This guideline makes recommendations for the diagnosis and management of attention deficit hyperactivity disorder (ADHD) in children, young people and adults. It aims to improve the diagnosis and the quality of care and support for people with ADHD and updates NICE guideline CG72 (published September 2008). The document provides guidance on: prerequisites of treatment and care for all people with ADHD; identification, pre-diagnostic intervention in the community and referral to secondary services; diagnosis of ADHD; post-diagnostic advice; treatment for children and young people; transition to adult services; treatment of adults with ADHD; and how to use drugs for the treatment of ADHD. The main updates to the guidance cover recommendations about dietary advice. The guideline was previously called 'Attention deficit hyperactivity disorder: diagnosis and management of ADHD in children, young people and adults.'
(Edited publisher abstract)
This guideline makes recommendations for the diagnosis and management of attention deficit hyperactivity disorder (ADHD) in children, young people and adults. It aims to improve the diagnosis and the quality of care and support for people with ADHD and updates NICE guideline CG72 (published September 2008). The document provides guidance on: prerequisites of treatment and care for all people with ADHD; identification, pre-diagnostic intervention in the community and referral to secondary services; diagnosis of ADHD; post-diagnostic advice; treatment for children and young people; transition to adult services; treatment of adults with ADHD; and how to use drugs for the treatment of ADHD. The main updates to the guidance cover recommendations about dietary advice. The guideline was previously called 'Attention deficit hyperactivity disorder: diagnosis and management of ADHD in children, young people and adults.'
(Edited publisher abstract)
Subject terms:
ADHD, behaviour therapy, diagnosis, drug prescription, good practice, medication, mental health problems, service transitions, therapy and treatment, nutrition;
This guideline covers the recognition, assessment and management of bipolar disorder in children, young people and adults. It includes specific recommendations for diagnosis in children and young people because presentation in these age groups can be complicated by other conditions such as ADHD. The recommendations apply to people with bipolar I, bipolar II, mixed affective and rapid cycling disorders. The guideline highlights the key priorities for implementation in relation to: care across all phases of bipolar disorder; recognising and managing bipolar disorder in adults in primary care; managing mania or hypomania in adults in secondary care; managing bipolar depression in adults in secondary care; managing bipolar disorder in adults in the longer term in secondary care; and recognising, diagnosing and managing bipolar disorder in children and young people.
(Edited publisher abstract)
This guideline covers the recognition, assessment and management of bipolar disorder in children, young people and adults. It includes specific recommendations for diagnosis in children and young people because presentation in these age groups can be complicated by other conditions such as ADHD. The recommendations apply to people with bipolar I, bipolar II, mixed affective and rapid cycling disorders. The guideline highlights the key priorities for implementation in relation to: care across all phases of bipolar disorder; recognising and managing bipolar disorder in adults in primary care; managing mania or hypomania in adults in secondary care; managing bipolar depression in adults in secondary care; managing bipolar disorder in adults in the longer term in secondary care; and recognising, diagnosing and managing bipolar disorder in children and young people.
(Edited publisher abstract)
Subject terms:
bipolar disorder, mental health problems, good practice, diagnosis, treatment, drug prescription, medication, psychotherapy;
This guideline makes recommendations for the diagnosis and management of attention deficit hyperactivity disorder (ADHD) in children, young people and adults. ADHD is a heterogeneous behavioural syndrome characterised by the core symptoms of hyperactivity, impulsivity and inattention. The document provides guidance on: prerequisites of treatment and care for all people with ADHD; identification, pre-diagnostic intervention in the community and referral to secondary services; diagnosis of ADHD; post-diagnostic advice; treatment for children and young people; transition to adult services; treatment of adults with ADHD; and how to use drugs for the treatment of ADHD. This guideline was originally published in 2008, updated in 2013 and 2016. It now has the revised title of Attention deficit hyperactivity disorder: diagnosis and management (CG72).
(Edited publisher abstract)
This guideline makes recommendations for the diagnosis and management of attention deficit hyperactivity disorder (ADHD) in children, young people and adults. ADHD is a heterogeneous behavioural syndrome characterised by the core symptoms of hyperactivity, impulsivity and inattention. The document provides guidance on: prerequisites of treatment and care for all people with ADHD; identification, pre-diagnostic intervention in the community and referral to secondary services; diagnosis of ADHD; post-diagnostic advice; treatment for children and young people; transition to adult services; treatment of adults with ADHD; and how to use drugs for the treatment of ADHD. This guideline was originally published in 2008, updated in 2013 and 2016. It now has the revised title of Attention deficit hyperactivity disorder: diagnosis and management (CG72).
(Edited publisher abstract)
Subject terms:
ADHD, mental health problems, diagnosis, treatment, good practice, behaviour therapy, drug prescription, medication, service transitions;
This book is based on detailed case studies and is organised into four parts: Classic cases, where the diagnosis is fairly clear; Comorbid complexity, where the diagnosis may be complicated by co-existing conditions; Toughest cases, where the diagnosis is unclear or the patient has been unresponsive to treatment; and, finally, Kids in crisis, where the patient's psychopathology exists in the context of extreme social stressors. For each clinical condition there is a detailed case presentation, followed by psychotherapeutic perspective, a psychopharmalogic a perspective and an integrative perspective.
