Mentall Heallth & Sociiall Care Current Awareness Bulllletiin Menta Hea th & Soc a Care Current Awareness Bu et n

No 351 No 351

h June 25ttth 2012 June 25 h 2012

The Mental Health & Social Care Current Awareness Bulletin is produced by the Essex Public Health Evidence-Based Practice Team
on behalf of the

East of England Health Libraries Network: EoEHLN

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Research Research
Addictions Anxiety Dementia Depression Dual Diagnosis Eating Disorders Forensic Psychiatry

National News International News

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Learning Disabilities

Furtther Conttentt Fur her Con en

New Publications Conferences Useful Websites

Nursing Research O/C Disorders

ePH evidence Mental Health Blog

MENTAL HEALTH BLOG

Occupational Therapy Post Traumatic Stress Psychology Schizophrenia

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Minding Matters

Social Work

For further information on the bulletin contact: mary.edmans@nhs.net

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CONTENT CONTENT
News from all corners of the world

Department of Health

Alzheimers Society training programme in care homes aims to reduce antipsychotic prescriptions

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National News

'Shocking discrimination' in mental health services NHS managers in England have been accused of "shocking discrimination" in commissioning mental health services Anorexic woman from Wales to be force fed, judge orders A woman with "severe" anorexia who wanted to be allowed to die is to be force fed in her "best interests" by order of a High Court judge Personal budgets for older people to be reviewed Think Local Act Personal probe to address concerns that personal budgets are not working as well for older people as other groups Unpaid carers being 'let down by failing social care' The UK's "army of unpaid carers" is being "let down" by the failing social care system, campaigners warn 'Pull yourself together' tops list of cliches faced by people with mental illness 'Pull yourself together' is the most unhelpful comment that many people with mental illness hear on a regular basis, a new poll has found Progress of social work reforms 'slower than hoped' In its final major report, the Social Work Reform Board admits progress has been slower than hoped, but calls on the sector to continue to work together GPs set for QOF points on biopsychosocial checks in patients with depression GPs will have to review all patients with depression within a month and make a full biopsychosocial' assessment of their living conditions and social support, under proposed QOF indicators What every CCG leader should know about mental health People with mental health problems lose out in the NHS. Thats the case powerfully made in a new report published by the London School of Economics (LSE)

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Up to 640k hospital admissions involve alcohol Alcohol may be involved in up to 640,000 hospital admissions in England and Wales each year, new figures suggest Two-fifths of councils plan to pull social workers from mental health trusts Four in 10 local authorities have pulled out, or are considering pulling out, of agreements placing their mental health social workers in NHS trusts, BASW estimates Advocacy funding for people with learning disabilities cut Advocacy service funding for people with learning disabilities has been cut by 15% over the last four years, according to research by Improving Health and Lives Approved mental health professionals secure deal to cut ambulance delays New protocol for ambulance response to Mental Health Act assessments has helped "improve" response times, the London ambulance service said End under-treatment for people with mental health conditions Mental ill health accounts for almost a quarter of the burden of illness in the UK, yet only 13 per cent of the NHS budget is spent on treating it, according to todays report by the LSE Mental Health Policy Group, led by Professor Lord Layard Recovery Colleges can transform mental health services, say Centre for Mental Health and NHS Confederation Mental Health Network Recovery Colleges can revolutionise mental health services and help people to fulfil their potential, according to the first in a series of briefing papers produced jointly by Centre for Mental Health and the NHS Confederation Mental Health Network

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International News

Predicting Post-Traumatic Stress Disorder Before It Happens Most people have intense emotional reactions to traumatizing events like road accidents or combat Roche in deal to treat root cause of autism Swiss drugmaker Roche plans to work with U.S. firm Seaside Therapeutics to develop treatments for autism spectrum disorders and fragile X syndrome that differ fundamentally from other methods by targeting their molecular basis
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RESEARCH RESEARCH

Attitudes toward Concordance in Psychiatry: A comparative, cross-sectional study of psychiatric patients and mental health professionals Concordance and Shared Decision-Making (SDM) are considered measures of the quality of care that improves communication, promotes patient participation, creates a positive
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relationship with the healthcare professional, and results in greater adherence with the treatment plan Deep transcranial magnetic stimulation as a treatment for psychiatric disorders: A comprehensive review Deep transcranial magnetic stimulation (TMS) is a technique of neuromodulation and neurostimulation based on the principle of electromagnetic induction of an electric field in the brain

