Psychiatry Newsletter summer 2014 2

Centre for Psychiatry

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Latest News in Environmental, Cultural and Health Systems Research

Adverse events and deterioration in a trial of therapies for chronic fatigue syndrome

Newsletter Summer 2014

International Conference on Female Genital Mutilation and Mental Health

Collaborative links with the University of Guadalajara

Evaluating of the impact of Olympic-­led urban regeneration on young people and their families

Photograph by Simon Koopmann

Issue 7 www.wolfson.qmul.ac.uk/centres/cfp

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NEWSLETTER SUMMER 2014

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CONTENTS From the Editor and Centre Lead’s desk

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Stephen Stansfeld Welcome to the summer edition of our Centre for Psychiatry Newsletter. As you will see we have varied and interesting contributions in this newsletter including reports from our East London Study (ORiEL) of the impact of the Olympic Games and the regeneration surrounding the games on young people’s well-­being and levels of physical activity. This a major NIHR funded study, the results of which will be of great interest in due course for those interested in the effects of regeneration on health and wellbeing. There is also a further report from the ever productive PACE Trial focussing on the important aspect of identifying adverse events and how these relate, or not, to a trial intervention.

This is a further example of the research that the Centre carries out on the relationship between mind and body and the importance that we place on investigating the relationships of mental and physical illness.

Dr Nasir Warfa reports on an international conference that he arranged on a very topical and traumatic issue – the relationship of female genital mutilation and mental health. This very VXFFHVVIXO FRQIHUHQFH UHÀHFWV another stream of the Centre’s work that is the mental health CENTRE FOR PSYCHIATRY

of ethnic minorities and cultural LQÀXHQFHV RQ SV\FKLDWULF GLVRUGHU

Psychological Therapies. This has UDLVHG WKH SUR¿OH RI WKH &HQWUH in teaching in cultural psychiatry I have some major news to as has his Chairmanship of the report as far as I am concerned World Association of Cultural personally. I am stepping down as Psychiatry and his authoritative Centre Lead for Psychiatry, a post textbook on cultural psychiatry. which I have held since I arrived His research has both a global here from UCL in September reach but is also very relevant 1999. As ever, nowadays, we are to our local community, the urged to think about succession focus of the new Life Sciences planning and I think this is a good initiative in Queen Mary. moment to hand over the reins of the Centre Lead at a time There is no health without mental when our REF submission has health -­ and mental health is, been completed and submitted and should remain an important and before the REF results are component of undergraduate announced in December. training of medical students and the research core of the medical I am delighted to handover the school and thus have a central Centre Lead role to Professor position within the future research Kamaldeep Bhui. Kam is both and teaching of the Medical a distinguished scholar and a 6FKRRO , KDYH HYHU\ FRQ¿GHQFH very effective administrator and that Kam will take this mission manager. This has been recently forward and develop the role of abundantly recognised through the Centre within the Medical his becoming the Editor of the School and within the population British Journal of Psychiatry. health component of the new Life Kam’s research interests cover a Sciences initiative of which mental range of important current issues, health is an essential theme. suicide in ethnic minorities, involuntary detention in BME Thank you for all your continued groups and developing the hard work and I hope you innovative Cultural Consultation had a good summer break.

Service as well as collaborating on projects as varied as hepatitis Yours sincerely and dementia. Within the Centre Stephen Stansfeld he directs a unique and very successful MSc in Transcultural Mental Healthcare and

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Evaluating of the impact of Olympic-­led urban regeneration on young people and their families – The ORiEL (Olympic Regeneration in East London) study Adverse events and deterioration reported by participants in a trial of therapies for chronic fatigue syndrome

International Conference held on Female Genital Mutilation and Mental Health

Collaborative links between The Centre for Psychiatry and The University of Guadalajara

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New Staff

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Events

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Publications CENTRE FOR PSYCHIATRY

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Evaluating of the impact of Olympic-­led urban regeneration on young people and their families – The ORiEL (Olympic Regeneration in East London) study Underpinning  this  objective  are  the  following  secondary  research  questions:

Evaluating of the impact of Olympic-­led urban regeneration on young people and their families – The ORiEL (Olympic Regeneration in East London) study

2.  How  are  socio-­economic  and  health  impacts  of  the  urban  regeneration  programme  distributed  by  age,  gender  and  ethnicity?

OVERVIEW Policies  and  interventions  that  tackle  the  wider  socio-­economic  and  environmental  determinants  of  poor  health  have  been  promoted  by  successive  UK  governments  to  help  improve  health  and  wellbeing  and  reduce  health  inequalities.  In  recent  years  large-­scale  programmes  that  tackle  entrenched  social  and  environmental  deprivation  through  improvements  in  living  conditions  have  become  commonplace.  Such  programmes  have  usually  taken  the  form  of  large-­scale  urban  regeneration  programmes  which  have  good  potential  to  tackle  health  inequalities  DV WKH\ GLUHFWO\ LQÀXHQFH WKH

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wider  social,  economic  and  environmental  determinants  of  physical  and  mental  health,  such  as  employment,  housing,  education,  income  and  welfare.

