{{Short description|British academic}} {{Use dmy dates|date=July 2023}} {{Infobox person | name = | honorific_suffix = {{post-nominals|country=GBR|CBE}} | birth_name = | birth_date = | birth_place = | death_date = | death_place = | alma_mater = Guy's Hospital Medical School | occupation = Academic and consultant psychiatrist | known_for = Elected the first black President of the Royal College of Psychiatrists | other_names = Lade Smith | spouse = | children = }} '''Shubulade Smith''' {{post-nominals|country=GBR|CBE}}, also known as '''Lade Smith''', is a British academic and consultant psychiatrist at the South London and Maudsley NHS Foundation Trust (SLaM). She is a senior lecturer at King's College, London and Clinical Director at the NCCMH (National Collaborating Centre for Mental Health) and forensic services at SLaM,<ref>{{cite web |title=croydon and bdp management structure |url=https://www.slam.nhs.uk/media/6845/croydon_and_bdp_management_structure.pdf |website=slam.nhs.uk |publisher=SLaM |access-date=23 June 2020}}</ref><ref>{{cite web|url=https://kclpure.kcl.ac.uk/portal/shubulade.smith.html|title=Shubulade Smith|publisher=King's College, London|access-date=13 February 2019}}</ref><ref>{{cite web|url=http://sloanecourtclinic.com/cv_SS.php|title=Shubulade Smith|publisher=Sloane Court Clinic|access-date=13 February 2019}}</ref><ref>{{cite web |title=Dr Shubulade Smith awarded Psychiatrist of the Year |url=https://www.slam.nhs.uk/media/news/dr-shubulade-smith-awarded-psychiatrist-of-the-year |website=slam.nhs.uk |publisher=SLAM NHS |access-date=22 June 2020}}</ref> and is {{as of|2023|alt=currently serving as the first black President of the Royal College of Psychiatrists}}.
==Early life and education== Smith grew up in Manchester, England. Her close contact with a wide range of families of different class and stature led her to try and better understand human interaction, including violence, physical problems in mental illness, and the effects of antipsychotic drugs.<ref name=lancet>{{cite journal|url=https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(16)30133-X/fulltext|title=Shubulade Smith: seeing the bigger picture|first=Tony|last=Kirby|date=August 2016|volume=3|issue=8|page=711|journal=The Lancet Psychiatry|doi=10.1016/S2215-0366(16)30133-X|pmid=27475766|access-date=13 February 2019|url-access=subscription}}</ref><ref>{{cite journal|title=Sexual dysfunction in patients taking conventional antipsychotic medication|first1=Shubulade|last1=Smith|first2=Veronica |last2=O'Keane|first3=Robin|last3=Murray|journal=British Journal of Psychiatry|year=2002|volume=181|pages=49–55|doi=10.1192/bjp.181.1.49|pmid=12091263|doi-access=free}}</ref> She graduated from St Thomas Aquinas High School, Manchester, and entered Guy's Hospital Medical School in 1985, earning her Bachelor of Medicine, Bachelor of Surgery (MBBS) in 1991.<ref name=linked>{{cite web |url=https://uk.linkedin.com/in/shubulade-smith-80437523|title=Shubulade Smith|work=LinkedIn|year=2019|access-date=February 14, 2019}}</ref>
==Career== Smith joined the South London and Maudsley NHS Foundation Trust in September 1999 as a consultant psychiatrist.<ref name=linked/> In July 2004, she also became a clinical senior lecturer at the Institute of Psychiatry.<ref name=linked/> In 2017, Smith became Clinical Director for the NCCMH, a collaboration between the Royal College of Psychiatrists and University College London that works to improve mental health services and rectify inequalities in mental health.<ref>{{cite web |title=About the NCCMH |url=https://www.rcpsych.ac.uk/improving-care/nccmh/about-us |website=rcpsych.ac.uk |publisher=Royal College of Psychiatrists |access-date=22 June 2020}}</ref> In February 2020, Smith then also became Clinical Director for forensic services at SLaM.
