Personalisation and personal budgets can support recovery and transform mental health services, according to new report

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This new briefing paper from the NHS Confederation and the Centre for Mental Health looks at the impact that personalisation and recovery are having on mental health services in England. The first part of this paper describes personalisation, personal budgets and personal health budgets. The second sets out their shared philosophy and discusses what the [read the full story…]

Making workplace adjustments for people with mental health problems: new guidance from the Department of Health

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There’s a growing body of evidence that shows how relatively minor adjustments in the workplace can have a huge impact on supporting people with mental health problems and help them stay in work. The Department of Health has published guidance that will help employers think through the changes that they can make in the workplace [read the full story…]

How is alcohol misuse affecting the children of parents who drink?

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We don’t have accurate statistics on the numbers of children living with alcohol misusing parents. It’s estimated that 79,000 babies in England are living with a parent who is classified as a ‘problematic’ drinker (‘hazardous’ or ‘harmful’). The Office of the Children’s Commissioner has published a Rapid Evidence Assessment about the impact that alcohol misuse [read the full story…]

Short-term use of second-generation antipsychotics can cause side effects in children and adolescents

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Over the last few years, we have seen more and more children and young people being prescribed antipsychotic drugs. The theory behind this increase is that the newer antipsychotic drugs have fewer side effects than the older typical antipsychotics. However, some small and relatively short duration studies have shown that the newer drugs may also [read the full story…]

New Suicide Prevention Strategy published by the Department of Health on World Suicide Prevention Day

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The Government have launched their new strategy for reducing the suicide rate and supporting people who are bereaved by suicide. Care Services Minister Norman Lamb will highlight the existing call for research proposals when he launches the strategy today. The strategy has 6 key areas for action: A better understanding of why people take their [read the full story…]

More research needed to help patients with multimorbidities

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Comorbidities are common in mental health and the relationship between physical and mental health conditions appears to be bidirectional. Having a chronic physical condition like diabetes can increase your risk of depression (by as much as 3 times). Having an enduring mental health problem such as psychosis can take 15-20 years off your life. In [read the full story…]

CBT for people at ultra-high risk of psychosis: new RCT shows promise

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Early intervention services for psychosis are aimed at people aged 14-35 who are experiencing a first episode of psychosis or at risk of doing so. The teams that work in this area usually include psychiatrists, psychologists, community psychiatric nurses, social workers and support workers. The NICE schizophrenia guideline recommends that early intervention services are offered [read the full story…]

Structured exercise reduces depression in older people, according to new systematic review

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Regular readers of the Mental Elf will recall the blogs (Here is the evidence for exercising if you are depressed and New Cochrane review shows that exercise helps with depression) I wrote back in June and July about the evidence for exercising if you have depression. A new systematic review was published in the British [read the full story…]

What all doctors should know about managing drug and alcohol misuse

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All postgraduate doctors across all specialties should be aware of this new consensus paper produced by a special working group of 13 medical Colleges and Faculties. The report presents the core competencies that all postgraduate specialist trainees should have in relation to managing drug and alcohol misuse. It’s well reported that substance misuse is a [read the full story…]

Suicide risk in military veterans from the Iraq and Afghanistan conflicts

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It’s hard not to picture scenes from the great war films when we consider the mental health of veterans. Images from Apocolypse Now, The Deer Hunter, Full Metal Jacket and The Hurt Locker are etched onto the public psyche in such a way that it’s sometimes hard to separate fact from fiction. Research has shown [read the full story…]