Stefan Priebe

..We sought to investigate pathways to mental health care and ethnicity in a sample of patients with a first episode of psychosis drawn from two UK centres...

..We sought to investigate the prevalence and social correlates of psychotic-like experiences in a general population sample of Black and White British subjects...

..There is a common assumption that Black patients with a psychotic mental illness experience longer treatment delays during a first episode. We sought to investigate this issue in a large cohort of patients with a first episode of psychosis...

..Despite considerable research investigating the relationship between a long duration of untreated psychosis (DUP) and outcomes, there has been much less considering predictors of a long DUP...

..Many studies have found high levels of compulsory admission to psychiatric hospital in the UK among African-Caribbean and Black African patients with a psychotic illness...

..We sought to investigate the relationship between long-term separation from, and death of, a parent before the age of 16 and risk of adult psychosis in different ethnic groups...

..However, there remain a number of conceptual and methodological issues, which mean much more research is needed before firm conclusions can be drawn about whether childhood trauma is a cause of psychosis...

..The concept of social exclusion is now widely used in discussions about the nature of disadvantage, and there are ongoing initiatives to promote social inclusion among those with mental health problems...

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..This study aimed to assess patient characteristics, care provision and costs in different types of housing services in England...

..5% of variance. The findings indicate that SQOL changes are influenced by symptom change, in particular in depression/anxiety. The level of influence is limited and may not compromise using SQOL as an independent outcome measure...

..To explore involuntary patients' retrospective views on why their hospitalisation was right or wrong...

..The association of employment and SQOL was stronger in mood and neurotic disorders than in schizophrenia. The findings may inform the use and interpretation of SQOL data for patients with schizophrenia...

..Care appears highly valued by the patients. The findings encourage establishing more centres in the region and call for employment schemes for people with mental illnesses...

..The aim of this study was to test whether aspects of the initial non-verbal behaviour of patients with schizophrenia and depression in medical consultations differ and are associated with symptom levels in each group...

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..War experiences can affect mental health, but large-scale studies on the long-term impact are rare. We aimed to assess long-term mental health consequences of war in both people who stayed in the conflict area and refugees...

..If so, it could be expected to be closely associated with physical, but not psychological symptoms. The study tests this hypothesis...

..However, neither the relationship between treatment satisfaction and the sub-syndromes of global psychopathology nor their temporal ordering have been explored...

..Future research is needed to cross-validate these findings and to generalise them to other countries, treatment settings, and patient populations...

..Patient-clinician communication is central to mental healthcare but neglected in research...

..There is limited evidence on what form of mental health-care generic (i.e. not targeting a specific social group) and group-specific services provide to socially marginalized groups in Europe...

..abstract:..

..Legislation and practice of involuntary hospital admission vary substantially among European countries, but differences in outcomes have not been studied...

..The study aimed to identify patient characteristics associated with differences in outcomes of acute treatment in day hospitals and conventional hospital wards...

..Migrants are a heterogeneous group as regards their country of emigration, reasons for migration and legal status...

..We also looked at: (3) If these pathologies, and/or changes in them, or other characteristics are associated with specific clinical outcomes...

..Routine use of standardised outcome measures is not universal...

..The study objectives were to assess whether group music therapy was feasible for patients who did not respond to CBT, and whether it has an effect on PTSD symptoms and depression...

..Explanatory models of illness may differ between ethnic groups and influence treatment satisfaction and compliance...

..This is the first randomized controlled trial specifically designed to test the effectiveness of manualized BPT on negative symptoms in chronic schizophrenia...

..The study examined whether data collected by researchers who were service users differed from data collected by non-service user researchers in a study that measured perceived coercion...

..The aims of the present study were to assess the extent to which levels of morale are sensitive to differences between professional groups and health care systems, and identify factors influencing morale across groups and settings...

..This study aimed to establish whether there has been a trend in Europe toward more institutionalized care since 2002...

..e., the Lancashire Quality of Life Profile (LQOLP), in the presence of cognitive deficits and psychiatric symptoms in patients with severe and enduring psychosis...

..Assertive outreach teams have been introduced in the UK, based on the assertive community treatment (ACT) model. It is unclear how models of community care translate from one culture to another or the degree of adaptation that may result...

..Finally, methodological advances in linking communication processes with treatment outcomes in large-scale observational studies and trials are a challenge for research on medical communication...

..Outcomes reflecting the social situation are widely considered as important in the treatment of people with schizophrenia...

..This would be in the interest of clinicians, in optimizing their therapeutic potential, and patients alike...

..Involving patients in the decision-making and treating them with respect may reduce perceived coercion...

..The effect is stronger in those who complete treatment. Future research should explore how to improve treatment adherence...

..This study designed and tested a new method of combining different relevant selection criteria within the context of a survey of housing services for people with mental health disorders in England...

..It is less clear whether the TR also predicts outcomes of psychiatric treatment programmes in patients with psychosis (i.e. outside conventional psychotherapy)...

..This study explored the psychometric qualities of the outcome data generated in the DIALOG intervention to explore whether they may be used for evaluating treatment outcomes...

..The high dissatisfaction with several social domains of life should be considered in treatment, and depressive and anxiety symptoms might be targeted to improve SQOL...