Currently,{{As of?|date=July 2023}} Smith is also the Clinical and Strategic Director of the National Collaborating Centre for Mental Health (NCCMH). In this role, she has designed and developed services to improve the quality of patient care, including The Community Mental Health Framework for Adults and Older Adults<ref>{{Cite web |title=The Community Mental Health Framework for Adults and Older Adults {{!}} Royal College of Psychiatrists |url=https://www.rcpsych.ac.uk/improving-care/nccmh/service-design-and-development/community-framework |access-date=2022-09-13 |website=RC PSYCH ROYAL COLLEGE OF PSYCHIATRISTS |language=en}}</ref> and The Advancing Mental Health Equality Resource.<ref>{{Cite web |title=Advancing Mental Health Equality {{!}} Royal College of Psychiatrists |url=https://www.rcpsych.ac.uk/improving-care/nccmh/service-design-and-development/advancing-mental-health-equality |access-date=2022-09-13 |website=RC PSYCH ROYAL COLLEGE OF PSYCHIATRISTS |language=en}}</ref>
On 19 January 2023, she was elected the first black President of the Royal College of Psychiatrists, winning 54.1% of the vote.<ref>{{Cite web |date=19 January 2023 |title=Dr Lade Smith CBE elected as the next President of the Royal College of Psychiatrists |url=https://www.kcl.ac.uk/news/dr-lade-smith-cbe-elected-as-the-next-president-of-the-royal-college-of-psychiatrists |access-date=12 July 2023 |website=King's College London |language=en}}</ref> She began serving on 11 July 2023.<ref>{{Cite web |date=12 July 2023 |title=Goodbye and thank you Adrian, welcome Lade! |url=https://www.rcpsych.ac.uk/news-and-features/latest-news/detail/2023/07/12/goodbye-and-thank-you-adrian-welcome-lade! |access-date=12 July 2023 |publisher=The Royal College of Psychiatrists |language=en}}</ref>
==Research and advocacy== Smith has always focused on academics, including research into the hormonal and reproductive effects of antipsychotic medications, the effect of vitamin D in reducing psychosis, and in particular, the mental health issues of those in minority ethnic groups.<ref name="lancet" /> Smith published a paper in ''The Lancet'' highlighting how almost half the explanations given for higher rates of detention among Black people were unsupported by evidence and are based on cultural stereotypes and assumptions. She says: "Future research should avoid cultural stereotypes and assumptions, and amalgamation of ethnic groups should be discouraged to better inform policy and practice."<ref>{{cite journal |title=Ethnic variations in compulsory detention under the Mental Health Act: a systematic review and meta-analysis of international data |journal=The Lancet |date=4 March 2019 |volume=6 |issue=4 |pages=305–317 |doi=10.1016/S2215-0366(19)30027-6 |url= |last1=Barnett |first1=Phoebe |last2=MacKay |first2=Euan |last3=Matthews |first3=Hannah |last4=Gate |first4=Rebecca |last5=Greenwood |first5=Helen |last6=Ariyo |first6=Kevin |last7=Bhui |first7=Kamaldeep |last8=Halvorsrud |first8=Kristoffer |last9=Pilling |first9=Stephen |last10=Smith |first10=Shubulade |pmid=30846354 |pmc=6494977 }}</ref>
Smith has campaigned for a better understanding of mental health issues, and has raised awareness about racism in healthcare, which she believes explains why there is generally a higher proportion of black people detained under the mental health service. She has commented that "psychiatry is not where the problem starts".<ref name=bbc>{{cite news|url=https://news.bbc.co.uk/2/hi/programmes/newsnight/6678369.stm|title=Race row in mental health service|work=BBC Newsnight|date=21 May 2007|access-date=13 February 2019}}</ref> Smith's research into the short-term management of violent behaviour and reducing forced injection during restraint has been adopted as part of national guidance and now forms part of the recommendations for Rapid Tranquillisation in the recent NaPICU/BAP guidelines.<ref>{{cite web |title=NEW! Joint BAP NAPICU evidence based guidelines for the clinical management of acute disturbance (de-escalation and rapid tranquillisation) |url=https://napicu.org.uk/new-joint-bap-napicu-evidence-based-guidelines-for-the-clinical-management-of-acute-disturbance-de-escalation-and-rapid-tranquillisation/ |website=napicu.org.uk |date=May 2018 |publisher=napicu |access-date=22 June 2020}}</ref>