Despite  continuing  large-­ scale  public  investment,  there  is  a  dearth  of  evidence  of  the  effectiveness  of  urban  regeneration  programmes  in  improving  health.  Most  published  studies  to  date  have  focused  on  adults:  evaluations  of  the  impact  of  neighbourhood  renewal  on  young  people  and  their  families  are  needed,  since  adolescence  is  likely  to  be  a  critical  point  for  the  emergence  of  health  inequalities  in  later  life.

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1.  What  are  the  wider  socio-­environmental  and  health  impacts  of  urban  regeneration  in  terms  of  UHFHLSW RI ZHOIDUH EHQH¿WV educational  attainment,  social  cohesion/capital,  diet,  smoking,  alcohol  use  and  obesity?

The  primary  aim  of  the  ORiEL  (Olympic  Regeneration  in  East  London)  study  is  to: Assess  the  impact  of  a  multifaceted  urban  regeneration  programme  linked  to  the  2012  Olympic  Games  on  the  social  determinants  of  health  (employment),  health  behaviours  (physical  activity)  and  health  outcomes  (mental  health  and  wellbeing)  of  adolescents  and  their  parents.

3.  How,  and  to  what  H[WHQW GR VSHFL¿F components  of  the  regeneration  programme  LQÀXHQFH KHDOWK DQG health  behaviours?

4.  To  what  extent  are  socio-­economic  and  health  impacts  of  urban  regeneration  sustained  over  time?

PUBLICATIONS Smith,N.R.,  Clark,C.,  Fahy,A.E.,  Tharmaratnam,V.,Lewis,D.J.,  Thompson,C.,  Renton,A.,  Moore,D.G.,  Bhui,K.S.,  Taylor,S.J.C.,  Eldridge,S.,  Petticrew,M.,  Greenhalgh,T.,  Stansfeld,S.A.,  Cummins,S.  The  Olympic  Regeneration  in  East  London  (ORiEL)  study:  protocol  for  a  prospective  controlled  quasi-­experiment  to  evaluate  the  impact  of  urban  regeneration  on  young  people  and  their  families   BMJ  open.  2012;͞2(4).

The  study  comprises  two  main  elements:

2013)  followed  up  2,730  adolescents  and  504  of  their  families;͞  and  wave  three  (18  months  post-­ intervention,  2014)  will  complete  in  summer  2014.

1.  A  longitudinal  controlled  quasi-­experimental  study  examining  changes  in  socio-­economic  status,  2.  An  in-­depth  longitudinal  health  behaviour  and  health  qualitative  study  of  family  outcomes  in  a  cohort  of  experiences  of  and  attitudes  adolescent  school  pupils  towards  regeneration  and  their  parents  or  primary  in  the  intervention  area  carers.  Newham  residents  DQG LQĂ€XHQFHV RQ VRFLR in  the  intervention  area  economic  status,  health  receiving  urban  regeneration  behaviours  and  health  will  be  compared  with  those  outcomes.   living  in  Hackney,  Tower   Hamlets  and  Barking  &  7KH ÂżUVW LQYHVWLJDWLRQ Dagenham  who  are  not  pre-­Olympic  Games  receiving  urban  regeneration  comprised  of  a  sub-­group  of  the  same  magnitude.  of  approximately  20  families   ZKLFK UHĂ€HFWHG WKH GLYHUVLW\ Adolescent  and  parent  survey  of  the  survey  sample;Íž  data  has  been  collected  interviews  were  repeated  in  three  waves:  wave  one  at  wave  two  post-­Games. (baseline  pre-­intervention,  2012)  recruited  3,105  Further  information  is  available  adolescents  in  year  7  (aged  on  the  study  website:  11-­12  years)  and  1,280  of  their  families;Íž  wave  two  (six  months  post-­intervention, Â

Thompson  C.,  Lewis  D.  J.,  Greenhalgh  T.,  Smith  N.  R.,  Fahy  A.  E,  Cummins,  S.  (2014).  “Everyone  was  looking  at  you  smiling�:  East  London  residents’  experiences  of  the  2012  Olympics  and  its  legacy  on  the  social  determinants  of  health  Social  Science  and  Medicine  (submitted)

Thompson,  C.,  Lewis,  D.  J.,  Greenhalgh,  T.,  Taylor,  S.,  Cummins,  S.  (2013).  A  Health  and  Social  Legacy  for  East  London:  Narratives  of  ‘problem’  and  ‘solution’  around  London  2012  Sociological  Research  Online  18(2)

Lewis,  D.  J.,  Evans,  T.,  Cummins,  S.  (2014).  Utility  of  location-­based  web  imagery  for  validating  secondary  data  on  the  neighbourhood  food  and  alcohol  environments:  virtual  ground-­truthing  in  the  ORiEL  Study  Journal  of  Urban  Health  (submitted)

