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Book Full text available online for free

Antenatal and postnatal mental health: clinical management and service guidance

Author:
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
Publisher:
National Institute for Health and Clinical Excellence
Publication year:
2007
Pagination:
48p.
Place of publication:
London

This NICE guideline makes recommendations for the prediction, detection and treatment of mental disorders in women during pregnancy and the postnatal period (up to 1 year after delivery). It includes advice on the care of women with an existing mental disorder who are planning a pregnancy, and on the organisation of mental health services. The guideline covers the care of women with anxiety disorders, and depression. It also covers the treatment of postnatal psychotic disorders (often referred to as puerperal psychosis), which predominantly comprise bipolar disorder and schizophrenia. It includes advice on the teratogenic risk of psychotropic medications and on the risks of their use during breastfeeding. The focus is on balancing the risks for each woman and her child against those of leaving the mental disorder untreated or inadequately treated. The guidance is based on the best available evidence but points to the limited evidence base in some areas. It is noted that no psychotropic drug has marketing authorisation specifically for pregnant or breastfeeding women. The guideline is intended to be read in conjunction with existing NICE guidance on the treatment and management of mental disorders which also includes advice on the most appropriate organisation of services for the delivery of effective treatment within a stepped-care framework.

Book Full text available online for free

Getting help and support for common mental health problems: understanding NICE guidance

Author:
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
Publisher:
National Institute for Health and Clinical Excellence
Publication year:
2011
Pagination:
15p.
Place of publication:
London

This guidance booklet from the National Institute for Health and Clinical Excellence addresses the care and treatment of adults with common mental health problems, including depression, generalised anxiety disorder, panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder and social anxiety disorder, in the NHS in England and Wales. It is written for people experiencing common mental health problems but it may also be useful for their families or carers, or for anyone with an interest in common mental health problems. The booklet is designed to help in the understanding of the care and treatment options that should be available in the NHS. It does not describe common mental health problems, tests or treatments in detail. The booklet should be discussed with a member of the healthcare team. Sections include: common mental health problems; how can I get help for common mental health problems?; what should I expect to happen at an assessment?; what treatments might I be offered?; information for families and carers; explanation of technical words and terms; more information; about NICE.

Book Full text available online for free

Psychosis with coexisting substance misuse: assessment and management in adults and young people

Author:
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
Publisher:
National Institute for Health and Clinical Excellence
Publication year:
2011
Pagination:
387p., bibliog.
Place of publication:
London

Approximately 40% of people with psychosis misuse substances at some point in their lifetime, at least double the rate seen in the general population. This guideline was developed to advise on the assessment and management of adults and young people aged 14 years and older who have a clinical diagnosis of psychosis (a term used to describe a group of severe mental health disorders) with coexisting substance misuse. It covers the care provided by primary, community, secondary, tertiary and other healthcare professionals who have direct contact with, and make decisions concerning the care of, adults and young people with psychosis who use drugs and/or alcohol. It sets out the clinical practice and research recommendations, with details of how they were developed and reviews of the evidence they were based on. It describes the evidence that underpins the recommendations, covering experience of care, assessment and care pathways, service delivery models for people with psychosis and coexisting substance misuse, psychological and psychosocial interventions, pharmacological and physical interventions, and young people with psychosis and coexisting substance misuse. Accompanying publications include the NICE guideline (a version of the guideline with all the recommendations), and Understanding NICE Guidance (a summary for patients and carers).

Book Full text available online for free

Psychosis with substance misuse in over 14s: assessment and management

Author:
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
Publisher:
National Institute for Health and Clinical Excellence
Publication year:
2011
Pagination:
43
Place of publication:
London

Approximately 40% of people with psychosis misuse substances at some point in their lifetime, at least double the rate seen in the general population. This guideline covers the assessment and management of adults and young people aged 14 years and older who have a clinical diagnosis of psychosis (a term used to describe a group of severe mental health disorders) with coexisting substance misuse. It aims to help healthcare professionals guide people with psychosis who use drugs and/or alcohol, to stabilise, reduce or stop their substance misuse and to improve treatment adherence and outcomes. It offers best practice advice on assessment and management and person centred care. It sets out key priorities for implementation, covering principles of care, recognition of psychosis with coexisting substance misuse, primary care, secondary care mental health services, substance misuse services, inpatient mental health services, staffed accommodation, and specific issues for young people with psychosis and coexisting substance misuse. Accompanying publications include the full guideline 'Psychosis with coexisting substance misuse: assessment and management in adults and young people' (with all the recommendations, details of how they were developed and reviews of the evidence they were based on) and Understanding NICE Guidance (a summary for patients and carers). Includes changes after publication (latest changes: February 2013).

