Department of Health publish Mental Health Community Teams activity data

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The Department of Health have published the quarterly Mental Health Community Teams activity data for 2010-11 and 2011-12 quarter 1. The data consists of a number of spreadsheets and a document available for download from the DH website. The main findings were: 2010-11 During 2010-11 10,311 new cases of psychosis were served by Early Intervention [read the full story…]

Meta analysis reveals different structural brain abnormalities in depression and bipolar disorder

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It has long been documented that there are clinical differences between depression and bipolar disorder, but to date there has been no reliable study that shows differences in structural brain abnormalities in the two disorders. A research team from the Institute of Psychiatry in London have published a meta analysis that investigates structural brain changes in [read the full story…]

Department of Health publish a diagnostic tool for emerging clinical commissioning groups

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The Department of Health have produced a diagnostic tool for emerging clinical commissioning groups, to help them understand and reflect upon their values, culture, behaviour and wider organisational health. The tool is an Excel spreadsheet that groups can use to identify their developmental needs. It includes sections on: Clinical focus and added value Engagement with [read the full story…]

Stepped care is no better than usual care in treating depression and anxiety in primary care

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There are increasing levels of interest in stepped care models to treat mental health problems in primary care. This randomised controlled trial investigated the effectiveness of a stepped care programme for treating depression and anxiety in 120 adults (aged 18-65 years with minor or major DSM-IV depressive and/or anxiety disorders) in general practice.  Patients were [read the full story…]

Smoking, drinking and drug use among young people in England: many self-reported downward trends continue

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This report from the NHS Information Centre contains results from an annual survey of secondary school pupils in England in years 7 to 11 (mostly aged 11 to 15). 7,296 pupils in 246 schools completed questionnaires in the autumn term of 2010. The National Centre for Social Research (NatCen) and the National Foundation for Educational Research [read the full story…]

Treating schizophrenia with olanzapine long acting injections (LAI) may be more cost effective than oral olanzapine or other LAIs

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This year long study carried out by Medical Decision Modeling in Indianapolis set out to measure the cost-effectiveness of the olanzapine long-acting injection with other antipsychotic long-acting injections and oral olanzapine in treating patients with schizophrenia who had trouble adhering to oral drug treatment. The study used a micro-simulation economic decision model to replicate usual care. [read the full story…]

Transferring children and young people from custody to hospital under the Mental Health Act: new guidance from the Department of Health

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This new best practice guidance from the Department of Health details the procedure for transferring to and from hospital (under the Mental Health Act 1983 in England) any child or young person who is: detained in custody in pursuance of any sentence or order for detention (by a court in criminal proceedings); or remanded in custody [read the full story…]

Department of Health publish a simple guide to payment by results

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Payment by Results (PbR) is the tariff based payment system that has transformed the way funding flows around the NHS in England. This short guide is an introduction to the subject and supersedes the guide published by the DH in September 2010. The basic facts about Payment by Results from the guide are: PbR is [read the full story…]

New guidance from BMA to help doctors protect vulnerable adults

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The British Medical Association have published a toolkit for GPs, which provides practical advice to doctors on promoting and protecting the wellbeing of vulnerable adults. Although principally aimed at GPs, any professional working in health care settings with vulnerable adults will find it useful. The term “vulnerable adults” covers an extremely wide range of individuals, [read the full story…]

Oestrogen receptor variations linked with depression in later life

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The hormone oestrogen could play an important role in late-life depression, according to new research published in the August issue of the British Journal of Psychiatry. Oestrogen is best known as one of the significant hormones in reproduction. It is also believed to have a part to play in mood and mental health, because of [read the full story…]