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Adverse events and deterioration reported by participants in a trial of therapies for chronic fatigue syndrome Dr Dominic Dougall, Consultant Psychiatrist, Newham Centre for Mental Health Health  problems  occurring  during  clinical  trials  are  often  attributed  to  the  treatments  given  in  a  trial.  However,  the  attribution  of  new  health  problems  to  a  treatment  could  be  misleading  when  the  illness  is  remitting  and  relapsing.  In  a  trial  such  health  problems  may  be  recorded  as  adverse  events,  may  be  considered  clinically  serious  or  not,  and  may  be  considered  a  reaction  to  a  trial  treatment  or  not.  To  date  there  have  been  few  studies  which  have  examined  associations  and  predictions  of  adverse  events  in  clinical  trials.  Our  study  explored  this  issue  in  patients  with  chronic  fatigue  syndrome  (CFS)  who  participated  in  the  PACE  trial  (White  et  al,  2011).  This  was  a  multicentre  four  arm  randomised  trial  which  was  designed  to  compare  the  HIÂżFDF\ DQG VDIHW\ RI FRJQLWLYH behaviour  therapy  (CBT),  graded  exercise  therapy  (GET)  and  adaptive  pacing  therapy  (APT),  each  added  to  specialist  medical  care  (SMC),  against  SMC  alone.  CBT  and  GET  were  designed  to  be  rehabilitative  whilst  the  goal  of  APT  was  to  optimise  adaptation  to  the  illness  by  planning  and  pacing  activities  to  avoid  or  reduce  fatigue.  Measures  of  safety  included  systematic  assessments  of  adverse  events  CENTRE  FOR  PSYCHIATRY Â

(AEs),  serious  adverse  reactions  (SARs)  and  serious  adverse  events  (SAEs).  The  PACE  trial  found  that  both  CBT  and  GET  were  more  effective  than  adaptive  pacing  therapy  (APT)  when  any  of  these  therapies  were  added  to  SMC,  and  also  were  more  effective  than  SMC  alone.  Our  paper  (Dougall  et  al,  2014)  reported  the  more  commonly  reported  non-­serious  adverse  events  (NSAEs).  We  compared  their  frequency  between  treatment  arms,  and  also  examined  baseline  factors  that  might  be  associated  with  reporting  larger  numbers  of  NSAEs.  On  the  basis  of  the  previous  literature,  we  hypothesised  that  NSAEs  would  be  associated  with  female  sex,  a  larger  number  of  physical  symptoms  at  baseline,  and  both  depressive  and  anxiety  disorders  present  at  baseline.  $(V ZHUH GHÂżQHG DV ÂľDQ\ FOLQLFDO change,  disease  or  disorder  experienced  by  the  participant  during  their  participation  in  the  trial,  whether  or  not  considered  related  to  the  use  of  treatments  being  studied  in  the  trial’.  They  were  recorded  on  three  occasions  at  12,  24  and  52  weeks  over  one  year  in  641  participants.  At  each  time  point  a  research  assistant  asked  participants  if  a  new  illness  or  health  event  had  occurred  since  the  last  assessment.  For  example  if  a  participant  had  visited  their  GP,  attended Â

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Photograph  by  Shanghai  killer  whale

hospital  or  had  commenced  medication.  Spontaneously  reported  AEs  were  also  recorded.  In  our  analysis  we  compared  the  numbers  and  nature  of  AEs  between  the  four  treatment  arms.  We  examined  associations  of  AEs  with  baseline  measures  such  as  demographic  characteristics,  depression  and  anxiety  scales  and  a  standardised  psychiatric  interview,  physical  symptom  scales  and  measures  of  chronic  fatigue.  We  also  compared  the  proportions  of  participants  who  deteriorated  by  clinically  important  DPRXQWV GHÂżQHG ÂľD SULRULÂś We  found  that  serious  adverse  events  and  reactions  were  infrequent,  whilst  non-­serious  adverse  events  were  common.  The  median  number  of  NSAEs  per  participant  over  one  year  ZDV DQG ZDV QRW VLJQLÂżFDQWO\ different  between  the  treatments.  A  greater  number  of  NSAEs  were  associated  with  recruitment Â

Adverse events and deterioration reported by participants in a trial of therapies for chronic fatigue syndrome centre,  baseline  physical  symptom  count,  body  mass  index,  and  depressive  disorder.  Deterioration  in  physical  function  ZDV VLJQL¿FDQWO\ GLIIHUHQW across  the  treatment  arms.  In  those  who  received  APT  25%  deteriorated,  9%  after  CBT,  11%  after  GET,  and  18%  after  60& 7KHUH ZHUH QR VLJQL¿FDQW differences  in  worsening  fatigue.

2XU PRVW XQH[SHFWHG ¿QGLQJ was  the  substantial  variation  in  the  number  of  reported  NSAEs  between  centres.  After  we  had  explored  alternative  explanations,  such  as  the  small  differences  between  centres  in  baseline  factors,  we  concluded  the  differences  were  likely  due  to  variation  in  ascertainment.  i.e.  research  assistants  may  have  asked  questions  about  the  occurrence  of  NSAEs  and  their  thresholds  differently.  This  appears  to  have  occurred  despite  the  use  of  a  standard  trial  protocol.

VSHFL¿FDOO\ DQG KDYLQJ VRPDWLF symptoms  in  general.  However,  unlike  some  previous  studies,  ZH GLG QRW ¿QG DQ DVVRFLDWLRQ with  anxiety,  although  at  least  one  other  trial  has  also  failed  WR ¿QG DQ DVVRFLDWLRQ EHWZHHQ anxiety  and  adverse  events.  We  also  found  that  a  higher  BMI  was  associated  with  more  NSAEs  in  general.  Previous  research  has  found  that  obese  people  generally  report  more  physical  and  mental  health  related  SUREOHPV DOWKRXJK RXU ¿QGLQJ may  also  have  been  due  to  our  sample  having  a  relatively  high  number  of  participants  who  were  morbidly  obese.  We  were  unable  to  support  our  hypothesis  that  female  participants  are  more  likely  to  report  adverse  events.

