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Welcome to the August 2015
CPD Online eNewsletter
Access your certificates whenever you
want – Don’t forget that you can view all your CPD Online
certificates in your My CPD Online area,
as well as seeing which modules you have completed or started. Just
click on ‘Check my progress’.
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Plus ça change……
By Dr Shyamal Mashru, CPD Online
The future of the NHS seems to be dependent on
‘strong leadership and management’, and as clinicians we often hear
slogans such as ‘front line management’ or ‘bottom up management’.
But what do these terms really mean? Were they made up by some
clever PR folk in a back room of an important government building,
or is there a strong evidence base for such ideas? If so, where can
you find it?
The answer: CPD Online, of course.
Whether we love it or hate it, management has
become an increasingly significant part of consultant practice and
we have catered for this on CPD Online by producing a series about
it. The first two modules are now live. The initial one is a
general introduction and the second gives detailed instructions
CPD Online modules are all written by experts
in their field who have been working to inform you about the best
care, founded in evidence-based medicine. For this reason we hope
their content will seem relevant and applicable to your clinical
setting, and not require huge upheaval for patients to benefit.
People with intellectual disabilities in criminal justice
Effective assessment and treatment of people with intellectual
disabilities (PWID) requires a knowledge of their accompanying
physical and mental health needs, as well an awareness of the
communication impairments most will demonstrate. In
the criminal justice setting psychiatrists also need to
have knowledge of problematic issues related to the Criminal
Justice System. This module provides expertise on all these issues.
It is aimed at psychiatrists with limited experience of working
In-patient suicide accounts for around 10% of all suicides
among individuals who are in contact with mental health
services over the course of a year, emphasising the
importance of effective preventative measures on wards. This module
gives detailed advice, with an emphasis on prevention, and provides
an overview of the various clinical measures that can minimise
Safe lithium prescribing: initiation and
monitoring [Fully updated by the
authors June 2015]
Lithium is one of the oldest mood stabilisers prescribed in
psychiatry and among the most efficacious treatments for bipolar
affective disorder and treatment-resistant depression, but it is
often associated with adverse effects. Many are preventable by
improving clinical practice, but a significant number of patients
aren’t monitored in accordance with NICE guidance. Learn more
about lithium and achieve a better understanding of the need to
keep patients informed, and to regularly monitor side-effects and
manage them in a timely fashion.
computational view of delusions
A major challenge regarding delusions is
understanding them in terms of changes in brain function. Dr
Corlett is investigating the neural basis of human associative
learning and belief formation and relating these processes to the
formation of delusional beliefs. His findings have shaped the
development of a novel mechanistic model of delusion formation,
which he discusses with Raj Persaud.
Transcranial magnetic stimulation (TMS) has been shown to be a
well-tolerated, minimally invasive procedure for
treatment-resistant depression. Raj Persaud talks to Dr Lena
Palaniyappan at the RCPsych International Congress 2015 about the
practicalities and efficacy of TMS.
Psychiatric aspects of dizziness: a question
Children’s mental health within Scottish
View our most popular modules and
from BJPsych Advances:
Highlights of the July
with people affected by public care or
The specific mental health needs of individuals who have lived in
foster homes, residential care or adoptive families for substantial
periods are increasingly recognised in child and adolescent mental
health services, but less so in adult services. Thomas Hillen and
Hannah Wright examine the lifelong impact of public care and
adoption on mental health and functioning, and offer practical
suggestions for clinical work with affected individuals.
Keith Rix sets out the complicated law on
automatism and gives detailed accounts of court cases in which the
defence of automatism has been based on psychiatric disorder or the
effects of psychotropic drugs. He also suggests approaches to
assessment and medicolegal reporting.
Don’t forget to tell your junior colleagues about CPD Online’s
new ‘sister site’ Trainees
Online (TrOn) – currently free to access for trainees and other
or renew with CPD Online – subscriptions can start
from any point during the year.
With best wishes,
The CPD Online Team