The economic, social and psychological benefits of being work have been well documented in the literature, but in 2010/11 in England, only 6.6% of adults with learning disabilities were reported to be in paid employment and the majority of these people were working part-time. A number of people however, will say they are working, when [read the full story…]
Identifying children at greatest risk of caries in order to optimize preventive activity has been a goal of the dental profession for many a long year and a number of reviews of potential risk factors have been conducted ( see Dental Elf 10th Dec 2012). This study aimed to assess a number of caries risk [read the full story…]
In the wake of the dreadful events at Winterbourne view and the subsequent inquiries and reports, there is now a real push to consider the place of inpatient services for people with learning disabilities who present with complex needs and behavioural challenges. We have posted recently about alternatives to inpatient services, for example the Association [read the full story…]
NICE has just published a new technology appraisal recommending aripiprazole as a treatment for bipolar disorder in young people. Technology Appraisals are systematic evaluations of the effectiveness of health technologies. They do not have the broad scope of guidelines, which focus on topics rather than technologies, but they do give guidance for clinical practice on the [read the full story…]
Early diagnosis and intervention for people with dementia is increasingly considered a priority. But there are still considerable barriers to achieving this, and nervousness from practitioners on the possible negative effect of earlier diagnosis of a condition widely perceived as untreatable and life-changing. A recent systematic review by Bunn et al analysed the qualitative evidence [read the full story…]
Patients who suffer from depression after acute coronary syndrome (ACS) may benefit from stepped treatment, which takes patient preference into account, a recent study suggests. Furthermore this course of action does not appear to result in a significant increase in healthcare costs. Crucially post-ACS depression has been associated with both an increased risk of ACS [read the full story…]
Scientific studies comparing treatments for depression and depressive disorders keep the mental elves very busy. Most months we are asked to blog on about 3 newly published reviews on this hot topic. The interest in research on the treatment of depression comes as no surprise, when one considers that depressive disorders affect a staggering one-fifth [read the full story…]
In the Woodland we have previously looked at musical interventions for agitation in dementia and depression. In June 2013 the Cochrane Collaboration published a systematic review of musical interventions for preoperative anxiety. As may be expected, people awaiting surgical procedures often experience high levels of anxiety. This anxiety is important as it can result in [read the full story…]
A key question facing commissioners of support services is how to develop personalised quality services for people within an increasingly tighter financial envelope. Some recent research published by Social Finance and Community Catalysts, may suggest one approach that could prove to be of benefit in developing community connections for people as well as reducing costs. [read the full story…]
Young people presenting with psychopathology may receive a wide range of treatments, such as family or cognitive behavioural therapy, skills training or behavioural contracting. Clearly it is important to know which of these interventions are best supported by evidence that they are effective in treating the presenting problem. Since some treatments have a significant evidence [read the full story…]
