When two interventions are demonstrably equivalent in terms of clinical outcomes, it is unclear which should be provided. One obvious decision rule in this case is to implement the intervention that is least costly and therefore most cost-effective. A recent economic evaluation by Patel and colleagues estimates the cost-effectiveness of adherence therapy for people with [read the full story…]
We often hear about postnatal depression, a well-recognised depressive episode in mothers occurring after the birth of their baby. However, 54.2% of women suffering from postnatal depression actually developed their depressive symptoms before or during pregnancy (Burt and Quezada, 2009). Around 10% of pregnant mothers have depression and this number increases each trimester. Women are less likely [read the full story…]
The harmful impact of depression extends far beyond the individual sufferer to caregivers, friends and family members. Children of people with depression are more likely to suffer from depression themselves. This may be due to both inherited and environmental factors. This new randomised controlled trial (RCT), published earlier this week in JAMA Psychiatry, set out [read the full story…]
There is a back to school feeling in the air in the Woodland this week, and so this comes to you with the help of my shiny new yellow pencil case. Epilepsy affects around 70 million people around the world and premature mortality is substantial with almost half of epilepsy-related deaths occuring in those younger [read the full story…]
Oral care is an important element of care for older people in care homes as oral health is often poor and can deteriorate rapidly causing pain discomfort and impacting on nutrition and quality of life. With growing numbers of older people this is an area of increasing demand. This aim of the review was to [read the full story…]
For mental health patients, quality of life (QoL) can include many things like self-esteem, autonomy, satisfaction with the care they’re receiving and the staff who are caring from them, reduced symptoms, minimal side-effects from treatment and good overall functioning. Measuring QoL can pick up on difficulties a patient is having that wouldn’t have otherwise come [read the full story…]
A timely report from the Nuffield Trust details the background to the current policy on personal health budgets (due to become effective in April 2014) and some important learning for commissioners and policy makers. From next year, clinical commissioning groups (CCGs) will be required to offer personal health budgets to patients receiving continuing health care [read the full story…]
In the UK it is a shocking statistic that around 80-90% of people with severe mental illness are not in work. Unemployment impacts negatively not only on the individual, but is also costly to the government. Employment is now embedded in key mental health policy as a central part of recovery. However, despite this, and [read the full story…]
Active support involves training staff in working practices and organisational procedures to improve levels of participation and increase levels of engagement in activities and the authors of this study have written about its effectiveness elsewhere In this study, they set out to explore the characteristics of the residents who were being supported by organisations implementing [read the full story…]
Recent adult mental health policy initiatives, such as the Delivering Race Equality programme (PDF) show the increasing recognition of racial discrimination in NHS mental health services. In 2012 the NHS Confederation issued guidance on achieving race equality in mental health, which was summarised on the Mental Elf a while ago. These UK policy developments on [read the full story…]
