Updated news February ... an ill journey

Carers Corner Cornwall Mental Health Trust lets carers see online what affects them.

a How to Treat carers: A Code of Practice to be followed.

How to behave with the patient

How to behave With the Professionals

The Teams today ....
Their most important duty The system in place that ensures matters of uncertanty in a localTrust Mental health Community catchment area service are discussed at the local Community Mental Health team weekly meeting of the members and are minuted and on Record

SchizophreniaWatch :- February 2015:

.... in your most need to be by your side ... Everyman

A UK website, principally for carers about and carers for schizophrenia; family, community, and professional service caring, who should - must ! - give voice for the best interests of those cared for they can't, won't, theydon't, voice for themselves.

The site is edited by a retired psychiatrist who has looked after someone with the schizophrenia condition, at home, affected by the negative form of schizophrenia, for the last twenty years. [The blue highlit links take you to another page.. ] You return via the back arrow at the top of your screen or from a link at the bottom of a page

contact me if you want to help me out with my views, email about some issue of caring service that is promising, or unsettled and unsettling : at email me! or, or text to 07547153244

There is a limited general psychiatry section links
[ I am recasting this website.
The academic papers that back up what is intended to give confidence in suggestions to improve caring for and about schizophrenia, are put together in this companion website.
the brain and schizophrenia

I hope this will leave me space better to explain where the caring burden can be relieved of some of the anxieties . Time will tell. Or you can tell me ! ]

Carers and those who live day to day with the illness have no doubts that it is an illness.
There is a break change in observed behaviour from before, sometime placing the person in alien behaviour, to their disadvantage, which they are unable to reverse themselves to regain the previous state.
The illness continues on it's 'course' with the same pattern of behaviour and misbelief, as an autonomous system, isolating the person from others, who cannot identify with the changed behaviour by using their own experience to understand it. What has happened.?

The disabling change is a failure to sustain new cell formation [ neurogenesis ] in the hippocampus area of the brain.

[ In 2006 a study, found in continuing schizophrenia reduced new cell activity in the hippocampus

Reif et al ..see At the age this happens schizophrenia follows. ]

The hippocampus works like a railway junction - it connects anything in the brain to anywhere else in the brain. Especially new information that requires a response.
To do this the hippocampus area has a continual production line of new cells from a stem cell line. The new cells function as a transient holding area in the brain until whether or not the new information is 'seen' as useful and goes elsewhere. The new cells then disappear making way for a fresh replacement line.

Continuing hippocampal new cell formation is necessary for fitting new useful happenings into an accessable stored away experience.
After schizophrenia the hippocampus area of the brain either is not carrying enough stem cells; or, it is not turning stem cells into enough neurons.
Without enough new cells [neurogenesis] in the hippocampus, what is going on outside is not always fully attended to. Nor is irrelevant material kept out. Rather it is taken in as information that has a personal significance, to be explained in some way by a re-arrangement of belief - a delusional system held separately in a brain network, that cannot be challenged.

Schizophrenia is caused by working memory failure. It comes from a failure in hippocampal new cell production. That leads to less 'working memory' management.

That is how it is that at the age the illness arrives they do not move on in their lives. The earlier the illness arrives the less accumulated living experience they have to draw upon.

Working memory is what keeps the ability to draw from accumulated experience the particular bits of information required to cope with what crops up during the day . An active working memory is what keeps you up to date: keeps you going.

Team behaviour - it may not be what you assume it is - ! Two cautionary case (1) studies ( 1) ( 2 ) 340 more
The Teams today


more memory working

At Inquests
Risk Management
epilepsy and schizophrenia
At the police Station
A Place of Safety ?
Carers and Confidentiality
Carers know a lot
Care Programme Approach
Cognitive Remediation ?

Carer and/or versus professional

Schizophrenia is a mental illness, arising out of a disabling change in the structure and function of the brain, the organ of the mind .

Unlike other medical illnesses the brain is removed from immediate access without the risk of damage. There can be no biopsy , no test for the change at the time of the onset of the illness. This has been the biggest challenge to accepting schizophrenia as an illness.
The diagnosis is made from the observation by family of odd behaviour . That behaviour is not always seen in a structured professional interview by someone who is a stranger to the sufferer.
Plenty of material is available for the post-mortem study of Alzhemer's.
Generally, much fewer 'donations' come from those with schizophrenia. They are not encouraged by professionals, nor by family.

Families are put off by a lack of instruction about the the procedures involved, by the effect it might have upon funeral arrangements, practical and emotional within the family obligations.

The absence of Brain tissue to study is hampering research that would better explain the illness, would make it better understood, would lessen the stigma that comes with a fear from ignorance about what to do.

The New UK Care Act

A Local Authority comments on the Care Act..... the new duties towards carers e.g....clause10,20;42-47 duty of safe guarding , 67-68 advocacy,

Fact sheet 8: Law for Carers.

Section 117 aftercare

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