Psychiatric Bulletin: Volume 25 -

The use of the Royal College of Psychiatrists' trainee's log book: a cross-sectional survey of trainees and trainers
Peter L. Cornwall, Ali Doubtfire
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02 January 2018, pp. 234-236
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Aims and Method
The use of the Royal College of Psychiatrists' trainee's log book was evaluated by a cross-sectional survey of psychiatric trainees and their consultant trainers.
Results
One-quarter of trainees had not received a log book. There was a lack of mutual commitment to using the log book, with fewer than 45% of trainees believing their trainers were committed to its use. There had been little use of the log book beyond the setting of educational objectives. However, concern that trainees would be against using the log book for formative assessment was not observed.
Clinical Implications
More work needs to be done by the College to promote the use of the log book to both trainees and trainers.

That ‘praecox feeling’
Anonymous
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02 January 2018, p. 275
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I've worked in psychiatry now for over a decade but never have I experienced that ‘praecox feeling’ with such certainty and dread as I did with Alyson.

Service innovations: an Australian approach to community care – the Northern Crisis Assessment and Treatment Team
Andrew Carroll, Jane Pickworth, David Protheroe
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02 January 2018, pp. 439-441
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The recent White paper, Modernising Mental Health Services, recommended the provision of home treatment teams for acute mental illness (Department of Health, 1998). Such services are not widespread in the UK and have been the subject of recent debate (Smyth et al, 2000). In Australia, multi-disciplinary teams providing 24–hour community assessment and treatment of psychiatric emergencies have been in place now for over a decade, and form the cornerstone of the public mental health service.

Mental Health Act reform: treatment of dangerous and severe personality disorder
Prabhat Mahapatra
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02 January 2018, p. 486
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Consultant advisers in every service: Summary report from the working group on the role of consultants in implementing the National Service Framework and NHS Plan
Louis Appleby
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02 January 2018, pp. 441-444
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Shortly after taking up my appointment as National Director for Mental Health, I convened a working group of consultant psychiatrists to consider how to involve psychiatrists more in the current process of changing mental health services. This was in recognition of the fact that, while psychiatrists are central to modernising services, their skills and experience are insufficiently used. It is one of the most frequent complaints that I hear from clinicians.

Origins of a Section: liaison psychiatry in the College
Geoffrey G. Lloyd
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02 January 2018, pp. 313-315
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Why has liaison psychiatry been slow to develop in the UK? The asylum mentality and the current flight into the community have focused psychiatric resources on chronic psychotic illnesses, neglecting the psychological problems of general hospital patients. Nevertheless, there is abundant evidence that medical and surgical patients have a high prevalence of psychiatric disorder that can be effectively treated with psychological or pharmacological methods.

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