Could a decision support tool help to guide mental health treatment in primary care?

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Linda Gask reviews a recent randomised controlled trial on the clinical efficacy of a Decision Support Tool (Link-me) to “guide the intensity of mental health care in primary practice”.

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NHS-recommended e-therapies for depression, anxiety and stress: promising but limited

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Natalie Berry summarises a meta-analysis which finds a limited body of research exists to support the use of NHS e-therapies for depression, anxiety and stress.

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NHS England’s new framework for community mental health services

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Andy Bell reviews NHS England’s recently published Community Mental Health Framework for Adults and Older Adults, which sets out the changes it expects to see in community mental health services over the next five years.

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Guided self help and cCBT for OCD: OCTET finds low adherence and uncertain fidelity

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Alan Underwood reports on the new OCTET trial published last week, which fails to find any support for the use of low-intensity guided self-help or computerised CBT for people with obsessive compulsive disorder (OCD).

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Cost effectiveness analysis finds stepped care to be cheaper and more effective than CBT for bulimia nervosa

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Bulimia nervosa (BN) is an eating disorder; the diagnosis of which requires: persistent preoccupation with eating and an irresistible craving for food, episodes of overeating in which large amounts of food are consumed over a short period of time and potentially attempts to counteract the “fattening” effects of food by self-induced vomiting or laxative abuse. [read the full story…]

Stepped care is no better than usual care in treating depression and anxiety in primary care

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There are increasing levels of interest in stepped care models to treat mental health problems in primary care. This randomised controlled trial investigated the effectiveness of a stepped care programme for treating depression and anxiety in 120 adults (aged 18-65 years with minor or major DSM-IV depressive and/or anxiety disorders) in general practice.  Patients were [read the full story…]