Hodges' Model: Welcome to the QUAD: schizophrenia

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Showing posts with label schizophrenia. Show all posts
Showing posts with label schizophrenia. Show all posts

Friday, March 13, 2026

'GlobalMinds' - NHS study severe mental health problems

Together we can change lives

Depression, bipolar, schizophrenia and related conditions affect millions of people around the world.

Yet mental health receives less than 1% of global research funding. 

This has left healthcare for these conditions stuck in the past:

Cross icon

Diagnosis can take years

Cross icon

Treatments target symptoms, not underlying causes

Cross icon

Half of the prescribed drugs cause severe side effects

GlobalMinds is a major research programme seeking to advance the understanding of mental health conditions and improve lives.

 



My source: 
News, NHS study to transform mental health treatment, The Times, 14 February, 2026, p.6

Saturday, February 21, 2026

London: 'The Weight of Being: Vulnerability, Resilience and Mental Health in Art'

In London currently, 20th - 23rd I was on my way to Bankside Gallery and walking by Temple Place, #2 to be precise, on a board outside I read:

'The Weight of Being: Vulnerability, Resilience and Mental Health in Art'

Taking in the mental health and illness of artists, gender, domesticity, industrial and political struggle, COVID, and Gaza I spent and enjoyed a two hour detour. The building is also amazing. The exhibition is on until 19 April 2026, closed on Monday's and today 21st February. Before I share some text from their website, the interior of the building was a 'virtual' experience, but without the technology. Helpfully, the exhibition is spread across several rooms.

'Curated by Angela Thomas, this new exhibition explores artistic expression and mental health. Through depictions of deeply personal and collective experiences, it examines the powerful ways in which artists capture vulnerability, resilience, and their search for solace.

Including the work of a diverse range of twentieth century and contemporary artists and their varying perspectives, The Weight of Being showcases how artists have captured the psychological and emotional impact of societal pressures, resilience in the face of adversity, and existential uncertainty.

Alongside dozens of artworks drawn from galleries and collections across the UK, the portraits, landscapes, and figurative studies of the lesser-known artist John Wilson McCracken (1936–1982) are woven throughout. Denied the opportunity to return to the Slade School of Art following a period of hospitalisation for mental health reasons, McCracken spent much of his career in Hartlepool, producing work that reflects a profound sensitivity to the emotional and social pressures of his time. Shaped by personal and collective struggles, his art offers a deeply human perspective on the exhibition’s themes, revealing how external forces imprint themselves on the mind, body, and creative spirit.' Continued . . .

The building as a whole - Two Temple Place is owned and run by a registered charity, the Bulldog Trust. 

I will definitely (hopefully!) visit again, on the way or returning from the South Bank of the Thames. The video below presents key aspects of the building's amazing interior and history:

Monday, December 30, 2024

Consultation: Community Mental Health Services [ UK Parliament ]

Source: Health and Social Care Committee, House of Commons, London, SW1A 0AA

'Community Mental Health Services

Inquiry

The Committee is undertaking an inquiry into community mental health services. The inquiry will examine what good looks like from the perspective of service users and their families/carers. The Committee would like the inquiry to shine a light on case studies of innovative practice and high-quality care across the country, and to undertake meaningful and impactful engagement with people accessing these services. 

The inquiry will consider how service users’ wider health and social needs can be addressed, including in employment and housing, and to understand what policy interventions are required to improve how these needs are met. As part of this inquiry, the Committee also wants to assess to what extent the Community Mental Health Framework is driving improvements in the delivery of more integrated, person-centred care. 

This inquiry is focussing on adults with severe mental health needs in particular, which includes but is not limited to people with bipolar disorder, schizophrenia and severe depression. The Committee recognises the scale of the challenge in children and young people’s mental health, and plans to do further work in this area in due course, building on its predecessor Committee’s 2021 inquiry. 

In line with the general practice of select committees, the Health and Social Care Committee is not able to take up individual cases or complaints. If you would like political support or advice you may wish to contact your local Member of Parliament.

This inquiry is currently accepting evidence

The committee wants to hear your views. We welcome submissions from anyone with answers to the questions in the call for evidence. You can submit evidence until Tuesday 4 February 2025.' 


Read the call for evidence before submitting:

https://committees.parliament.uk/work/8755/community-mental-health-services/

Wednesday, March 30, 2022

Re-Inventing Schizophrenia: Updating the Construct

INDIVIDUAL
|
 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|


Re-Inventing Schizophrenia: Updating the Construct. Edited by Rajiv Tandon, Matcheri Keshavan, Henry Nasrallah. Schizophrenia Research. Volume 242, Pages 1-150 (April 2022).

