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GPARTs 2018 Start

GPARTS 2018 START

The Mental Health Detention Process in the Community

Dr Paula Houton

Academic Supervisors: Professor Gerry Gormley & Dr Helen Reid

Clinical Supervisor: Dr Paul Carlisle, Hillhead Family Practice, Belfast

Summary of Project

One of the most challenging tasks a doctor can be faced with is deciding whether or not an unwell patient requires detention for assessment under relevant mental health legislation. This can be a highly emotional and difficult process for all involved. General Practitioners (GPs) are faced with this medical emergency but despite this – they get limited training in this area. Literature review indicates that there is very limited formal training in this area for any of the professionals involved. However, there is widespread acknowledgment of the challenges associated with these situations in the community and of the potential benefits of interdisciplinary training. There is therefore a need to develop clinical education in this area to bridge this knowledge gap. By means of a scoping literature review, we aim to address the following research question; what is known about how to best train health and social care professionals in the process of mental health detention in the community? This may potentially lead on to empirical work in this area. It is anticipated that this research will help develop training delivery which would be beneficial to all stakeholders involved in this complex clinical encounter.

 

The challenges for Primary Healthcare teams of managing people with dementia

Dr Lucy Hodkinson

Academic Supervisors: Dr Bernie McGuinness & Dr Nigel Hart

Clinical Supervisor: Dr Miriam Dolan, Maple Healthcare, Lisnaskea

Summary of Project

My name is Lucy Hodkinson and I am second year of the GPARTs programme. My work is looking at dementia care in rural settings.

As we live in an aging population, long term conditions such as dementia are increasing. Older people are more frequently moving out of urban areas into rural areas particularly when they reach the age of 65 and older. This means that there will be more older people living in rural areas. I am interested in finding out how the rural primary care team look after these patients and what challenges they face. I plan to interview members of the rural multidisciplinary primary care team to find out more about this and ultimately hope to improve care for patients with dementia in the future.

 

Can routinely collected primary care data help us better understand Severe Asthma?

Dr Johnny Stewart

Academic Supervisors: Prof Frank Kee & Dr Nigel Hart

Clinical Supervisor: Dr Caren Walsh, Grosvenor Road Surgery, Belfast

Summary of Project

My research interest is Severe Asthma. In the majority of cases asthma can be treated effectively with currently available medications in primary care. However, a proportion of patients with asthma have a severe variant that does not respond effectively to these therapies. This group of patients with treatment resistant disease, known as Severe Asthma, pose a significant challenge for clinicians and patients.

The majority of asthma care takes place in primary care. Yet research into this condition takes place almost exclusively in secondary and tertiary care. I am interested in the untapped potential of the data we routinely collect in primary care every day to better understand this high risk disease.

Records for individual patients are usually held in various disconnected databases throughout our health and social care system. I am investigating if linkage of primary care data to other health and administrative records to create a single unique dataset can improve our understanding of Severe Asthma.