Community supported discharge service for teenagers leaving psychiatric hospital

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Robyn Murphy summarises an RCT that compares the effectiveness and cost-effectiveness of an intensive community supported discharge service versus treatment as usual for adolescents with psychiatric emergencies.

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Is third-wave CBT good value?

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Chris Sampson summarises a systematic review on the economic impact of third-wave cognitive behavioural therapies, such as mindfulness-based cognitive therapy, acceptance and commitment therapy, extended behavioural activation, dialectical behaviour therapy, and mindfulness-based stress reduction.

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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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Incredible Years Teacher Classroom Management: STARS trial suggests benefits for children’s mental health

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Neil Humphrey is impressed by the STARS cluster randomised controlled trial published today in Psychological Medicine, which evaluates the effectiveness and cost-effectiveness of the Incredible Years Teacher Classroom Management programme in primary school children.

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Family therapy for adolescent self-harm: SHIFT trial says it doesn’t reduce hospital visits and isn’t cost-effective

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Udita Iyengar and Dennis Ougrin consider the findings of the SHIFT trial, which explored the effectiveness of systemic family therapy versus treatment as usual for young people after self-harm.

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iCBT for OCD in young people: study suggests it’s cost-effective, but more research needed

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Alastair Canaway on a recent RCT that looks at the cost-effectiveness of therapist-guided internet-delivered cognitive behaviour therapy for paediatric obsessive–compulsive disorder.

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Early intervention in psychosis services: better outcomes, improved costs

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Gemma Shields reports on a recent longitudinal retrospective controlled study of the economic impact of early intervention in psychosis services in England.

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Reminiscence groups for people with dementia and their family carers: REMCARE trial

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Elizabeth Collier writes her debut blog on the REMCARE randomised controlled trial of reminiscence groups for people with dementia and their family carers.

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Orthodontic retainers: impact on periodontal health

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While 24 studies were included in this review of the impact of orthodontic retainers on periodontal health there was a lack of high quality evidence to support any particular retainer on this or a range of other parameters. More well-designed and long terms studies are required.

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Behavioural activation not inferior to CBT for depression: the COBRA RCT

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Ioana Cristea appraises the recently published COBRA randomised controlled trial, which concludes that behavioural activation is non-inferior to cognitive behavioural therapy for depression, and may offer significant cost savings.

This blog also features a podcast interview with the lead author: Professor David Richards from Exeter University.

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