GRiST Timeline

 Dr Buckingham is the external ethics advisor for the PICASO Project (reference: 689209) funded under H2020-EU.3.1. - SOCIETAL CHALLENGES - Health, demographic change and well-being. The project coordinator is Fraunhofer Gesellschaft Zur Forderung Der Angewandten Forschung EV and the meeting was held in the Bonn institution.

Music and Death: a fascinating conference "focusing on the many roles of music within
human living, thinking and feeling". The GRiST (soon to be relaunched as GRaCE) software is presenting innovative ways of linking music to detailed holistic profiles of mental health and wellbeing to show how it can have a powerful redemptive effect.

Read the end-of-year newsletter that summarises our activities in 2017 and looks forward to our plans for 2018.

The prestigious Young Entrepreneurs Scheme (YES) Award, organized by the BBSRC, MRC, NERC and the HGI and Nottingham University, now in its 22nd year, is an innovative competition developed to raise awareness of the commercialisation of ideas among early career researchers.

A member of our research team, Aman Soni was sponsored by the GRaCE-AGE project to gain both contacts and skills that would be useful with commercialisation of GRaCE-AGE. The Aston team has got through to the final with the other winning teams from Cambridge and East Anglia Universities at the Royal Society in London in December for the final.

The GRaCE team is part of the EU GRandis project that is developing training material for informal carers of older adults in the community. The focus is on how to use digital and sensor technologies to support people at home. A meeting in Dublin of the consortium approved the GRaCE team's analysis of the training needs.

The GRaCE-AGE team delivered a five-day ATHENS module at KU Leuven, titled ‘Health Informatics in the Community’. 14 students participated, from different European universities: Budapest Univ. Technology & Economics, Czech Technical University, ENSTA ParisTech, Universidade Lisboa, TU Delft, and TU München.

Christopher Buckingham was an invited speaker at the Health Informatics Society of Ireland conference in November. His presentation explained the general issues involved with adopting clinical decision support systems and how the National Health Service has attempted to address them in the UK.

GRaCE-AGE (Christopher Buckingham) and BeWell Innovations (Joris Wille) attended EHI Live at the NEC, Birmingham. This is the premier ehealth exhibiltion where patient record and large IT infrasructure companies rub shoulders with small innovators. Lots of valuable discussions took place with the GRaCE team and many important contacts made.

Coventry and Warwickshire Partnership Trust with Coventry Warwickshire Mind have created a Recovery and Wellbeing Academy that provides courses for people recovering from mental health issues. Christopher Buckingham and Ann Adams delivered two sessions on how to use myGRaCE for improving wellbeing at home.

The EIT Health KIC officials reviewed the GRaCE-AGE project in Brussels and gave it the the thumbs up. The technology is progressing well and next year will focus on its adoption through commercialisation activities.

A workshop event was held at Aston University in September, co-occurring with a smaller event in Belgium, attracting 30 delegates from 9 technology and IT companies to discuss their view of supporting older adults in the community, and how it aligns with training needs.

GRaCE-AGE was presented to the Admiral Nurses on August 21st in Birmingham. Admiral Nurses Nurses provide the specialist dementia support that families need. When things get challenging or difficult, their nurses work alongside people with dementia, and their families: giving them one-to-one support, expert guidance and practical solutions. GRaCE-AGE can help with this support by giving older adults and carers a better understanding of their mental health issues and provide advice on how to address them.

Two sixth form students joined GRaCE over the summer for a six week research placement, arranged through the Nuffield Foundation.

The West Midlands Academic Health Science Network (WMAHSN) hosted its Annual Stakeholder Event and Awards at the Hilton Birmingham Metropole. This event celebrated the achievements of WMAHSN over the last year and GRaCE-AGE is one of the flagship projects from the EIT Health European Union funding programme that WMAHSN is running with Aston University.

A new paper, presented by Nasser Amaitlik of Aston University at the 2017 Computing Conference in London, proposes a new fuzzy-based methodology which can be applied to the modelling of mental-health risk predictions.

