The Experts below are selected from a list of 65901 Experts worldwide ranked by ideXlab platform
Janet Baker - One of the best experts on this subject based on the ideXlab platform.
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management of functional communication swallowing cough and related disorders consensus recommendations for speech and language therapy
Journal of Neurology Neurosurgery and Psychiatry, 2021Co-Authors: Janet Baker, Caroline Barnett, Lesley Cavalli, Maria Dietrich, Lorna Dixon, Joseph R Duffy, Annie Elias, Diane E Fraser, Jennifer L FreeburnAbstract:Communication problems (eg, dysphonia, dysfluency and language and articulation disorders), swallowing disorders (dysphagia and globus), cough and upper airway symptoms, resulting from functional neurological disorder (FND), are commonly encountered by speech and language professionals. However, there are few descriptions in the literature of the most effective practical management approaches. This consensus document aims to provide recommendations for assessment and intervention that are relevant to both adults and young people. An international panel of speech and language professionals with expertise in FND were approached to take part. Participants responded individually by email to a set of key questions regarding best practice for assessment and interventions. Next, a video conference was held in which participants discussed and debated the answers to these key questions, aiming to achieve consensus on each issue. Drafts of the collated consensus recommendations were circulated until consensus was achieved. FND should be diagnosed on the basis of positive clinical features. Speech and language therapy for FND should address illness beliefs, self-directed attention and abnormal movement patterns through a process of education, symptomatic treatment and cognitive behavioural therapy within a supportive Therapeutic Environment. We provide specific examples of these strategies for different symptoms. Speech and language professionals have a key role in the management of people with communication and related symptoms of FND. It is intended that these expert recommendations serve as both a practical toolkit and a starting point for further research into evidence-based treatments.
Sonia Johnson - One of the best experts on this subject based on the ideXlab platform.
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impact on mental health care and on mental health service users of the covid 19 pandemic a mixed methods survey of uk mental health care staff
Social Psychiatry and Psychiatric Epidemiology, 2021Co-Authors: Sonia Johnson, Christian Daltonlocke, Norha Vera San Juan, Una Foye, Sian Oram, Alexandra Papamichail, Sabine Landau, Rachel Rowan Olive, Tamar JeynesAbstract:PURPOSE: The COVID-19 pandemic has potential to disrupt and burden the mental health care system, and to magnify inequalities experienced by mental health service users. METHODS: We investigated staff reports regarding the impact of the COVID-19 pandemic in its early weeks on mental health care and mental health service users in the UK using a mixed methods online survey. Recruitment channels included professional associations and networks, charities, and social media. Quantitative findings were reported with descriptive statistics, and content analysis conducted for qualitative data. RESULTS: 2,180 staff from a range of sectors, professions, and specialties participated. Immediate infection control concerns were highly salient for inpatient staff, new ways of working for community staff. Multiple rapid adaptations and innovations in response to the crisis were described, especially remote working. This was cautiously welcomed but found successful in only some clinical situations. Staff had specific concerns about many groups of service users, including people whose conditions are exacerbated by pandemic anxieties and social disruptions; people experiencing loneliness, domestic abuse and family conflict; those unable to understand and follow social distancing requirements; and those who cannot engage with remote care. CONCLUSION: This overview of staff concerns and experiences in the early COVID-19 pandemic suggests directions for further research and service development: we suggest that how to combine infection control and a Therapeutic Environment in hospital, and how to achieve effective and targeted tele-health implementation in the community, should be priorities. The limitations of our convenience sample must be noted.
Jennifer L Freeburn - One of the best experts on this subject based on the ideXlab platform.
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management of functional communication swallowing cough and related disorders consensus recommendations for speech and language therapy
Journal of Neurology Neurosurgery and Psychiatry, 2021Co-Authors: Janet Baker, Caroline Barnett, Lesley Cavalli, Maria Dietrich, Lorna Dixon, Joseph R Duffy, Annie Elias, Diane E Fraser, Jennifer L FreeburnAbstract:Communication problems (eg, dysphonia, dysfluency and language and articulation disorders), swallowing disorders (dysphagia and globus), cough and upper airway symptoms, resulting from functional neurological disorder (FND), are commonly encountered by speech and language professionals. However, there are few descriptions in the literature of the most effective practical management approaches. This consensus document aims to provide recommendations for assessment and intervention that are relevant to both adults and young people. An international panel of speech and language professionals with expertise in FND were approached to take part. Participants responded individually by email to a set of key questions regarding best practice for assessment and interventions. Next, a video conference was held in which participants discussed and debated the answers to these key questions, aiming to achieve consensus on each issue. Drafts of the collated consensus recommendations were circulated until consensus was achieved. FND should be diagnosed on the basis of positive clinical features. Speech and language therapy for FND should address illness beliefs, self-directed attention and abnormal movement patterns through a process of education, symptomatic treatment and cognitive behavioural therapy within a supportive Therapeutic Environment. We provide specific examples of these strategies for different symptoms. Speech and language professionals have a key role in the management of people with communication and related symptoms of FND. It is intended that these expert recommendations serve as both a practical toolkit and a starting point for further research into evidence-based treatments.
