People with serious mental illness have mortality rates 2-3 times as high as the general population. The primary cause of death is cardiovascular disease, which in turn is due to an extremely high prevalence of obesity (twice that of the overall population). Physical inactivity, unhealthy diets, and weight gain from psychotropic medication are all factors [read the full story…]
The NHS has entered the era of GP-led commissioning of services, and providers will be required to submit data on key indicators such as quality of care and survival rates. This echoes some aspects of a 2001 report by the Institute of Medicine in the USA Crossing the Quality Chasm, which emphasised the need to [read the full story…]
Bipolar disorder is a term applied to conditions that are characterised by extreme mood swings. These swings in mood range from periods of overactive excited behaviour (known as mania) to deep depression. Some people also see or hear things that others around them don’t (known as having visual or auditory hallucinations) or have strange, unshared, beliefs (known [read the full story…]
Good mental health care should involve the patient in determining their treatment, and should involve the least restrictive form of care possible. Although the Care Programme Approach (CPA) has resulted in patients in England routinely participating in planning their care, compulsory admissions to psychiatric hospitals have continued to rise over the past decade. Involuntary treatment [read the full story…]
Community treatment orders (CTO’s) provide compulsory supervision outside of psychiatric hospital. They require patients to accept clinical monitoring in the community and enable them to be recalled to hospital for assessment if necessary. They do not authorise forcible treatment; however whilst on a CTO a patient may be ordered to meet certain requirements, such as [read the full story…]
Dementia is one of the most common and serious disorders in later life. It places a considerable burden on the health care system, individuals and especially unpaid carers. Depression is common among people with dementia and causes additional distress to affected individuals and their social circle. Research into the treatment of depression in dementia is [read the full story…]
The National Elf Service and Minervation (the organisation behind the elves) have been supporters of the AllTrials campaign since it began. We believe that all clinical trials should be published so that we can avoid repeating trials unnecessarily and make treatment decisions as good as they can be. It’s estimated that around half of the [read the full story…]
There is a limited amount of good quality research being published about bipolar disorder, particularly investigating the early stages. Bipolar is associated with a high risk of relapse and this risk of relapse increases with the number of previous episodes. Observational studies suggest that early intervention may improve both course and outcome, but currently progression [read the full story…]
Most of us care about our health (something we elves encourage) but for up to 5% of people, worrying about health has become a significant problem in itself. Severe health anxiety, or hypochondriasis, is said to exist when someone holds a strong fear of having a serious disease, despite all medical assurances to the contrary. [read the full story…]
Stigma can be described as a sign of disgrace setting a person apart from others. Erving Goffman, defined stigma as “the process by which the actions of others spoils normal identity.” For those with mental illness the stigma experienced can result in a lack of funding for services, difficulty gaining employment, a mortgage or holiday [read the full story…]