This event celebrated the various research projects taking place within Coventry Warwickshire. Evaluation of the self-assessment version of GRaCE, myGRaCE, is one of them. It has recruited over 400 patients who have mental-health problems that are being monitored with practitioners using myGRaCE. We are receiving extremely useful feedback about how myGRaCE helps both patients and practitioners to understand the issues and where to concentrate efforts on resolving them.

GRaCE and GRaCE-AGE exhibited at Meridian LIVE, an interactive event to showcase innovators from across the healthcare sector, organised by the West Midlands Academic Health Science Network (WMAHSN). The event took place on Wednesday 15 February at the Edgbaston Stadium in Birmingham, home to Warwickshire County Cricket Club.

Worcestershire Health and Care Partnership Trust is about to release GRiST as part of its CareNotes patient record system. The GRiST team provided training on how GRiST helps assess and manage risks to nearly 40 clinicians.

The PICASO project is developing a Europe-wide ICT platform to facilitate the secure, privacy-compliant sharing and management of care plans across sectors and services. Christopher Buckingham is on the ethics board that met in Fraunhofer Bonn to ensure the research conforms with the required ethical standards.

Two “MasterClasses” in December were conducted with over 60 sixth-form students from schools ranging from locations in Suffolk to Shropshire, as well as more local ones. The focus was on mental health in the community, with a workshop where the students tried out the GRaCE-AGE technology.

The GRaCE-AGE team created an ATHENS module called Health Informatics in the Community, which was delivered at KU Leuven in Belgium from the 14th to the 18th of November. Fourteen students from different Universities across Europe attended and the feedback was extremely positive.

Christopher Buckingham was an invited speaker at a conference organised by University of Worcester with Worcestershire Health and Care NHS Trust. The conference was held on Friday, November 11th with the title ``Mental health issues from the cradle to the grave''.

Christopher Buckingham was an invited delegate to the EIT Health Summit in Barcelona where GRaCE-AGE was a featured project in the conference video presented to over 300 attendees (https://vimeo.com/192954786 at 2mins 40s). This summit is a celebration of all EIT Health activities and an excellent venue for creating new collaborations across Europe.

Ine D'Haeseleer from KU Leuven successfully passed her first year review examination today. She is working full time on the GRaCE-AGE project and has done an excellent review of the software interfaces with comprehensive recommendations for upgrading them.

The EIT Health officers asked all ongoing projects to come to Munich for review hearings and GRaCE-AGE's appointment with its destiny was on September 30th at the Municon Centre, Munich Airport. We are happy to report that our project was well received and our proposal for 2017 is now part of the EIT Health business plan.

We are presenting at the MEIbioeng '16 conference, which is taking place on the 5th and 6th September 2016 at Keble College, Oxford. It is in the mental-health track on Monday, September 5th, which is hosted by NewMind.

Our GRaCE-AGE partner university, KU Leuven, hosted the 2016 Engineering4Society conference, Raising awareness for the societal role of engineering. The GRaCE-AGE paper called Attitudes of Older Adults towards Self-Assessment of Mental Health, Safety and Wellbeing can be found in the GRaCE-AGE website.

GRiST was an invited presentation at the National Information Board working group. It was in the "horizon scanning" section where the Board looks for new technologies that could have a big change on the way the NHS works with information technology in different areas. GRiST is different because it explicitly models mental-health expertise in such a way that predictions can be made from the patient data and used to provide advice for people without mental-health training.

Organised by Warwickshire Community and Voluntary Action in Leamington Spa to showcase initiatives connecting services across different sectors. GRaCE and myGRaCE have a display to show how they can facilitate connecting people to the most appropriate services for supporting their mental health and wellbeing.

Christopher Buckingham was an invited speaker last Wednesday at an international conference organised by Pardubice University in the Czech Republic called "Care of the Soul in Illness and Health". Buckingham's presentation, Mental health risk, safety, and the lost soul, looked at how myGRaCE adopts a holistic approach to understanding risk and safety management for people with mental-health problems.

For more information, see the GRaCE-AGE website.

Aston is 50 this year and on the weekend of April 23rd, the GRiST team at Aston gave a presentation about the history of GRiST, it's link to research and teaching at Aston, and future plans for GRiST as it moves to its new GRaCE profile.

