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Journal BJPsych Int

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Volunteering in a mental health service in Uganda: challenges and rewards.

Fiona Martin,

Fiona Martin is a psychiatry trainee who spent 6 months volunteering in a mental health service in Uganda between her core and higher psychiatry training. In this article, she reflects upon this experience, including the challenges and rewards, and in particular the benefits to training of such an experience. ... Read more >>

BJPsych Int (BJPsych international)
[2019, 16(4):93-96]

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The Queensland mental health court: a unique model.

Suzanne Coghlan, Scott Harden,

There is a longstanding but sometimes controversial belief that a person is not criminally responsible for a crime if they were suffering from a mental illness at the time of the offence. The Queensland Mental Health Court (QMHC) system, in which assisting clinicians have a central role, is underwritten by ... Read more >>

BJPsych Int (BJPsych international)
[2019, 16(4):86-89]

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Gender disparity as a threat to the mental well-being of young Sri Lankan women.

Miyuru Chandradasa, Layani Champika Rathnayake,

Sri Lanka ranks highest in the region for human development. Despite producing the first female head of state in the world, the country has failed to achieve substantial gains in the gender inequality indices in the past decade. In recent years, the proportion of females in secondary education has equalled ... Read more >>

BJPsych Int (BJPsych international)
[2019, 16(4):90-92]

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Pandora's Box.

BJPsych Int (BJPsych international)
[2019, 16(4):99-100]

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Headaches in Moria: a reflection on mental healthcare in the refugee camp population of Lesbos.

Tom Nutting,

Having returned from a period of volunteering with a healthcare charity working with the refugee camp population of Lesbos in Greece, a junior doctor reflects on the common presentations he saw and the current state of mental healthcare for these patients. The placement of already-traumatised people in an overcrowded and ... Read more >>

BJPsych Int (BJPsych international)
[2019, 16(4):96-98]

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Community treatment orders: international perspective.

Georgios Mikellides, Artemis Stefani, Marianna Tantele,

The use of community treatment orders (CTOs) is available in more than 70 jurisdictions around the world. Although CTOs are used extensively, their effectiveness remains doubtful. We comment on the existing evidence and focus on components that influence the outcomes of CTOs internationally. It is essential to identify factors that ... Read more >>

BJPsych Int (BJPsych international)
[2019, 16(4):83-86]

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Ethical dilemmas in global mental health.

Elena Cherepanov,

Global mental health (GMH) work reminds us about our professional ideals and mission. GMH specialists conduct research and provide psychosocial and mental health support to populations affected by humanitarian crises around the world. This work exposes these specialists to situations with a high degree of moral ambiguity and no good ... Read more >>

BJPsych Int (BJPsych international)
[2019, 16(4):81-83]

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Stigma in psychiatry seen through the lens of sexuality and gender.

Michael King,

The history of psychiatry and homosexuality illuminates how stigma develops in the professions, how it is linked to cultural values and religious attitudes and how it affects patients. Homosexuality was medicalised as a disorder in the late 19th century and this led to treatments to change it. Same-gender contacts between ... Read more >>

BJPsych Int (BJPsych international)
[2019, 16(4):77-80]

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Psychiatry trainee stressors in a postgraduate psychiatry training centre in India.

Bharathram Sathur Raghuraman, Manamohan Nataraj, Lakshmi Shiva,

Stress and burnout are major issues affecting medical trainees, especially psychiatry trainees, throughout the world. Stress and burnout were studied using an online survey among psychiatry trainees of the National Institute of Mental Health and Neurosciences (NIMHANS) which is one of the oldest and largest training centers in India. Postgraduate ... Read more >>

BJPsych Int (BJPsych international)
[2019, 16(3):53-55]

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Current challenges for psychiatry in Greece.

Nikos G Christodoulou, Konstantinos Kollias,

Psychiatry in Greece is undergoing a prolonged reform. Deinstitutionalisation is at an advanced stage and there are active efforts to support primary care and community psychiatry, and to establish local administration of services in each sector of the country (i.e. the equivalent of Mental Health Trusts in the UK). Quality ... Read more >>

BJPsych Int (BJPsych international)
[2019, 16(3):60-61]

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Mental health legislation in the Philippines: Philippine Mental Health Act.

John Lally, Rene M Samaniego, John Tully,

The first mental health act legislation in the history of the Philippines has been officially signed into law and was enacted as the Republic Act no. 11036 on 21 June 2018. It provides a rights-based mental health bill and a comprehensive framework for the implementation of optimal mental healthcare in ... Read more >>

BJPsych Int (BJPsych international)
[2019, 16(3):65-67]

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Pandora's Box.

BJPsych Int (BJPsych international)
[2019, 16(3):74-75]

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Working in psychiatry in Malta: a personal view.