Addictions
Substance abuse, alcoholism, Smokers Who Also Have Drinking Problems Could Be Identified By Smoking Cessation 'Quitlines' Although numerous studies have shown a strong link between drinking and smoking behaviors, few telephone smoking-cessation "quitlines" routinely screen and counsel callers about their alcohol use In Problem Gambling, Addiction, Training People To Inhibit Movements Can Reduce Risk-Taking New research from psychologists at the Universities of Exeter and Cardiff shows that people can train their brains to become less impulsive, resulting in less risk-taking during gambling Recent Advances in the Discovery and Preclinical Testing of Novel Compounds for the Prevention and/or Treatment of Alcohol Use Disorders Alcohol abuse and dependence have a staggering socioeconomic impact, yet current therapeutic strategies are largely inadequate to treat these disorders Complications associated with use of levamisole-contaminated cocaine: an emerging public health challenge Levamisole is an immunomodulatory agent that was used to treat various cancers before being withdrawn from the United States market in 2000 because of adverse effects Interventions to prevent substance use and risky sexual behaviour in young people: a systematic review To identify and assess the effectiveness of experimental studies of interventions that report on multiple risk behaviour outcomes in young people Take home methadone maintenance therapy has added benefits Patients who are given "take home" methadone maintenance treatment (MMT) for opioid dependence are less likely to be admitted to hospital than those who do not

Anxiety Disorders

Generalized anxiety disorder: is there any specific symptom? The main aim of the present research was to evaluate the coherence of generalized anxiety disorder (GAD) psychopathological pattern, the robustness of its diagnostic criteria, and the clinical utility of considering this disorder as a discrete condition rather than assigning it a
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dimensional value Predicting post-event processing in social anxiety disorder following two prototypical social situations: State variables and dispositional determinants This study investigated self-reported state and trait, predictors of post-event processing (PEP) subsequent to two social situations in participants with a primary diagnosis of social anxiety disorder (SAD) and healthy controls

Dementia
Alzheimers Link Between Metabolic Disorders and Alzheimer's Disease Examined Much attention recently has focused on the metabolic syndrome (MetS), with a strong and growing body of research suggesting that metabolic disorders and obesity may play a role in the development of dementia Clinical Tool For Dementia Which Is Free And User-Friendly Is Reliable And Valid A new study shows that a practical clinical tool developed by researchers from the Regenstrief Institute and the Indiana University School of Medicine to measure severity of dementia symptoms is reliable and valid Poor Outcomes for Hospitalized Patients With Alzheimer's Hospitalization increases risk of death and institutionalization; delirium further increases risks New Group of Proteins Identified in Brains of Alzheimer's Patients Researchers from Boston University School of Medicine (BUSM) have identified a novel group of proteins that accumulate in the brains of patients with Alzheimer's disease Rivastigmine in the Treatment of Hypersexuality in Alzheimer Disease Inappropriate sexual behaviors (ISB) represent uncommon and often misdiagnosed clinical disorders among patients with Alzheimer disease Comparison of 2 dementia screeners, the test your memory test and the mini-mental state examination, in a primary care setting Dementia is an important cause of morbidity but is often neglected in primary care settings. This relates, in part, to perceived difficulties with diagnosis and the need to focus on more pressing physical complaints Midlife vs late-life depressive symptoms and risk of dementia: differential effects for Alzheimer disease and vascular dementia Depression and dementia are common in older adults and often co-occur, but it is unclear whether depression is an etiologic risk factor for dementia

Depression
Bipolar disorders Sleep quality predicts mood outcomes in bipolar patients with SUDs Results from a US study suggest that reduced sleep quality is associated with poorer mood
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outcomes in patients with bipolar disorder and co-occurring substance use disorders (SUDs) White matter abnormalities and illness severity in major depressive disorder White matter abnormalities have been implicated in the aetiology of major depressive disorder; however, the relationship between the severity of symptoms and white matter integrity is currently unclear Cognitive function worse in pediatric BD I than II Children with bipolar I disorder (BD I) have significantly poorer cognitive functioning than those with bipolar II disorder (BD II), research shows CDSS best for assessing depression symptoms in schizophrenia Results from a systematic review of published studies suggests that the Calgary Depression Scale for Schizophrenia (CDSS) is the most reliable and valid instrument for assessing depression symptoms in patients with schizophrenia Walking for depression or depressive symptoms: A systematic review and meta-analysis Depression is a common disorder worldwide. Most patients are treated within primary care and antidepressant treatment is not recommended for people with mild depression. Physical activity has been shown to alleviate depression but it is not known whether the less vigorous activity of walking a potentially widely acceptable and safe intervention confers such benefit

