Larkin Feeney

Health Service Executive

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Co-Authors

Brendan D. Kelly

Trinity College Dublin

Brian O’Donoghue

St. Vincent's University Hospital

Eric Roche

Royal College of Surgeons in Ireland

John Lyne

Royal College of Surgeons in Ireland

Kevin Madigan

Royal College of Surgeons in Ireland

Eadbhard O’Callaghan

University College Dublin

Conall Larkin

University College Dublin

Mark Hartman

University of Limerick

John L. Waddington

Soochow University

Colm McDonald

Ollscoil na Gaillimhe – University of Galway

Cooperative Institutions

St. James's Hospital

Mater Misericordiae University Hospital

Marymount University

St Patrick's Hospital

Mater Misericordiae Hospital

22q11 Ireland

Royal College of Surgeons in Ireland

University College Dublin

Trinity College Dublin

Psychiatric Medical Center

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Pharmacist-led medicines optimisation service in an inpatient mental health setting

Irish Journal of Psychological Medicine (2023)

Caroline Hynes Aoife Carolan Larkin Feeney Judith Strawbridge Audrey Purcell

Abstract Medicines optimisation ensures that people get the best possible outcomes from their medicines. As those with severe mental illness (SMI) are frequently prescribed psychotropic medicines with potentially significant side-effects, poor adherence to treatment and physical morbidity are common. This results in suboptimal symptom control, physical health problems and negative health outcomes. The specialist mental health pharmacist (SMHP) is best placed to provide leadership for medicines optimisation in the inpatient mental health setting. By adopting a patient-centred approach to providing information, improving adherence, screening, initiating and maintaining medicines, and supporting self-advocacy, the SMHP can ensure the patients’ experience of taking medicines is optimised. As there is currently limited understanding of what a baseline clinical pharmacy service in a mental health setting looks like, we aim to outline a framework for pharmacist-led medicines optimisation for those with SMI. This framework is suitable to be scaled and adapted to other settings.

Mental health service

10.1017/ipm.2023.46

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Audit of Thrice- Versus Twice-Weekly ECT

Journal of Ect (2012)

Eric Roche Jasmin Lope Helen E. Hughes Niamh McCullagh Terence Larkin

Background There is a lack of knowledge regarding some basic differences between different electroconvulsive therapy (ECT) treatment schedules. Objectives To examine differences, including ECT technical parameters and length of stay, between thrice- and twice-weekly ECT treatment schedules. Methods Prospective audit of the changeover period of administering thrice- to twice-weekly ECT in a Dublin psychiatric hospital. Results Twice-weekly ECT was associated with significantly lower total electricity dosage administered, a tendency toward shorter overall hospital stay and fewer ECT treatments compared to thrice-weekly ECT. Conclusions Our results support the current international trend toward giving ECT twice weekly.

Changeover

10.1097/yct.0b013e31825683f7

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Citations (3)

The Chequerboard Boy. Edited by Dónal J Cotter (106pp.; ISBN 978-952-5718-71-3). Prometheus: New York, 2016.

Irish Journal of Psychological Medicine (2016)

Larkin Feeney

An abstract is not available for this content so a preview has been provided. Please use the Get access link above for information on how to access this content.

10.1017/ipm.2016.28

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Psychiatry: no longer in dissent?

Psychiatric Bulletin (2006)

Brendan D. Kelly Larkin Feeney

Medicine thrives on dissent. Of all the medical disciplines, psychiatry seems to generate the highest level of dissent, both from inside and outside the profession: no other medical discipline, for example, has some of its own members consistently argue that its very foundations are rooted in a series of harmful myths (Szasz, 1974, 2003). The best responses to this type of criticism identify the core concerns of the critic, dissect out the most relevant arguments and develop ways to integrate useful suggestions with existing knowledge, so as to advance the field in a pragmatic, sensible and evidence-based fashion. Such constructive responses to controversy are rare.