GRiST now has forensic versions for all ages: working age adults, older adults, and children and young people. They share the core forensic issues but allow for adaptations that make each one specific to patient demographics.

GRaCE-AGE is a new EIT Health project that will run within the West Midlands Academic Health Science Network (WM-AHSN) under the leadership of Dr Buckingham.

Partners include: Aston University (as part of WM-AHSN), Katholieke Universiteit Leuven, Belgium, Stockholms Stad, Sweden, two sensor companies, one in Belgium (FamilyWare) and one in Holland (Maastrich Instruments), ExtraCare residential homes, and Worcestershire Health and Care NHS Trust.

GRaCE-AGE is novel web-based software that combines clinical expertise with data from sensors to assess and manage mental health and wellbeing of older adults living at home. It connects older adults to family, friends, and clinical services to create a "canopy of care" that can continuously monitor and support them.

The myGRaCE web-based software has a pop-up "avatar" or guide to help explain each step of the risk and safety management journey. The guide appears the first time you go to a screen and helps orientate people to what can be done at that stage. Other help and buttons have been added to simply the process but, as always, we welcome feedback on how myGRaCE can continue to improve.

Lawnswood Campus Pupil Referral Unit in Wolverhampton is the first school to use GRiST and we will be reviewing feedback carefully to see how we can configure it for the new context. Hopefully we will be getting more schools on board and can share ideas across them.

GRiST visited Orkney Blide Trust to discuss the potential of GRaCE and myGRaCE. See the Trust website for more information about the fantastic work it does in supporting its members at a great location in Kirkwall.  

A paper detailing the development of myGRaCE has just been published in Patient Education and Counselling.

The National Recovery and Outcomes Conference was held on Tuesday 14 July 2015 at the National Motorcycle Museum, West Midlands, and myGRaCE had a stall to demonstrate the new self-assessment version of GRiST. It was a great day out and "an exciting opportunity to share ideas about recovery in secure services and to influence the development of secure services in the future".

Christopher Buckingham gave two "peace talks" at the Leamington Peace Festival on June 13th and 14th to promote a new community service based on GRiST called myGRaCE. myGRaCE is designed for use directly by the public to identify mental-health problems and point them towards the most appropriate support services. Our stall at the Peace Festival was visited by several hundred people who took leaflets and discussed the important niche that myGRaCE fills for both the public and care services. Here are some pictures of our stall, leaflets, and GRaCE team.

GRiST was presented at St Hugh's College, Oxford University, for an International Health Conference focused on getting research into practice. The GRiST presentation had the title"Harnessing the power of mental-health risk assessment expertise to create a seamless, evolving partnership between research and the delivery of advice at the point of care".

Abstract

"Predicting precisely when people will try to kill themselves is not possible. This can be used as a reason for eschewing risk assessments despite their clinical importance: managing risk requires knowledge of what raises it. GRiST is a decision support system that overcomes resistance by modelling clinicians' natural thinking and reasoning about risk and evolving it alongside clinical requirements. In particular, the GRiST database of accumulating risk judgements fuels machine learning research that captures expert consensus and helps reduce assessment errors. This is a perfect example of clinical input directly influencing research, which then feeds straight back into practice."

A report prepared by Technopolis with the close support of the EPSRC and the Royal Academy of Engineering looked at the impact of university research using the case studies supplied by universities for the recent Research Evaluation Framework (REF). GRiST was one of the studies submitted by Aston University and was given a 4* rating (the highest). It is one of five "excellent examples of the contributions of engineering research to the better provision of public services in areas such as security and safety, human and mental health, transport," described on page 30.

GRiST is mentioned again as a good example of ICT research, on page 69: "For example, Aston University developed the Galatean Risk and Safety Tool (GRiST), a clinical decision support system to assess and manage risks associated with mental- health problems.....The tool has changed organisational and clinical processes by systematically collecting risk information, and linking it to clinical risk judgements".

We are very pleased to announce that Worcestershire Health and Care NHS Trust has signed up to use GRiST across its services. This is a great opportunity to provide mental-health risk assessment and safety management that is fully integrated with a new patient record system that Worcestershire is about to adopt. 

