Targeted psychotherapies work best for children and adolescents with anxiety disorders, according to major new meta-analysis

shutterstock_48429856

Around 10% of children are diagnosed with anxiety disorders before the age of 16 and for many this can be a long lasting problem that has a major impact on their development. There’s lots of research in this field and many systematic reviews have been conducted to assess the effectiveness of talking treatments for this [read the full story…]

Insufficient evidence to recommend tricyclic antidepressants as a treatment for autism spectrum disorders

shutterstock_67277872

Young people with autism spectrum disorders (ASD) are usually given some kind of behavioural or educational intervention to help improve their overall functioning. However, in some cases, those individuals who have high levels of repetitive, obsessive-compulsive type behaviours and mood disorders are treated with drug interventions, although there is little high quality evidence to support [read the full story…]

NHS Atlas for children and young people highlights sevenfold variation in mental heath inpatient admissions

shutterstock_75511264

Following on from the recent publication of the DH Atlas of Variation in Healthcare, Right Care have now released the equivalent atlas for children and young people. The document and the online interactive atlas present variations across the breadth of child health services provided by NHS England. The aim is to highlight unwarranted variations that [read the full story…]

Web-based CBT is equal to face-to-face CBT at reducing anxiety in adolescents, accordingly to randomised controlled trial

shutterstock_95054356

I’ve blogged about computerised cognitive behavioural therapy (CCBT) a few times over recent months and highlighted research that shows it is effective in treating a range of mental health conditions. Research shows that most young people do not seek treatment for anxiety problems. There are lots of good quality reviews and trials that support the [read the full story…]

No robust evidence that formal mentoring programmes help adolescents resist drugs and alcohol

shutterstock_12045709

Picture the scene: adolescent boy with an absentee father, trying to fend off a large crowd of men who occupy his house, cost him a lot in food and drink and are all determined to marry his mother. He is young, inexperienced, lacking in confidence and besieged by problems. In short, he needs a mentor. [read the full story…]

Well conducted studies are urgently needed to assess the adverse effects of antipsychotics in children and young people

shutterstock_89193115

There is a great deal of debate about prescribing antipsychotics to children and young people. Prescription rates of these drugs has risen sharply over the last few years, but there remains only limited evidence about the safety and efficacy of these medicines. The second-generation antipsychotics (SGAs) have become more popular and this is partly due [read the full story…]

Children who have lived in care homes are at greater risk of suicide

shutterstock_80627563

There is remarkably little research in this field. Epidemiological studies of suicidal behaviour in children and young people from the care system have previously come mainly from Scandinavia. A Swedish longitudinal national cohort study (ref 2) from last year concluded that every seventh girl (14%) who left long-term foster family care after age 17 was [read the full story…]

Group parenting programmes help improve child conduct problems, parental mental health and parenting skills

shutterstock_24785992

Conduct problems in young children are common and costly, so there’s lots of interest in training programmes that can help parents and children cope better. This new review from the Cochrane Developmental, Psychosocial and Learning Problems Group assesses the effectiveness and cost-effectiveness of behavioural and cognitive-behavioural group-based parenting programmes for improving child conduct problems, parental [read the full story…]

New guides to help GPs commission mental health services

Screen Shot 2012-02-08 at 8 Feb 08.42.43

The Joint Commissioning Panel for Mental Health (JCP-MH) have published the first of their guides aimed at GPs who will soon be commissioning mental health services. Each of the guides provide a description of what a ‘good’ service configuration should look like, and brings together scientific evidence, service user and carer experience, and case studies [read the full story…]

New evidence suggests that antidepressants do not influence suicidal thinking in young people

shutterstock_19607725

In 2004 the US Food and Drug Administration published a “black box” warning that highlighted an increased risk of suicide and suicidal thoughts in young people who were taking antidepressants. This warning was updated in 2007. A new analysis of 41 randomised controlled trials has been published in the Archives of General Psychiatry, which suggests [read the full story…]