In  conclusion,  we  found  no  important  differences  in  the  frequencies  of  any  of  the  adverse  events  between  treatment  arms,  and  no  excess  associated  with  either  CBT  or  GET,  which  are  both  treatments  that  some  patient  2WKHU ÂżQGLQJV ZHUH PRUH groups  have  expressed  concerns  expected,  such  as  having  more  DERXW LQ WHUPV RI HIÂżFDF\ DQG symptoms  at  baseline,  particularly  safety.  Clinically  important  those  associated  with  CFS,  deterioration  occurred  least  often  predicting  subsequent  NSAEs  after  the  active  rehabilitation  in  general  and  also  NSAEs  interventions  of  CBT  and  GET  DWWULEXWHG WR &)6 2XU ÂżQGLQJ and  more  often  with  the  more  that  a  diagnosis  of  a  depressive  DGDSWLYH $37 2XU ÂżQGLQJ WKDW WKH disorder  at  baseline  predicted  reporting  of  non-­serious  adverse  increased  reporting  of  NSAEs  events  varied  by  recruitment  is  also  consistent  with  previous  centre  has  implications  for  studies  that  found  negative  affect  the  design  of  future  trials.  We  was  associated  with  NSAEs  have  therefore  suggested  that Â

research  assessors  require  clear  manualised  guidance  RQ WKH GH¿QLWLRQV RI DGYHUVH events,  and  both  training  and  supervision  in  the  implementation  of  assessments.  That  baseline  symptom  count,  having  a  depressive  disorder  and  BMI  ZHUH VLJQL¿FDQWO\ DVVRFLDWHG with  a  greater  number  of  NSAEs,  independently  of  the  treatment  arms,  also  has  both  research  and  clinical  implications  for  clinicians  running  trials,  particularly  those  including  patients  with  CFS.  Adverse  events  in  trials  PD\ PRUH DFFXUDWHO\ UHÀHFW ÀXFWXDWLRQV LQ D FRQGLWLRQ UDWKHU than  reactions  to  interventions.

References: Dougall  D,  Johnson  AL,  Goldsmith  KA,  Sharpe  M,  Angus  B,  Chalder  T,  White  PD.  Adverse  events  and  deterioration  reported  by  participants  in  the  PACE  trial  of  therapies  for  chronic  fatigue  syndrome.  Journal  of  Psychosomatic  Research  2014;Íž  77:  20–6 White  PD,  Goldsmith  KA,  Johnson  AL,  Potts  L,  Walwyn  R,  DeCesare  JC,  et  al.  Comparison  of  adaptive  pacing  therapy,  cognitive  behaviour  therapy,  graded  exercise  therapy,  and  specialist  medical  care  for  chronic  fatigue  syndrome  (PACE):  a  randomised  trial.  Lancet  2011;Íž  377:  823–36 Â

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International Conference held on Female Genital Mutilation and Mental Health On Wednesday 16th April 2014 Dr Nasir Warfa organised an International Conference on Female Genital Mutilation and Mental Health Tragedy of Traditions & Translational Knowledge.

and about 30 million young girls who are at risk of genital mutilation in the next 10 years.

This was held with great success at the Wolfson Institute of Preventive Medicine, Charterhouse Square campus.

The physical health consequences of FGM are frequently discussed at national and international meetings.

Previous international studies have consistently showed that women who had genital mutilation are more likely to have maternal complications during pregnancy and delivery, often leading to poor physical health outcomes.

The conference focused on FGM from several different perspectives that examine the physical and mental health consequences, as well as moral, legal, ethical, media and policy implications of this practice.

Presenters and panel members explored the use of translational knowledge in modifying harmful traditional practices.

UNICEF (2013) reports up to 125 million girls and women who have had their genitals mutilated,

http://www.unicef.org.uk/ Latest/News/female-­genital-­ mutilation-­cutting-­report/

This conference stimulated national and international discussions of FGM and its intersectional sociocultural, political, media, ethical DQG VFLHQWL¿F WKHPHV

Collaborative links between The Centre for Psychiatry and The University of Guadalajara

Female Genital Mutilation refers to: “All procedures involving partial or total removal of the external female genitalia or other injury to the female genital organs for non-­medical reasons. The removal of normal genital tissue interferes with the natural functioning of the body and causes several immediate and long-­term health consequences” (WHO, 2008, page 2)

“University of Guadalajara (Mexico)” by n75_dsc_p100 Photograph by Amnon s (Amnon Shavit)

Collaborative links between The Centre for Psychiatry and The University of Guadalajara are currently underway to launch an exciting new MSc in Culture and Mental Health: Advanced Clinical Practice. This collaboration has developed following Professor Sergio Villasenor-­Bayardo’s visit to the UK in 2013, where Professor Kamaldeep Bhui and Professor Sergio Villasenor-­Bayardo delivered a popular series of seminars in global mental health and cultural psychiatry.

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The MSc will draw upon The Centre for Psychiatry’s expertise in cultural psychiatry and provide theoretical and applied knowledge on cultural capability within mental health care. Students will develop a unique set of applied skills derived from anthropological, medical, sociological, epidemiological, pharmacological and cultural understandings of the presentation, expression and management of psychological distress amongst ethnic minorities.

