Episodes
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Prof Hamish McAllister-Williams from Newcastle University and the Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, previews his BAP Summer Meeting plenary on the clinical utility and potential generalisability of the “difficult to treat...” concept, which includes a talk from him on applying the model of care for difficult to treat depression to bipolar disorder.
The British Association for Psychopharmacology (BAP) Summer Meeting is taking place in Manchester on 23-26 July 2023. Find out more by visiting the BAP2023 website, which includes the full programme and details of how to participate:
https://www.bap.org.uk/BAP2023
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Lucy Rocca from Soberistas and Prof Julia Sinclair from the University of Southampton preview their Public Lecture, which is taking place at the British Association for Psychopharmacology (BAP) Summer Meeting in Manchester on 24th July 2023.
Find out more by visiting the BAP2023 website, which includes the full programme and details of how to participate:
https://www.bap.org.uk/BAP2023
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The President of the British Association for Psychopharmacology (BAP) helps us prepare for the annual BAP Summer Meeting, which is taking place in Manchester on 23-26 July 2023.
Find out more by visiting the BAP2023 website, which includes the full programme and details of how to participate:
https://www.bap.org.uk/BAP2023
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Before her keynote talk at the 2023 BIGSPD conference in Glasgow, Dr Satbinder Kaul Bhogal, talks about the importance of exploring intersectionality in addressing harm in services.
Dr Satbinder Kaur Bhogal, Clinical Psychologist. Dr Kaur Bhogal has worked for over 20 years within the field of Mental Health in various organisations. She has led services to support children and adults experiencing complex emotional, social, and interpersonal difficulties, often referred to as ‘Personality Disorder.’ Satbinder has a keen interest in Attachment Trauma across the lifespan and provides therapy to support individuals to develop a better understanding of their needs and difficulties. Her areas of interest and expertise are with working with those who have who experienced trauma (including racial trauma) in their lives.
From a Punjabi Sikh background and being a Clinical Psychologist led Satbinder to develop an interest in working with minoritised and marginalised communities. This then led her complete her Doctoral research looking into the experiences of Black and South Asian users and their experiences of diagnosis and access to care in Mental Health Services. Working in inner city Birmingham which is full of cultural and racial diversity, Satbinder has a passion for ensuring equity in care for those that are marginalised, which includes access to care, issues around diagnosis, racism, intersectionality and health inequalities.
My experiences of working in services for those with a diagnosis of 'personality disorder' in Birmingham have led me to explore why we have over (e.g. white women) and under (e.g. Black women) represented groups in services. While we understand access to services being difficult, the issues on the diagnosis of 'personality disorder' and how the diagnosis in itself is rooted in biases, I will look to examine why holding a intersectional lens in our work, is so important in mental health services. Needed so that we can start to address the above issues, but also to ensure equity of care in access, support and treatment for those from marginalised groups.
Little attention is paid to intersectionality, that if left unexplored in-service use can lead to systemic harm, abuse and neglect in services. This is important because we know the diagnosis does harm and can further compound difficulties in those from marginalised groups. The term “intersectionality” was first coined by Kimberlé Crenshaw in 1989. Intersectionality encompasses the idea that we have more than one identity with a combination of various identity markers such as race, gender, religion, sexuality, etc. These identity markers intersect with one another and shape our experience. This relates to mental health because our mental health does not exist separately from identity markers. Our mental health can be impacted by race, gender, sexuality, age, religion, and much more. There may also be unique life stressors that accompany these identity markers. For these reasons understanding people, being more than just a diagnosis is central to our work in providing compassionate care, as it affects recovery. However, it is important to understand that our individual identities are not the issue, the problem lies within our systems that can harm, abuse and neglect our users and at times lead to death.
I hope to raise awareness into why we need to talk about Intersectionality more in services and I will be drawing on my own intersectional lens and my experiences of leading services with diverse staff groups, whilst also bringing in the experiences of marginalised voices where systemic harm, abuse and neglect has been evident, further compounding the experiences for those that we care for. Please note that only themes will be shared and no identifiable material from any one individual will be shared.
