New briefings to help develop better local mental health services

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A partnership of leading mental health charities has launched a series of briefings to help develop better local mental health services. Following the publication of the implementation framework for the Government’s mental health strategy, these briefings set out the steps that local authorities and NHS commissioning groups can take to improve mental health care, treatment [read the full story…]

Cognitive deficits, depression and education level all predict worklessness in bipolar disorder, says systematic review

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People with bipolar disorder have high levels of post 16 years education, but it’s estimated that only half of those living in Europe with the condition are in paid employment. This is a real concern because the illness typically affects young and middle-aged people who would normally be active in the workforce. Of course, living [read the full story…]

New BMJ RCT finds that preventing depression in adolescents, with classroom-based CBT, may do more harm than good

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The prevalence of depression goes up sharply in mid-adolescence and it’s estimated that by age 19 up to 20% of people will have suffered from at least one episode of clinical depression. So it makes sense that prevention programmes should be targeted at young people in schools, and indeed, published research has shown that classroom-based [read the full story…]

New RCT reports a promising primary care solution to diagnosing and managing postnatal depression

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Postnatal (or postpartum) depression is moderate to severe depression that affects women just after they have given birth. It’s a relatively common illness, affecting 7-15% of childbearing women. Suffering from depression in the first few weeks of motherhood can have a significant impact, not just on the health of the mother, but also on her [read the full story…]

Benzodiazepines and dementia risk: another reason to caution against long-term use

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Benzodiazepines are an effective treatment for acute anxiety and transient insomnia, but guidelines advise that they should not be prescribed for longer than a few weeks as their long-term use can lead to dependency and falls in older people (amongst other things). The evidence appears compelling and yet benzodiazepines are still widely prescribed in the [read the full story…]

Can ADHD symptoms help predict early-onset substance use?

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The relationship between attention-deficit hyperactivity disorder (ADHD) and substance use in children is hotly debated. ADHD symptoms include inattention, hyperactivity/impulsivity and conduct disorders, and there’s considerable interest in finding out which of these predicts early substance use. If we have reliable evidence that answers this question we can make informed decisions about treating ADHD and [read the full story…]

Should we be offering mindfulness-based cognitive therapy to all patients with residual depressive symptoms?

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Mindfulness-based cognitive therapy (MBCT) is a group training approach that aims to prevent relapse and recurrence of depression. It combines mindfulness techniques with cognitive therapy and research shows that it is effective at reducing depressive symptoms as well as preventing relapse. The NICE depression guideline recommends that MBCT is offered to people who have experienced [read the full story…]

Repeat offending significantly higher in people with personality disorders, according to new systematic review

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The excellent Time to Change initiative is quick to point out that people with mental health problems are more likely to be the victims of violence than the perpetrators. However, it remains the case that certain mental health conditions are more frequently associated with antisocial behaviour and violence than others. Personality disorders (PD) are one [read the full story…]

New NICE guidance to help people stop using traditional South Asian varieties of smokeless tobacco

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NICE have published public health guidance and a new care pathway to help people of South Asian origin who are living in England to stop using traditional South Asian varieties of smokeless tobacco. These publications are focused on people with ancestral links to Bangladesh, India, Nepal, Pakistan or Sri Lanka and smokeless tobacco products such [read the full story…]

Peer support for people with long term conditions: guidance from the Mental Health Foundation

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This brief new guidance will be of interest if you are involved in delivering or planning peer support for people with long term conditions. It’s the result of a research project carried out in Scotland during 2010-11, which reported that: Peer support activity for people with long term conditions across Scotland had a positive impact [read the full story…]