Achieving race equality in mental health: a new briefing from the NHS Confederation

The NHS Confederation have published a new briefing that summarises the findings and recommendations from a recent report, commissioned by the Department of Health, into race equality in mental health. The report is based on a series of interviews with NHS and local authority leaders. The report suggests that focusing [read the full story...]

Mobile crisis teams reduce hospital admissions for serious mental illness, according to updated Cochrane review

‘Crisis intervention’ and ‘home-care packages’ are provided in the community to help people who are going through an acute phase of severe mental illness. The Cochrane Schizophrenia Group have updated their review on this topic by conducting their usual robust and systematic search for randomised controlled trials of crisis intervention [read the full story...]

Memory clinics no better than GP care for post-diagnosis treatment of dementia, according to new RCT

Memory clinics are becoming more widespread in the UK and elsewhere. They offer assessment, support, information and advice to people with memory problems and their carers. GPs will often refer patients to memory clinics if they feel that they may be in the early stages of dementia, but need an [read the full story...]

Telephone-based treatments can help children with disruptive behaviour and anxiety

Many children suffer from disruptive behaviour or anxiety disorders, but access to care for this group is notoriously poor because there are so many barriers to receiving help.  Psychotherapy takes time and there remains a lack of funding and a dearth of trained professionals to deliver quality care.  Added to [read the full story...]

New evidence on delirium from NICE

Around 20% of people on medical wards in hospital are affected by delirium. Sometimes called ‘acute confusional state’, delirium is a common clinical syndrome characterised by disturbed consciousness, cognitive function or perception, which has an acute onset and fluctuating course. NICE issued guidance on delirium in July 2010 and they [read the full story...]

Methods of non-fatal self-harm may help to predict future risk of suicide

NICE guidance recommends that all people who self-harm and are admitted to hospital are given mental health and risk assessment: Everyone who has self-harmed should have a comprehensive assessment of needs and risk; engaging the service user is a prerequisite. – Taken from NICE Self-harm guidance (CG16), Nov 2004 This [read the full story...]

CBT is no better than other psychosocial therapies for people with schizophrenia, according to new Cochrane review

NICE guidance recommends offering CBT (cognitive behavioural therapy), family therapy and arts therapies for people with schizophrenia: Offer CBT to all people with schizophrenia. This can be started either during the acute phase or later, including in inpatient settings. – Taken from 1.3.4.1 in Schizophrenia (CG82). NICE, March 2009. However, [read the full story...]

What's the 'optimal dose' of psychotherapy to improve social functioning in people with depression?

The majority of studies about depression measure outcomes using a scale such as the Hamilton Depression Rating Scale (PDF), which is a questionnaire that patients complete with a health professional. This new randomised controlled trial by researchers from the Arkin Institute for Mental Health in Amsterdam uses the Hamilton Depression Scale, [read the full story...]

New CQUIN guidance focuses on identifying and referring people with dementia

The Commissioning for Quality and Innovation (CQUIN) payment framework enables commissioners to reward excellence by linking a proportion of providers’ income to the achievement of local quality improvement goals. The framework aims to embed quality within commissioner-provider discussions and to create a culture of continuous quality improvement, with stretching goals [read the full story...]

Support for stopping smoking through a telephone quit line: a new trial

Today’s blog comes courtesy of my friend and yours, the Lifestyle Elf: “Mr Watson, come here, I want you”. These are the first intelligble words transmitted over a telephone, by Alexander Graham Bell to his assistant, back in 1876. Nowadays, any observer of ears in the street will see a [read the full story...]

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