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Before his keynote talk at the 2023 BIGSPD conference in Glasgow, Dr Daniel Taggart, from the University of Essex, talks about mental health provision for adult survivors in the wake of the Independent Inquiry into Child Sexual Abuse (IICSA) - lessons from the Truth Project.
Dr Daniel Taggart, Senior Lecturer in Clinical Psychology, University of Essex is a senior lecturer in clinical psychology at the University of Essex, and a chartered psychologist. Danny worked at the Independent Inquiry into Child Sexual Abuse from 2019-2022 where he was the principal psychologist and clinical lead for the Truth Project. Danny has worked as a clinical consultant and trainer for the Northern Irish Redress Board, the Scottish Redress Scheme, and the Jersey Care Inquiry Citizens Panel. His current research is focused on survivor participation in non-recent institutional abuse inquiries, the ways that childhood trauma impacts engagement with public services, and what value survivor testimony has in both facilitating recovery from trauma and creating change in institutional practices. Danny is a founder member of the 'Non recent child sexual abuse- Network for promoting change'; a group of survivors, clinicians, and academics who provide educational and training resources for practitioners, service leaders, and organisations.
The Truth Project was one arm of IICSA, running from 2016-2021. It offered all adult survivors of child sexual abuse (CSA) in England and Wales an opportunity to share their experiences with the Inquiry, discuss the impacts of sexual abuse on their lives, and make recommendations for change. Over 6,000 adults between the ages of 18 and 87 took part, making it the largest scale public participation in a UK inquiry. The Truth Project generated a wealth of testimony from CSA survivors about the long-term impacts that sexual abuse, the types of support that have been offered or denied, and what the secondary impacts of service responses to their abuse have been. Given that 90% of all Truth Project participants reported that their mental health was negatively impacted by the CSA, their testimonies have an important role in helping mental health services understand more about survivor needs.
While one of the notable features of Truth Project participants is their heterogeneity, clear themes emerge from the testimonies about service experience that can inform the development of treatment pathways. The importance of being believed, having their testimony taken seriously and validated was the most consistently cited reason for participating in the Truth Project, along with a sense of civic responsibility to protect future generations of children. While this need to be believed may appear axiomatic, the Truth Project reveals a strong thread of testimonial evidence that this is not how CSA survivors have been treated by public services, including in mental health. This paper will consider the lack of validation and belief CSA survivors report experiencing in mental health services in the context of the work of Hannah Arendt. Specifically, it will draw out Arendt’s arguments in her book the Human Condition, that scientific technology functions to usurp human collective action and undermines ordinary story telling and sense making about people’s lives. It will consider how the testimony provided by the Truth Project participants and the Inquiry’s emphasis on believing them, can provide a framework for mental health services developing treatment pathways for CSA survivors, in order to promote the value of testimonial sharing as a valid form of healing from trauma.
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Before his keynote talk at the 2023 BIGSPD conference in Glasgow, Prof Giles Newton-Howes from the University of Otago in New Zealand, talks about the history of the term personality disorder and how thinking about taxonomy can help us consider the benefits and harms of diagnosis.
Professor Giles Newton-Howes, Professor & Consultant Psychiatrist, University of Otago. A consultant psychiatrist and academic who works in Wellington New Zealand. After completing degrees in classical studies and chemistry he went on to finish medical school at Otago University and then psychiatric training at Imperial College in London. Family drew him back to New Zealand and he has worked and lived there since then. He currently works for Ngā Tai Oranga, the translation of which is the healing tides. They support people with a lived experience of complex psychopathology that has traditionally been conceptualized as personality disorder. He has been the psychiatrist in this team for over a decade, working with patients, families, mental health teams and the wider medical system. Professionally he is a doctor first, and researcher second. Academically he has an interest in how personality shapes psychopathology and how personality disorder is used in clinical practice. He also has interests in personhood, capacity and medical decision making and is an affiliate of the Bioethics Centre at the University of Otago. Outside of medicine he is a father, enjoys playing bridge, trail running and is training for a black belt in Tae Kwon-do.