The launch of this programme ZLOO PDUN WKH ¿UVW SRVWJUDGXDWH blended learning programme, where students will be taught via a virtual learning environment as well as undertaking applied research at The University of Guadalajara, Mexico. The course is expected to attract international students, especially students from Latin America and will facilitate the career progression for individuals SXUVXLQJ D FDUHHU LQ DSSOLHG ¿HOGV of mental health including clinical psychology, nursing, medicine, health and policy and research.

CENTRE FOR PSYCHIATRY

NEWSLETTER SUMMER 2014

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New Staff Aysegul Dirik Ayse  joined  the  Unit  for  Social  and  Community  Psychiatry  in  February  as  a  Research  Assistant  for  an  NIHR  CLAHRC  (North  Thames)  funded  mental  health  project.  7KH ÂżYH \HDU SURMHFW DLPV WR develop  and  manualise  an  intervention  to  facilitate  carers’  involvement  in  acute  inpatient  treatment.  Being  hospitalised  for  mental  health  reasons  can  be  a  highly  stressful  time  for  the  individual,  their  family  and  friends.  However,  carers  are  often  not  provided  with  appropriate  information  and  involvement  in  care.  Facilitating  carers’  involvement  in  the Â

New Staff

Katie Moran

to  identify  both  challenges  to  communication  and  techniques  for  supporting  patient  autonomy  and  involvement  in  consultations  and  decisions. Â

Cate  joined  the  Centre  for  Psychiatry  in  May  as  an  Academic  Clinical  Fellow  in  Old  Age  psychiatry  supervised  by  Professor  Bhui.  This  position  means  that  she  spends  9  months  of  the  year  in  clinical  work  as  a  basic  psychiatry  trainee  with  East  London  Foundation  trust  and  3  months  in  protected  academic  time.

CENTRE Â FOR Â PSYCHIATRY Â

Danielle  has  joined  The  ORiEL  Study  as  Research  Assistant,  exploring  the  impact  of  Olympic  regeneration  in  East  London  on  the  health,  wellbeing  and  physical  activity  of  local  young  people.  Before  joining  Queen  Mary’s  VKH ZRUNHG DV 3URMHFW 2IÂżFHU RQ the  London  2012  Olympics  for  a  host  borough  local  authority  from  2009  to  2012,  and  more  recently  she  has  worked  with  a  social  enterprise  specialising Â

Ayse  received  her  MSc  in  Research  Methods  in  Psychology  from  Goldsmiths.  Having  worked  in  various  research  and  therapeutic  settings,  she  also  KDV RYHU ¿YH \HDUVœ H[SHULHQFH of  managing  projects  for  carers.   Her  work  has  involved  individual  and  group  support  whilst  also  having  a  strategic  role,  facilitating  participation  and  contributing  to  the  development  of  local  services  and  policies.

Cate Bailey

She  is  currently  working  on  an  NIHR  funded  project  entitled  “Shared  Decision  Making  in  Dementiaâ€?,  which  LV DIÂżOLDWHG ZLWK 8&/ DQG Exeter  University,  headed  by  Professor  Rosemarie  McCabe.  The  study  is  an  observational  one,  utilizing  video-­taping Â

Danielle House

hospital  treatment  of  patients  with  psychosis  can  contribute  VLJQLÂżFDQWO\ WR LPSURYHPHQWV in  experience  of  care  and  patients’  clinical  outcomes.  Â

Cate  studied  medicine  at  Monash  University  and  worked  in  various  mental  health  departments  of  St  Vincent’s  Hospital  in  Melbourne  before  moving  to  London  in  2013. Â

of  consultations  in  memory  clinics  to  obtain  quantitative  data  about  shared  decision  making  and  qualitative  data  about  communication  between  doctors,  patients  and  carers.  It  is  anticipated  that  study  will  help Â

NEWSLETTER Â SUMMER Â 2014

Katie  joined  the  Unit  for  Social  and  Community  Psychiatry  in  February  2014  as  a  Research  Assistant  on  the  NIHR  HTA  funded  ‘Financial  Incentives  for  Adherence  to  Treatment’  (FIAT)  Trial,  led  by  Professor  Stefan  Priebe.   The  FIAT  study  is  examining  whether  ¿QDQFLDO LQFHQWLYHV FRXOG improve  adherence  to  anti-­ psychotic  treatment  in  patients  with  psychotic  disorders.  The  SURMHFW LV LQ LWV ÂżQDO VWDJHV investigating  patients’  post-­ intervention  adherence  to Â

in  social  sustainability,  place-­ making  and  building  thriving  urban  communities.  Danielle  has  a  BA  Geography  IURP WKH 8QLYHUVLW\ RI 6KHIÂżHOG and  an  MA  Latin  American  Studies  from  the  Institute  for  the  Study  of  the  Americas,  University  of  London.  Her  academic  research  has  focussed  on  exploring  the  interface  between  the  built  environment  and  memory  in  post-­dictatorship  Buenos  Aires,  Argentina.   Â

medication,  and  both  patients’  and  clinicians’  opinions  and  experiences  with  the  intervention.

In  addition  to  this,  Katie  is  currently  working  on  a  systematic  review  on  interventions  supporting  patients  with  serious  mental  illness.