This book is based on detailed case studies and is organised into four parts: Classic cases, where the diagnosis is fairly clear; Comorbid complexity, where the diagnosis may be complicated by co-existing conditions; Toughest cases, where the diagnosis is unclear or the patient has been unresponsive to treatment; and, finally, Kids in crisis, where the patient's psychopathology exists in the context of extreme social stressors. For each clinical condition there is a detailed case presentation, followed by psychotherapeutic perspective, a psychopharmalogic a perspective and an integrative perspective.
Subject terms:
intervention, medication, mental health problems, psychotherapy, young people, case studies, child and adolescent mental health services, children;
This book is for practitioners who work in drug and alcohol services or other settings such as health, social care and criminal justice. It gives an overview of the link between drug misuse and mental health. The booklet covers the following topics: mental health problems; commonly prescribed medication for mental health; mental health services - what do they do?; drug use and mental health - dual diagnosis; roles of the drug worker - responding to drugs and mental health issues; and summaries of mental health law, standards and guidance.
This book is for practitioners who work in drug and alcohol services or other settings such as health, social care and criminal justice. It gives an overview of the link between drug misuse and mental health. The booklet covers the following topics: mental health problems; commonly prescribed medication for mental health; mental health services - what do they do?; drug use and mental health - dual diagnosis; roles of the drug worker - responding to drugs and mental health issues; and summaries of mental health law, standards and guidance.
Extended abstract:
Author
VOSE Colin
Title
Mental health and drugs: a drug workers' guide to working with service users who have a mental illness
Publisher
HIT, 2005
Summary
This booklet is for practitioners who work in drug and alcohol services or other settings such as health, social care and criminal justice. It gives an overview of the link between drug misuse and mental health.
Context
There is increasing concern about the link between drug use and mental health problems. People with drug problems are more likely than the rest of the population to have mental health problems, and people with mental health problems are more likely to have drug problems. Mental health and drug services have gaps in service provision and knowledge with the result that many individuals with both problems find themselves being passed between services, each service claiming it is ill-equipped to respond to the combination of drug dependence and mental illness.
Contents
The booklet seeks to provide drug workers with a sufficient knowledge base about mental health problems to ensure they can recognise and assess mental health problems in the client group and liaise with and work alongside mental health services to deliver effective care. The introduction outlines the extent and nature of illicit drug use in the UK ; use by young people and the general population; effects, risks and harms; and the pattern of drug use. Section 1 explains mental health problems, with sections on neurosis, depression, anxiety states, insomnia, eating disorders, post-traumatic stress disorder, personality disorder, psychosis, organic psychosis, functional psychosis, hallucinations, delusions, schizophrenia, psychosis and mania, schizoid-affective disorder, bipolar disorders, suicide, diagnosing mental health problems, early diagnosis of psychosis, and the cost of mental illness. Section 2 describes commonly-prescribed medication for mental illness: anti-psychotics, anti-depressants, and minor tranquillisers and sleeping tablets, and interactions between prescribed and abused medication. It also states there is more to treating mental illness than medication, and discusses the drug worker's paradox: his or her aim is to reduce harmful drug use; the mental health worker's role is often to encourage them to take their prescribed drugs. Section 3 explains what mental health services do, outlining primary and secondary care, the community mental health team, assertive outreach, crisis resolution and the home treatment team, the early intervention team, the acute psychiatric hospital ward, the psychiatric intensive care unit, and the way in and out of mental health services. Section 4 discusses the dual diagnosis of drug use and mental health (co-morbidity), with sub-sections on the prevalence of substance misuse among those with severe and enduring mental health problems and of mental health problems among substance-misuse populations, and the relationship between drug misuse and mental health. It summarises the links between certain drugs and mental health problems, discussing cannabis, dopamine, other psychedelic drugs, stimulants, and alcohol. Section 5 is about the role of the drug worker in responding to drugs and mental health issues: assessment, treatment and care at three levels (screening and referral, drug use triage assessment, and comprehensive drug use assessment); key indicators of mental health and/or substance misuse problems; risk assessment; care planning and the care programme approach; and discharge planning. Section 6 summarises mental health law. Section 7 describes standards and guidance: the National Service Framework for Mental Health, the Department of Health Dual Diagnosis Good Practice Guide, the UK drugs strategy, and the National Treatment Agency and Models of Care. It ends with a “Must do!” list and three case studies, giving for each the required action and a summary. Sources of further information are listed.