My source:
https://twitter.com/JeroticStefan/status/1508898715473530888?s=20&t=X61DSrPzEyLvX-FhzY5r-A

Need for bio-psycho-socio-POLITICAL perspectives - spiritual too.

Previously on W2tQ: DSM

 

Sunday, October 27, 2019

"Broach Schizophrene" by Bryan Charnley

INDIVIDUAL
|
INTERPERSONAL : SCIENCES
HUMANISTIC ----------------------------------------------- MECHANISTIC
SOCIOLOGY : POLITICAL
|
GROUP

Bryan Charnley (1949 – 1991)
https://www.bryancharnley.info/

Broach Schizophrene: Oil on Canvas, 1983. In the collection of the Bethlem Museum of the Mind
https://www.bryancharnley.info/bondage-heads/_0010_broach-schizophrene/

- on Bethlem Museum of the Mind Blog
https://museumofthemind.org.uk/blog/in-the-frame-bryan-charnley-and-the-art-of-schizophrenia

Previous post:
Book: The Heartland - Finding and Losing Schizophrenia
https://hodges-model.blogspot.com/2019/06/book-heartland-finding-and-losing.html

My source:
Cathy Rentzenbrink, A battleground inside your head, The Times, Saturday Review. 25 May 2019, p.15.

Sunday, June 02, 2019

Thursday, April 12, 2018

They Heard Voices - "ILS ENTENDAIENT DES VOIX"

"An independent documentary looking at the hearing voices (HV) movement, chronic psychosis and the schizophrenia label.

A film offering multiple perspectives: is schizophrenia hard science or an arbitrary, catch-all term with no real meaning? What does it mean for those experiencing psychosis? The film is a series of wide-ranging interviews with voice hearers, medical historians, anthropologists and psychiatrists from Britain and America.

Featuring: Erin Emiru, Rai Waddingham, Kevin Healey, Mark Roininen, Angela Woods (Ph.D), Edward Shorter (Ph.D), Dr Avery Krisman, Dr Albert Wong, Suman Fernando, and Stefen Ecks (Ph.D)."

individual
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group






My source:
Email from Jonathan Balazs

Friday, April 14, 2017

Thursday, August 27, 2015

‘Brain training’ app may improve memory and daily functioning in schizophrenia

Cambridge Advanced Training Programme
Credit: Peak

A ‘brain training’ iPad game developed and tested by researchers at the University of Cambridge may improve the memory of patients with schizophrenia, helping them in their daily lives at work and living independently, according to research published today. ... [3 August 2015].


My source: 
FT Weekend Magazine, 15/16 August 2015, p.41.

Friday, October 10, 2014

WMHD II c/o LSE: Investing in crisis care for people with schizophrenia makes moral and economic sense

“When someone has a mental health crisis, it is distressing and frightening for them as well as the people around them. Urgent and compassionate care in a safe place is essential – a police cell should never need to be used because mental health services are not available. For me, crisis care is the most stark example of the lack of equality between mental and physical health.” 
(The Rt Hon Norman Lamb MP, Care and Support Minister)
There is a strong moral and economic case for investing in innovative approaches that support people with schizophrenia to live independently in the community. Crisis resolution and home treatment teams and crisis houses can help reduce the need for expensive hospital admissions with some studies suggesting that the costs of care can be reduced by up to 30% through these service models. There is a clear potential for Clinical Commissioning Groups to make better use of their resources by investing in home treatment teams and crisis houses as approaches to crisis resolution.
My source: The London School of Economics and Political Science, Health and Social Care blog email

Hodges' model in recovery ...
Jones P. (2014) Using a conceptual framework to explore the dimensions of recovery and their relationship to service user choice and self-determination. International Journal of Person Centered Medicine. Vol 3, No 4, (2013) pp.305-311.