Prior  to  working  with  Queen  Mary  University  London,  Katie  graduated  from  the  University  of  Nottingham  and  worked  as  an  Assistant  Psychologist/Research  Assistant  with  Oxford  Health  NHS  Foundation  Trust  on  a  NIHR  funded  study,  investigating Â

Nikolia Jovanovic Nikolina  Jovanovic,  MD,  PhD  joined  the  Unit  for  Social  and  Community  Psychiatry  WHO  Collaborating  Centre  for  Mental  Health  Services  Development,  Queen  Mary  University  of  London  in  May  2014.  Her  research  interests  include  employing  new  psychosocial  interventions  based  on  creativity  and  arts  therapies  in  solving  mental  health  problems,  and  interaction Â

an  intervention  which  aims  to  improve  the  wellbeing  and  health  for  people  living  with  dementia  in  care  homes. between  mental  health  and  physical  environment  (nature,  architecture,  urban  planning). Â

CENTRE Â FOR Â PSYCHIATRY Â

NEWSLETTER Â SUMMER Â 2014

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New Staff

Events

Rehana Patel Before joining QMUL Rehana was the Business Development 2I¿FHU DW WKH 5R\DO 'RFNV Business School -­ University of East London (UEL), developing, managing and operationalising Executive Education programmes;; these included UG and PG as well as short courses and CPD (Corporate Professional Development).

Her Previous employment includes working for the Learning Disabilities Team at the Redbridge PCT and working to promote effective trade and export at the UKTI within the Department of Business Innovation and Skills.

Vicky Bird Victoria joined the Unit for Social and Community Psychiatry in April 2014. She is currently working as the study manager for “COmparing policy framework, structure, effectiveness and cost-­ effectiveness of Functional and Integrated systems of mental health care (COFI)”, an EU-­FP7 funded project led by prof. Stefan Priebe. The COFI project is a European wide project aiming to compare the effectiveness and cost-­ effectiveness of functional (different specialist inpatient and outpatient consultants responsible for care) and integrated (same consultant is responsible for inpatient and CENTRE FOR PSYCHIATRY

Undertaking an active role of Business Development in all areas within the MSc Mental Health Programme portfolio.

Working with the Course Director in reviewing current and developing new course outpatient care) mental health systems. The study is being FRQGXFWHG DFURVV ¿YH FRXQWULHV LQ Europe (Belgium, Germany, Italy, Poland and United Kingdom).

Recruitment of participants is due to begin in October 2014 and will continue for one year.

Prior to joining Queen Mary, Victoria worked at the Institute of Psychiatry on the REFOCUS programme – a 5-­year NIHR funded project which aimed to increase the recovery-­ orientation within mental health services. She is currently in WKH ¿QDO VWDJHV RI FRPSOHWLQJ her PhD which focuses on supporting the recovery of black individuals who use community mental health services.

NEWSLETTER SUMMER 2014

business plans. Establishing and developing partnerships to progress new course accreditation documents addressing academic, business and marketing requirements. Supporting and facilitating student placements and providing executive administrative support to the Director. Also undertaking an active role of managing, organising and administering the smooth running of all MSc programmes.

Rehana holds a BA (Hons) in Psychosocial studies and Prince 2 Foundation in Project Management

Date: Sept 15th 2014

Date: Oct 13th 2014

Date: Nov 24th 2014

Time: 2pm

Time: 2pm

Time: 2pm

Title: Group music therapy for acute adult psychiatric inpatients

Title: VOLUME – Existing volunteering schemes

Title: FIAT – The follow up RQ ¿QDQFLDO LQFHQWLYHV IRU adherence to medication in non-­adherent patients

By: Catherine Carr

Venue: Unit of Social & Community Psychiatry, Newham

Venue: Unit of Social & Community Psychiatry, Newham

By: Joyce Siette

Venue: Unit of Social & Community Psychiatry, Newham

Date: Oct 27th 2014 Time: 2pm

Date: Sept 22nd 2014 Time: 2pm Title: Carer involvement in the treatment of psychosis By: Aysegul Dirik Venue: Unit of Social & Community Psychiatry, Newham

By: Hana Pavlickova

Date: Dec 1st 2014

Title: Review on electronic monitoring systems in mental health care By: Sophie Walsh Venue: Unit of Social & Community Psychiatry, Newham

Date: Nov 3rd 2014

Time: 2pm Title: Quest – Quality and effectiveness of supported housing By: Sima Sandhu Venue: Unit of Social & Community Psychiatry, Newham

Time: 2pm

Date: Dec 15th 2014

Date: Sept 29th 2014

Title: Recruitment to trials and mental health care

Time: 2pm

By: Paulina Szymczynska

Title: Friendship in Befriending

Title: COFI – Comparing functional and integrated systems of mental health care

Venue: Unit of Social & Community Psychiatry, Newham

By: Rose Thompson

By: Victoria Bird

Date: Nov 10th 2014

Venue: Unit of Social & Community Psychiatry, Newham

Time: 2pm Title: Immediate social networks in people with psychosis

Date: Oct 6th 2014

By: Domenico Giacco

Time: 2pm

Venue: Unit of Social & Community Psychiatry, Newham

7LWOH (326 ± ¿QGLQJV from the trial By: Serif Omer Venue: Unit of Social & Community Psychiatry, Newham

