Search results for ‘Subject term:"mental health problems"’ Sort:
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Depression in adults: treatment and management
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2022
- Pagination:
- 101
- Place of publication:
- London
This guideline covers identifying, treating and managing depression in people aged 18 and over. It recommends treatments for first episodes of depression and further-line treatments, and provides advice on preventing relapse, and managing chronic depression, psychotic depression and depression with a coexisting diagnosis of personality disorder. This guideline includes recommendations on: principles of care; recognition and assessment; choice and delivery of treatments; treatment for a new episode of less severe depression; treatment for a new episode of more severe depression; behavioural couples therapy; preventing relapse; further-line treatment; chronic depressive symptoms; depression in people with a diagnosis of personality disorder; psychotic depression; electroconvulsive therapy, transcranial magnetic stimulation and implanted vagus nerve stimulation; access, coordination and delivery of care. (Edited publisher abstract)
Muss’ Rewind treatment for trauma: description and multi-site pilot study
- Authors:
- ADAMS Shona, ALLAN Steven
- Journal article citation:
- Journal of Mental Health, 27(5), 2018, pp.468-674.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Rewind is a brief trauma-focussed imaginal exposure treatment for posttraumatic stress disorder (PTSD), however evidence for this treatment is limited. Aim: The aim of this paper was to provide preliminary evidence of its efficacy in the treatment of PTSD symptoms. Method: A practice-based pre-post treatment design with an intention-to-treat analysis was used. Sixty three people were treated with Rewind in three separate services. Participants were assessed using the Impact of Events Scale (IES) prior to treatment and were re-assessed at a two-week follow-up. All participants who scored above 25 on the IES were included and there were no other exclusion criteria. Results: There was an overall data capture rate of 95%. After treatment, 55 (87%) participants were below the IES clinical cut-off and, other than three participants with missing data, all participants showed reliable improvement using the IES Reliable Change Index. Conclusion: These preliminary findings suggest that Muss’ Rewind may offer a useful treatment for PTSD symptoms. Rewind may be cost-effective, given the number of sessions that were required and the relative effectiveness of newly trained therapists in delivering the therapy. Despite methodological limitations, these results suggest that a randomised controlled trial is warranted. (Publisher abstract)
Youth mental health: new economic evidence
- Authors:
- KNAPP Martin, et al
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2016
- Pagination:
- 117
- Place of publication:
- London
Examines the economic challenges of youth mental health problems in England, focusing on adolescents and young adults. The report summarise findings from a review of the international evidence on the economic impact of youth mental health services, an analysis of the economic implications of youth mental health problems – including the failure to recognise or treat them – and an evaluation of two models of youth mental health service provision in England. The report found that for young people aged 12–15 at baseline assessment (aged 15–18 by the end of the follow-up period), mental health-related average costs over the three-year follow-up period totalled £1,778 a year. In addition, the report shows that young people aged 16 to 25 with mental health issues at baseline are significantly more likely not to be in employment, education or training (NEET) than those without such issues. Among the group with mental health issues, those in contact with services are much more likely to be receiving benefits. A key theme emerging from the research is the substantial unmet need for services for young people with mental health problems - the treatment gap has been known for at least two decades and this study identifies treatment gaps dating from 1999. Tentative findings suggest that local specialist youth mental health services can generate significant improvements in mental health, employment, education and training outcomes. Contacts with services such as emergency and inpatient hospital care and the criminal justice system can also be reduced. (Edited publisher abstract)
Anxiety disorders: QS53
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2014
- Place of publication:
- Manchester
This quality standard covers the identification and management of anxiety disorders in primary, secondary and community care for children, young people and adults. These include generalised anxiety disorder, social anxiety disorder, post-traumatic stress disorder, panic disorder, obsessive-compulsive disorder and body dysmorphic disorder. The standard sets out the following four quality statements: people with a suspected anxiety disorder receive an assessment that identifies whether they have a specific anxiety disorder, the severity of symptoms and associated functional impairment; people with an anxiety disorder are offered evidence-based psychological interventions; they are not prescribed benzodiazepines or antipsychotics unless specifically indicated; and people receiving treatment for an anxiety disorder have their response to treatment recorded at each treatment session. (Edited publisher abstract)
Attention deficit hyperactivity disorder: QS39
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2013
- Place of publication:
- Manchester
This quality standard covers the diagnosis and management of attention deficit hyperactivity disorder (ADHD) in children aged 3 years and older, young people and adults. The standard comprises seven statements that describe high quality care for service users. These are: children and young people with symptoms of ADHD are referred to a specialist for an assessment; adults with symptoms of ADHD who have not had a diagnosis in childhood are referred to a specialist for an assessment; adults who had ADHD when they were younger and who still have symptoms of ADHD are referred to general adult psychiatric services; parents and carers of children and young people with symptoms of ADHD who meet NICE eligibility criteria are offered a referral to a parent training programme to help them manage their child’s behaviour; children and young people with moderate ADHD are offered a referral to a psychological group treatment programme; people with ADHD who are starting medication have their initial medication dose adjusted by a specialist, who should also check how well the medication is working; and people who are taking medication to treat ADHD have their medication reviewed by a specialist at least once a year. (Edited publisher abstract)
Specialist substance misuse treatment for young people in England 2013-14
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2015
- Pagination:
- 8
- Place of publication:
- London
Contains statistics on specialist substance misuse treatment for young people in England during 2013 to 2014. The data show how the specialist substance misuse services in England continue to respond to the needs of young people who have alcohol and drug problems. These services intervene to help young people overcome their substance misuse problems and prevent them from becoming problematic users in adulthood. Figures from the report reveal that: 19,126 young people received help for alcohol or drug problems; 71 per cent had cannabis as their main problem drug; and 79 per cent of young people left services having successfully completed their treatment. (Edited publisher abstract)
Self Help Services: helping people to help themselves
- Authors:
- LIDBETTER Nicky, BUNNELL Dawn
- Journal article citation:
- Mental Health and Social Inclusion, 17(2), 2013, pp.76-81.