In this talk I will consider the diagnosis of personality disorder, where it has come from, the taxonomy within which it is based and the possible global direction it is heading. Considerations of the intersection of psychology and psychiatry help us to understand where and how the term ‘personality disorder’ developed. Psychology lay the scientific foundation for the understanding of personality and the analytic tradition superimposed personality disorder onto this. Pragmatic reasoning led to the growth of the term and its global understanding as ‘no longer a diagnosis of exclusion’. Despite this the term is not widely used in national data collection, albeit doing so may provide for increased resources and support. Over the last two decades various models have been developed to better understand psychopathology generally and the HiTOP model holds clinical promise in reconceptualising psychiatric diagnosis, including personality diagnoses. I will conclude by considering current use and how in combination with developments in psychiatric taxonomy the term ‘personality disorder’ may develop over the next two decades.
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Speaking before his keynote talk at the 2023 IoPPN Research Festival, Professor Oscar Marin talks about his work investigating the development of the cerebral cortex in health and disease, specifically how alterations in the development of the cerebral cortex may predispose humans to schizophrenia or autism.
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Speaking before her keynote talk at the 2023 IoPPN Research Festival, Professor Janet Treasure talks about the history of eating disorders, how services and research have developed over the last 30 years, and the problems she is now trying to solve in her work at KCL.
The Centre for Research in Eating and Weight Disorders (CREW) aims to find out more about the neurobiological, genetic and psychological causes and consequences of anorexia nervosa, bulimia nervosa and other eating disorders, and to use that knowledge to develop new and better treatments.
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Speaking before his keynote talk at the 2023 IoPPN Research Festival, Professor Sir Robin Murray reflects on his 50 years working as a psychiatrist and researcher.
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Jesper Ekberg (Strategy for Health Lead; Swedish Association of Local Authorities and Regions (SALAR), Sweden) and Tracey Herlihey (Head of Patient Safety Incident Response Policy; NHS England) talk about precision and passion – the art of making population health actionable; and learning from patient and relative reported adverse events.
Jesper and Tracey will be running sessions at the International Forum on Quality and Safety in Healthcare, which is taking place in Copenhagen on 15-17 May 2023. Visit the programme to find out more: https://internationalforum.bmj.com/copenhagen/programme/
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Joan Russell (NHS England), Douglas Findlay (Royal Berkshire NHS Foundation Trust), Charlotte Verner Rossing (Danish College of Pharmacy Practice) and Radha Sundaram (NHS Greater Glasgow and Clyde) talk about involving and working in partnership with patients in patient safety; building capacity to understand the patient, and yourself; and care at end of life in ICU – what matters to patients matters to staff!
Joan, Douglas, Charlotte and Radha will be running sessions at the International Forum on Quality and Safety in Healthcare, which is taking place in Copenhagen on 15-17 May 2023. Visit the programme to find out more: https://internationalforum.bmj.com/copenhagen/programme/
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Alice Forsythe (Virginia Mason Institute), Cian Wade (Harvard School of Public Health) and Mando Watson (Connecting Care for Children) talk about embedding equity into leadership and practice management, reducing health inequalities through collaboration, and how action on patient safety can reduce health inequalities.
Alice, Kian and Mando will be running sessions at the International Forum on Quality and Safety in Healthcare, which is taking place in Copenhagen on 15-17 May 2023. Visit the programme to find out more: https://internationalforum.bmj.com/copenhagen/programme/
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Göran Lindahl (Chalmers University of Technology, Gothenburg, Sweden), Cat Chatfield (Director of Health Services Research UK) & Paul Barach (Thomas Jefferson University, Philadelphia, US) talk about the challenges currently facing health systems around the world, in terms of recruitment and retention of health professionals, and staff wellbeing. They discuss the built environment and how we can design hospitals that promote staff wellbeing and retention.