After working with forensic clinicians over a number of years, we have developed a forensic version of GRiST that is now available. It shows as a new choice in the drop-down box when selecting the population appropriate to the service user. If forensic services wish to use GRiST we can make this their default option.

GRiST now helps people produce risk formulations based on the 4 Ps model. In the coming months, we will be providing additional support on how the data collected within GRiST maps to the formulation headings and informs management plans. GRiST has always tried to be a holistic process that recognises the interleaved processes of assessing and managing risks. It is facilitated by people being able to associate actions for any item of information so that management plans can be precisely targetted on particular risk issues.

After a long period of development in conjunction with appropriate services and practitioners, we have now released a specialised version of GRiST for learning disabilities. It can be accessed in the same way as all other versions. We welcome any suggestions for how it can be improved, as we do for all versions of GRiST because they are continually evolving with new knowledge and understanding as well as alongside changes in the way services are delivered.

British Science Festival GRiST Presentation, September 11th, 3.30 to 5.30

Room MB204, Main Building, Aston University

We live in a crowded world but in our minds we can often feel lonely and forgotten. GRiST (www.egrist.org) is a web-based application that reconnects us within a caring and supportive network built on the advice of several thousand mental-health experts. Hear about GRiST, try it, and see how it creates a canopy of care to maintain mental health and wellbeing with family, carers, friends, and colleagues. This event has now finished but you can read the press coverage and follow developments on our website.

The myGRiST research was presented at the EACH conference in Amsterdam today. You can download the pdf version of the presentation to find out the current status of myGRiST but please note that the functionality may not all have been added to the version available to the public under the myGRiST link.

The KES International Conference on Innovation in Medicine and Healthcare (InMed-14) has three GRiST papers accepted. Two discuss how to analyse the 500,000 completed risk assessments in the GRiST database so that the expert consensus can support clinical judgements. The third one looks at using the OWL web ontology language to validate and manage the GRiST knowledge representation structures.

GRiST will be demonstrated at the British Science Festival. This will be a great opportunity for members of the public as well as mental-health practitioners to see how GRiST can maintain good mental-health and wellbeing in the community.

Extensive work with clinicians from a number of mental-health organisations has resulted in a version of GRiST specifically for forensic services. It is now being reviewed and will be available for use by all organisations shortly.

A new version of GRiST for friends and carers has been produced. It means people can work with service users in the community to review and manage mental health and safety issues.

GRiST and myGRiST were presented to Mental Health Concern at an all-day training event in Newcastle. Pilots are now being set up and we will report back on how it all goes.

The FedCSIS Events bring together researchers, practitioners, and academia to address challenges and potential solutions related to research and practice in computer science and information systems. A GRiST paper was presented at the Artificial Intelligence in Medical Applications stream that presents latest advances in research work as well as prototyped or fielded systems of applications of Artificial Intelligence in the wide and heterogeneous field of medicine, health care and surgery.

Risk reports from GRiST assessments now integrate intervention plans with the assessments rather than having separate management reports. The format has been improved, too, so it is easier to find all the important information.

One quarter of a million individual risk assessments have now been completed online by clinicians using GRiST, covering suicide, self harm, harm to others, self neglect, and vulnerability. 160,000 were completed in the last year and 16395 in the last month, which amounts to over 500 a day and 23 every hour. These numbers are increasing as new services start using GRiST.

A conference took place at Aston University on May 7th focused on mental-health risk and safety. It launched the myGRiST version of GRiST for people to use at home for self-assessment and management of risks, safety, and wellbeing. It also launched the MHPF Risk and Safety Planning Standards. See the brochure for more information.

The American Foundation for the Prevention of Suicide grant awarded to the GRiST team started this month. We will keep you informed about progress on research that we think will have important results about how to detect and prevent suicides.

Service users who move between mental-health organisations can now have their GRiST reports shared. We have developed a new and sophisticated method for ensuring records can be linked across organisations and services without affecting the totally secure anonymity of patients on the GRiST database.

The American Foundation for Suicide Prevention has awarded a grant to Dr Buckingham to investigate how clinicians assess the risk of suicide. The reviewers said that "this application has potential for exceptional impact from the perspective of clinical care, patient outcomes, and public health”. We will do our very best to realise this potential and are very grateful to the Foundation for its support.

