THE MULTIDISCIPLINARY MANAGEMENT OF ACUTE DISTURBANCE

Day 1, 20th March 2019 – Main Hall
Peterhouse College, Cambridge University

Click on the titles below to view each presentation

Meeting Programme

National & International Guidelines on Rapid Tranquillisation
Dr Luiz Dratcu, Consultant Psychiatrist, Maudsley Hospital, South London and Maudsley NHS Foundation Trust.

Overview of the Joint BAP NAPICU evidence-based consensus guidelines for the clinical
management of acute disturbance: de-escalation and rapid tranquillisation
Dr Faisil Sethi, Consultant Psychiatrist & Service Director, Maudsley Hospital & Bethlem Royal Hospital, South London and Maudsley NHS Foundation Trust and NAPICU Executive Committee Member.

Oral Medications
Mrs Caroline Parker, Consultant Pharmacist for Adult Mental Health Services, Central and North West London NHS Foundation Trust and NAPICU Director of Operations

Intramuscular Rapid Tranquillisation Medications
Mrs Julie Haste, Principal Pharmacist (West Sussex), Sussex Partnership NHS Foundation Trust and NAPICU Executive Committee Member.

Intravenous Rapid Tranquillisation Medications
Dr Sotiris Posporelis, Institute of Psychiatry, Psychology and Neuroscience, King’s College London & South London and Maudsley NHS Foundation Trust.

Special Topic 1: ECT for Challenging Behaviour – is there any evidence?
Dr Luiz Dratcu, Consultant Psychiatrist, Maudsley Hospital, South London and Maudsley NHS Foundation Trust.

Special Topic 2: Acute Behavioural Disturbance
Prof Keith JB Rix, Honorary Consultant Forensic Psychiatrist, Norfolk and Suffolk NHS Foundation Trust, Visiting Professor of Medical Jurisprudence, University of Chester, Mental Health and Intellectual Disability Lead, Faculty of Forensic and Legal Medicine of the Royal College of Physicians.

Hot Topics: Rapid Tranquillisation in Other Clinical Scenarios

T1: Pregnancy & Rapid Tranquillisation
Mrs Caroline Parker, Consultant Pharmacist for Adult Mental Health Services, Central and North West London NHS Foundation Trust and NAPICU Director of Operations.

T2: Intoxication & Rapid Tranquillisation
Dr Sophie Butler, Specialist Registrar in General Adult Psychiatry, South London & Maudsley NHS Foundation Trust.

T3: Intravenous Rapid Tranquillisation Medications in the General Hospital (Emergency Departments and the Medical Intensive Care Unit)
Dr Sotiris Posporelis, Institute of Psychiatry, Psychology and Neuroscience, King’s College London & South London and Maudsley NHS Foundation Trust.

 

Day 2, 21th March 2019 – Main Hall
Peterhouse College, Cambridge University

De-escalation
Mr Mathew Page, Chief Operating Officer, Avon & Wiltshire Mental Health Partnership NHS Trust and NAPICU Executive Committee Member.

Key Psychoanalytic Principles in Understanding Severe Disturbance
Dr Oliver Dale, Consultant Psychiatrist, Hammersmith and Fulham Personality Disorder Service, Clinical Lead Personality Disorder Pathway, West London Mental Health Trust.

Special Topic 3: Short Term Prediction of Aggression in Clinical Settings.
Dr Stephen Dye, Consultant Psychiatrist, Norfolk and Suffolk NHS Foundation Trust.

Hot Topics: Pharmacologically Speaking!

T1: Clopixol Acuphase is not Rapid Tranquillisation; so what is it?
Mrs Allison Whyte, Advanced Specialist Pharmacist (Training & Development), Camden and Islington NHS Foundation Trust

T2:  Depot Pharmacokinetics & Loading – is it Relevant?
Mrs Julie Haste, Principal Pharmacist (West Sussex), Sussex Partnership NHS Foundation Trust and NAPICU Executive Committee Member.

T3: How Well Do We Know Our Benzodiazepines?
Dr Hamid Alhaj, Consultant Psychiatrist, Sheffield Health and Social Care NHS Foundation Trust and NAPICU Executive Committee Member (Research Lead)

 

Parallel Sessions

Parallel 1&4:  Alternative Interventional Strategies

S1: Non-conventional Medication Formulations – Dr Matthew Hartley, Psychiatrist, South London and Maudsley NHS Foundation Trust.

S2: Sensory Rooms – Mrs Rebecca Davies, PICU Occupational Therapist, ES1 PICU, Maudsley Hospital, South London and Maudsley NHS Foundation Trust.

S3: Seclusion – Dr Hamid Alhaj, Consultant Psychiatrist, Sheffield Health and Social Care NHS Foundation Trust and NAPICU Executive Committee Member (Research Lead).

Parallel 2&5: Physical Health & Safety Post Rapid Tranquillisation

S1: A General Overview of the Risks of Rapid TranquillisationMr Lewys Beames, Lead Nurse – Reducing Restrictive Practice, South London and Maudsley NHS Foundation Trust.

S2: Physical Health Monitoring Post Rapid TranquillisationMrs Julie Haste, Principal Pharmacist (West Sussex), Sussex Partnership NHS Foundation Trust and NAPICU Executive Committee Member.

S3:  Non-contact Monitoring of Physical Health – Ms Laura Woods, Matron. The Hellingly Centre. Sussex Partnership NHS Foundation Trust and NAPICU Executive Committee Member.

Parallel 3&6: Medical Updates Relevant to Rapid Tranquillisation

S1: Assessment & Management of Respiratory Depression – Dr Andrew J Howe, Specialist Registrar in General Adult Psychiatry, South London and Maudsley Hospital NHS Foundation Trust, London.

S2: Assessment & Management of Cardiological Emergencies – Dr Sophie Butler, Specialist Registrar in General Adult Psychiatry, South London & Maudsley NHS Foundation Trust.

S3: Assessment & Management of Neurological Emergencies Dr Sotiris Posporelis, Institute of Psychiatry, Psychology and Neuroscience, King’s College London South London and Maudsley NHS Foundation Trust.