Göran, Cat & Paul will be leading sessions at the International Forum on Quality and Safety in Healthcare, which is taking place in Copenhagen on 15-17 May 2023. Visit the programme to find out more: https://internationalforum.bmj.com/copenhagen/programme/
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Jason Leitch (National Clinical Director for Scotland) and Laura Wilson (Director for Scotland for the Royal Pharmaceutical Society) talk about the impact that our healthcare systems have on climate change, the commitments made to address these problems, and what everyone (from big corporations to frontline practitioners) can do to make our healthcare more sustainable.
Jason and Laura will be presenting their work at the International Forum on Quality and Safety in Healthcare, which is taking place in Copenhagen on 15-17 May 2023. Visit the programme to find out more: https://internationalforum.bmj.com/copenhagen/programme/
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Welcome to the podcast for the International Forum on Quality and Safety in Healthcare https://internationalforum.bmj.com/copenhagen/
Jointly organised by the Institute for Healthcare Improvement (IHI) and BMJ, the International Forum has a rich history of supporting and energising the international movement for health and care improvement.
From 300 people meeting in London in 1996 to around 5000 improvers attending the International Forum events every year, the conference is the place to hear and meet some of the world’s brightest minds and to forge relationships that drive improvement and innovation in health and care across the world. You can find our list of speakers here.
The International Forum in Copenhagen (15-17 May 2023) will focus on the key themes in health and care in Europe, while bringing in perspectives and knowledge from around the world. See our live programme.
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Deanna Van Buren is an award-winning architect and activist recognized internationally for her leadership in using architecture, design, and real estate innovations to address the social inequities behind the mass incarceration crisis.
Van Buren is co-founder of Designing Justice + Designing Spaces, an architecture and design firm with the mission of dismantling the punitive infrastructure of the prison system by designing and building new spaces informed by restorative justice: peacemaking centers, mobile re-entry housing, holistic behavioral health hubs, spaces for youth, spaces for diversion/re-entry, and more.
Her work has been recognized by the American Institute of Architects San Francisco, as well as Architectural Record’s Women in Architecture Awards honoring pioneering professionals. Van Buren is the only architect to have been awarded the Rauschenberg Artist as Activist Fellowship, was the 2018 recipient of the Berkeley-Rupp Prize and Professorship and is an alumna of the Loeb Fellowship at Harvard’s Graduate School of Design.
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Alex Kenny (Peer Researcher) and Jessica Bond (Senior Researcher) from the McPin Foundation talk about the patient experience of gameChange using a peer research approach.
Dr Sinéad Lambe, Research Clinical Psychologist & NIHR Doctoral Fellow at the University of Oxford presents the results from the gameChange trial and next steps with implementation in the UK and overseas.
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Dr Stefan Rennick-Egglestone, Senior Research Fellow at the University of Nottingham Institute of Mental Health, speaks about the NEON study (Narrative Experiences Online) after his talk at the MindTech conference in London on 24th November 2022.
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Professor Tim Kendall, National Clinical Director for Mental Health from NHS England, speaks to us before his keynote talk at the MindTech conference in London on 24th November 2022.
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Can school connectedness help prevent anxiety and depression?How can schools support the mental health of LGBTQ+ youth?
In this 28-minute discussion, Dr Monika Raniti and Dr Gemma Lewis explore the links between school connectedness and mental health; specifically how the school ethos, environment and policy can help promote mental health in LGBTQ+ young people.
00:44 Introductions
01:06 What is school connectedness?
02:11 Can school connectedness help prevent anxiety and depression?
08:14 What further research is needed on school connectedness?
09:49 How can schools support the mental health of LGBTQ+ youth?
18:42 How is school connectedness linked to youth mental health?
24:47 How else can schools ensure that everyone feels included?
Find out more about Wellcome Mental Health:
https://wellcome.org/what-we-do/mental-health
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