A one-day series of presentations was hosted by IAPTus at Wolfson College, Cambridge University. This is a second opportunity generously provided by Mayden for customers and potential customers of IAPTus to see what additional benefits they could have through it. GRiST is one of those benefits and there was some encouraging interest at the meeting, which has led to more IAPT services linking to GRiST within IAPTus. 

Christopher Buckingham and Ann Adams have been in Australia at the invitation of Newcastle University, New South Wales. They gave a keynote speech at the 15th New South Wales Rural and Remote Mental Health Conference in Bathurst that was attended by the Minister for Mental Health as well as Department of Health commissioners. They also gave a workshop to clinicians on how the GRiST mental-health risk screening tool can support them in their supervision of patients over long geographical distances. They then experienced those distances at first hand giving presentations to clinical services in various far-flung locations and are building on the contacts made to deliver clinical and academic collaborations.

The conference was in the pit complex of the famous Mount Panorama Motor Racing Circuit and Buckingham completed the circuit on professional simulators in only 40 seconds less than Jenson Button (i.e. miles behind).

The GRiST mental-health risk tool research was presented at the Health Services Research Network Symposium, "Delivering better health services", in Manchester on Tuesday, June 19th. This is the premier knowlege event for the "leading edge of health services research" and the GRiST presentation was one of only 8 selected out of 70 in its category. The paper was awarded the Health Foundation prize for the best contribution to Improvement Science at the conference.

A spell checker for GRiST free-text comments is now available for browsers such as Internet Explorer versions 9 and older that do not have their own built-in ones.

A version of GRiST designed for use by IAPT services has been produced that only requires six questions for people who are not displaying any risks. If concerns do exists about one or more risks, there are a small number of subsidiary questions that help support referral decisions and enable service users to be directed to the most appropriate care. 

A new feature has been added to GRiST for multiple assessments. A graph can be generated to show the changing risks across the assessments and the graph can also be configured to show how individual risk factors have also changed over the period of the assessments.

GRiST was presented to the "Digital Innovation and Technology for Patient Benefit" conference at the International Digital Laboratory, University of Warwick, UK.  A tweet from Fiona Collard attending the conference hit the nail on the head: " #idhconf2011 Chris Buckingham had the hardest spot - speaking after Heinz Wolff. But managed to pull it off. Interesting work". Hopefully others were as charitable but Professor Wolff's talk was certainly a hard act to follow. Lots of other great presentations from international researchers resulted in an excellent and informative day so keep your eyes open for next year's conference announcement; well worth attending.

GRiST was presented at the EHI Live exhibition as part of a one-day workshop for people using the IAPTus  patient record system. GRiST is going to be made available via IAPTus and will provide the opportunity for rationalising risk assessments across IAPT services. It will help ensure risk information is properly linked to patient records both within IAPT and across to secondary mental-health services where GRiST is used.

Paper called The GRIST web-based decision support system for mental-health risk assessment and management presented to The first BCS Health in Wales/ehi2 joint Workshop, Glyndwr University, Wrexham, Wales, UK

Visit to Johns Hopkins University, Baltimore, for research meetings on gender and ethnic inequalities in mental-health, funded by an NIH/ESRC research grant.

GRiST presented to health researchers at the Department of Veterans Affairs, in Bedford, Boston, America.

An invited presentation on using GRiST for IAPT services was given to the BABCP Conference at Surrey University, Guildford.

Paper presented on "Helping patients and clinicians communicate risk across the mental-health care pathway'' at the Ninth Interdisciplinary Conference of Communication, Medicine & Ethics (COMET) at the University of Nottingham in association with the Institute of Mental Health, Nottingham, UK.

www.galassify.org/grist is no more: the new server and new website for GRiST is now in operation at www.egrist.org .... i.e. here.

Paper accepted: Gilbert E, Adams A and Buckingham C.D. (in press). Examining the relationship between risk assessment and risk management in mental health, Journal of Psychiatric and Mental Health Nursing.

GRiST investigators travel to Washington as invited participants in a health inequalities workshop hosted by the US National Institutes of Health
(NIH) and the UK ESRC.

