In this blog, Caroline De Brún and André Tomlin look at new guidance from Public Health England, to help commissioners and service providers instigate smoking cessation programmes and smoke-free secure mental health units.
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In this blog, Lesley Dawson considers a systematic review, which examines the effects of bariatric surgery on knee complaints in morbidly obese patients.
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In this blog, David Pugh considers a study, which looked at the evidence relating obesity using BMI, body weight and body composition to knee cartilage changes on MRI scanning.
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We elves are kept continually up to date with equality and diversity training, having had many centuries to build a society that rises above such petty differences, but we remain curious about the many aspects of stigma and its effects on humans. New avenues for research are constantly opening up, with studies continuing to highlight how [read the full story…]
This guidance has been published and should be read alongside the Commissioning Policy A05 Complex and Specialised Obesity Surgery Services of the NHS Commissioning Board April 2013. It has been sponsored by the British Obesity and Metabolic Surgery Society, and is supported by a number of relevant professional bodies, including the Association of UK Dietitians [read the full story…]
Maternal depression is a serious mental health condition and does not only affect the mental health of the mother, but also the physical health of her children. One meta-analysis found that up to 19% of women in developed countries experienced an episode of depression in the 3-month prenatal period (Gavin et al., 2005). More specifically, [read the full story…]
Atypical (second-generation) antipsychotics are used to treat a variety of psychiatric conditions. Although they have fewer side effects than first-generation antipsychotics, weight gain and other metabolic problems (such as high blood pressure and diabetes) remain common side effects of taking atypical antipsychotic medication (Mind, 2012). The Mental Elf has previously blogged about a Canadian report [read the full story…]
This study explores the cost effectiveness of two weight loss programmes evaluated as part of a randomised controlled trial: (1) referral to a commercial provider (2) weight loss advice delivered through primary care channels, via GP or nurse. Participants (who were over 18 years old and had a BMI of 27-35 with at least one [read the full story…]
People with serious mental illness have mortality rates 2-3 times as high as the general population. The primary cause of death is cardiovascular disease, which in turn is due to an extremely high prevalence of obesity (twice that of the overall population). Physical inactivity, unhealthy diets, and weight gain from psychotropic medication are all factors [read the full story…]
The Healthy Active Lives (HeAL) international consensus statement aims to reverse the trend of people with severe mental illness dying early by tackling risks for future physical illnesses pro-actively and much earlier. The statement is being launched today by the Royal College of Psychiatrists, at a special event focusing on achieving parity between mental and [read the full story…]