Thursday, July 11, 2013

Computer-based 'avatar' therapy promising for persecutory auditory hallucinations

A study in the British Journal of Psychiatry has reported symptom reductions among patients hearing voices, who developed computerised 'avatars' of the voices and then engaged in dialogue with them. When compared with treatment as usual during a randomised trial, the therapy group showed mean reductions in scores for auditory hallucinations and for the omnipotence and malevolence of the voices. The researchers conclude: 'Patients who are able to sustain a dialogue with their persecutor feel much more in control.'
BJP June 2013, 202:428-433
Source:
http://www.mental-health-forum.co.uk/news-blog.html

In addition see and listen to:

BBC Radio 4: http://www.bbc.co.uk/news/health-23141916

Sunday, June 16, 2013

Mental Health at NWHealthHack Knutsford - Prof. Lewis (thank you)

NWHealthHack began with several briefings. These were all excellent in providing both technical and health care insights before projects were pitched in 60 seconds.

Prof. Shôn Lewis set the health agenda in the context of mental health. I'm really grateful to Prof. Lewis to be able to share two slides here. The first speaks volumes not only in the research spend across health care domains but the disability-adjusted life year (DALY):


Over the past 25+ years I'm aware of the change within community mental health nursing. I can summarise this as follows:
  • 1985 one of six new community psychiatric nurses - CPNs
  • Early 1990s newly built community mental health resource centers
  • Mid-late 1990s CPNs criticised for not meeting the needs of the enduring mentally ill
  • Early 2000s early intervention services, role of psychosocial interventions
  • Mid-late 2000s reduction and closure of mental health day hospitals
  • Early 2010s former community mental health resource centers turned to primary care (mental health)
I have mentioned here previously about the need to put the 'mental'' into public - health and the need to put mental health literacy on the map. It will be interesting to watch what happens now that this has landed in a very 'local' way within Local Authorities. Prof. Lewis reviewed the situation in mental health conjoining serious mental illness, services and self-care, making a critical point for those readers working in community mental health teams. This should also give pause for thought for those (like me) working in related services:
Prof. Lewis also shared an app - ClinTouch and reflections on the professional's response to the apps potential and the findings in practice. It's never easy being open to what is new and being ready as a consequence to re-invent yourself. If that's a problem for individuals then for professional groups and multidisciplinary teams it's an even greater challenge. ...

Friday, November 16, 2012

Conceptual Reflections on Schizophrenia - Hodges' model

A decade ago I was studying the Psychosocial Interventions for Psychosis (COPE) pathway part-time at Manchester University. The student body was interprofessinal made up of nurses, psychologists, occupational therapists, nurses and if memory serves me right people from the voluntary (third) sector. What I learned then left me wondering where I had been all those years since qualifying (lost in IT....).

There are many universities now delivering this curriculum, presenting the very latest research. The lecturers are frequently the researchers themselves, working in ongoing multicenter trials studying  various aspects of the treatment and care management of psychosis.

This is why it is very alarming to hear of the lack of progress not just within in-patient care as per the findings of the Schizophrenia Commission, but the delivery of care for these individuals and their families across the health and social care system. Of course, as a former student and holder of a PG(Dip.) I am not at present practising these skills formally.

In the h2cm table that follows I have highlighted some of the main concepts across the care domains of Hodges' model:

INTERPERSONAL : SCIENCES
SOCIOLOGY : POLITICAL

beliefs, perception, attention, anxiety, stress, vulnerability, pleasure, feedback, motivation, mood, therapies, therapeutic relationship, communication, assets, cognitive triad, perception, delusions, hallucinations, positive and negative symptoms, person-centered care, existing coping strategies, mental health assessment, literacies (3Rs, emotional, health), salience, attention, attribution, meaning, creativityphysical health, weight, fitness, side effects, medication, atypical antipsychotics, evidence,
genetics, research, diagnosis, (cognitive) information processing, dual diagnosis, risk, models of care, recovery, hierarchy of clinical evidence, care processes - assessment, care planning, access to interventions, audio recording of sessions, protocols, DSM IV
clinical supervision, social attitudes - family, friends, community, stigma, myth, media, carers, familes, social relationships, network, self help groups, survivors,
www.hearing-voices.org/
activities, daily routine, 'value' of a diagnosis - pros & cons (discuss), community centers, clinical supervision, positive risk management, employment, social history of mental health, social psychiatry, stories,education - schools & community,
'community care', housing
mental health history, institutional vs. community care, mental health law, autonomy, consent, capacity, best interests, equity
mental health services, early intervention, access, POLICY, anti-psychiatry, equity, governance, data gathering, statistics, reporting, outcomes, services,
secure provision, early intervention, crisis intervention, DSM V, commissioning,
funding for mental health, education and training, sickness - welfare benefits - 'incapacity' review 'return to work'

The relative position of concepts above does not indicate priority.