..To identify and characterize a subgroup of schizophrenia patients with marked and dominating bodily sensations (cenesthesias and body image aberration)...

..Although there has been some research on a nation-wide level, no work has been done to compare mental health legislation in different countries in relation to detention rates and to patients' perception of hospital detention...

..This study sought to explore professionals' experiences of delivering care to immigrants in districts densely populated with immigrants across Europe...

..There are calls to use patient-reported outcomes (PROs) routinely across mental health services. However, the use of PROs in patients with psychosis has been questioned...

..We aimed to measure use of health services in an adult population who had experienced war in the former-Yugoslavia on average 8 years previously, and to identify characteristics associated with the use and costs of healthcare...

..Offering financial incentives to achieve medication adherence in patients with severe mental illness is controversial...

..Therapeutic alliance between clinicians and their patients is important in community mental healthcare. It is unclear whether providing effective interventions influences therapeutic alliance...

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..Patient-reported outcomes are increasingly used to evaluate the care of people with schizophrenia...

..Inequalities of service use across ethnic groups are important to policy makers, service providers and service users...

..Assertive outreach has been established to care for'difficult to engage' patients, yet little is known about how patients experience their disengagement with mainstream services and later engagement with outreach teams...

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..To establish whether reinstitutionalisation is occurring in mental health care and, if so, with what variations between western European countries...

..Little is known about what characteristics of teams, staff and patients are associated with a favourable outcome of severe mental illness managed by assertive outreach...

..High scores on ego-demarcation at admission predicted poor treatment outcome after 2 weeks. The findings suggest that ego-pathology might be used to capture additional and clinically meaningful symptom dimensions in schizophrenia...

..This leads to the anticipation of positive as well as negatives scenarios for the future which are briefly described and contrasted...

..Although the model of assertive outreach has been widely adopted, it is unclear who receives assertive outreach in practice and what outcomes can be expected under routine conditions...

..Therefore, future research needs to focus on how the general factor can be assessed more directly and to identify how the specific variance of different criteria independent of that factor can be maximized...

..To investigate how doctors engage with patients with psychotic illness in routine consultations...

..Patients' views of the helping alliance and attitudes toward drugs should be considered in predicting compliance with antipsychotic medication...

..This study is aimed at exploring what schizophrenic patients and their closest relatives expect the further course of the illness will be like and how it can be influenced...

..The methodological quality of research should be improved to establish whether the inconsistency of findings reflects methodological artefacts or true differences between different samples and contexts...

..This study aimed to explore psychiatric patients' experiences of involuntary admission and treatment by reviewing qualitative studies...

..Rehospitalization was assessed over a 9-month follow-up period. Controlling for other predictors, a more positive TR was found to predict fewer hospitalizations in new patients but not in established ones...

..Data on effectiveness of acute day hospital treatment for psychiatric illness are inconsistent...

..The aim of this study was to explore, using a simple qualitative design, how community mental health staff in Austria perceive their job...

..for mental distress? (2) Are perceived causes of mental distress actually related to treatment preferences? (3) Are EMs influenced uniquely by ethnic group, or are they more closely associated with the presence of common mental disorders?..

..Various subjective and objective criteria are used to assess outcome in bipolar disorder. In this study, we explored to what extent they reflect distinct categories and whether underlying dimensions can be identified...

..The aim of this multicenter randomized controlled trial was to establish the effectiveness of acute day hospital care in a large sample across a range of mental health care systems...

..Such an empirical approach to examining psychiatric ethics may ensure that we incorporate the subjectivities of various interested parties in the clinical decision-making process...

..This study explores whether and, if so, to what extent direct treatment costs as paid by insurance companies and social welfare in the German health care system can be estimated through a simple Institutionalisation-Index...

..Depression, anxiety and posttraumatic stress disorder (PTSD) is the most prevalent psychiatric disorders in general populations and is reported to be highly prevalent among migrants...

..Both areas were - slowly and in discontinuity - established as criteria of integration of people with mental illnesses, which was increasingly accepted as an aim of mental health care...

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..CONCLUSIONS: These findings are encouraging, but repeated investigation is needed when assertive outreach teams have been established for longer...

..Additionally, they reported more needs for support and more negative consequences of alcoholism. The findings underline the relevance of quality of life ratings in detoxification treatment and their association with depressive symptoms...

..It may influence patient outcome indirectly or be therapeutic in its own right. Appropriate conceptual models, evidence on effective interventions and specific training are required to optimise communication in everyday routine practice...

..The aim of this study was to explore job satisfaction, professional role and burnout among community mental health staff in Austria...

..Such research approaches should seek to maximise the generalisability of results from high-quality (e.g. randomised controlled) single- or multi-site trials assessing specific models of day hospital care...

..To explore the use of health care and community-based services in war-affected regions of Croatia and its relation to mental health...

..Empowerment has impacted more at an organisational level than on individual care. Innovative research methodologies are needed to expand on the present significant body of research, utilising qualitative and quantitative techniques...

..Rather, the factors interact in their impact on posttraumatic stress symptoms. Bigger samples and longitudinal designs will be required to understand precisely how different personality traits influence response to stressful events...

..This study aimed to develop a measure of the TR with clinician and patient versions using psychometric principles for test construction...

..To capture the views on user involvement among employees in community mental health services in Austria...