Tuesday 2, February 2010

Non-pharmaceutical management of depression - new SIGN guidance launches

SIGN have suggested that the new guideline is of particular interest to "those developing mental health services, health care professionals in primary and secondary care (eg GPs, community psychiatric nurses, clinical psychologists and psychiatrists) and patients with depression and their carers.

It may also be helpful to voluntary organisations and exercise professionals working in exercise referral schemes, public or private fitness centres, and physical activity promotion."

You can access the full guideline on the NHS Evidence - mental health website.

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Guidance

Department for Children, Schools and Families

• Improving the psychological wellbeing and mental health of children and young people: commissioning early intervention support services

College of Emergency Medicine

• Guideline for the management of trycyclic antidepressant overdose

National Prescribing Centre

• Patient Group Directions December 2009: a practical guide and framework of competencies for all professionals using patient group directions

Department of Health

• Improving care and saving money: learning the lessons on prevention and early intervention for older people

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Systematic Reviews

New or updated reviews from the Cochrane Library:

• Amisulpride versus other atypical antipsychotics for schizophrenia
• Disulfiram for the treatment of cocaine dependence
• Motivational interviewing for smoking cessation
• Music therapy for end-of-life care
• Psychosocial interventions for reducing injection and sexual risk behaviour for preventing HIV in drug users
• Quetiapine versus other atypical antipsychotics for schizophrenia
• Risperidone versus placebo for schizophrenia
• Shared decision making interventions for people with mental health conditions
• Sports and games for post-traumatic stress disorder (PTSD)
• Sulpiride augmentation for schizophrenia
• Visual feedback of individuals' medical imaging results for changing health behaviour
• Zotepine versus other atypical antipsychotics for schizophrenia

There are 13 Abstracts of reviews from DARE this month:

• "No-contact" interventions for unhealthy college drinking: efficacy of alternatives to person-delivered intervention approaches
• Pharmacotherapy for the treatment of anxiety disorders in children and adolescents: a sistematic [systematic] review
• A meta-analysis of acupuncture combined with opioid receptor agonists for treatment of opiate-withdrawal symptoms
• A meta-analytic review of the effects of psychotherapy control conditions for anxiety disorders
• Change in child psychopathology with improvement in parental depression: a systematic review
• Effects of intensive home visiting programs for older people with poor health status: a systematic review
• Efficacy and safety of natural acetylcholinesterase inhibitor huperzine A in the treatment of Alzheimer's disease: an updated meta-analysis
• Health effects of relocation following disaster: a systematic review of the literature
• Meta-analysis of randomized controlled comparisons of psychopharmacological and psychological treatments for anxiety disorders
• Non-pharmacological management of antipsychotic-induced weight gain: systematic review and meta-analysis of randomised controlled trials
• Preventing the onset of depressive disorders: a meta-analytic review of psychological interventions
• Psychological treatment of obsessive-compulsive disorder: a meta-analysis
• Screening for depression in adults and older adults in primary care: an updated systematic review

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Health Technology Asssessments

• Acamprosate for alcoholism
• Actigraphy for diagnosis of obstructive sleep apnea syndrome in adults

• Cognitive-behavioral therapy for insomnia
• Craniosacral therapy
• Home sleep studies for diagnosis of obstructive sleep apnea in adults
• Inpatient treatment for anorexia nervosa
• Light therapy for circadian rythm sleep disorders

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Economic Evaluations

NEED

• Cost-effectiveness of escitalopram for generalized anxiety disorder in Canada
• Cost-utility analysis of varenicline versus existing smoking cessation strategies using the BENESCO simulation model: application to a population of US adult smokers

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Policy Reports and Service Development

Department of Health

• The second year of the Independent Mental Capacity Advocacy Service: 2008/2009
• Keeping Children and Young People in Mind: The Government's full response to the independent review of CAMHS
• Improving care and saving money: learning the lessons on prevention and early intervention for older people
• The standard NHS contracts for acute hospital, mental health, community and ambulance services and supporting guidance
• Improving care and saving money: learning the lessons on prevention and early intervention for older people

Josepth Rowntree Foundation

• Devolution’s impact on low-income people and places

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News

Behind the Headlines

• Alzheimer's nutrient drink tested
• Can mobile phones halt Alzheimer's?
• Eye scan could detect Alzheimer's
• Health claims over copper in water
• Ambidextrous behaviour studied
• Will pumping iron fight dementia?

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Can you help?

We would like to hear from you if you are interested in becoming involved with NHS Evidence - mental health.

We are looking for people to write and review the content on our website.  We are particularly keen to hear from people who have an interest in Depression, Schizophrenia or Dementia. We are looking for people from a range of professions including psychiatrists, psychologists, nurses and primary care health professionals.

Please contact faye.hodges@minervation.com if you would like to find out more.

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Useful Links

• Depression Annual Evidence Update (AEU) 2009
• Schizophrenia Annual Evidence Update (AEU) 2009
• Royal College of Psychiatry - Continued Professional Development Online

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