Date: Nov 17th 2014

Time: 2pm

Venue: Unit of Social & Community Psychiatry, Newham

Date: Dec 22nd 2014 Time: 2pm Title: FIAT – Financial incentives for adherence to medication in non-­ adherent patients By: Katie Moran Venue: Unit of Social & Community Psychiatry, Newham

Time: 2pm Title: Group processes in therapeutic groups

Dates for Cultural Consultation Club TBA

By: Stavros Orfanos Venue: Unit of Social & Community Psychiatry, Newham CENTRE FOR PSYCHIATRY

NEWSLETTER SUMMER 2014

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New StaffPublications Selected K Â Barnicot

V Â Bird

Barnicot,  K.,  Savill,  M.,  Bhatti,  N.,  &  Priebe,  S.  2014,  “A  Pragmatic  Randomised  Controlled  Trial  of  Dialectical  Behaviour  Therapy:  Effects  on  Hospitalisation  and  Post-­Treatment  Follow-­ Up�,  Psychother.Psychosom.,  vol.  83,  no.  3,  pp.  192-­193.

Bird,  V.  J.,  Le,  B.  C.,  Leamy,  M.,  Williams,  J.,  Bradstreet,  S.,  &  Slade,  M.  2014,  “Evaluating  the  feasibility  of  complex  interventions  in  mental  health  services:  standardised  measure  and  reporting  guidelines�,  Br.J  Psychiatry,  vol.  204,  pp.  316-­321.  doi:  10.1192/bjp.bp.113.128314

K  Bhui Abdul-­Hamid,  W.  K.  &  Bhui,  K.  2014,  “Psychiatry,  homeless  patients  and  welfare  reforms:  Historical  links  and  chains�,  Int.J  Soc  Psychiatry,  vol.  60,  no.  1,  pp.  71-­74.  doi:  10.1177/0020764012463303.

Bhui,  K.,  Ullrich,  S.,  &  Coid,  J.  W.  2014,  “Which  pathways  to  psychiatric  care  lead  to  earlier  treatment  and  a  shorter  duration  RI ÂżUVW HSLVRGH SV\FKRVLV"´,  BMC.Psychiatry,  vol.  14,  no.  1,  p.  72.  doi:10.1186/1471-­244X-­14-­72 Bhui,  K.,  Warfa,  N.,  &  Jones,  E.  2014,  “Is  violent  radicalisation  associated  with  poverty,  migration,  poor  self-­reported  health  and  common  mental  GLVRUGHUV"´,  PLoS  One,  vol.  9,  no.  3,  p.  e90718.  10.1371/ journal.pone.0090718.

Shiraz,  F.,  Rahtz,  E.,  Bhui,  K.,  Hutchison,  I.,  &  Korszun,  A.  2014,  “Quality  of  life,  psychological  wellbeing  and  treatment  needs  of  trauma  and  head  and  neck  cancer  patients�,  Br.J  Oral  Maxillofac.

Surg.,  vol.  52,  no.  6,  pp.  513-­517.  doi:  10.1016/j.bjoms.2014.03.019 CENTRE  FOR  PSYCHIATRY Â

J  Bourke Kazmierski,  J.,  Banys,  A.,  Latek,  J.,  Bourke,  J.,  &  Jaszewski,  R.  2014,  “Raised  IL-­2  and  TNF-­alpha  concentrations  are  associated  with  postoperative  delirium  in  patients  undergoing  coronary-­artery  bypass  graft  surgery�,  Int  Psychogeriatr,  vol.  26,  no.  5,  pp.  845-­855.  doi:  10.1017/S1041610213002378

New StaffPublications Selected Keers,  R.,  Ullrich,  S.,  Destavola,  B.  L.,  &  Coid,  J.  W.  2014,  “Association  of  violence  with  emergence  of  persecutory  delusions  in  untreated  schizophrenia�,  Am  J  Psychiatry,  vol.  171,  no.  3,  pp.  332-­339.  doi:  10.1176/appi.ajp.2013.13010134.

Gonzalez  RA,  Kallis  C,  Ullrich  S,  Zhang  T,  &  Coid  JW  2014,  “The  protective  role  of  higher  intellectual  functioning  on  violence  in  the  household  population  of  Great  Britain�,  Pers  Indiv  Differ,  vol.  61-­62,  no.  0,  pp.  80-­85.  http://dx.doi. org/10.1016/j.paid.2014.01.012

D Â Giacco

Kalisova,  L.,  Raboch,  J.,  Nawka,  A.,  Sampogna,  G.,  Cihal,  L.,  Kallert,  T.  W.,  Onchev,  G.,  Karastergiou,  A.,  Del,  V.,  V,  Kiejna,  A.,  Adamowski,  T.,  Torres-­ Gonzales,  F.,  Cervilla,  J.  A.,  Priebe,  S.,  Giacco,  D.,  Kjellin,  C  Clark L.,  Dembinskas,  A.,  &  Fiorillo,  A.  2014,  “Do  patient  and  ward-­ Basner,  M.,  Babisch,  W.,  Davis,  A.,  Brink,  M.,  Clark,  C.,  Janssen,  UHODWHG FKDUDFWHULVWLFV LQĂ€XHQFH S.,  &  Stansfeld,  S.  2014,  “Auditory  WKH XVH RI FRHUFLYH PHDVXUHV" and  non-­auditory  effects  of  noise  Results  from  the  EUNOMIA  international  studyâ€?,  Soc  on  healthâ€?,  Lancet,  vol.  383,  Psychiatry  Psychiatr  Epidemiol.  no.  9925,  pp.  1325-­1332.  doi:  10.1016/S0140-­6736(13)61613-­X. [Epub  ahead  of  print]  DOI  10.1007/s00127-­014-­0872-­6

J  Coid Kirkbride,  J.  B.,  Jones,  P.  B.,  Ullrich,  S.,  &  Coid,  J.  W.  2014,  “Social  deprivation,  inequality,  and  the  neighborhood-­level  incidence  of  psychotic  syndromes  in  East  London�,  Schizophr.

