Publications by authors named "P Lepping"

Background: Coercion in Dutch mental health care has continuously increased since the Special Admissions to Psychiatric Hospitals Act (Bopz) came into force in 1994. With the introduction of the Conditional Authorization in 2004, the increase in involuntary admissions was slowed down and outpatient compulsory treatment increased. The new Compulsory Mental Healthcare Act in the Netherlands (Wvggz) has been in force since 2020 and aims to reduce involuntary admissions.

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Article Synopsis
  • Delusional infestation (DI) is a psychological disorder where individuals have a firm belief that they are infested, requiring an interdisciplinary approach for effective treatment.
  • The Liverpool University Hospitals NHS Foundation Trust operates a specialized clinic for DI, coordinating between dermatology and psychiatry to enhance patient care and management.
  • From 2018 to 2023, this clinic assessed 208 patients, with over half diagnosed with DI, indicating the need for targeted strategies in similar medical settings.
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Background: Data remain scarce for the first-line antipsychotic choice in treating delusional infestation (DI).

Objectives: We evaluated the treatment responses associated with different antipsychotics in DI patients.

Methods: We undertook a multicentre, retrospective observational study using anonymised electronic patient records from two hospitals in the United Kingdom from 1 January 2011 to 1 January 2023.

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