The cost of living? Early childhood interventions could reduce the impact of socio-economic inequalities on the mental health of children and young people

This review

In the current economic climate in many countries across the world, the impact of socio-economic inequalities on mental health has become an important topic, not only in terms of supporting people, but in terms of planning a public health response to a rising concern. Poverty and low economic status is known to affect various aspects [read the full story…]

New mental health commissioning guides from JCPMH

Some doctors are reluctant to talk to patients about reducing their use of prescription drugs, even if they know there is no longer a medical reason for continued use.

Those lovely people at the Joint Commissioning Panel for Mental Health (JCP-MH) have published four new guides to help those of you involved in commissioning community specialist services, older people’s services, inpatient and crisis home treatment and services for people with learning disabilities. These guides are short (around 20 pages), readable and nicely summarised with ten [read the full story…]

Are the current approaches to treating traumatised kids actually making them better?

Teddy bear in war zone

More and more research is telling us about the long-term negative consequences of trauma and adversity in childhood with correlations between childhood trauma and poor mental and physical health outcomes across the lifespan. So, it makes sense that there should be a good evidence base for treating the effects of childhood trauma. In February this [read the full story…]

Individual CBT, with or without family CBT, could be the best first line treatment for people at high risk of schizophrenia

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Schizophrenia is a debilitating illness that affects an estimated 25 million people worldwide. People with the condition can experience a huge amount of disability (both social, physical and psychological), but we know that early intervention can help reduce the duration of the illness and prevent further episodes of relapse. People with schizophrenia usually experience a [read the full story…]

CBT for people at ultra-high risk of psychosis: new RCT shows promise

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Early intervention services for psychosis are aimed at people aged 14-35 who are experiencing a first episode of psychosis or at risk of doing so. The teams that work in this area usually include psychiatrists, psychologists, community psychiatric nurses, social workers and support workers. The NICE schizophrenia guideline recommends that early intervention services are offered [read the full story…]

Family goal setting tool welcomed, but barriers to holistic goal setting still exist

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Setting clear goals that stretch but are achievable and measurable is a key skill in bringing about change. The researchers in this Australian study were interested in how parents and people with learning disabilities experienced using the Family Goal Setting Tool, which aims to support people and their families to identify targets for change. The [read the full story…]

Early interventions for substance-using adolescents show promise

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Substance misuse has been a bit of a theme on the Mental Elf this week and I’m continuing with that today, firstly with this piece from the Lifestyle Elf.  Don’t forget, if you’re interested in healthy lifestyle issues (exercise, obesity, quitting smoking, alcohol, substance misuse), you should be following the excellent Lifestyle Elf blog. Earlier [read the full story…]

Review recommends assessing sleep problems in early intervention programmes for children with developmental delays

Sleep

The authors of this U.S. review set out to look at the evidence of the impact of sleep problems across the range of children screened for early intervention. Sleep disorders can have an impact on behaviour, cognition, and growth—which are the same areas that can be targeted by early intervention. They point out that developmental [read the full story…]

World Alzheimer’s report highlights the importance of early diagnosis and intervention for dementia

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This new 70-page report from Alzheimer’s Disease International warns that in countries such as England, 50-80% of dementia cases are not being recognised in primary care. It highlights the fallacy that as people get older they naturally have problems with their memory, and goes on to recommend that primary care staff who see people with [read the full story…]

New consensus guidelines on the pharmacological treatment of schizophrenia

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The British Association for Psychopharmacology regularly publish consensus guidelines on the pharmacological treatment of mental health conditions. In the last two years these publications have included guidance on insomnia (PDF), dementia (PDF) and bipolar disorder (PDF). The latest guideline from the BAP is on the pharmacological treatment of schizophrenia and as usual it’s available in full-text [read the full story…]