Invited by Boston University to give three linked presentations related to the GRiST mental-health risk screening tool. These took place on Jan 31st and 1st Feb to: (a) primary care service providers from Boston Medical Center; (b) mental-health consumers at the Transformation Centre (a mental health consumer organisation), Boston; and (c) researchers at a seminar in the School of Public Health, Boston University (BUSPH).

Presented GRiST at a Suicide Risk Assessment Meeting at The Charlie Waller Institute, School of Psychology and Clinical Language Science, University of Reading.

Paper presented at the COGNITIVE 2010 conference in Lisbon, 21-26 November. The paper is title "Graphical Modelling in Mental Health Risk Assessments".

GRiST project funded by the Judi Meadows Memorial Fund: “Implementing the GRiST clinical decision support system within primary care and the community, to improve detection and management of suicide risk amongst depressed patients”. The key aim is to promote partnership working and improved risk communication between people at risk, their families, carers or partners, and primary care clinicians, so that people at risk can get the right help quickly. We are indebted to the Judi Meadows Memorial Fund for sharing our vision about new ways of helping to save lives threatened by suicide risk and providing the necessary financial support to make this happen.

GRiST presented to the British Science Festival in Birmingham on 14th September. It was a two-hour workshop involving the public with academics and clinicians to explore using GRiST for self-managing and monitoring risks. See a report at NHS Local or NHS Local report pdf if the original link is broken.

GRiST's influence on communicating risk information presented to EACH, the International Conference on Communication in Healthcare 2010, 5-8 September 2010, Verona, Italy.

Paper presented to KES'2010, the 14th International Conference on Knowledge-Based and Intelligent Information & Engineering Systems, 8, 9 & 10 September 2010 Cardiff, Wales, UK. Title was “Developing a Probabilistic Graphical Structure from a Model of Mental-Health Clinical Risk Expertise”.

Paper presented at CENTRIC 2010, the The Third International Conference on Advances in Human-oriented and Personalized Mechanisms, Technologies,
and Services, August 22-27, 2010 - Nice, France. Title was “Modulating Membership Grades to Gain Consensus for Fuzzy Set Uncertainty Values in a Clinical Decision Support System”.

Humber NHS Foundation Trust using the web-based GRiST with automatic access from the local patient record system. GRiST tools automatically provided for CAMHS and Older Adults in addition to the one for Working Age adults.

Developing an integrated pathway for assessing and managing risks associated with mental health problems using the GRiST mental-health risk and social care assessment tool presented at Care Pathways 2010, 23 & 24 June 2010, Cavendish Conference Centre, London.

GRiST for self assessment presented to the COMET 8th interdisciplinary conference on Communication, Medicine, and Ethics at Boston University, USA, June 28th-30th.

Cumbria Partnership NHS Foundation Trust using the web-based GRiST with automatic access from the local patient record system. GRiST tools automatically provided for CAMHS and Older Adults in addition to GRiST for Working Age adults.

GRiST poster presented at HC2010: The future of informatics, Birmingham, England.

GRiST for Life presented at the Royal College of Nursing Mental Health Nursing Forum Conference in Liverpool, England, March 5th to 6th.

Cumbria Partnership Trust has taken up a licence to use the online version of GRiST and is set to link its patient record system to GRiST this spring.

GRiST
has been officially adopted by Cumbria Partnership NHS Foundation Trust
after a lengthy evaluation period against alternative mental-health
risk-assessment tools.

A GRiST workshop was run at the Mental Health Providers Forum 4th Annual National Conference in London on Tuesday, November 10th.

The GRiST research team is part of a successful application to a call for research funding from the UK ESRC and US NIH research councils. The project is titled Health Disparities - Understanding Social Contributions to Disparities in Depression Care: US and UK. It is a collaboration between GRiST and Johns Hopkins University, Baltimore, US.

Two papers on GRiST were presented to the 15th International Network for Psychiatric Nursing Research (NPNR) Conference at Oxford University on September 24th and 25th. One paper discussed how GRiST can be applied across heterogeneous target populations and the other looked at implementing GRiST within primary care.

