Publications by authors named "Ceri Dare"
Cognitive behaviour therapy for psychosis (CBTp) should be offered to patients receiving psychiatric inpatient care, yet very little is known about patients' perspectives on this. The aim of this study was to examine patients' experiences of a CBTp-informed intervention delivered in inpatient settings. We recruited 10 participants from the intervention arm of a randomised controlled trial examining the feasibility and acceptability of a CBTp-informed intervention for psychiatric inpatient settings.
View Article and Find Full Text PDFArticle Synopsis
- There are disparities in psychosis care, specifically in the receipt of Cognitive Behavioural Therapy for psychosis (CBTp) and family intervention among different ethnic groups in Early Intervention in Psychosis (EIP) teams in England.
- Utilizing data from over 29,000 service users, the study found that most minoritized ethnic groups, except mixed Asian-White and mixed Black African-White individuals, had lower chances of receiving CBTp compared to the White British population.
- The findings highlight significant inequalities in access to these critical interventions and suggest that further investigation into the reasons behind these disparities should be prioritized in future research.
Background: In England, a range of mental health crisis care models and approaches to organising crisis care systems have been implemented, but characteristics associated with their effectiveness are poorly understood.
Aims: To (a) develop a typology of catchment area mental health crisis care systems and (b) investigate how crisis care service models and system characteristics relate to psychiatric hospital admissions and detentions.
Method: Crisis systems data were obtained from a 2019 English national survey.
Article Synopsis
- Mental health crisis care is really important but can be hard to get and often doesn't work well for people, so new community services are being created to improve it.* -
- The study talked to 18 people who manage crisis care services in England to find out what helps and what makes it hard to set up these new services.* -
- Good teamwork and including people who use the services make a big difference, but there are challenges like not having enough staff and resources.*
Purpose: We sought to understand how the experiences of people in the UK with pre-existing mental health conditions had developed during the course of the COVID-19 pandemic.
Methods: In September-October 2020, we interviewed adults with mental health conditions pre-dating the pandemic, whom we had previously interviewed 3 months earlier. Participants had been recruited through online advertising and voluntary sector community organisations.
Background: Inpatient psychiatric care is unpopular and expensive, and development and evaluation of alternatives is a long-standing policy and research priority around the world. In England, the three main models documented over the past fifty years (teams offering crisis assessment and treatment at home; acute day units; and residential crisis services in the community) have recently been augmented by several new service models. These are intended to enhance choice and flexibility within catchment area acute care systems, but remain largely undocumented in the research literature.
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- The study investigates how the COVID-19 pandemic has uniquely affected individuals with pre-existing mental health conditions, highlighting their personal experiences and perceptions during this time.
- Through qualitative interviews with 49 participants conducted by researchers with lived mental health experiences, the research identifies exacerbated mental health issues, challenges in social connectivity, and varying access to mental health services.
- The findings emphasize the need for effective and equitable mental health care solutions, particularly remote options, and call for further research into the long-term effects of the pandemic, especially for marginalized BAME communities.
Background: People with serious mental illness (SMI) have sexual health needs but there is little evidence to inform effective interventions to address them. In fact, there are few studies that have addressed this topic for people with SMI outside USA and Brazil. Therefore, the aim of the study was to establish the acceptability and feasibility of a trial of a sexual health promotion intervention for people with SMI in the UK.
View Article and Find Full Text PDFBackground: People with serious mental illness have sexual health needs, but there is limited evidence regarding effective interventions to promote their sexual health.
Objectives: To develop a sexual health promotion intervention for people with serious mental illness, and to conduct a feasibility trial in order to establish the acceptability and parameters for a fully powered trial.
Design: A two-armed randomised controlled, open feasibility study comparing usual care alone with usual care plus the adjunctive intervention.
Objective: To investigate whether continuity of care in family practice reduces unplanned hospital use for people with serious mental illness (SMI).
Data Sources: Linked administrative data on family practice and hospital utilization by people with SMI in England, 2007-2014.
Study Design: This observational cohort study used discrete-time survival analysis to investigate the relationship between continuity of care in family practice and unplanned hospital use: emergency department (ED) presentations, and unplanned admissions for SMI and ambulatory care-sensitive conditions (ACSC).
Objective: Although U.K. and international guidelines recommend monotherapy, antipsychotic polypharmacy among patients with serious mental illness is common in clinical practice.
View Article and Find Full Text PDFObjective: To investigate whether two primary care activities that are framed as indicators of primary care quality (comprehensive care plans and annual reviews of physical health) influence unplanned utilisation of hospital services for people with serious mental illness (SMI).
Design, Setting, Participants: Retrospective observational cohort study using linked primary care and hospital records (Hospital Episode Statistics) for 5158 patients diagnosed with SMI between April 2006 and March 2014, who attended 213 primary care practices in England that contribute to the Clinical Practice Research Datalink GOLD database.
Outcomes And Analysis: Cox survival models were used to estimate the associations between two primary care quality indicators (care plans and annual reviews of physical health) and the hazards of three types of unplanned hospital utilisation: presentation to accident and emergency departments (A&E), admission for SMI and admission for ambulatory care sensitive conditions (ACSC).
Background: Serious mental illness (SMI) - which comprises long-term conditions such as schizophrenia, bipolar disorder, and other psychoses - has enormous costs for patients and society. In many countries, people with SMI are treated solely in primary care, and have particular needs for physical care.
Aim: The objective of this study was to systematically review the literature to create a list of quality indicators relevant to patients with SMI that could be captured using routine data, and which could be used to monitor or incentivise better-quality primary care.
Objective: To understand the perspectives of women with severe mental illness concerning the use of psychotropic medicines while pregnant.
Design: Interviews conducted by female peer researchers with personal experience of making or considering decisions about using psychotropic medicines in pregnancy, supported by professional researchers.
Participants: 12 women who had had a baby in the past 5 years and had taken antipsychotics or mood-stabilisers for severe mental illness within the 12-month period immediately prior to that pregnancy.
Background: Crisis Concordat was established to improve outcomes for people experiencing a mental health crisis. The Crisis Concordat sets out four stages of the crisis care pathway: (1) access to support before crisis point; (2) urgent and emergency access to crisis care; (3) quality treatment and care in crisis; and (4) promoting recovery.
Objectives: To evaluate the clinical effectiveness and cost-effectiveness of the models of care for improving outcomes at each stage of the care pathway.
Effects of national antibiotic stewardship and infection control strategies on hospital-associated and community-associated meticillin-resistant Staphylococcus aureus infections across a region of Scotland: a non-linear time-series study.
Lancet Infect Dis
December 2015
Background: Restriction of antibiotic consumption to below predefined total use thresholds might remove the selection pressure that maintains antimicrobial resistance within populations. We assessed the effect of national antibiotic stewardship and infection prevention and control programmes on prevalence density of meticillin-resistant Staphylococcus aureus (MRSA) infections across a region of Scotland.
Methods: This non-linear time-series analysis and quasi-experimental study explored ecological determinants of MRSA epidemiology among 1,289,929 hospital admissions and 455,508 adults registered in primary care in northeast Scotland.
Turning the tide or riding the waves? Impacts of antibiotic stewardship and infection control on MRSA strain dynamics in a Scottish region over 16 years: non-linear time series analysis.
BMJ Open
March 2015
Objectives: To explore temporal associations between planned antibiotic stewardship and infection control interventions and the molecular epidemiology of methicillin-resistant Staphylococcus aureus (MRSA).
Design: Retrospective ecological study and time-series analysis integrating typing data from the Scottish MRSA reference laboratory.
Setting: Regional hospital and primary care in a Scottish Health Board.