubmed/31014190

 

After the trial: how a programme to improve the health care response to domestic violence and abuse fares in the real-world NHS

How does an intervention developed and tested by researchers make its way to the front-line of health care?

This is the topic of a new blog by Dr Natalia Lewis, a Research Fellow at Centre for Academic Primary Care in the University of Bristol.

Natalia is part of the research team investigating the impact of IRIS (Identification and Referral to Improve Safety), a general-practice-based Domestic Violence and Abuse (DVA) training, support and referral programme.

After the trial: how a programme to improve the health care response to domestic violence and abuse fares in the real-world NHS

BBC features CLAHRC research into pollution and young lungs

Professor Chris Griffiths featured on BBC’s the One Show last night talking about the impact of pollution on young lungs. The topical affairs programme ran a feature on the impact of poor air quality on children and young peoples (CYP) development.

Professor Griffiths is leading research into the impact of the Capitals’ upcoming Ultra Low Emission Zone (ULEZ) – introduced on April 1st – on both CYP respiratory health and physical activity levels. The ULEZ is predicted to deliver major improvements in London’s air quality, reducing nitrogen dioxide and particulate exposures in central London.

The ULEZ comes into force on April 1st

 

 

The feature runs from 6 minutes 30 seconds into last nights show

https://www.bbc.co.uk/iplayer/episode/m0003mmj/the-one-show-27032019 

You can read about this recently launched CLAHRC study here;

https://clahrc-norththames.nihr.ac.uk/systems_and_models_theme/impcact-of-ulez-on-childrens-physical-activity-and-weight/

 

Becoming Research Active: 26th June 2019; 9am-5pm

Are you a nurse, allied health professional, public health or local government member of staff who is interested in research or who has had some exposure to research?  Our workshop is suitable for staff from NHS Trusts, CCGs, and Local Authorities who are keen to become involved in research.

Engaging in research is a great way to address the questions that often arise in health care.  It can also play a vital role in producting new evidence and new knowledge for decision-making to improve health care.

This one day, practical workshop provides an introduction to the research process to enable NHS and local government staff to engage in research activity.  The course is run by the CLAHRC North Thames Academy, together with the Research Design Service London (east London arm) and Clinical Research Network North Thames.

This introductory level course is a first step on the journey towards becoming “research active”, either by developing your own small project or getting involved in other ways e.g. collaborating on research studies, assisting clients / patients in your care to take part in research, being a (critical) research ‘consumer’ or helping to shape research priorities, design and delivery.  We ask that participants attend the workshop with a research idea, innovation, or change that they would like to plan for, or collaborate on with researchers.

By the end of the course participants will:

  • Understand the research process, including the principles behind good research design and planning for dissemination and impact
  • Understand the different roles within a research team and identify the points at which you can become involved
  • Be able to apply criteria to judge the potential value and feasibility of a research project idea
  • Have a basic understanding of research governance and ethics requirements, and know where to find out more
  • Know how to involve patients and the public in every stage of research, and understand how it could benefit the research
  • Know how to access relevant resources or the help available across North Thames to design, plan and fund research

This workshop is not aimed at academics and/or researchers.

*e.g. you might have done a Masters level module in collecting and analysing data, or critical appraisal of research, or have helped to support research in your organisation or attended another one of our Academy courses.

All participants will receive a certificate of attendance.

Cost – This course is free for staff working in NIHR CLAHRC North Thames partner organisations (a list of our partners is available on our website). There is a delegate fee of £250 for other attendees.

Venue – Central London

Registration – Please complete the registration form and email to clahrc.academy@ucl.ac.uk by 5pm, Friday 26th April 2019.

Please note,a cancellation fee of £100 will be charged to both partner and non-partner delegates in the event of non-attendance without notic after 5pm on 19th June 2019.

For more information please contact clahrc.academy@ucl.ac.uk

Dr Antonio Rojas-Garcia

Antonio holds a BSc in Psychology and an MSc in Research Methods and Implementation in Psychology and Health, both from the University of Granada, Spain. He has also been awarded a Ph.D. from the University of Granada, for his work in the Andalusian School of Public Health. During this time, he was part of several research projects, mostly focused on health inequalities and health systems, prior to joining UCL.  Antonio has particular interest in research methods in health, mostly systematic reviews and meta-analysis.

Introduction to Evaluation Online: 7th May – 4th June 2019

Do you need to demonstrate the impact of projects in your organisation?

Do you want to improve the design and implementation of your programmes?

Are you tasked with carrying out an evaluation, but don’t know where to start?

Consider enrolling in our four-week online course run by the NIHR CLAHRC North Thames Academy to address these challenges. This course has been recently updated. It is aimed at staff in frontline services at NHS Trusts, CCGs and Local Authorities, who have limited experience conducting service evaluations and would like to learn about evaluations in flexible time.

After participating in this course, you will have the skills and knowledge to undertake your own evaluation of a local programme or service. Inspired by the content of our popular face-to-face evaluation course, the online course will cover:

  • Different types of evaluation, including their pros and cons
  • How to select suitable methods and approaches for evaluating a local programme or service
  • Practical skills and tips in using evaluation methods and approaches
  • Ways of sharing your evaluation findings to make an impact

Teaching will be delivered entirely online. You’ll learn by watching videos and lecture slides; interacting through activities and questions; and learning from others by taking part in the discussions that accompany each step. You’ll also develop a plan for a real life evaluation you may have to conduct. 

Who is this workshop suitable for?

Staff from NHS trusts, local authorities and clinical commissioning groups who need to evaluate local programmes or services as part of their work. The course is not aimed at academics or researchers.

What preparation is needed?

Participants should attend the course with an evaluation in mind that they may have to carry out.  No previous knowledge of evaluation is required, or experience of study design and statistics.

Participants will receive a certificate of completion if they undertake at least 80% of the course activities.

Dates – Tuesday 7th May – Tuesday 4th June 2019.

Learning hours – an estimate of 3 hours per week (12 hours in total)

Cost – £100 for staff working in NIHR CLAHRC North Thames partner organisations (please click here to see a list of our partners). There is a delegate fee of £250 for other attendees.

Registration – Registration will open between 25th February and 3rd May 2019.
To register for this course, please go to the UCL online store.

For more information please contact clahrc.academy@ucl.ac.uk