Psychotherapy for depression in primary care. Better evidence please…

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Andrew Shepherd summarises a recent systematic review of the effectiveness of psychotherapy for depression in primary care, which contains a lot of data but leaves him feeling rather deflated.

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Coproduction of quality standards for youth mental health in primary care

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Lisa Burscheidt reports on a mixed methods study that produced user-generated quality standards for youth mental health in primary care.

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Prescribing antipsychotics in primary care: new study highlights frequent off-label use

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Josephine Neale reports on a recent cohort study that finds less than half of UK prescriptions for antipsychotics are issued for main licensed conditions (e.g. psychosis or bipolar disorder). The research provides a reminder about the dangers of prescribing antipsychotics to people with dementia.

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Brief interventions for substance misuse in primary care

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Claire Mokrysz reports on two RCTs in JAMA that find no superiority over control for brief interventions for substance misuse in primary care. A finding that casts some doubt on interventions such as motivational interviewing for unhealthy drug use in primary care patients.

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Collaborative care for depression: psychological interventions, alone or in combination with medication, offer additional benefits

A recent meta-analysis sought to identify factors associated with improvement in patient outcomes and in the process of care

Ioana Cristea reviews a recent systematic review and meta-analysis of collaborative care for depression, looking to identify factors predicting improvements. The study finds that collaborative care successfully improves both patient outcomes and the process of care for depression.

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Collaborative care for adolescent depression: new RCT shows promise

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Jennifer Laidlaw writes her debut blog on a recent RCT in JAMA about collaborative care for adolescent depression in primary care. The trial concludes that collaborative care is both feasible and effective in improving outcomes, but Jennifer highlights a number of limitations and questions for future research.

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Antidepressants for depression in pregnancy: new systematic review says the jury’s still out

Nikki Newhouse summarises a recent US health technology assessment of antidepressants for depression in pregnancy and the postpartum period, which concludes that the evidence remains inconclusive about the benefits and harms of antidepressants for depression in pregnancy.

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Reducing benzodiazepine prescribing in primary care

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Liz Hughes summarises two recent studies (1 systematic review and 1 RCT) that both investigate brief interventions for reducing the use of benzodiazepines in primary care.

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Second National Audit of Schizophrenia highlights lack of progress for service users and carers

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André Tomlin summarises the second National Audit of Schizophrenia, which highlights that many people with schizophrenia are still not getting the high quality psychological and medical treatment they deserve.

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