What is good acute psychiatric care (and how would you know)?

Tracy, Derek K.; Phillips, Dina M.

doi:10.1002/wps.20958

Cited by 6 publications

(2 citation statements)

References 5 publications

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“…Psychiatry in the metacommunity era embraces evidence, clinical effectiveness and robust outcome, and qualitative research to identify the views of patients, carers and staff. 27 But while community psychiatry advocated the development of mental health services locally, 28 its metacommunity successor must also take explicitly into consideration the broader sociopolitical, technological and scientific context. In the light of experience in recent decades and emerging debates about so called techno-or neo-feudalism (Box 1), the risk is that the future evolution or demise of neoliberalism may embrace more demagogic, inequitable and authoritarian 29 rather than liberal and socially inclusive ideals.…”

Section: The Futurementioning

confidence: 99%

Metacommunity: the current status of psychiatry and mental healthcare and implications for the future

Ikkos,

Bouras

2024

BJPsych Int.

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We review the origins and history of community psychiatry and the challenges posed to it by advancing technology and the neoliberal political economy and society that have prevailed since the 1990s. We summarise both achievements and shortcomings and argue that the term ‘community’ fails to acknowledge the gap between its original ambition and the outcomes of its implementation. We argue that, because of the changes that have taken place, the implementation of community psychiatry's objectives as conceived originally is likely to continue to fail. To sharpen current awareness and thinking and optimise future policy discourse and service strategies we revisit the concept of ‘metacommunity’. This is a historical descriptive label that aims to encapsulate the fundamental transformations that have taken place. These in turn demand of psychiatrists and other mental health providers both more socially critical thinking and mental health activism in the public sphere. Ultimately, beyond both community and metacommunity psychiatry, what is required is a democratic psychiatry.

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Section: The Futurementioning

confidence: 99%

Metacommunity: the current status of psychiatry and mental healthcare and implications for the future

Ikkos,

Bouras

2024

BJPsych Int.

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“…People with psychosis also show victimization rates several times higher than the general population ( de Vries et al, 2019 ). Thus, one essential purpose of acute psychiatric services has been to assess and, where possible, avoid harm, at times placing little emphasis on fostering positive aims through therapeutic means ( Bowers et al, 2014 ; Tracy and Phillips, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

Metacognitive training in the acute psychiatric care setting: feasibility, acceptability, and safety

Fischer,

Nagel,

Schöttle

et al. 2023

Front. Psychol.

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Patients on acute psychiatric wards desire more psychosocial treatment than they receive, according to recent studies, but evidence-based interventions tailored to this setting are currently lacking. Metacognitive Training for psychosis (MCT) is a flexible, easy-to-administer group therapy that has been adapted to meet this demand (MCT-Acute). Thirty-seven patients with severe mental illness took part in MCT-Acute twice a week during their stay on a locked acute ward and were interviewed before, during, and after the intervention period regarding subjective utility, subjective adverse events, and symptom severity; attendance rates and reasons for absence were recorded. In addition, staff rated adverse events, symptom severity, and functioning (German Clinical Trial Register ID: DRKS00020551). Overall, most patients evaluated MCT-Acute positively and reported symptom stabilization. Staff also reported improvement in functioning. No clinician-rated adverse events related to participation in MCT-Acute were reported. Conducting MCT-Acute is feasible and safe and may contribute to meeting patients’, practitioners’, and researchers’ demands for more evidence-based psychotherapeutic interventions for the acute psychiatric care setting.Clinical Trial RegistrationID: DRKS00020551, https://drks.de/search/de/trial/DRKS00020551

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Effect of affective temperament on illness characteristics of subjects with bipolar disorder and major depressive disorder

Simonetti

Luciano

Sampogna

et al. 2023

Journal of Affective Disorders

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What is good acute psychiatric care (and how would you know)?

Cited by 6 publications

References 5 publications

Metacommunity: the current status of psychiatry and mental healthcare and implications for the future

Metacommunity: the current status of psychiatry and mental healthcare and implications for the future

Metacognitive training in the acute psychiatric care setting: feasibility, acceptability, and safety

Effect of affective temperament on illness characteristics of subjects with bipolar disorder and major depressive disorder

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