Mindfulness-based cognitive therapy may reduce the demand for primary care visits

shutterstock_on the phone

Can’t get an appointment with your GP? Don’t stress, mindfulness-based cognitive therapy may help by reducing the demand for primary care visits by distressed patients, according to a new study in the Journal of Psychosomatic Research.

[read the full story...]

We don’t know if general health advice improves physical health for patients with serious mental illness

shutterstock_112862074

For me, one of the most infuriating aspects of health care is the relegation of mental health problems, and mental health services, as secondary to physical health. There are a myriad of examples of this, from the classic stigma that people with mental health problems receive compared to those with physical health problems (fantastically illustrated [read the full story...]

Bridging the gap: low intensity collaborative care for patients with recent cardiac events can improve mental health and quality of life

shutterstock_the gap

There are many interfaces in mental health services, such as the one between physical and mental health. Where there are interfaces, there are inevitably gaps for patients to fall through. Consequently opportunities are missed to treat mental health problems in those with physical health problems. There is mounting evidence for the effectiveness of Collaborative Care (CC) [read the full story...]

Why do GPs over prescribe benzodiazepines? Synthesis of qualitative studies

shutterstock_121509946

Benzodiazepines are used to treat insomnia, anxiety and chronic back pain due to their sedative and muscle relaxing effects. They’ve got a sting in the tail though and can cause memory disruption, loss of coordination and dependence if used long term. It’s therefore recommended that other treatments, such as psychological interventions, are tried first and [read the full story...]

Off to a good start. Are self-help interventions effective for people with comorbid physical and mental health problems?

shutterstock_start

The ideal treatment for common mental health problems in those with chronic physical illness would have to be reliable, easy to deliver, inexpensive and accessible by a group of people whose physical impairment may affect treatment adherence. NICE guidelines (CG90 Depression; the treatment and management of depression in adults) recommend self-help interventions (SHIs) based on [read the full story...]

Black patients’ first contact with mental health services is more likely to be coercive

shutterstock_131773784

It is well documented that there are differences in how patients are treated, depending on their ethnicity. Previous inquiries in the UK have suggested that the NHS is institutionally racist (Blofeld et al, 2003). Some groups, for example those from African Caribbean or Aboriginal descent, experience more coercive care and poor outcomes, including higher doses of [read the full story...]

Suicide in primary care: findings of the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness

shutterstock_156310346

The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness was established in its current form at Manchester University in 1996. From 1991, prior to the move to Manchester, research in this area had been managed within the Royal College of Psychiatrists.  The NCISH has established an outstanding national and international reputation [read the full story...]

Is there ‘parity of esteem’ in shared decision making between physical and mental health?

shutterstock_129998735

Current health and social care policies determine that people who use services should have choice and control over their care and support. This is particularly important for people with mental health problems who are managing their mental health and designing support in preventative ways to avoid crisis. One way for mental health service practitioners to [read the full story...]

RCT compares two different versions of enhanced cognitive behavioural therapy for anorexia nervosa in an inpatient setting

scales

A general misconception about anorexia is that it’s just about eating and ‘being thin’, but it’s more complex than that. The illness affects multiple aspects of a person’s life, and often goes hand in hand with other psychological issues such as low mood, or excessive worry. In addition, the jury is still out on the exact [read the full story...]

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

shutterstock_98316845

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...]