NICE publish draft public heath guidance for social and emotional wellbeing in young children

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This new guidance from NICE is aimed at people responsible for ensuring the social and emotional wellbeing of children aged under 5 years. It will be of interest to professionals who plan and commission children’s services, as well as midwives, health visitors, GPs, paediatricians, practitioners working in child and adolescent mental health services, social workers, [read the full story…]

Young people recently in contact with psychiatric services are 12 times more likely than other young people to attempt suicide

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Driving down suicidal behaviour in young people has long been a major target for public health professionals. This new study from researchers in Denmark will help inform this important work. The case control study used data from the Danish national register (403,431 in total) to assess the risk of suicide attempts after contact with a [read the full story…]

Targeted psychotherapies work best for children and adolescents with anxiety disorders, according to major new meta-analysis

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Around 10% of children are diagnosed with anxiety disorders before the age of 16 and for many this can be a long lasting problem that has a major impact on their development. There’s lots of research in this field and many systematic reviews have been conducted to assess the effectiveness of talking treatments for this [read the full story…]

Insufficient evidence to recommend tricyclic antidepressants as a treatment for autism spectrum disorders

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Young people with autism spectrum disorders (ASD) are usually given some kind of behavioural or educational intervention to help improve their overall functioning. However, in some cases, those individuals who have high levels of repetitive, obsessive-compulsive type behaviours and mood disorders are treated with drug interventions, although there is little high quality evidence to support [read the full story…]

NHS Atlas for children and young people highlights sevenfold variation in mental heath inpatient admissions

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Following on from the recent publication of the DH Atlas of Variation in Healthcare, Right Care have now released the equivalent atlas for children and young people. The document and the online interactive atlas present variations across the breadth of child health services provided by NHS England. The aim is to highlight unwarranted variations that [read the full story…]

Web-based CBT is equal to face-to-face CBT at reducing anxiety in adolescents, accordingly to randomised controlled trial

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I’ve blogged about computerised cognitive behavioural therapy (CCBT) a few times over recent months and highlighted research that shows it is effective in treating a range of mental health conditions. Research shows that most young people do not seek treatment for anxiety problems. There are lots of good quality reviews and trials that support the [read the full story…]

No robust evidence that formal mentoring programmes help adolescents resist drugs and alcohol

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Picture the scene: adolescent boy with an absentee father, trying to fend off a large crowd of men who occupy his house, cost him a lot in food and drink and are all determined to marry his mother. He is young, inexperienced, lacking in confidence and besieged by problems. In short, he needs a mentor. [read the full story…]

Well conducted studies are urgently needed to assess the adverse effects of antipsychotics in children and young people

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There is a great deal of debate about prescribing antipsychotics to children and young people. Prescription rates of these drugs has risen sharply over the last few years, but there remains only limited evidence about the safety and efficacy of these medicines. The second-generation antipsychotics (SGAs) have become more popular and this is partly due [read the full story…]

Children who have lived in care homes are at greater risk of suicide

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There is remarkably little research in this field. Epidemiological studies of suicidal behaviour in children and young people from the care system have previously come mainly from Scandinavia. A Swedish longitudinal national cohort study (ref 2) from last year concluded that every seventh girl (14%) who left long-term foster family care after age 17 was [read the full story…]

Group parenting programmes help improve child conduct problems, parental mental health and parenting skills

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Conduct problems in young children are common and costly, so there’s lots of interest in training programmes that can help parents and children cope better. This new review from the Cochrane Developmental, Psychosocial and Learning Problems Group assesses the effectiveness and cost-effectiveness of behavioural and cognitive-behavioural group-based parenting programmes for improving child conduct problems, parental [read the full story…]