Bull.,  vol.  40,  no.  1,  pp.  169-­180.  doi:  10.1093/schbul/sbs151.

NEWSLETTER Â SUMMER Â 2014

Y Â Khatib

S Â Priebe

Mehdizadeh,  L.,  Sturrock,  A.,  Myers,  G.,  Khatib,  Y.,  &  Dacre,  J.  2014,  “How  well  do  doctors  think  they  perform  on  the  General  Medical  Council’s  Tests  of  Competence  pilot  H[DPLQDWLRQV" $ FURVV VHFWLRQDO study�,  BMJ  Open.,  vol.  4,  no.  2,  p.  e004131.  doi:  10.1136/ bmjopen-­2013-­004131.

Priebe,  S.,  Omer,  S.,  Giacco,  D.,  &  Slade,  M.  2014,  “Resource-­ oriented  therapeutic  models  in  psychiatry:  conceptual  review�,  Br.J  Psychiatry,  vol.  204,  pp.  256-­ 261.  10.1192/bjp.bp.113.135038.

A  Korszun Korszun,  A.,  Sarker,  S.  J.,  Chowdhury,  K.,  Clark,  C.,  Greaves,  P.,  Johnson,  R.,  Kingston,  J.,  Levitt,  G.,  Matthews,  J.,  White,  P.,  Lister,  A.,  &  Gribben,  J.  2014,  “Psychosocial  factors  associated  with  impact  of  cancer  in  longterm  haematological  cancer  survivors�,  Br.J  Haematol.,  vol.  164,  no.  6,  pp.  790-­803.  10.1111/bjh.12698.

Hung,  C.  F.,  Rivera,  M.,  Craddock,  N.,  Owen,  M.  J.,  Gill,  M.,  Korszun,  A.,  Maier,  W.,  Mors,  O.,  Preisig,  M.,  Rice,  J.  P.,  Rietschel,  M.,  Jones,  L.,  Middleton,  L.,  Aitchison,  K.  J.,  Davis,  O.  S.,  Breen,  G.,  Lewis,  & )DUPHU $ 0F*XIÂżQ 3 2014,  “Relationship  between  obesity  and  the  risk  of  clinically  VLJQLÂżFDQW GHSUHVVLRQ 0HQGHOLDQ randomisation  studyâ€?,  Br.J  Psychiatry.[Epub  ahead  of  print]  doi:  10.1192/bjp.bp.113.130419

Zangrilli,  A.,  Ducci,  G.,  Bandinelli,  P.  L.,  Dooley,  J.,  McCabe,  R.,  &  Priebe,  S.  2014,  “How  do  psychiatrists  address  delusions  LQ ÂżUVW PHHWLQJV LQ DFXWH FDUH" A  qualitative  studyâ€?,  BMC. Psychiatry,  vol.  14,  no.  1,  p.  178.  [Epub  ahead  of  print]  doi:10.1186/1471-­244X-­14-­178

S  A  Stansfeld Brunner,  E.  J.,  Shipley,  M.  J.,  Britton,  A.  R.,  Stansfeld,  S.  A.,  Heuschmann,  P.  U.,  Rudd,  A.  G.,  Wolfe,  C.  D.,  Singh-­ Manoux,  A.,  &  Kivimaki,  M.  2014,  “Depressive  disorder,  coronary  heart  disease,  and  stroke:  dose-­ response  and  reverse  causation  effects  in  the  Whitehall  II  cohort  study�,  Eur.J  Prev.Cardiol.,  vol.  21,  no.  3,  pp.  340-­346.  doi:  10.1177/2047487314520785 Das-­Munshi,  J.,  Clark,  C.,  Dewey,  M.  E.,  Leavey,  G.,  Stansfeld,  S.  A.,  &  Prince,  M.  J.  2014,  “Born  into  adversity:  psychological  distress  in  two  birth  cohorts  of  second-­generation  Irish  children  growing  up  in  Britain�,  J  Public  Health  (Oxf),  vol.  36,  no.  1,  pp.  92-­103.  doi:  10.1093/pubmed/fdt034.

CENTRE Â FOR Â PSYCHIATRY Â

NEWSLETTER Â SUMMER Â 2014

16 For further information, please contact: Jane Archer Centre for Psychiatry Barts and The London School of Medicine and Dentistry Old Anatomy Building Charterhouse Square London EC1M 6BQ Tel: +44 (0)20 7882 2020 Fax: +44 (0)20 7882 5728 Email: j.archer@qmul.ac.uk

CENTRE FOR PSYCHIATRY NEWSLETTER SUMMER 2014 Issue 7 www.wolfson.qmul.ac.uk/centres/cfp