Professor Taj Nathan

Mental Health (various)

Professor Rajan (Taj) Nathan has extensive experience of working in a wide variety of mental health settings, particularly in the context of secure care pathways for patients with mental illness, personality disorder and autism spectrum disorder. He has been asked to provide advice on cases across a regional and, on occasion, national footprint. By invitation he has been part of national oversight/development groups.

Qualifications

  • MBBCh  (1991) Bachelors in Medicine & Surgery (University of Wales College of Medicine)
  • MRCPsych (1996) Member of the Royal College of Psychiatrists (London)
  • MMedSc  (1997) Masters in Medical Science (University of Leeds)
  • DFBSc (1999) Diploma in Forensic Behavioural Science (University of Liverpool)
  • MD (2007) Research Doctorate in Medicine (University of Liverpool)

Overview

Professor Nathan has led the development of a number of forensic service innovations in the North West of England, including a specialist personality disorder service, a community based offender consultation service, and a prison based treatment service. He has held lead consultant and clinical director roles in the NHS.

He currently works as a Responsible Clinician for a Low Secure Unit and a Stepdown facility and he provides consultation roles into community substance misuse and community personality disorder services.

Teaching

Professor Nathan has been a regular contributor to the undergraduate medical curriculum at the University of Liverpool over the past 10 years. This has involved the delivery of plenaries and involvement in the problem based learning programme. He has also taught on the masters and membership courses to Mersey Deanery psychiatry trainees.

For many years he was responsible for academic/in-service training programme for Scott Clinic. He has presented seminars/lectures to local, regional and national audiences, and delivered training events on a range of topics including secure services, personality disorder, autism spectrum disorders and expert testimony.

Conference presentations

  • Wilson P & Nathan R (2018) Phenomenology and causal entities in psychiatry. British Society for Phenomenology Annual Conference, Kent, July 2018
  • Nathan R, Boyle S, Elliot P, Saini P, & O’Loughlin C (2018). The risk to the clinician of risk management: analysis of recalled and anticipated consequences of decision-making in acute psychiatric scenarios. Royal College of Psychiatrists, Faculty of Liaison Psychiatry Annual Conference, Liverpool, May 2018.
  • Nathan R (2017) Improving identification and engagement in dual diagnosis: addressing conflicting casual narratives about the relationship between substance use and mental illness symptoms. Royal College of General Practitioners, Managing Drug and Alcohol Problems in Primary Care Conference, London, November 2017
  • Boyle S, Elliot P, Saini P, O’Loughlin C & Nathan R (2017) The use of acute psychiatric inpatient beds: study of in-vivo clinical decision-making. NIHR CLAHRC NWC Dissemination event, Preston, October 2017
  • Wilson P, Williams T, Shaw E & Nathan R (2017) Exploratory study of approaches to the assessment and formulation of psychotic-spectrum symptoms in routine clinical practice. Faculty of General Adult Psychiatry Annual Conference, Gateshead, October 2017. (Presentation prize winner, Wilson
  • Ahsan T, Washington D, Thorley C, Taylor P & Nathan R (2017) The influence of the format of presentation of clinical histories (narrative versus template) on clinicians’ ability to recall risk related information. Faculty of Forensic Psychiatry Annual Residential Meeting, March 2017
  • Washington D, Tappin O & Nathan R (2015) Neuroscientific understanding of personality disorder and diminished responsibility: implications for the psychiatric expert witness. Third UK Conference on Philosophy and Psychiatry, Royal College of Psychiatrists, Sept 2015
  • Whittington R, Bjorngaard J, Brown A, Nathan R & Noblett S (2013) Prospective Validity of       the Structured Assessment of Protective Factors (SAPROF) Instrument for Violence. 8TH European Congress of Violence in Clinical Psychiatry, Oct 2013
  • Malik M, Burke A, Hill J and Nathan R (2006) Serious violence and sensitivity to social attack.  Faculty of Forensic Psychiatry Annual Residential Meeting, Feb 2006. Poster prize.
  • Nathan R & Simpson P (2005) Clinical and offending characteristics of offenders subject to Multi-Agency Public Protection Arrangements. Faculty of Forensic Psychiatry Annual Residential Meeting, Feb 2005.
  • Holt G, Brown A, Redhead K and Nathan R. (2005) Burnout in forensic services.  Faculty of Forensic Psychiatry Annual Residential Meeting, Feb 2005. Poster prize.
  • Nathan R and Hill J (2004) State-related cognitions and self-directed aggression. National Forensic Mental Health R & D Conference.
  • Nathan R & Hill J (2003). Childhood correlates of serious violence. Ethics in Forensic Mental Health Research. National Forensic Mental Health R & D Programme. Poster prize.
  • Nathan R, Rollinson L, Harvey K & Hill J. (2001) The Liverpool Violence Assessment - an investigator-based measure of patterns of violence. Faculty of Forensic Psychiatric 2001 Annual Meeting.
  • Nathan R and Rix K (2000). Psychiatric sequelae of exposure to CS gas. Faculty of Forensic Psychiatry Annual Residential Meeting.
  • Hughes T, Ross H, Musa, Bhattacherjee S, Nathan R, Mindham R & Spokes E (1998)The incidence and associations of dementia in Parkinson’s disease. Association of British Neurologists Spring Meeting.
  • Nathan R, Trigwell P, Ford H & Johnson M. (1998) Effect of interferon beta on mood and suicidality in relapsing-remitting multiple sclerosis. Association of British Neurologists Spring Meeting.
  • Nathan R, Mindham R, Hughes T & Ross H. (1998) The validity of the Mini-Mental State Examination in Parkinson’s disease. Anglo-Nordic Liaison Psychiatry Meeting.  
  • Hughes T, Ross H, Musa S, Bhattacherjee S, Nathan R, Mindham R & Spokes E.  (1996/1997) A controlled longitudinal study over 10 years of the incidence and correlates of dementia in Parkinson’s disease. International Symposium on Parkinson’s Disease March 1997, and The Lancet Conference, the Challenge of the Dementias, April 1996, No 33, 29.
  • Nathan R, Mindham R, Hughes T & Ross H. (1996) Effect of premorbid intelligence on Mini-Mental State Examination. The Lancet Conference, the Challenge of the Dementias, No 71, 61.

