Andre Tomlin

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André Tomlin is an Information Scientist with 20 years experience working in evidence-based healthcare. He's worked in the NHS, for Oxford University and since 2002 as Managing Director of Minervation Ltd, a consultancy company who do clever digital stuff for charities, universities and the public sector. Most recently André has been the driving force behind the Mental Elf and the National Elf Service; an innovative digital platform that helps professionals keep up to date with simple, clear and engaging summaries of evidence-based research. André is a Trustee at the Centre for Mental Health and an Honorary Research Fellow at University College London Division of Psychiatry. He lives in Bristol, surrounded by dogs, elflings and lots of woodland!

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Cerebrolysin is a promising treatment for vascular dementia, but more research is needed, according to new Cochrane review

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Vascular dementia is the second most common type of dementia after Alzheimer’s disease. It’s caused by damage to the network of blood vessels supplying the brain. Some symptoms are similar to those associated with Alzheimer’s and stroke, but in particular people with vascular dementia often experience difficulty thinking quickly, concentrating and communicating, as well as [read the full story…]

Individual CBT, with or without family CBT, could be the best first line treatment for people at high risk of schizophrenia

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Schizophrenia is a debilitating illness that affects an estimated 25 million people worldwide. People with the condition can experience a huge amount of disability (both social, physical and psychological), but we know that early intervention can help reduce the duration of the illness and prevent further episodes of relapse. People with schizophrenia usually experience a [read the full story…]

‘Controlled comforting’ and ‘camping out’ are safe long-term techniques for babies with sleep problems

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Hands up who doesn’t have an opinion about the best way to help babies get to sleep? It’s been a hotly contested topic in recent years, at dinner parties and playgrounds across the land. Behavioural sleep techniques have been shown to be effective at reducing sleep problems in infants and the associated maternal depression in the [read the full story…]

NICE publish new evidence summary on harmful drinking and alcohol dependence

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NICE have published a new evidence summary (PDF) on the problems associated with alcohol misuse, which augments the clinical guideline (PDF) that came out 2 years ago. This is a fast moving area, so quite a significant amount of research has been produced in the last 2 years, which may have an impact on clinical [read the full story…]

NICE publish first guideline for psychosis and schizophrenia in children and young people

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Everyone who read the extracts from Michael Schofield’s memoir, published by the Guardian on January 19th, must surely have been moved by the sometimes harrowing description of his daughter Janni who was diagnosed with child-onset schizophrenia aged just 7 years old. Janni is an exception, as schizophrenia generally starts between the ages of 15 and [read the full story…]

More guides to help GPs commission mental health services

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Do you tell your patients with knee osteoarthritis to exercise?

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…]

Problem solving therapy may help people with adjustment disorders partially return to work, according to Cochrane

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Work-related stress is everywhere these days. Obviously us elves are pretty much immune, but looking at the Bristol Stress and Health at Work Study (Smith 2000) I can see that more than 50% of human respondents reported being extremely, very or moderately stressed at work. You lovely people do suffer from lots of emotional and [read the full story…]

NICE publish new evidence summary on psychosis with coexisting substance misuse

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The NICE guideline on psychosis with coexisting substance misuse was published in 2011, which means it’s now nearly 3 years out of date. This is because guidelines take many months to produce, so by the time they are published the evidence in them is 1 year old at best. Some NICE guidelines are supplemented by [read the full story…]

Medical management of people who use illegal drugs: new report from the BMA

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There has been a great deal of debate about illicit drugs in recent weeks. Just before Christmas, we had the House Affairs Committee report, which highlighted the downward trend in recorded drug use over recent years. Earlier this week the All-Party Parliamentary Group for Drug Policy Reform published their report on legal highs, which recommended a [read the full story…]

Nearly half of the young people who present to hospital with self-harm are not given essential psychosocial evaluations

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Last September I blogged about a cohort study in the Lancet that highlighted the links between self-harm and poor physical health. This same dataset (drawn from over 30,000 patients from 6 hospitals in Oxford, Manchester and Derby from 2000-7) has now spawned a longitudinal study published in the European Child and Adolescent Psychiatry journal. This [read the full story…]