Dissent

Constructive

Constructive criticism

10.1192/pb.30.9.344

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Citations (1)

BJU volume 30 issue 9 Cover and Front matter

Psychiatric Bulletin (2006)

Thomas Fahy Peter Byrne David Cottrell Teifion Davies Dominic Fannon

An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Front cover

10.1192/s0955603600032396

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Our Necessary Shadow: The Nature and Meaning of Psychiatry. Edited by Tom Burns and Allen Lane (384pp.; ISBN-10: 1846144655; ISBN-13: 978-1846144653). Allen Lane, 2013.

Irish Journal of Psychological Medicine (2013)

Larkin Feeney

An abstract is not available for this content so a preview has been provided. Please use the Get access link above for information on how to access this content.

Content (measure theory)

10.1017/ipm.2013.43

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Perceptions of involuntary admission and risk of subsequent readmission at one-year follow-up: The influence of insight and recovery style

Journal of Mental Health (2011)

Brian O’Donoghue John Lyne Michele Hill Linda O’Rourke Sally Daly

Involuntary admission is one of the most ethically challenging practices in medicine, yet we are only beginning to learn more about the patient's perspective.To investigate (i) peoples' perception of the necessity of their involuntary admission at one year after discharge (ii) readmission rates to hospital and the influence of insight and recovery style.We interviewed individuals admitted involuntarily at one year following discharge using the Mac Arthur Admission Experience Interview, Birchwood Insight Scale, the Drug Attitude Inventory, Global Assessment of Functioning and the Recovery Style Questionnaire.Sixty-eight people (84%) were re-interviewed at one year and fewer (60%) reported that their involuntary admission had been necessary when compared to inception (72%). Of the 33% that changed their views, most reflected negatively on their involuntary admission. We found that insight was moderately associated with the acknowledgement that the involuntary admission was necessary. Within a year, 43% were readmitted to hospital and half of these admissions were involuntary. Individuals with a sealing over recovery style were at four times the risk of involuntary readmission.Peoples' perception of the necessity of their involuntary admissions is not stable over time and risk of involuntary readmission is associated with recovery style.

Acknowledgement

Hospital admission

Hospital Readmission

10.3109/09638237.2011.562263

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Citations (32)

Reflections on Beckett's Murphy – psychiatry in literature

The British Journal of Psychiatry (2013)

Larkin Feeney Peter McCarron

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Content (measure theory)

10.1192/bjp.bp.112.122812

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Management of alcohol use disorders

Irish Journal of Psychological Medicine (2009)

Larkin Feeney

Welcome to the third module in our Continuing Professional Development Section (CPD). CPD is now a key element in the clinical activity of all health professionals and a cornerstone of good clinical governance throughout mental health services. This section of the Irish Journal of Psychological Medicine will provide CPD modules dedicated to key topics in mental health care. In order to assist learning and self-assessment, multiple choice questions will be provided at the end of each module. This module and its multiple choice questions are available online on the website of the Irish Journal of Psychological Medicine (www.ijpm.org). The CPD policy of the College of Psychiatry of Ireland indicates that psychiatrists who participate in suitable online learning which fits the criteria for CPD may claim CPD points under the Personal CPD category (up to a maximum of 5 points per year). We are confident that this CPD Section of the Irish Journal of Psychological Medicine will prove to be a valuable resource for consultant psychiatrists, psychiatric trainees and all journal readers. We welcome feedback from readers and, especially, any suggestions for topics to be covered in future CPD modules. Suggestions should be emailed to: psychological@medmedia.ie

Cornerstone

Clinical Governance

Health Professionals

Section (typography)

10.1017/s0790966700000781

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Citations (1)

IPM volume 28 issue 4 Cover and Front matter

Irish Journal of Psychological Medicine (2011)

Brendan D. Kelly Niall Crumlish Larkin Feeney Cluain Mhuire Anne Henrichsen

An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Front cover

Content (measure theory)

10.1017/s0790966700011605

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