M G Mythen - One of the best experts on this subject based on the ideXlab platform.
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providing psychological support to people in intensive care development and feasibility study of a nurse led intervention to prevent acute stress and long term morbidity
BMJ Open, 2018Co-Authors: Dorothy Wade, Vaughan Bell, Chris R Brewin, Donatella Dantoni, David A Harrison, Mags Harvey, Sheila Harvey, David Howell, Paul R Mouncey, M G MythenAbstract:Objectives Adverse psychological outcomes, following stressful experiences in critical care, affect up to 50% of patients. We aimed to develop and test the feasibility of a psychological intervention to reduce acute stress and prevent future morbidity. Design A mixed-methods intervention development study, using two stages of the UK Medical Research Council framework for developing and testing complex interventions. Stage one (development) involved identifying an evidence base for the intervention, developing a theoretical understanding of likely processes of change and modelling change processes and outcomes. Stage two comprised two linked feasibility studies. Setting Four UK general adult critical care units. Participants Stage one: former and current patients, and psychology, nursing and education experts. Stage two: current patients and staff. Outcomes Feasibility and acceptability to staff and patients of content and delivery of a psychological intervention, assessed using quantitative and qualitative data. Estimated recruitment and retention rates for a clinical trial. Results Building on prior work, we standardised the preventative, nurse-led Provision Of Psychological support to People in Intensive Care (POPPI) intervention. We devised courses and materials to train staff to create a Therapeutic Environment, to identify patients with acute stress and to deliver three stress support sessions and a relaxation and recovery programme to them. 127 awake, orientated patients took part in an intervention feasibility study in two hospitals. Patient and staff data indicated the complex intervention was feasible and acceptable. Feedback was used to refine the intervention. 86 different patients entered a separate trial procedures study in two other hospitals, of which 66 (80% of surviving patients) completed questionnaires on post-traumatic stress, depression and health 5 months after recruitment. Conclusion The ‘POPPI’ psychological intervention to reduce acute patient stress in critical care and prevent future psychological morbidity was feasible and acceptable. It was refined for evaluation in a cluster randomised clinical trial. Trial registration number ISRCTN61088114; Results.
Tamar Jeynes - One of the best experts on this subject based on the ideXlab platform.
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impact on mental health care and on mental health service users of the covid 19 pandemic a mixed methods survey of uk mental health care staff
Social Psychiatry and Psychiatric Epidemiology, 2021Co-Authors: Sonia Johnson, Christian Daltonlocke, Norha Vera San Juan, Una Foye, Sian Oram, Alexandra Papamichail, Sabine Landau, Rachel Rowan Olive, Tamar JeynesAbstract:PURPOSE: The COVID-19 pandemic has potential to disrupt and burden the mental health care system, and to magnify inequalities experienced by mental health service users. METHODS: We investigated staff reports regarding the impact of the COVID-19 pandemic in its early weeks on mental health care and mental health service users in the UK using a mixed methods online survey. Recruitment channels included professional associations and networks, charities, and social media. Quantitative findings were reported with descriptive statistics, and content analysis conducted for qualitative data. RESULTS: 2,180 staff from a range of sectors, professions, and specialties participated. Immediate infection control concerns were highly salient for inpatient staff, new ways of working for community staff. Multiple rapid adaptations and innovations in response to the crisis were described, especially remote working. This was cautiously welcomed but found successful in only some clinical situations. Staff had specific concerns about many groups of service users, including people whose conditions are exacerbated by pandemic anxieties and social disruptions; people experiencing loneliness, domestic abuse and family conflict; those unable to understand and follow social distancing requirements; and those who cannot engage with remote care. CONCLUSION: This overview of staff concerns and experiences in the early COVID-19 pandemic suggests directions for further research and service development: we suggest that how to combine infection control and a Therapeutic Environment in hospital, and how to achieve effective and targeted tele-health implementation in the community, should be priorities. The limitations of our convenience sample must be noted.