Dual Diagnosis

Could cognitive deficits help distinguish methamphetamine-induced psychosis from a psychotic disorder with substance abuse? Dissociating a primary psychotic disorder (PPD) with concurrent substance use from substanceinduced psychosis (SID) can be a difficult task Validity of self-reported psychiatric diagnoses among patients seeking treatment for a substance use disorder Patients seeking treatment for substance use disorders (SUDs) frequently report a history of psychiatric diagnoses, but the validity of these diagnoses is not well established

Eating Disorders

Treatment for severe and enduring anorexia nervosa: A review Many patients with anorexia nervosa develop an intractable and debilitating illness course. Our aims were to (i) conduct a systematic review of randomised controlled trials (RCTs) of treatment for chronic anorexia nervosa participants Emotional intelligence in anorexia nervosa: Is anxiety a missing piece of the puzzle? Problematic emotional processing has been implicated in the genesis and maintenance of Anorexia Nervosa Depression, anxiety and obsessivecompulsive symptoms in relation to nutritional status and outcome in severe anorexia nervosa Depression, anxiety and obsessivecompulsive disorder are frequently reported to co-occur
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with anorexia nervosa Eating Disorders Hitting Women Over 50, Study Finds Researcher says new treatment strategies needed to target this older population

Forensic Psychiatry

Correlates of posttraumatic stress disorder in forensic psychiatric outpatients in the Netherlands Using a sample of 154 Dutch forensic psychiatric outpatients aged 1862 years, this study investigated whether risk factors of posttraumatic stress disorder (PTSD), mainly identified in nonforensic research, forensic psychiatric factors, and potential comorbid mental disorders were associated with PTSD The dangerous and severe personality disorder experiment Review of empirical research A pilot programme for the treatment of individuals with dangerous and severe personality disorder (DSPD) was established in the UK in 2001. A substantial investment had been made into research and evaluation of the initiative, but it is not clear what the outcomes of this research have been The cost-effectiveness of the dangerous and severe personality disorder programme Much resource (c 500M) has been spent in setting up the programme of treatment for those deemed to be suffering from dangerous and severe personality disorder (DSPD). It has now begun to contract, and it is an appropriate time to evaluate its cost-effectiveness

Learning Disabilities

Early Pregnancy Folic Acid Supplements Reduce Autism Risk In Newborns Researchers have found that women can reduce the risk of having a child with the neurodevelopmental disorder if they consume the recommended daily doses of folic acid (600 micrograms, or 0.6milligrams), the synthetic form of folate or vitamin B-9, during the first month of pregnancy Lie-Telling Behavior in Children With Autism and Its Relation to False-Belief Understanding Childrens lie-telling behavior and its relation to false-belief understanding was examined in children with autism spectrum disorders and a comparison group of typically developing children

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Nursing Research

Effectiveness of adherence therapy in patients with early psychosis: A mirror image study In patients with early psychosis, medication non-adherence is associated with more frequent relapse. Observational studies have reported that up to 60% of patients fail to take medication as prescribed Towards a more liveable life for close relatives of individuals diagnosed with bipolar disorder The life of close relatives of persons with bipolar disorder (BD) is associated with emotional distress, depression, and a high level of use of mental health care

Obsessive Compulsive Disorders

Deep Brain Stimulation for Tourette Syndrome: Target Selection Tourette syndrome (TS) is a complex neurological disorder manifested chiefly by motor and phonic tics and a variety of behavioral comorbidities, including attention disorder, obsessivecompulsive disorder and impulse control problems Executive functions in uncomplicated Tourette syndrome Previous studies reporting executive deficits in Tourette syndrome (TS) often failed to control for co-morbid conditions Assessment and medication management of paediatric obsessive-compulsive disorder Paediatric obsessive-compulsive disorder (OCD) is a common, yet under-recognized, neuropsychiatric illness in both clinical and community settings

Occupational Therapy

Qigong Massage for Motor Skills in Young Children With Cerebral Palsy and Down Syndrome In this article, we present a small randomized controlled study evaluating the effect of a dual parent- and trainer-delivered qigong massage methodology on motor skills and sensory responses in 28 children under age 4 with developmental delay and motor tone abnormalities Sensitivity of the Evaluation of Social Interaction Measures Among People With and Without Neurologic or Psychiatric Disorders To determine whether the Evaluation of Social Interaction (ESI) is sensitive enough to differentiate between people without identified diagnoses and those with neurologic or psychiatric disorders in terms of their observed quality of social interaction

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Post Traumatic Stress Disorder