- Publisher:
- Emerald
Purpose – Self Help Services is a pioneering charity in how it champions personal experience of mental health and uses these experiences in the treatment of people living with common mental health problems – anxiety, depression, phobias, and low self-esteem issues. This paper aims to describe how the charity grew from one individual's journey with agoraphobia to being the main provider of primary care mental health services in the North West of England. Design/methodology/approach – The paper charts the growth of Self Help Services over time, with a particular focus on its employment of people with personal mental health problems. It describes the experiences of its founder and Chief Officer and includes case studies of a user of its e-therapy services and the charity's Informatics and Governance Lead. Findings – The case studies illustrate how the charity has grown in both size and success as a result of harnessing the skills and experience of large numbers of staff and volunteers living with a mental health problem. The case studies illustrate that, rather than being an issue, these personal experiences are vital tools in helping others work through their own difficulties. Originality/value – The paper provides a detailed overview of a charity which was unique when it was formed and now thrives as a result of its uniqueness. It provides other similar organisations with advice on lessons learnt along the way, and advice for individuals or groups looking to establish similar organisations.
Square pegs in round holes: the mental health needs of young adults and how well these are met by services - an explorative study
- Author:
- ISLAM Shahid
- Journal article citation:
- Journal of Public Mental Health, 10(4), 2011, pp.211-224.
- Publisher:
- Emerald
Young adulthood is identified as an epidemiological risk for developing mental health problems. This qualitative study investigated the mental health needs of young adults and explored how well these are met from a patient’s perspective. Participants included 35 individuals who were in contact with mental health services in England. Most were aware of the root to their problems and had strong views about the level of support treatments offered. Findings revealed that many of the needs presented by young adults were unique to this transitional phase in life and age structures on which current mental health care is configured do not meet these needs. In ending, the author discusses why service provision must meet service user needs and how the recent equality legislation may provide impetus to this. This needs to start with an examination of the age boundaries on which mental healthcare is provided.
Report of the independent inquiry into the care and treatment of Michael Stone
- Author:
- SOUTH EAST COAST STRATEGIC HEALTH AUTHORITY
- Publisher:
- South East Coast Strategic Health Authority
- Publication year:
- 2006
- Pagination:
- 384p.
- Place of publication:
- Horley
Following Mr Stone’s original murder conviction, the three defendants (South East Coast Strategic Health Authority, Kent County Council and the Kent Probation Board) commissioned an independent inquiry into Stone’s care, treatment and supervision in the years up to the 1996 murders of Megan and Lin Russell, and the attempted murder of Josie Russell. The report was completed by the end of 2000, and it was the panel’s intention to publish the report in its entirety. However, whilst Stone accepted that the full report could be disclosed to health professionals and others on a confidential basis, he considered that it was only appropriate for a version omitting virtually all references to his past medical history to be made publicly available. In his judicial review application in December 2005 he contended that to do otherwise would amount to a breach of Article 8 of the European Convention on Human Rights (right to privacy), and also a breach of the Data Protection Act. Nonetheless the report concludes, “We are satisfied that the agencies and professionals involved here all did what they perceived at the time to be for the best. We doubt that much more would have been attempted anywhere else in the country.”
Joint agencies' response to the recommendations of the independent inquiry report into the care, treatment and supervision of Michael Stone
- Author:
- SOUTH EAST COAST STRATEGIC HEALTH AUTHORITY
- Publisher:
- South East Coast Strategic Health Authority
- Publication year:
- 2006
- Pagination:
- 32p.
- Place of publication:
- Horley
Following Mr Stone’s original murder conviction, the three defendants (South East Coast Strategic Health Authority, Kent County Council and the Kent Probation Board) commissioned an independent inquiry into Stone’s care, treatment and supervision in the years up to the 1996 murders of Megan and Lin Russell, and the attempted murder of Josie Russell. The report was completed by the end of 2000, and it was the panel’s intention to publish the report in its entirety. However, whilst Stone accepted that the full report could be disclosed to health professionals and others on a confidential basis, he considered that it was only appropriate for a version omitting virtually all references to his past medical history to be made publicly available. In his judicial review application in December 2005 he contended that to do otherwise would amount to a breach of Article 8 of the European Convention on Human Rights (right to privacy), and also a breach of the Data Protection Act. Nonetheless the report concludes, “We are satisfied that the agencies and professionals involved here all did what they perceived at the time to be for the best. We doubt that much more would have been attempted anywhere else in the country.”