In 2015, she led an inquest into the suicide of a woman in Pembrokeshire three years earlier, saying that a better understanding of mental health issues might have prevented this.<ref>{{cite news|url=https://www.bbc.co.uk/news/uk-wales-south-west-wales-31557866|title=Grieving mother's suicide due to 'personality disorder'|work=BBC News|date=20 February 2015|access-date=13 February 2019}}</ref> She has said that "most people with psychosis are not violent" and that other factors from growing up make them violent, as she saw with classmates. Smith would like "a bigger sociopolitical response" to the problems and concerns with mental health, how it affects families, and how important it is to treat any issues early.<ref name=lancet/> She is concerned that people with severe mental illness (SMI) will die around 15 to 20 years earlier than the general population.<ref>{{cite web|url=https://www.healthcareconferencesuk.co.uk/news/dr-shubulade-smith-speaks-on-the-impact-of-psychotropic-medications-on-the-physical-health-of-those-with-serious-mental-health-conditions|title=Dr Shubulade Smith Speaks on the impact of psychotropic medications on the physical health of those with serious mental health conditions|publisher=Health Care Conferences|access-date=14 February 2019}}</ref>
Smith also campaigns for better resourcing of mental health services, noting that austerity measures have likely been associated with increases in mental health crises and involuntary admissions.<ref>{{cite journal |title=Reasons behind the rising rate of involuntary admissions under the Mental Health Act (1983): Service use and cost impact |journal=International Journal of Law and Psychiatry |date=13 December 2019 |volume=68 |doi=10.1016/j.ijlp.2019.101506 |last1=Smith |first1=Shubulade |last2=Gate |first2=Rebecca |last3=Ariyo |first3=Kevin |last4=Saunders |first4=Rob |last5=Taylor |first5=Clare |last6=Bhui |first6=Kamaldeep |last7=Mavranezouli |first7=Ifigeneia |last8=Heslin |first8=Margaret |last9=Greenwood |first9=Helen |last10=Matthews |first10=Hannah |last11=Barnett |first11=Phoebe |last12=Pilling |first12=Stephen |article-number=101506 |pmid=32033706 |doi-access=free }}</ref> Smith has also been involved in modernising the Mental Health Act. The recommendations in the report ''Reasons behind the rising rate of admissions under the Mental Health Act'' have been reviewed by central government and the recommendations of the MHARAC (Mental Health of African and Caribbean) group have been adopted by the Cabinet Office. The Mental Health Act White Paper currently in preparation (as of 2019) was based on the recommendations of the Independent Review, of which Smith was the deputy chair.<ref>{{cite web |title=Modernising the Mental Health Act – final report from the independent review |url=https://www.gov.uk/government/publications/modernising-the-mental-health-act-final-report-from-the-independent-review |website=www.gov.uk |date=14 February 2019 |publisher=Department of Health and Social Care |access-date=22 June 2020}}</ref>
She has commented that the 2025 proposed assisted dying legislation in England and Wales did not adequately address whether better care services might affect the decision of a terminally ill person about whether they wanted an assisted death.<ref>Fox, A., "Assisted dying bill opposed by psychiatrists", in ''The i Paper'', 15 May 2025, page 9</ref>
==Selected publications== * {{cite journal|title=Sexual dysfunction in patients taking conventional antipsychotic medication|first1=Shubulade|last1=Smith|first2=Veronica |last2=O'Keane|first3=Robin|last3=Murray|journal=British Journal of Psychiatry|year=2002|volume=181|pages=49–55|doi=10.1192/bjp.181.1.49|pmid=12091263|doi-access=free}} * {{cite journal|title=Effects of long-term prolactin-raising antipsychotic medication on bone mineral density in patients with schizophrenia|last=Meaney|first=AM|display-authors=etal|journal=British Journal of Psychiatry|year=2004|volume=184|issue=6|pages=503–508|doi=10.1192/bjp.184.6.503|pmid=15172944|doi-access=free}} * {{cite journal|last1=Smith|first1=S|last2=Yeomans|first2=D|last3=Busche|first3=CJ|display-authors=etal|title=A well-being programme in severe mental illness. Reducing risk for physical ill-health: A post-programme service evaluation at 2 years|journal=Eur. Psychiatry|year=2007|volume=22|issue=7|pages=413–418|doi=10.1016/j.eurpsy.2007.07.002|pmid=17765483|s2cid=37461980}} * {{cite journal|last=Smith|first=SM|s2cid=28436889|title=Gender differences in antipsychotic prescribing|journal=International Review of Psychiatry|year=2010|volume=22|issue=5|pages=472–484|doi=10.3109/09540261.2010.515965|pmid=21047160}}
==References== {{Reflist}}
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{{DEFAULTSORT:Smith, Shubulade}} Category:Academics of King's College London Category:Alumni of King's College London Category:Black British psychologists and psychotherapists Category:Commanders of the Order of the British Empire Category:English psychiatrists Category:Health professionals from Manchester Category:Living people Category:Year of birth missing (living people)