Collaborative care for depression: what are the key components?

Collaborative care is a complex intervention for chronic disease that has been shown to be significantly more effective for depression than usual care. Yet, implementation in routine practice is rare.

Despite strong evidence, collaborative care remains underused in the NHS. This blog explores new findings that highlight which components of the model are most effective in reducing depression symptoms.

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“It would be easier if they had a broken leg”: tackling stigma in occupational mental health care

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New research from Finland highlights the messiness of collaboration between mental health and occupational services. This blog explores what gets in the way, and what could make return-to-work support work better.

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Trauma-informed care in mental health: why we need it and what it should look like

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Aneta Zarska blogs about a qualitative research study from Australia that outlines what trauma-informed care should look like, by asking people with experience of mental health difficulties.

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Mental healthcare for young immigrants and refugees should involve collaboration between schools, communities and families

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Sadhbh Byrne summarises a timely scoping review on mental health interventions for immigrant and refugee children and youth living in Canada.

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The Care Ecosystem: telephone support to help people with dementia and their carers

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A UCL MSc group of students review a US randomised controlled trial of the ‘Care Ecosystem’; collaborative care for dementia delivered by telephone and internet, which suggests improvements in quality of life and caregiver well-being, and reductions in health service use.

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Person-centred care: challenges and changes to the training of psychiatrists

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“A significant number of people receiving psychiatric care are not treated with the utmost dignity within our services that a true ‘person-centred’ approach would ensure.”

Linda Gask summarises a new report from the Royal College of Psychiatrists on person-centred care and its implications for training in psychiatry.

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Collaborative care for depression and physical multimorbidity: clinically and cost-effective over the long term

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Gemma Shields summarises the findings of a cluster RCT looking at the long-term clinical and cost-effectiveness of collaborative care (versus usual care) for people with mental-physical multimorbidity.

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The long view: what has really changed with recovery?

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Simon Bradstreet explores a recent qualitative study looking at 20 years in the lives of a group of 20 people with psychosis in Ireland. The research provides evidence on the pros and cons of the adoption of recovery-based approaches from people who are uniquely placed to provide a long-term view.

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Depression in later life: who benefits most from antidepressants plus exercise?

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Linda Gask explores an RCT of physical exercise for depression in later life, which considers the best way to customise the intervention for primary care.

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Collaborative care may help older adults with subthreshold depression: CASPER trial

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Ben Hannigan summarises the new CASPER trial of collaborative care versus usual care for older adults with subthreshold depression.

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