Substance use is common in people with mental health problems, and this can have important negative consequences for health and social function. The high comorbidity of mental health problems and substance use is a major contributor to the shorter life expectancy of this population – a person with a severe mental disorder can expect to [read the full story…]
New Cochrane review examines the effectiveness of smoking cessation strategies in young people
Worldwide, around 100,000 young people take up smoking every day and approximately 1 in 4 young people in the UK and USA smoke regularly. Although these figures have been falling over the last 20 years, they still represent a major public health concern. Evidence suggests that addiction to nicotine develops quickly in adolescence, and most [read the full story…]
Primary care interventions for alcohol misuse: US Preventative Services Task Force recommendations
Alcohol misuse is recognised as one of the major health care issues in the US. Specifically, alcohol misuse is ranked third in causes of preventable deaths (after tobacco and obesity) affecting 30% of the population. Alcohol dependence has 4% prevalence in the US, but hazardous drinking patterns are believed to be evident in 21% of [read the full story…]
Psychiatric comorbidity increases the risk of premature mortality in epilepsy
There is a back to school feeling in the air in the Woodland this week, and so this comes to you with the help of my shiny new yellow pencil case. Epilepsy affects around 70 million people around the world and premature mortality is substantial with almost half of epilepsy-related deaths occuring in those younger [read the full story…]
Do people stop smoking if their doctor advises them to? Cochrane review says sometimes and it IS worth the effort
As previously discussed on the Mental Elf, the rates of tobacco smoking in most developed countries are falling, helped in part by high levels of taxation and bans on smoking in public places. However, over 20% of adults in the UK continue to smoke, and this means that smoking is the greatest single cause of [read the full story…]
It’s not the combat, maybe it’s the drinking in vulnerable young men
A cohort study published in JAMA tried to answer the question what are the risk factors for suicide in the US military. This is a hot topic as the rate of suicide has increased in US military personnel from about 11/100,000 people in 2005 to about 18/100,000 so that now deaths from suicide outnumber deaths [read the full story…]
Mortality rates amongst drug users in relation to time after hospital discharge
People with substance misuse problems often present to services with complex physical and mental health needs. Studies in the UK have indicated that common mental health problems are the norm in people in treatment for substance misuse. Weaver et al (2003) found 70% of people in treatment for substance misuse in London also had a [read the full story…]
Pay for performance improves treatment implementation, not outcomes, for adolescent substance use disorders
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…]
New Cochrane review finds that NRT, bupropion and varenicline are effective treatments for smoking cessation
Smoking is the main preventable cause of premature illness and death worldwide. Approximately 20% of deaths in men and 5% in woman over 30 can be attributed to smoking. The World Health Organization (WHO) estimates that 6 million people die from smoking related disease each year, with tobacco being the number one risk factor for [read the full story…]
Methadone for opioid detoxification as effective as other medications, but all have high relapse rates
Dependence on opiates (a group of drugs including heroin, morphine, and methadone) can be highly destructive for both the individual and for the people around them. Heroin addiction in particular is associated with major health risks, co-morbid mental health problems, and a wide-range of social issues. Attempting to stop opiate use leads to severe withdrawal [read the full story…]