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4 results

  • Personality disorder services in England: findings from a national survey

  • Oliver Dale, Faisil Sethi, Clive Stanton, Sacha Evans, Kirsten Barnicot, Rosemary Sedgwick, Steve Goldsack, Monica Doran, Lucinda Shoolbred, Chiara Samele, Norman Urquia, Rex Haigh, Paul Moran
  • Journal:
    BJPsych Bulletin / Volume 41 / Issue 5 / October 2017
    Published online by Cambridge University Press:
    02 January 2018, pp. 247-253
    Print publication:
    October 2017
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  • Aims and method

    We aimed to evaluate the availability and nature of services for people affected by personality disorder in England by conducting a survey of English National Health Service (NHS) mental health trusts and independent organisations.

    Results

    In England, 84% of organisations reported having at least one dedicated personality disorder service. This represents a fivefold increase compared with a 2002 survey. However, only 55% of organisations reported that patients had equal access across localities to these dedicated services. Dedicated services commonly had good levels of service use and carer involvement, and engagement in education, research and training. However, a wider multidisciplinary team and a greater number of biopsychosocial interventions were available through generic services.

    Clinical implications

    There has been a substantial increase in service provision for people affected by personality disorder, but continued variability in the availability of services is apparent and it remains unclear whether quality of care has improved.

  • Increasing momentum in prevention of mental illness and mental health promotion across Europe

  • Chiara Samele
  • Journal:
    BJPsych International / Volume 13 / Issue 1 / February 2016
    Published online by Cambridge University Press:
    02 January 2018, pp. 22-23
    Print publication:
    February 2016
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  • Prevention of mental illness and mental health promotion activities across Europe have gathered some pace since the launch of the European Union's Pact for Mental Health and Well-Being in 2008. Within the context of a large treatment gap in mental health and limited resources to meet the high demand for mental healthcare, a concerted effort is now needed to ensure that initiatives in both mental illness prevention and mental health promotion become a fundamental part of where we are educated, work and live. Cost-effective, evidence-based approaches in prevention and promotion make these initiatives more accessible.

  • Factors leading to poor physical health in people with psychosis

  • Chiara Samele
  • Journal:
    Epidemiologia e Psichiatria Sociale / Volume 13 / Issue 3 / September 2004
    Published online by Cambridge University Press:
    11 October 2011, pp. 141-145
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  • Patient choice in psychiatry

  • Chiara Samele, Simon Lawton-Smith, Lesley Warner, Jeevi Mariathasan
  • Journal:
    The British Journal of Psychiatry / Volume 191 / Issue 1 / July 2007
    Published online by Cambridge University Press:
    02 January 2018, pp. 1-2
    Print publication:
    July 2007
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  • The government has embarked on an ambitious plan to make patient choice central to the way healthcare and treatment are delivered. Mental healthcare is incorporated into this agenda. This editorial considers the implications of patient choice for psychiatry and some of the main challenges associated with this policy.