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2 results on '"Omotilewa Omotoso"'

1. Fitness to Drive Policy in Inpatient Setting: Findings of QI Project

Author

Sajid Mahmood, Heba Radwan, Omotilewa Omotoso, Waqqas Khokhar, and Nosheen Shams

Subjects
Psychiatry, RC435-571
Abstract

Aims Background: Nature and degree of mental illness can impair abilities of patients to drive safely which puts their own safety and safety of others at risk. There is also an ongoing concern of patients not being properly informed on their duty to inform the DVLA and potentially to stop driving for an extended period. Aims: 1.To assess if risk assessment of patients in term of driving status was completed at time of admission, during their stay on ward, and if any advice regarding fitness to drive was given at time of discharge. 2.To improve patients being asked about driving status on admission to 100% of patients. 3.To improve rates of service users being informed of the DVLA guidance following a mental health illness to 100% of patients. Methods It is a Quality Improvement (QI) project. Baseline information on current practices were assessed against local fitness to drive policy of Leicestershire Partnership NHS Trust in May 2023. Data was collected from 10 inpatient (6 general adult & 4 old age) wards. All patients who were discharged in the month of January 2023 were included for audit. Information was collected about driving status of patients at time of admission, during their stay on ward, and if any advice regarding fitness to drive was given at time of discharge. Data was recorded anonymously. Results are reported in percentages for descriptive statistics. Results Risk assessment was completed in 95% of patients on admission. About 12% (15/128) of the patients were driving at the time of admission, 80% of them were female. Assessment of driving risk during admission only took place in 11.7% (13/128) of cases. Advice on fitness to drive at time of discharge was given only in 12.5% (16/128) of cases. About ¼ of patients who were driving at time of admission, did not receive advice on fitness to drive at time of discharge from hospital. Conclusion There is a huge gap in clinical practice regarding compliance with fitness to drive policy. There is an urgent need to improve awareness among mental health teams that they have a role with regard to assessment of their patients’ risks and fitness to drive. An educational training video will be prepared and shared with clinicians in December 2023 to fill gaps in the service. Further information will be collected on practices related to fitness to drive policy in March 2024 for further evaluation of services.

Published
2024
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2. Prodromal psychotic symptoms and psychological distress among secondary school students in Abeokuta, Nigeria

Author

Mojisola Fasokun, Adetayo A Adeniji, Omotilewa Omotoso, Adeniran O Okewole, Daniel Ajogbon, and Sewanu Awhangansi

Subjects
Child abuse, Male, medicine.medical_specialty, Adolescent, education, Poison control, Nigeria, Prodromal Symptoms, Suicide prevention, Occupational safety and health, Risk Factors, Surveys and Questionnaires, Injury prevention, Developmental and Educational Psychology, Medicine, Humans, Child Abuse, Psychiatry, Psychiatric Status Rating Scales, business.industry, Bullying, Strengths and Difficulties Questionnaire, Psychiatry and Mental health, Clinical Psychology, Prosocial behavior, Psychotic Disorders, Pediatrics, Perinatology and Child Health, Female, Abnormality, business, Stress, Psychological, Clinical psychology
Abstract

Objective: This study aimed to investigate the relationship between prodromal psychotic symptoms and psychological distress among Nigerian adolescents.Method: Students (n = 508) were randomly selected from secondary schools in Abeokuta, Nigeria. A socio-demographic questionnaire, the Prodromal Questionnaire-Brief Version (PQ-B) and the Strengths and Difficulties Questionnaire (SDQ) were administered to each student.Results: The mean age of the students was 15.4 years (SD 1.3), with most (63%) being female. More than half (55.3%) reported having had a lifetime experience of major life event (20.9% in the preceding 6 months) while 13.9% had experienced bullying or abuse (5.1% in the preceding 6 months). The prevalence of prodromal symptoms was 20.9% (95% CI 0.174–0.244). Abnormal scores in emotional and conduct problems were seen in 11.8% and 6% respectively, while 7.3% had abnormal scores in each of the hyperactivity and peer problems subscales of the SDQ. Abnormality in prosocial behaviour was found in 1.8% of students, with overall abnormality in 4.9%. Regression analysis showed that prodromal symptoms were predicted by female sex, lifetime and 6 month history of major life event, and lifetime and 6 month history of bullying or abuse. Prodromal symptoms were also predicted by higher total SDQ scores and higher scores in all domains of psychological distress except the prosocial domain.Conclusion: The study showed a relationship between reported prodromal symptoms and the occurrence of psychological distress. It also showed that early childhood trauma may be a predisposing factor to the early stages of development of psychosis, with female children being especially prone in the years of adolescence.

Published
2016

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