13 references
Subject terms:
medication, mental health care, mental health law, mental health problems, mental health services, standards, drug misuse, dual diagnosis;
Practice guideline which covers preventing, assessing and managing mental health problems in children, young people and adults with learning disabilities. The guideline aims to improve assessment and support for mental health conditions, and help people with learning disabilities and their families and carers to be involved in their care. The recommendations include that: the person's communication needs and level of understanding should be considered throughout their assessment, treatment and care; that professionals with expertise in mental health problems in people with learning disabilities should coordinate mental health assessments; the impact of the social and physical environment on the mental health of people with learning disabilities should be considered when developing care plans; adults with learning disabilities should be supported to participate in paid or voluntary work. The recommendations also provide guidance on delivering psychological and pharmacological interventions. The guideline covers all settings, including health, social care, education, and forensic and criminal justice.
(Edited publisher abstract)
Practice guideline which covers preventing, assessing and managing mental health problems in children, young people and adults with learning disabilities. The guideline aims to improve assessment and support for mental health conditions, and help people with learning disabilities and their families and carers to be involved in their care. The recommendations include that: the person's communication needs and level of understanding should be considered throughout their assessment, treatment and care; that professionals with expertise in mental health problems in people with learning disabilities should coordinate mental health assessments; the impact of the social and physical environment on the mental health of people with learning disabilities should be considered when developing care plans; adults with learning disabilities should be supported to participate in paid or voluntary work. The recommendations also provide guidance on delivering psychological and pharmacological interventions. The guideline covers all settings, including health, social care, education, and forensic and criminal justice.
(Edited publisher abstract)
Subject terms:
mental health problems, learning disabilities, prevention, assessment, mental health care, intervention, user participation, psychotherapy, medication, employment, care planning;
National Institute for Health and Clinical Excellence
Publication year:
2012
Place of publication:
London
Clinical guideline which provides best practice advice on the care of adults with autism. The guidance covers the following key areas: general principles of care; identification and assessment; and interventions for autism, challenging behaviour, coexisting mental disorders. Assessment and interventions for families, partners and carers and organisation and delivery of care are also covered. Recommendations for future research include the need for more evidence on the clinical and cost effectiveness of: self-help for anxiety and depression, cognitive behavioural therapy for anxiety disorders and pharmacological treatments for depression in adults with autism. The full guideline, 'Autism: the NICE guideline on recognition, referral, diagnosis and management of adults on the autism spectrum' contains details of the methods and evidence used to develop the guideline.
Clinical guideline which provides best practice advice on the care of adults with autism. The guidance covers the following key areas: general principles of care; identification and assessment; and interventions for autism, challenging behaviour, coexisting mental disorders. Assessment and interventions for families, partners and carers and organisation and delivery of care are also covered. Recommendations for future research include the need for more evidence on the clinical and cost effectiveness of: self-help for anxiety and depression, cognitive behavioural therapy for anxiety disorders and pharmacological treatments for depression in adults with autism. The full guideline, 'Autism: the NICE guideline on recognition, referral, diagnosis and management of adults on the autism spectrum' contains details of the methods and evidence used to develop the guideline.
Subject terms:
autism, adults, intervention, assessment, diagnosis, autistic spectrum conditions, person-centred care, challenging behaviour, carers, mental health problems, medication;
This NICE Guideline offers best practice advice on the care of adults with autism. It covers the care provided by primary, community, secondary, tertiary and other health and social care professionals who have direct contact with, and make decisions concerning the care of, adults with autism. The term autism is used generically to cover all autism spectrum conditions. With an emphasis on person-centred care, the guidance covers: identification and assessment; correct interventions and monitoring their use, interventions for challenging behaviour, managing coexisting mental disorders, assessment and interventions for families, partners and carers; and the organisation and delivery of care. Research recommendations are also discussed.
This NICE Guideline offers best practice advice on the care of adults with autism. It covers the care provided by primary, community, secondary, tertiary and other health and social care professionals who have direct contact with, and make decisions concerning the care of, adults with autism. The term autism is used generically to cover all autism spectrum conditions. With an emphasis on person-centred care, the guidance covers: identification and assessment; correct interventions and monitoring their use, interventions for challenging behaviour, managing coexisting mental disorders, assessment and interventions for families, partners and carers; and the organisation and delivery of care. Research recommendations are also discussed.
Subject terms:
intervention, medication, mental health problems, person-centred care, adults, assessment, autistic spectrum conditions, carers, challenging behaviour, diagnosis, families, good practice;
Teaching pack aimed at all staff working with people with learning difficulties and mental health problems. Contains material on: the aetiology of learning difficulties; individual, family and social adjustment; emotional disorders; the use of behavioural strategies; challenging behaviour; commonly used medication; mental health service factors; epilepsy in people with learning difficulties; stress and burnout; and legal and ethical issues.
Teaching pack aimed at all staff working with people with learning difficulties and mental health problems. Contains material on: the aetiology of learning difficulties; individual, family and social adjustment; emotional disorders; the use of behavioural strategies; challenging behaviour; commonly used medication; mental health service factors; epilepsy in people with learning difficulties; stress and burnout; and legal and ethical issues.
Subject terms:
law, learning disabilities, medication, mental health problems, mental health services, post qualifying education, stress, staff, staff development, behaviour modification, challenging behaviour, conduct disorders, dual diagnosis, epilepsy, ethics;