GRiST awarded money from the Advantage Proof of Concept Grant Fund to work on linking its online tool to patient record systems within NHS trusts. The grant runs from August to January, 2010.

The EPSRC has awarded a CASE PhD Studentship for GRiST in collaboration with Humber Mental Health Teaching Trust.

An application has been submitted to the Big Lottery Research Programme in partnership with the Mental Health Providers Forum to create a suite of risk and care planning tools for service users.

GRiST presented as part of the Mental Health Providers Forum OATS Dissemination Event on April 3rd in London.

Birmingham Children's Hospital has agreed to use GRiST and we are now finalising the extensions it requires for assessing children and adolescents. Humber Mental Health Teaching Trust will also be using the new version.

Paper delivered for the Primary Care Psychiatry Mental Health Workshop,Edinburgh University.

Paper delivered for the RCN Mental Health Conference, Royal College of Surgeons, Edinburgh.

Two papers delivered for the International Conference on eHealth, Telemedicine, and Social Medicine (eTELEMED), Cancun, Mexico.

The GRiST team is now working with Humber Mental Health Teaching Trust to extend GRiST to older people as well as children and adolescents.
Focus groups are being conducted to determine how GRiST needs to be adapted and early signs indicate that there will not need to be many changes. For older adults, the focus groups have shown that some extension is required to the vulnerability risk knowledge, which has now been validated and will be added to the generic GRiST version.

The Burdett Trust for Nursing awards GRiST money for extending it to older adults, children, and adolescents.

Paper and workshop delivered for the Horatio Festival of Psychiatric Nursing conference, Malta.

Paper presented at the 14th International Network for Psychiatric Nursing Research (NPNR) Conference Oxford University, England.

Humber Mental Health Trust adopts GRiST.

Paper presented at the World Psychiatric Association (WPA) Conference, Prague, Czech Republic.

Paper presented at the Society for Academic Primary Care Galway, Ireland.

GRiST undergoing formal pilot with Humber Mental Health Trust.

Paper on how GRiST learns the parameters for quantifying risk presented at ICCGI Athens, Greece.

Paper presented at the Society for Academic Primary Care (South West), Warwick, March.

Burdett Trust for Nursing award £50,000 to establish a showcase for GRiST within Birmingham and Solihull Mental Health Trust.

Invited speaker for GRiST at a mental-health risk conference in Dublin organised by the Irish State Claims Agency, Dublin.

Paper presented to the IMHPA - European Network for Mental Health Promotion and Mental Disorder Prevention in Barcelona, September 12th-15th, 2007.

Paper on GRiST published in Health Care Risk Report. Full reference: Buckingham, C.D. (2007). Improving mental health risk assessment using web-based decision support. Health Care Risk Report, 13(3), 17-18.

Workshop conducted at the RCN International Perspectives on Mental Health Nursing conference, 7-8 February 2007, Cardiff.

Paper on the use of web technologies for developing GRiST accepted for publication by Medical Informatics and the Internet in Medicine.

Paper presented to the World Federation for Mental Health Fourth World Conference: The Promotion of Mental Health & Prevention of Mental and Behavioral Disorders, held in Oslo, Norway, 11-13 October 2006.

GRiST tool for health professionals released.

Paper presented at the International Conference on Communication in Healthcare in Basle, Switzerland on 5-8th September 2006.

Paper on the GRiST representation of mental-health expertise accepted for publication by the Journal of Mental Health.

Paper presented to the NPNR - Network for Psychiatric Nursing Research Conference in Oxford, England, on 26-28th September 2007.

Paper presented at the NPNR - Network for Psychiatric Nursing Research Conference in Oxford, England, on 27-29th September 2006.

EPSRC CASE grant (£80,000) awarded, for a PhD student to work on the GRiST
project, in conjunction with Birmingham and Solihull Mental Health Trust.

Paper presented at the Society for Medical Decision Making - 10th Biennial European Meeting, held in Birmingham on 11-13th June 2006

Latest work presented to the 11th RCN European Mental Health Nursing Conference in Belfast.

Work presented to the 23rd BCS Health Informatics Conference, Harrogate, England.

New full-time researcher starts on the project.