School-based mental health services: a good idea?

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Pooky Knightsmith writes her debut elf blog on a recent meta-analysis, which looks at the effectiveness of school-based mental health services for 5-10 year old children.

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Dual diagnosis guidance: money talks when it comes to drugs, alcohol and mental illness

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Ian Hamilton shares his thoughts on the new PHE dual diagnosis guidance: Better care for people with co-occurring mental health and alcohol/drug use conditions.

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Does integrated care work for substance use and schizophrenia?

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Ian Hamilton reviews a recent long-term US study of integrated care for people with a dual diagnosis of substance use and schizophrenia, which concludes that recovery is possible, but it takes time.

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Complex Behaviour Service: is it really an enhanced model for challenging behaviour?

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Rachel Allan appraises an observational study, which evaluates a complex behaviour service for people with challenging behaviour. The service, which used the principles of positive behaviour support, showed some short-term improvement, but this was not maintained at 12 months.

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The impact of co-ordinated community-based care for older people

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Clarissa Giebel examines a US study on a community-based support for older people and finds that ‘the little things’ can mean a lot, particularly for prevention and quality of life.

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What do we know about designing and delivering care closer to home?

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In this blog, Alison Turner looks at a set of guides aims to explore the challenges and benefits of designing and delivering care closer to home.

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Evaluating integration: instruments to track the complexity

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Robin Miller tackles a systematic review of measures to evaluate integration in health and social care and discusses some of the challenges of integration.

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'The terrible maze': Dementia carers' experiences of health and social care

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Social care super-blogger Ermintrude considers a study about dementia carers’ experience of the health and social care system and reflects on what it means for current dementia policy.

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It may not be possible to generate clear-cut evidence on integrated care, reports a new evidence summary

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This recent report, commissioned by the European Commission and compiled by RAND Europe, aims to summarise economic evaluation evidence on the impact of integrated care.  The authors restricted their evidence search to systematic reviews and meta analyses, which is understandable as this is described as a rapid review but the authors acknowledge this has limitations, [read the full story…]

For Connor: Day 62 out of #107days

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Here at the National Elf Service, we are committed to highlighting and discussing evidence based practice. Our usual approach is to focus posts around a piece of recently published research, but this post is different, responding as it is to the tragic events of last year that led to Connor Sparrowhawk’s death. Just over a [read the full story…]