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Psychological Medicine and Integrated Care Clinical Academic Group

Organisational unit: Clinical Academic Group

Organisation profile

Summary


The CAG is world class in research and clinical provision for eating disorders, chronic fatigue service, 3D for diabetes, and liaison psychiatry. Psychological Medicine and Integrated Care is an active player in the SLaM NIHR Biomedical Research Centre through the Disorders of Affect and Addiction and their Interface with Medicine (DAAIM) theme.

 

Meeting King's Health Partners' tripartite mission

Research


The CAG’s research spans biological psychiatry, epidemiology, psychotherapy research and clinical trials. We use observational and experimental studies which are translated into new therapies to address problems at the interface between medicine and psychiatry.


Our current research funding includes the Applied Research into Anorexia Nervosa and Not Otherwise Specified Eating Disorders programme; a Multi-Centre Randomised Controlled Trial Comparing the Effectiveness of Enhanced Motivational Interviewing with Usual Care for Reducing Cardiovascular Risk; Persistent Fatigue Induced by Interferonalpha: A New Immunological Model for Chronic Fatigue Syndrome; Integrating Mental and Physical Healthcare Research Training and Services; and Health and Wellbeing of UK Armed Forces Personnel cohort study.

Recent research findings include:
• The PACE trial showed that cognitive behaviour therapy and graded exercise therapy increase likelihood of recovery from chronic fatigue syndrome three-fold compared to other treatments.
• Embarrassment and not wanting to waste doctors’ time are more frequently reported by British people than in other countries. This may hold British people back from presenting early with symptoms of cancer.
• Pregnant women with mental health disorders face too many barriers to help them quit smoking during pregnancy despite their willingness to accept support.
• Men who have served in the UK Armed Forces are more likely to commit a violent offence during their lifetime than their civilian counterparts.


Education and training


The Emergency Psychiatry Immersion Course is a two day high-fidelity simulation training course delivered as part of the induction for junior doctors starting work in SLaM. The course has been well received and trainees report significant improvements in their confidence in managing clinical work.

The OSKeR initiative is a scheme whereby new doctors starting on call duties are joined for their first three on call shifts by a consultant mentor who guides them, role models key clinical skills, and gives them feedback on interview skills.

For undergraduate teaching, we have three new firms in liaison psychiatry and other crisis services. Feedback has indicated that medical students are more likely to take up a career in psychiatry if they have exposure to liaison psychiatry.

Our current education projects include:
• SHIELD ‘Train the Trainer’ project - SHIELD is a self-harm assessment and management service improvement project. We have developed a five-day course for SLaM staff in the delivery of training in this field. 11 staff completed the course and have subsequently trained over 300 wider staff about self-harm.
• Simulation training: first steps into mental health – We have developed several courses including a mental health emergency team course for trainee psychiatrists and nurses, and a simulation working at the mental physical interface course for all trust nursing and medical staff

Outcomes

We have:
• Eight major clinical care pathways (including neuropsychiatry), with process and outcome measures for some pathways;
• Developed clinical outcome measures unique to the speciality with systems for ongoing data collection;
• Research evaluation of new outcome measures (mother and baby interaction in perinatal psychiatry);
• An innovative project with Guy’s and St Thomas’ charity funding to develop expertise in deliberate self harm care pathway in collaboration with the toxicology department;
• Received national level accreditation by the Royal College of Psychiatrists for St Thomas’ Hospital Liaison service,
mother and baby inpatient service, Croydon home

 

CAG Leaders

Clinical Director: Dr Ranga Rao
Academic Director: Professor Allan Young 
Academic Director: Professor Matthew Hoptopf

Service Director: Neil Robertson

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