Book contents
- Frontmatter
- Contents
- Editors
- Contributors
- Foreword
- Preface
- Introduction
- Completing an audit project
- I Disorders
- II Legislation
- III Physical health
- IV Record-keeping
- V Service provision
- VI Training
- VII Treatment
- 73 Alcohol withdrawal: management
- 74 Anticholinesterase inhibitors: monitoring of cardiac side-effects
- 75 Anticholinesterase inhibitors: prescribing
- 76 Antimuscarinic medications
- 77 Antipsychotics: combined and high dose
- 78 Antipsychotics: prescribing
- 79 Antipsychotics: use in dementia
- 80 Attention-deficit hyperactivity disorder: prescribing
- 81 Atypical antipsychotics: monitoring
- 82 Behavioural problems in adults with intellectual disabilities: medication management
- 83 Benzodiazepines in old age psychiatry
- 84 Covert administration of medication
- 85 Depot antipsychotics: side-effects
- 86 Diazepam as rescue medication in epilepsy
- 87 Electroconvulsive therapy: facilities
- 88 Electroconvulsive therapy: indications
- 89 Hypnotics
- 90 Lithium: monitoring
- 91 Medicines reconciliation
- 92 Mood stabilisers: monitoring
- 93 Nurses’ administration of medication
- 94 Prescribing: British National Formulary limits
- 95 Prescribing: Mental Capacity Act
- 96 Prescribing: p.r.n. medication
- 97 Prescription charts
- 98 Psychological therapies
- 99 Psychotherapy re-referrals
- 100 Psychotropic prescriptions in dual diagnosis
- 101 Rapid tranquillisation
- Appendices
98 - Psychological therapies
from VII - Treatment
Published online by Cambridge University Press: 02 January 2018
- Frontmatter
- Contents
- Editors
- Contributors
- Foreword
- Preface
- Introduction
- Completing an audit project
- I Disorders
- II Legislation
- III Physical health
- IV Record-keeping
- V Service provision
- VI Training
- VII Treatment
- 73 Alcohol withdrawal: management
- 74 Anticholinesterase inhibitors: monitoring of cardiac side-effects
- 75 Anticholinesterase inhibitors: prescribing
- 76 Antimuscarinic medications
- 77 Antipsychotics: combined and high dose
- 78 Antipsychotics: prescribing
- 79 Antipsychotics: use in dementia
- 80 Attention-deficit hyperactivity disorder: prescribing
- 81 Atypical antipsychotics: monitoring
- 82 Behavioural problems in adults with intellectual disabilities: medication management
- 83 Benzodiazepines in old age psychiatry
- 84 Covert administration of medication
- 85 Depot antipsychotics: side-effects
- 86 Diazepam as rescue medication in epilepsy
- 87 Electroconvulsive therapy: facilities
- 88 Electroconvulsive therapy: indications
- 89 Hypnotics
- 90 Lithium: monitoring
- 91 Medicines reconciliation
- 92 Mood stabilisers: monitoring
- 93 Nurses’ administration of medication
- 94 Prescribing: British National Formulary limits
- 95 Prescribing: Mental Capacity Act
- 96 Prescribing: p.r.n. medication
- 97 Prescription charts
- 98 Psychological therapies
- 99 Psychotherapy re-referrals
- 100 Psychotropic prescriptions in dual diagnosis
- 101 Rapid tranquillisation
- Appendices
Summary
Setting
This audit was carried out in the alcohol and drug service, but it would be equally relevant to any general adult psychiatry or older persons’ out-patient or in-patient service.
Background
The various guidelines on psychological therapies produced by the National Institute for Health and Clinical Excellence (NICE) (listed below) make clear recommendations regarding the provision for a number of common psychiatric conditions.
Standards
The standards were obtained from NICE guidelines:
ᐅ At a minimum, all patients with mild depression, generalised anxiety disorder, panic disorder or anorexia nervosa should be offered psychological therapy as the first-line treatment.
ᐅ Patients with moderate or severe depression or schizophrenia should be offered psychological therapy as an adjunct to medication.
The target is that all patients will be offered psychological therapies, as appropriate for their diagnosis, as suggested by the NICE guidelines.
Method
Data collection
For the purposes of this audit a computerised records system was used to identify a sample of 50 consecutive patients receiving an initial assessment. The assessment forms on the system were examined to acquire the information listed below. It is also possible to collect information prospectively, with the relevant information recorded each time an assessment is done. Information required from the initial assessment was as follows:
ᐅ Were any psychiatric and/or psychological problems identified?
ᐅ If so, were these problems past or current?
ᐅ What treatment, if any, was the patient offered and by whom?
ᐅ What treatment, if any, did the patient receive and from whom?
Data analysis
The percentages of patients with current psychiatric and/or psychological problems and with past problems were calculated (one patient could be present in both subsets). For each of these subsets, the percentages of those receiving or who had received psychological therapies in line with NICE guidelines were calculated.
Resources required
People
This audit can be undertaken by one person for a sample of around 50 patients, although this will depend on the records system in use (it will be more timeconsuming if paper notes have to be located and searched through). Where a team undertakes initial assessments, each member could be involved and could collect information as they go along.
- Type
- Chapter
- Information
- 101 Recipes for Audit in Psychiatry , pp. 227 - 228Publisher: Royal College of PsychiatristsPrint publication year: 2011