About Chrys Muirhead

writer, activist, campaigner

Discontinuation of two different depot antipsychotics

Hole Ousia

This week, UK medical professionals were alerted of the permanent discontinuation of the supply of MODECATE (fluphenazine decanoate) injection by the end of 2018:

In October 2014, UK medical professionals were informed of permanent discontinuation of PIPORTIL Depot (pipothiazine palmitate):

Advice is given with these notifications of alternative depot medications. In changing patients from one depot to another I have found that there can be severe deterioration in mental health and that this can endure far beyond the transition phase.

My concern is that patients may be started on long-term medication without realising (being informed) that the medication they are taking may not be available at a future time and that this may have consequences for them. We must also consider that depot antipsychotics can be given without consent if certain criteria of mental health legislation are met.

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Trying out Trialogue in Scotland

Although reblogging this post it isn’t an endorsement as my survivor voice isn’t involved in this project so I don’t know what’s really happening within, culture wise.  I’ve learnt from experience that the only way to really know what something is like is to taste it and see for yourself.  I’m fussy.  That’s been useful in helping me survive.

Up to this point anyway!

EMPOWER Study

The team behind EMPOWER at the University of Glasgow are developing an exciting new project aimed at supporting better communication and trust in relation to experiences of psychosis. We have opportunities for mental health professionals to get involved.

‘Trialogues’ are an approach originally developed in Germany. They involve groups of people coming together to discuss issues related to the experience of psychosis. Groups include people with personal experience of psychosis, unpaid carers/family members and people who provide mental health services. They aim to offer a safe space in which people can share experiences and learn from each other.

The Trialogue approach has not been tested in Scotland in this way before so the broad aim of this research is to consider whether Trialogue could be useful here. We want to learn more about whether this approach makes sense to people taking part in groups and if it feels safe and…

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“The Law of the Few”

Hole Ousia

Malcolm Gladwell in his book ‘The Tipping Point’ describes what he terms “The Law of the Few”: namely that the influence of a few people can result in change in behaviour across a wider population.

This Hole Ousia post is about the education of psychiatrists and takes all its material from publically available sources. This post hopes to demonstrate the considerable reach (to the many) of a handful of educators.

This post follows on from the evidence that was gathered for my petition to the Scottish Parliament to consider introducing a Sunshine Act for Scotland. That petition closed 16 months ago following a consultation with the Scottish public who, in majority, asked that payments made to healthcare workers and academics be declared on a mandatory basis. I have argued the reasons why I am of the view that such mandatory declarations should be registered on a single, open, central, searchable, independent database.

Evidence has demonstrated that when a doctor has…

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Improvement science and consent: a failure of NHS Governance

Hole Ousia

I am an employee of NHS Lothian and have been ‘sign posted’ to the “New Capacity and Consent intranet page: important information for all staff.”

This is a screenshot taken on Friday 2nd June 2017:

The Capacity and Consent intranet page begins by reminding all NHS Lothian staff of the ‘Obtaining Consent’ Policy (2014):

The NHS Lothian ‘Obtaining Consent’ Policy (2014) informs staff that “failure to secure consent may constitute assault under common law in Scotland”.

All NHS Lothian staff are also reminded that “acquiescence when a patient does not know what the intervention entails, or is unaware that he or she can refuse, is not consent”.

Two years ago I wrote about national improvement work undertaken by Healthcare Improvement Scotland for older people in hospital in NHS Scotland and my concern that “compliance” had replaced consent.

Given my experience that the guidance from my employers (NHS Lothian) on consent and the explicit…

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Has your experience of communicating with high public office in Scotland been difficult?

Hole Ousia

If so, might you join me for a demonstration at the Martyrs monument, Calton Hill, Edinburgh on the evening of the 21st August 2017?

My idea is to recreate a gathering around the Martyrs Monument on Calton Hill which stands next to, but taller than, St Andrew’s House (the seat of power).

The foundation stone of the Martyrs Monument was laid by Joseph Hume, MP, on  the 21st of August 1844, when 3,000 people gathered for the occasion.

This year, on the anniversary of this foundation, a total solar eclipse will take place.


Prof Walter Hume in the Scottish Review, 21st September 2015:

“For some time I have been copied into email exchanges concerning how complaints against public bodies are dealt with. I have no personal stake in any of the specific sources of concern (which include patient care in the NHS and responses by Police Scotland, the Scottish Government and the…

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Continuing Medical “Education”

Hole Ousia

To be revalidated by the General Medical Council all UK doctors have to evidence participation in Continuing Medical Education (CME). This is based upon an accredited system of Continuing Professional Development (CPD).

CPD is mandatory.

This Hole Ousia post considers CPD for UK psychiatrists.

This week I was included in a circular e-mail that ‘sign-posted’ this free CPD educational opportunity for trainee psychiatrists. I was asked to share this with trainees.

BAP is acronym for the British Association of Psychopharmacology. I frequently hear colleagues describe it as “the place to go to” for CPD.

This is the current Calendar:

I have written on a number of occasions over the last few years to BAP about transparency of financial conflicts of interest:

BAP have now significantly improved on transparency and each speaker now has a link to any declared financial interests. This is available to professionals and public alike.

The declarations…

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