Do not use psychological debriefing when a child has been exposed to a traumatic event such as assault or a major car crash. And if you treat a child who has developed Posttraumatic Stress Disorder (PTSD) due to trauma, do not use pharmacotherapy either (that is, not as a first line treatment). Rather, apply the [read the full story…]
Attention Deficit Hyperactivity Disorder (ADHD) is the most common behavioural disorder in the UK, with sufferers experiencing inattentiveness, hyperactivity, and impulsivity. It is estimated to affect 3-9% of school aged children and young people in the UK (those aged 3 to 18), and 2% of adults worldwide (DSM-IV criteria). Typically ADHD will continue from childhood [read the full story…]
NICE has just published a new technology appraisal recommending aripiprazole as a treatment for bipolar disorder in young people. Technology Appraisals are systematic evaluations of the effectiveness of health technologies. They do not have the broad scope of guidelines, which focus on topics rather than technologies, but they do give guidance for clinical practice on the [read the full story…]
People with learning disabilities have an increased prevalence of mental health problems compared to the general population, however, in the absence of an agreed model there is currently a wide variety of provision, including community and bed-based services. The Joint commissioning panel for mental health have produced a guide for commissioners to describe the current [read the full story…]
I wonder if the timing of this publication was planned to be so close to the release of DSM-5, but this debut guidance on social phobia (now known as social anxiety disorder) is certainly going to ruffle some feathers. It fuels the discussion about the medicalisation of human personality traits and some will see it [read the full story…]
Bipolar disorder features as one of the top ten disabling disorders for working age adults. There are numerous risks including suicide, increased mortality and reduced social functioning associated with the disorder. Key to enabling recovery is preventing acute episodes from occurring, with each episode increasing the risk of future ones. Therefore ensuring long-term maintenance treatment [read the full story…]
Conduct disorders are the most common reason why children are referred to mental health services and it’s estimated that around 5% of all UK children aged 5-16 have a diagnosis of the condition. Around half of the young people affected by conduct disorders go on to have a serious mental health problem as an adult. [read the full story…]
NICE have published three new public health briefings for local government on Inequalities and population health, the Public Health Outcomes Framework and Alcohol. These documents are aimed at local authorities and their partner organisations in the health and voluntary sectors, in particular those involved with health and wellbeing boards. Local government is preparing to take [read the full story…]
Have you ever had a painful shoulder? Did it get better on its own? I have a friend, not another Elf, who had bilateral frozen shoulders. It was a most functionally limiting and painful problem. Fortunately intra-articular steroid injections saved the day and made a huge difference to both pain and function. If you have [read the full story…]
These new recommendations from the National Institute for Health and Clinical Excellence (NICE) cover home visits, early education and childcare for vulnerable children. The public health guidance recognises that disadvantage before birth and in a child’s early years can have life-long, negative effects on health and wellbeing. It aims to ensure that both universal and [read the full story…]
