Recent reports on the response of the NHS in England to the health needs of people with learning disabilites have uncovered poor practice and a lack of knowledge and skills (see for example Mencap Getting it Right campaign) We posted earlier in the week about the impact of liaison nursing, one response of the health [read the full story…]
Tailored primary care intervention for heavy drinking may be counterproductive
Approximately 15% of adults in Europe drink alcohol to excess, at levels that are likely to affect their health. Most of these people are not alcohol dependent and do not require intensive treatment such as detox and aftercare, but many of them would benefit from a ‘nudge’ to reduce their drinking to safer levels. Screening [read the full story…]
Critical time intervention reduces psychiatric rehospitalisation in homeless people
Recent work by Suzanne Fitzpatrick and colleagues from Heriot Watt University has investigated the experiences of people who are affected by what they call multiple exclusion homelessness; a combination of homelessness, substance misuse, ‘street’ activities such as begging and street drinking, and institutional care (e.g. prison). Their quantitative survey shows that there is considerable overlap [read the full story…]
‘Controlled comforting’ and ‘camping out’ are safe long-term techniques for babies with sleep problems
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…]
Exercise has a moderate positive impact on depression in people with heart failure
Chronic diseases and depression often go hand in hand. There is a growing evidence-base that shows how exercise can help reduce depressive symptoms in people with chronic illness and it’s encouraging to see a steady stream of primary research being published in this area. A new ancillary study published in JAMA examines the effect that [read the full story…]
Clinicians should consider referring depressed patients to Internet Support Groups, according to new RCT
It can be incredibly difficult to talk about mental health conditions like depression, both for the person going through the illness and the friends and family who are trying to offer support. We know that overcoming this fear and talking through mental health problems can be a real life-saver and this message runs through the [read the full story…]
Short term exercise programme improves muscle strength and agility in adolescents with Down syndrome
The benefits of exercise for a healthy lifestyle are now well understood. However, there are issues relating to the physiology of people with Down syndrome which might suggest limitations to the extent to which they can engage in cardiovascular or resistance exercises. we also know that many people with Down syndrome are overweight or obese. [read the full story…]
New RCT shows that adding CBT to usual care helps people with treatment resistant depression
The CoBalT trial was published last week in the Lancet. This important randomised controlled trial (RCT) examined the effectiveness of cognitive behavioural therapy (CBT) as an add-on treatment to usual care for people with treatment resistant depression. Previous studies have shown that only around one third of people with depression respond well to treatment with [read the full story…]
Borderline personality disorder improves with dialectical behaviour therapy and general psychiatric management
Talking treatments are a key component of the therapy offered to people with borderline personality disorder and there are now a number of studies that point to the importance of these interventions for this complex and hard to manage condition. A new randomised controlled trial conducted by a research team from the Centre for Addiction [read the full story…]
Teaching GPs about depression and suicide can help reduce the risk of suicide in depressed older adults, says new RCT
A great deal of time and money has been spent on improving the diagnosis and management of depression and self-harm in primary care. The evidence tells us that collaborative care and case management can be effective approaches, which is all well and good, but these complex interventions are not always feasible. This new cluster randomised [read the full story…]