Research

Professor Nathan's research activity has mirrored his clinical career. Thus for more than ten years he has been involved in research in the area of forensic practice with a particular interest in (i) personality disorder in forensic settings, (ii) psychological processes underpinning violence and antisocial behaviour, and (iii) applied research in clinical settings.

He was part of a multicenter research team which undertook an RCT of a complex intervention for high risk personality disordered offenders in the community.

Published work

Published

  • Nathan R, Boyle S, Elliot P, & Saini P (2018) Real-life clinical decision-making: Examining the role of multiple clinical and non-clinical factors on decisions to admit patients to acute psychiatric units. European Psychiatry, April 2018, 48S, S448-449.
  • Lennox C & Nathan R (March, 2017) Serious Offences – Origins and Nature of Serious Violence. In Forensic Child and Adolescent Mental Health: Meeting the Needs of Young Offenders, Cambridge University Press.
  • Nathan R and Rix K. (2016) A special case for personality disorder: are the distinctions between personality disorder and mental illness in clinical and legal practice justified? In Legal Perspectives on State Power: Consent and Control, Cambridge Scholars Publishing.
  • Nathan R and Medland S (QC) (2016) Psychiatric expert evidence and the new defences of diminished responsibility and loss of control. British Journal of Psychiatry, Advances, 22 (4) 277-284
  • Heffernan S, Brown A, Burns D, Chidambaram A & Nathan R (2016) Assessment, Formulation and Care Pathways for Individuals on the Autism Spectrum who have Violently Offended, Clinical Psychology Forum. Special issue: Forensic Psychology, No 282 (June
  • Nathan R, Rix K. (2016) Suicide: Self-harm. In Encyclopedia of Forensic and Legal Medicine, second edition, Payne-James J, Byard R, Corey T, & Henderson C (eds). Oxford: Elsevier.
  • Nathan R, Wood H. (2016) Forensic Psychiatry and Forensic Psychology: Personality disorder. In Encyclopedia of Forensic and Legal Medicine, second edition, Payne-James J, Byard R, Corey T, & Henderson C (eds). Oxford: Elsevier.
  • Crichton J, Nathan R (2015) The NHS must manage the unmet mental health needs in prison. The Health Service Journal, Aug/15
  • Jellicoe-Jones L, Nathan R (2015) The Beacon: an assessment and treatment service for men with personality difficulties, risk and offending behaviours. In, Interventions in Criminal Justice Volume 2: A handbook for counsellors and therapist working in the criminal justice system (Ed: Peter Jones). Hove: Pavilion Publishing
  • Whittington R, Bjørngaard JH, Brown A, Nathan R, Noblett S, Quinn B. Dynamic relationship between multiple START assessments and violent incidents over time: a prospective cohort study (2014). BMC Psychiatry, 14:323
  • Hill J, Nathan R & Shattock L (2013) Report of a Pilot Randomised Controlled Trial of an Intensive Psychosocial Intervention for High Risk Personality Disordered Offenders (The ‘Resettle’ Programme). Report to NHS England
