WEAVE RCT: GP training, but not screening, may benefit women who have experienced intimate partner violence

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Behaviour within an intimate relationship which causes psychological, physical or sexual harm to either party is known as intimate partner violence (IPV). This violence is perpetrated by both men and women, but significant injuries are more commonly sustained by women. Consequently, IPV is a major public health concern as it contributes majorly to mortality in [read the full story...]

Do people stop smoking if their doctor advises them to? Cochrane review says sometimes and it IS worth the effort

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As previously discussed on the Mental Elf, the rates of tobacco smoking in most developed countries are falling, helped in part by high levels of taxation and bans on smoking in public places. However, over 20% of adults in the UK continue to smoke, and this means that smoking is the greatest single cause of [read the full story...]

More guides to help GPs commission mental health services

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A year ago I blogged about the new mental health commissioning guides that the Joint Commissioning Panel for Mental Health (JCP-MH) had published for GPs. The JCP-MH is a collaboration between public sector organisations, charities and professional bodies. Their aim is to “inspire commissioners to improve mental health and wellbeing, using a values based commissioning [read the full story...]

Teaching GPs about depression and suicide can help reduce the risk of suicide in depressed older adults, says new RCT

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A great deal of time and money has been spent on improving the diagnosis and management of depression and self-harm in primary care. The evidence tells us that collaborative care and case management can be effective approaches, which is all well and good, but these complex interventions are not always feasible. This new cluster randomised [read the full story...]

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 guidance from BMA to help doctors protect vulnerable adults

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The British Medical Association have published a toolkit for GPs, which provides practical advice to doctors on promoting and protecting the wellbeing of vulnerable adults. Although principally aimed at GPs, any professional working in health care settings with vulnerable adults will find it useful. The term “vulnerable adults” covers an extremely wide range of individuals, [read the full story...]

‘No health without mental health’ briefings from the Mental Health Strategic Partnership

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Following the publication of the Government’s mental health strategy, No Health without Mental Health in February 2011, the Mental Health Strategic Partnership has published two briefings aimed at general practice and community organisations. The Mental Health Strategic Partnership brings together seven national mental health voluntary sector organisations to work with the Department of Health to support [read the full story...]

GPs find it difficult to identify mild cognitive impairment and mild dementia, and are poor at recording diagnoses

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This meta-analysis looked at the ability of general practitioners (GPs) to recognize a spectrum of cognitive impairment from mild cognitive impairment to severe dementia in routine practice using their own clinical judgment. The authors found 15 studies reporting on dementia, seven studies that examined recognition of broadly defined cognitive impairment, and eight regarding mild cognitive impairment. By [read the full story...]