Correlates of posttraumatic stress disorder in forensic psychiatric outpatients in the Netherlands Using a sample of 154 Dutch forensic psychiatric outpatients aged 1862 years, this study investigated whether risk factors of posttraumatic stress disorder (PTSD), mainly identified in nonforensic research, forensic psychiatric factors, and potential comorbid mental disorders were associated with PTSD Pre-trauma verbal ability at five years of age and the risk of post-traumatic stress disorder in adult males and females Previous studies have shown that high cognitive ability, measured in childhood and prior to the experience of traumatic events, is protective of PTSD development PTSD Symptoms Common After Heart Attack: Study Nightmares, elevated heart rate among signs that may increase risk of recurrent attack

Psychology

Risk Of Death From Stroke Increased By Psychological Distress Psychological distress was associated with a higher risk of death from stroke An examination of racial differences in self-harm behavior The prevalence of diverse and multiple self-harm behaviors according to race/ethnicity has been infrequently explored The influence of gender role on the prediction of antisocial behaviour and somatization Previous research has demonstrated a sex-differentiated relationship between antisocial behaviour and somatization. One explanation posited is that societal expectations about male and female behaviour may influence a sex-differentiated expression of a common diathesis, but this idea has not been directly tested

Schizophrenia

Sexual dysfunction prevalent in psychosis patients Sexual dysfunction is very common among patients with psychosis and is often present before the onset of full-blown symptoms, UK researchers report Cost and cost-effectiveness in a randomized trial of long-acting risperidone for schizophrenia The effect of long-acting injectable (LAI) risperidone on health care costs was determined in a multisite clinical trial
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Susceptibility to misleading information under social pressure in schizophrenia Research looking at specific memory aberrations in the schizophrenia has primarily focused on their phenomenology using standardized semantic laboratory tasks Examining Transcranial Direct-Current Stimulation (tDCS) as a Treatment for Hallucinations in Schizophrenia Some 25%-30% of patients with schizophrenia have auditory verbal hallucinations that are refractory to antipsychotic drugs Overview of violence to self and others during the first episode of psychosis We aimed to review the evidence for an association between the first episode of psychosis and violence and to consider the possible explanations for this association and the implications for clinicians and service providers Childhood infection and adult schizophrenia: A meta-analysis of population-based studies To determine whether exposures to infectious illness during childhood involving the CNS or elsewhere is associated with adult schizophrenia or other psychoses CDSS best for assessing depression symptoms in schizophrenia Results from a systematic review of published studies suggests that the Calgary Depression Scale for Schizophrenia (CDSS) is the most reliable and valid instrument for assessing depression symptoms in patients with schizophrenia Insight linked to gray matter volume in FEP patients Results from an Irish study show that poor insight is associated with increased gray matter volume in subcortical and frontotemporal brain regions among patients with first-episode psychosis (FEP), but not in those with chronic schizophrenia Amygdala volume reduced in schizophrenia, not psychotic BD Amygdala volume is reduced in patients with schizophrenia compared with those who have psychotic bipolar disorder (BD), researchers report A review of published evidence reporting on the efficacy and pharmacology of lurasidone Lurasidone is a benzisothiazol derivative, approved by the US Food and Drug Administration for the acute treatment of adults with schizophrenia

Social Work

Mental Health Problems In Young Children Predicted By Child Welfare Investigation A study found that young children who have been investigated for maltreatment by child welfare agencies have a higher prevalence of mental health problems and that very few receive treatment for those problems

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FURTHER CONTENT FURTHER CONTENT

Books, Conferences, Websites & Journal Tocs

NEW PUBLICATIONS
Books and reports hot of the press Click the title to connect to the website entry Community Mental Health Profiles NEPHO Race equality in mental health NHS Confederation Work and the Mental Health Crisis in Britain Contemporary Psychotherapies For A Diverse World: Book and Video Bundle Management of Treatment-Resistant Major Psychiatric Disorders Psychological Adaptive Mechanisms: Ego Defense Recognition in Practice and Research Handbook of Community Psychiatry Research Skills For Social Work: 2nd Revised edition Social Work Models, Methods and Theories: A Framework for Practice: 2nd Revised edition Learning Disability Nurse Survival Guide: Common Questions and Answers for the Learning Disability Nurse

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CONFERENCES
Follow the link to a list, new conferences in bold CONFERENCES

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WEBSITES
Follow the link below to a list of useful websites USEFUL WEBSITES

JOURNAL TOC PAGES

New links in bold Follow the link below to a list of Journal TOC pages JOURNAL TOCs

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DISCLAIMER
And list of websites used DISCLAIMER Follow the link to Disclaimer

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