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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Treating schizophrenia with olanzapine long acting injections (LAI) may be more cost effective than oral olanzapine or other LAIs

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This year long study carried out by Medical Decision Modeling in Indianapolis set out to measure the cost-effectiveness of the olanzapine long-acting injection with other antipsychotic long-acting injections and oral olanzapine in treating patients with schizophrenia who had trouble adhering to oral drug treatment. The study used a micro-simulation economic decision model to replicate usual care. [read the full story…]

Transferring children and young people from custody to hospital under the Mental Health Act: new guidance from the Department of Health

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This new best practice guidance from the Department of Health details the procedure for transferring to and from hospital (under the Mental Health Act 1983 in England) any child or young person who is: detained in custody in pursuance of any sentence or order for detention (by a court in criminal proceedings); or remanded in custody [read the full story…]

Department of Health publish a simple guide to payment by results

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Payment by Results (PbR) is the tariff based payment system that has transformed the way funding flows around the NHS in England. This short guide is an introduction to the subject and supersedes the guide published by the DH in September 2010. The basic facts about Payment by Results from the guide are: PbR is [read the full story…]

New guidance from BMA to help doctors protect vulnerable adults

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The British Medical Association have published a toolkit for GPs, which provides practical advice to doctors on promoting and protecting the wellbeing of vulnerable adults. Although principally aimed at GPs, any professional working in health care settings with vulnerable adults will find it useful. The term “vulnerable adults” covers an extremely wide range of individuals, [read the full story…]

Oestrogen receptor variations linked with depression in later life

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The hormone oestrogen could play an important role in late-life depression, according to new research published in the August issue of the British Journal of Psychiatry. Oestrogen is best known as one of the significant hormones in reproduction. It is also believed to have a part to play in mood and mental health, because of [read the full story…]

Music therapy can reduce symptoms of depression

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Music therapy, when combined with standard treatment, is effective in helping people with depression, according to a small Finnish randomised controlled trial published in the August issue of the British Journal of Psychiatry. The research team from the University of Jyväskylä, led by Professor Jaakko Erkkilä and Professor Christian Gold, recruited 79 people aged between [read the full story…]

Commissioning prison based substance misuse services: new guidance from the Department of Health

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The Department of Health in conjunction with the National Treatment Agency for Substance Misuse has issued guidance on commissioning prison based substance misuse services for 2011/12. The guidance takes the form of a letter with an appendix from Richard Bradshaw (Director, Offender Health), Ian Poree (Director of Service Development NOMS) and Rosanna O’Connor (Director of [read the full story…]

NICE shelve technology appraisal on agomelatine for depression

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The manufacturer of agomelatine (Servier) has informed NICE that it would not be making an evidence submission for the appraisal of agomelatine for the treatment of major depressive episodes. Servier drew attention to the fact that NICE guidelines for England and Wales recommend generic selective serotonin reuptake inhibitors (SSRIs) as first-line treatment followed by a [read the full story…]

King’s Fund publish report on shared decision-making

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Shared decision-making is a process in which clinicians and patients work together to select tests, treatments, management or support packages, based on clinical evidence and the patient’s informed preferences. It involves the provision of evidence-based information about options, outcomes and uncertainties, together with decision support counselling and a system for recording and implementing patients’ informed [read the full story…]

Short-term psychodynamic psychotherapy may be worth considering for patients with comorbid depression and personality disorders

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Treating depression is rarely straightforward, but treating someone who is depressed and also has comorbid personality disorders can be even more complicated. Studies have shown that short-term psychodynamic psychotherapy (STPP) is a treatment worth considering for depression and personality disorders when they occur individually, but this intervention has not yet been studied systematically for people [read the full story…]