Book

Treatment and support for people with psychosis who use drugs and/or alcohol

Author:
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
Publisher:
National Institute for Health and Clinical Excellence
Publication year:
2011
Pagination:
16p.
Place of publication:
London

Approximately 40% of people with psychosis misuse substances at some point in their lifetime, at least double the rate seen in the general population. This paper is about the treatment and care of adults and young people with psychosis (a term used to describe a group of severe mental health disorders) who also use drugs and/or alcohol, and the support that should be offered to them and their families, carers or significant others. It is intended to help people to understand the care and treatment options that should be available in the NHS. It covers background information about care and psychosis and substance misuse, what should happen when first seeing a healthcare professional, who will provide treatment and care, what treatments should be offered, taking care of physical health, rights regarding treatment and care, and information for families, carers and significant others. It includes a glossary of relevant terms and information about organisations which can provide more information and support. Accompanying publications include the full guideline (with all the recommendations, details of how they were developed and reviews of the evidence they were based on) and the NICE guideline (a version of the guideline with all the recommendations).

Book

Depression in adults with a chronic physical health problem: treatment and management

Author:
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
Publisher:
National Institute for Health and Clinical Excellence
Publication year:
2009
Pagination:
397p., bibliog.
Place of publication:
London

This draft national clinical practice guideline was commissioned by the National Institute for Health and Clinical Excellence (NICE) and developed within the National Collaborating Centre for Mental Health (NCCMH). The guideline is intended for adults with depression and chronic health problems and covers the care provided by primary, community, secondary, tertiary and other healthcare professionals who have contact with, and make decisions concerning the care of, adults with depression and chronic health problems. It makes recommendations for the treatment and management of people with depression and chronic health problems, starting with an introduction to the topic of depression and chronic physical health problems and an explanation of the methods used to develop the guideline, and then providing the evidence that underpins the recommendations about the treatment and management of people with depression and chronic health problems, including personal accounts from service users and carers offering an insight into their experience, and looking at the identification of depression in people with chronic physical health problems, service-led interventions, psychosocial interventions, and pharmacological interventions.

BookDigital Media Full text available online for free

Promoting mental wellbeing through productive and healthy working conditions: guidance for employers

Author:
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
Publisher:
National Institute for Health and Clinical Excellence
Publication year:
2009
Pagination:
44
Place of publication:
London

The guidance is for those who have a direct or indirect role in, and responsibility for, promoting mental wellbeing at work. It focuses on interventions to promote mental wellbeing through productive and healthy working conditions. Mental wellbeing at work is determined by the interaction between the working environment, the nature of the work and the individual. The five recommendations cover: strategy, assessing opportunities for promoting mental wellbeing and managing risk, flexible working, the role of line managers, and supporting micro, small and medium-sized businesses. Issued: November 2009 Last modified: January 2013

Book

Antenatal and postnatal mental health: clinical management and service guidance: quick reference guide

Author:
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
Publisher:
National Institute for Health and Clinical Excellence
Publication year:
2007
Pagination:
21p.
Place of publication:
London

The advice in the NICE clinical guideline on mental health problems during pregnancy and after giving birth covers: recognising mental health problems during pregnancy and in the first year after giving birth; the care and treatment (including drugs and psychological treatments) of women who develop a mental health problem during pregnancy or in the first year after giving birth, and women who have a higher chance of developing a problem at this time; the care and treatment (including drugs and psychological treatments) of women who already had a mental health problem before becoming pregnant; how families and carers may be able to support women with mental health problems and get support for themselves.

Book Full text available online for free

Mental health problems during pregnancy and after giving birth: understanding NICE guidance

Author:
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
Publisher:
National Institute for Health and Clinical Excellence
Publication year:
2007
Pagination:
19p.
Place of publication:
London

The advice in the NICE clinical guideline on mental health problems during pregnancy and after giving birth covers: recognising mental health problems during pregnancy and in the first year after giving birth; the care and treatment (including drugs and psychological treatments) of women who develop a mental health problem during pregnancy or in the first year after giving birth, and women who have a higher chance of developing a problem at this time; the care and treatment (including drugs and psychological treatments) of women who already had a mental health problem before becoming pregnant; how families and carers may be able to support women with mental health problems and get support for themselves.

Book

Antenatal and postnatal mental health: clinical management and service guidance: full guideline (draft)

Author:
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
Publisher:
National Institute for Health and Clinical Excellence
Publication year:
2007
Pagination:
335p., bibliog.
Place of publication:
London

The advice in the NICE clinical guideline on mental health problems during pregnancy and after giving birth covers: recognising mental health problems during pregnancy and in the first year after giving birth; the care and treatment (including drugs and psychological treatments) of women who develop a mental health problem during pregnancy or in the first year after giving birth, and women who have a higher chance of developing a problem at this time; the care and treatment (including drugs and psychological treatments) of women who already had a mental health problem before becoming pregnant; how families and carers may be able to support women with mental health problems and get support for themselves.

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