  • Haines A, Goldson B, Haycock A, Houten R, Lane S, McGuire J, Nathan R, Perkins E, Richards S and Whittington R (2012) Evaluation of the Youth Justice Liaison and Diversion Pilot Scheme. London: Department of Health 
  • Nathan R, Cramond L, Brown A, McEllin B and Whittington R (2012) Approaches to personality disordered offenders: experiential and empirical lessons from the Forensic Personality Disorder Assessment and Liaison Service. British Journal of Forensic Practice, 14(4), 281-291
  • Logan C, Nathan R, Brown A (2011). Formulation in Clinical Risk Assessment and Management. In: Self-Harm and Violence: Towards Best Practice in Managing Risk in Mental Health Services, Whittington R & Logan (Eds). Wiley-Blackwell.
  • Huband N, Ferriter M, Nathan R, Jones H. (2010) Antiepileptics for aggression and associated impulsivity. Cochrane Database of Systematic Reviews, Issue 2. Art. No.:CD003499. DOI: 10.1002/14651858. CD003499.pub3
  • Hill J and Nathan R (2008). Childhood antecedents of serious violence in adult males. Aggressive Behaviour, 2008 May-Jun; vol 34 (issue 3) : pp 329-38
  • Whitington R, Barr W, Brown A, Leitner M, Logan C and Nathan R (Project team) (2007) Best Practice in Managing Risk: Principles and evidence for best practice in the assessment and management of risk to self and others in mental health services. Department of Health: London.
  • Nathan R, Brown A, Redhead K, Holt G and Hill J (2007). Staff responses to the therapeutic environment: A prospective study comparing burnout among nurses working on male and female wards in a medium secure unit. Journal of Forensic Psychiatry and Psychology 18(3): 342-352.
  • Nathan R, Rix K (2005) Parasuicide. In Encyclopedia of Forensic and Legal Medicine, Payne-James J, Byard R, Corey T, & Henderson C (eds).
  • Nathan R, Rollinson L, Harvey K and Hill J (2003). The Liverpool Violence Assessment: an investigator based measure of serious violence. Criminal Behavior and Mental Health Vol 13, 106-120
  • Nathan R, Woods H, Rix K. (2003) Long term psychiatric morbidity and the aftermath of CS spray trauma. Medicine, Science and the Law, 43, 2, 98-104.
  • Linsley K, Slinn R, Nathan R, Guest L & Griffiths H. (2001 Training implications of community orientated psychiatry. Advances in Psychiatric Treatment, Vol 7, 208-215
  • Hughes T, Ross H, Musa S, Bhattachacherjee S, Nathan R, Mindham R and Spokes E. (2000) A 10-year study of the incidence of factors predicting dementia in Parkinson's disease. Neurology, Vol 54, 1596-1602.
  • Nathan R, Gibbs T & Wilson K. (1999) Problem-Based Psychiatry in a New Undergraduate Medical Curriculum. Psychiatric Bulletin, Vol 23, 436-439. 
  • Nathan R. The role of scientific psychiatry (1999) British Journal of Psychiatry (letter), Vol 175, 87. 

  • Nathan R. Assessment of suicide risk. (1997) Psychiatric Bulletin (letter), Vol 21, 660.

  • Nathan R, Rix K, Kent J. (1997) Myxoedematous madness and grievous bodily harm. Journal of Clinical Forensic Medicine, Vol 4, 85-90.

  • Haskayne L, Nathan R, & Parkes J. (1995) Regional Secure Unit Escapes. Journal of Forensic Psychiatry (letter). Vol 6 No 1, 219-220.