Rachel Taylor-East,

The history of psychiatry in Malta dates back to the 16th century. In the early 1990s, a detailed account of psychiatry in Malta documented the drive from institutional psychiatry to community psychiatry and outlined the difficulties with subspecialisation, staffing and training. Malta has since set up five community mental health ... Read more >>

BJPsych Int (BJPsych international)
[2019, 16(3):56-57]

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Mental health legislation in Botswana.

J Maphisa Maphisa,

The Mental Disorders Act of 1969 is the primary legislation relating to mental health in Botswana. Despite the country not being a signatory to the United Nations Convention on the Rights of Persons with Disabilities, its Act has a self-rated score of four out of five on compliance to human ... Read more >>

BJPsych Int (BJPsych international)
[2019, 16(3):68-70]

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Mental health services in the Philippines.

John Lally, John Tully, Rene Samaniego,

National information on mental health services in the Philippines indicates that there are substantial gaps and inconsistencies in the delivery of mental healthcare. The recently enacted Mental Health Act legislation provides a platform for the delivery of comprehensive and integrated mental health services. However, there remain many challenges in the ... Read more >>

BJPsych Int (BJPsych international)
[2019, 16(3):62-64]

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Sources of stress in the practice of psychiatry: perspective from the Arab world.

Rudwan Abdul-Al,

The main challenges faced by psychiatrists in the Arab world are stigma, shortage of resources, role of the family and effects of conflicts and migration. Psychiatrists practising in this region have to adapt to these challenges and use creative methods to provide a good service to their patients. A woman ... Read more >>

BJPsych Int (BJPsych international)
[2019, 16(3):58-59]

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International comparison of the work-related stressors experienced by psychiatrists.

M Henderson, M Abbas,

BJPsych Int (BJPsych international)
[2019, 16(3):51-52]

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Services for adults with intellectual disability in Aotearoa New Zealand.

Jane McCarthy, Mhairi Duff,

Aotearoa New Zealand is a country of just under 5 million people with a diverse population, the main ethnic groups being of European descent and Maori. There are well-developed public and private healthcare systems. As in other countries, Aotearoa New Zealand has closed the large institutions and developed community-based services ... Read more >>

BJPsych Int (BJPsych international)
[2019, 16(3):71-73]

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The lessons I learned as a psychiatrist from my transcultural work in low- and middle-income countries.

Julian Leff,

Transcultural observations offer an opportunity to study attitude to mental illness in different societies and family structures. The disparity between industrialised and lower-income societies reflects greater tolerance due to the ability of extended families to compensate for the patient's limitations. ... Read more >>

BJPsych Int (BJPsych international)
[2019, 16(2):27-29]

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Training innovations in low- and middle-income countries.

David Skuse,

BJPsych Int (BJPsych international)
[2019, 16(2):27]

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A qualitative study assessing the feasibility of implementing a group cognitive-behavioural therapy-based intervention in Sierra Leone.

Samantha Waterman, Charles L Cole, Neil Greenberg, G James Rubin, Alison Beck,

Mental health support in Sierra Leone is sparse, and qualitative research into the feasibility of implementing psychological interventions is equally underdeveloped. Following the 2014 Ebola virus disease outbreak, South London and Maudsley NHS Trust were commissioned to develop a psychological intervention that UK clinicians could train national staff with minimal ... Read more >>

BJPsych Int (BJPsych international)
[2019, 16(2):31-34]

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Human rights-based approaches to mental health legislation and global mental health.

Julian Eaton,

Globally, established practice in mental health services has tended to be codified into law in ways that are paternalistic, seeking to make decisions for patients that presume 'best interest' and which ultimately place power in the hands of medical authority. The United Nations Convention on the Rights of Persons with ... Read more >>

BJPsych Int (BJPsych international)
[2019, 16(2):37-40]

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Global mental health and sustainable development 2018.

Rachel Jenkins,

The Lancet Commission summarises some of the history of mental health concepts, recent developments in scientific understanding, mental health programmes and threats to progress, and proposes a way forward. Although ostensibly aiming to reframe global mental health within the paradigm of sustainable development, in practice it has taken a narrower ... Read more >>

BJPsych Int (BJPsych international)
[2019, 16(2):34-37]

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'Genetic loading' or 'evil mind': current conceptions of depression in Myanmar from the perspective of healthcare professionals.

Steffen Schödwell, Theresa Steinhäuser, Anna Auckenthaler,

In Myanmar, a country that has just recently opened up to the international community, Buddhist and traditional healing methods are still widely applied to various diseases and conditions. The aim of this study was to ascertain how professionals from the biomedical healthcare system in Myanmar experience interactions with patients with ... Read more >>

BJPsych Int (BJPsych international)
[2019, 16(2):43-46]

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Global Echoes: reflection on the use of interpretation in consultations in the UK.

Jonathan Cunliffe,

Working as a foundation doctor in psychiatry I quickly noted the value of two things: the development of a strong therapeutic relationship and the importance of a detailed history. These two things are made much harder when your patient does not speak English and you do not speak their language. ... Read more >>

BJPsych Int (BJPsych international)
[2019, 16(2):46-47]

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