Skip to main content
×
×
Home

Clinical standards in psychiatry: How much evidence is required and how good is the evidence base?

  • John Geddes (a1) and Simon Wessely (a2)
Extract

It is impossible to avoid the plethora of clinical practice guidelines and other forms of practice policy and protocols that have been showered on psychiatrists and other mental health clinicians over the last decade. Several motivations lie behind this phenomenon – reducing the amount of unnecessary variation in clinical practice, improving clinician's access to research evidence and summarising available evidence to assist individual patient and clinician decision-making. With the arrival of the National Service Framework for Mental Health, it is timely to take stock of the evidence requirements for developing valid clinical standards.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Clinical standards in psychiatry
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Clinical standards in psychiatry
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Clinical standards in psychiatry
      Available formats
      ×
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
Hide All
Department of Health (1994) The Health of the Nation. Key Area Handbook: Mental Illness. London: HMSO.
Eccles, M., Clapp, Z., Grimshaw, J., et al (1996) North of England evidence-based guidelines development project: methods of guideline development. British Medical Journal, 312, 760762.
Eddy, D. M. (1990) Clinical decisionmaking: from theory to practice. Designing a practice policy. Standards, guidelines, and options. Journal of the American Medical Association, 263, 30773084.
Geddes, J. R., Game, D., Jenkins, N.E. et al (1996) What proportion of primary psychiatric interventions are based on randomised evidence? Quality in Health Care, 5, 215217.
Lehman, A. F. & Steinwachs, D. M (1998a) Patterns of usual care for schizophrenia: initial results from the Schizophrenia Patient Outcomes Research Team (PORT) Client Survey. Schizophrenia Bulletin, 24, 1120.
Lehman, A. F. & Steinwachs, D. M (1998b) Translating research into practice: the Schizophrenia Patient Outcomes Research Team (PORT) treatment recommendations. Schizophrenia Bulletin, 24, 110.
Marshall, M., Gray, A., Lockwood, A., et al (1996) Case management for people with severe mental disorders. In Schizophrenia Module (eds Adams, C., Anderson, J., De Jesus Mari, J.). In The Cochrane Library. Oxford: Update Software.
Summers, A. & Kehoe, R. F. (1996) Is psychiatric treatment evidence-based? Lancet, 347, 409410.
Thornley, B. & Adams, C. (1998) Content and quality of 2000 controlled trials in schizophrenia over 50 years. British Medical Journal, 317, 11811184.
Wessely, S., Rose, S. & Bisson, J. (1998) A systematic review of brief psychological interventions (“debriefing”) for the treatment of immediate trauma related symptoms and the prevention of post-traumatic stress disorder. In The Cochrane Library. Oxford: Update Software.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 2 *
Loading metrics...

Abstract views

Total abstract views: 12 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 18th July 2018. This data will be updated every 24 hours.

Clinical standards in psychiatry: How much evidence is required and how good is the evidence base?

  • John Geddes (a1) and Simon Wessely (a2)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *