This paper reports the findings of a study exploring a new approach to treating the symptoms of depression in older African Americans. This a group of the population with very high levels of general health care needs – the result of a combination of factors including the USA’s political and social history but also modern [read the full story…]
As part of its excellent ‘Too Much Medicine’ series, the British Medical Journal last week published an important analysis of the current direction of travel in the field of dementia care. The article is hard to ignore, written as it is by highly authoritative academics from the UK and Australia, including Professor Carol Brayne, an [read the full story…]
Meta-analyses are an incredibly useful tool for synthesising evidence. However, such analyses typically use aggregate data, meaning the average scores or outcomes for treatment groups, which can cause problems if we’re trying to dig a little deeper into the question of ‘what works’ to answer ‘what works, and for whom?’ The ‘for whom?’ question is [read the full story…]
It is now well accepted across the health and social care communities that the incidence of dementia is rising as people continue to live longer. The projected prevalence of dementia over the next ten to twenty years is causing widespread concern at all levels of policy making and care provision. There is a very real [read the full story…]
It has consistently been shown that a link exists between older adults who have depression and mortality (Cuijpers & Smit, 2002, Schulz et al., 2002). RCTs have demonstrated that treating depression during later life in primary care settings can result in the remission of depression and its associated symptoms as well as improve quality of [read the full story…]
In the mid 1990s, a questionnaire study carried out by Carr and Hollins in Wandsworth suggested that menopause may occur earlier in women with learning disabilities and that for women with Down syndrome, it may occur earlier still. These findings were strengthened by work a couple of years later in a U.S. study by Schupf [read the full story…]
Early diagnosis and intervention for people with dementia is increasingly considered a priority. But there are still considerable barriers to achieving this, and nervousness from practitioners on the possible negative effect of earlier diagnosis of a condition widely perceived as untreatable and life-changing. A recent systematic review by Bunn et al analysed the qualitative evidence [read the full story…]
Depression is a common problem in older adults with some data suggesting significant symptoms are present in over 40% of nursing home residents (Teresi, 2001). Clearly physical exercise has a number of benefits particularly with regards to cardiovascular health. Some of you may remember the Mental Elf blog back in September 2012 with positive results from [read the full story…]
Those lovely people at the Joint Commissioning Panel for Mental Health (JCP-MH) have published four new guides to help those of you involved in commissioning community specialist services, older people’s services, inpatient and crisis home treatment and services for people with learning disabilities. These guides are short (around 20 pages), readable and nicely summarised with ten [read the full story…]
Family and friends often play a very important role in supporting older people with long-term, severe mental health problems. It is estimated that 25% of the 6 million carers in the UK are supporting someone with a mental health problem (Carers Trust, 2007). Stress has been cited as having a major impact on the wellbeing [read the full story…]
