New guides to help GPs commission mental health services

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The Joint Commissioning Panel for Mental Health (JCP-MH) have published the first of their guides aimed at GPs who will soon be commissioning mental health services. Each of the guides provide a description of what a ‘good’ service configuration should look like, and brings together scientific evidence, service user and carer experience, and case studies [read the full story…]

New evidence suggests that antidepressants do not influence suicidal thinking in young people

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In 2004 the US Food and Drug Administration published a “black box” warning that highlighted an increased risk of suicide and suicidal thoughts in young people who were taking antidepressants. This warning was updated in 2007. A new analysis of 41 randomised controlled trials has been published in the Archives of General Psychiatry, which suggests [read the full story…]

Adding CBT to drug therapy helps children with OCD who don’t respond to antidepressants alone

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Obsessive compulsive disorder (OCD) is a condition that is usually associated with obsessive thoughts and compulsive behaviour. It’s one of the most common mental health problems in young people, with an estimated 5% of children and teenagers suffering from the chronic condition. Studies have shown that SSRI antidepressants and cognitive behavioural therapy (CBT) are both [read the full story…]

Trauma-focused cognitive behavioural therapy may help young children with post traumatic stress disorder

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Recent studies have shown that pre-school children can be affected by post traumatic stress disorder (PTSD) and that the condition can last for years even after treatment. Good quality randomised trials have shown that trauma-focused cognitive behavioural therapy can be a very effective treatment for older children and adolescents with PTSD, but there have been [read the full story…]

More young people are recovering from drug and alcohol misuse according to new NHS statistics

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More young people are overcoming their problems with drug and alcohol misuse than ever before, according to the latest statistics for England released by the National Treatment Agency for Substance Misuse (NTA). 75% (10,507) of under-18s leaving drug and alcohol services last year successfully completed their programmes, compared to 48% (4,105) five years ago. The [read the full story…]

Depression prevention programmes show promise in helping children and young people, according to new Cochrane review

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By the age of 19, between a fifth and a quarter of young people have suffered from a depressive disorder. There are associations between depression and self-harm, suicide, substance abuse, poor academic performance and social dysfunction. The most robust evidence exists for two particular psychological interventions: cognitive behavioural therapy and interpersonal therapy. There is evidence [read the full story…]

Childhood adversity and early-onset mental disorders are independently associated with adult onset chronic physical conditions

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Read this important new research if you work in mental health or public health and have an interest in the relationship between mental disorders and adversity in childhood and chronic physical conditions in later adult life. The cross sectional study was conducted by researchers in New Zealand who set out to investigate whether childhood adversities [read the full story…]

Adding cognitive behaviour therapy to drug treatment helps children with obsessive compulsive disorder

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Children with obsessive-compulsive disorder (OCD) are often prescribed antidepressant drugs (serotonin reuptake inhibitors – SRI), but many only partially respond to this treatment. This randomised controlled trial conducted by researchers from the University of Pennsylvania School of Medicine, examined the effects of augmenting the antidepressant medication with cognitive behaviour therapy (CBT). The trial was quite [read the full story…]

Should we be prescribing antipsychotics to young people with bipolar disorder?

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This systematic literature review and meta-analysis conducted by researchers from the University of Nebraska Medical Center, will be of interest to all clinicians who treat paediatric bipolar disorder. Treatment decisions for young people have previously been based on extrapolation from adult trials, case reports, open label trials or expert opinion. This new study provides a [read the full story…]

One in 12 teenagers self harm, but most stop spontaneously

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Researchers from Australia have published the first population based study to chart the incidence of self harm during the transition from late adolescence through to adulthood. They recruited a stratified random sample of 1,943 teenagers from 44 schools across Victoria over a 16 year period (1992-2008). Participants were given questionnaires and telephone interviews and followed [read the full story…]