Alcohol detox centre ‘saves NHS millions’

BBC News, 28 April 2015

This article looks at the NHS unit pioneering a different way of dealing with alcoholics and suggests that the NHS could save £27m a year by changing the way it deals with alcoholic patients.

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Treatment of personality disorder

The Lancet, 21-27 February 2015

The evidence base for the effective treatment of personality disorders is insufficient. Most of the existing evidence on personality disorder is for the treatment of borderline personality disorder, but even this is limited by the small sample sizes and short follow-up in clinical trials, the wide range of core outcome measures used by studies, and poor control of coexisting psychopathology. Psychological or psychosocial intervention is recommended as the primary treatment for borderline personality disorder and pharmacotherapy is only advised as an adjunctive treatment. The amount of research about the underlying, abnormal, psychological or biological processes leading to the manifestation of a disordered personality is increasing, which could lead to more effective interventions. The synergistic or antagonistic interaction of psychotherapies and drugs for treating personality disorder should be studied in conjunction with their mechanisms of change throughout the development of each.

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MARSIPAN: Management of really sick patients with anorexia nervosa (2nd Ed)

Royal College of Psychiatrists, October 2014

This report aims to clarify the situation and provides recommendations and unambiguous guidelines on the management of patients with severe anorexia nervosa in a number of settings, in order to help reduce the number of avoidable deaths of patients with severe anorexia nervosa. It provides:

  • Advice on physical assessment.
  • Advice to the primary care team and criteria for admission to both medical units and specialist eating disorder units as well as non-specialist psychiatric units, and criteria for transfer between those services.
  • Advice on the required members of the in-patient medical team.
  • Medical, nutritional and psychiatric management of patients with severe anorexia nervosa in medical units, including the appropriate use of mental health legislation.
  • Advice for commissioners on required services for this group of very ill patients.

This is a joint report from the Royal College of Psychiatrists, the Royal College of Physicians (London) and the Royal College of Pathologists.

Click here to download the full report.

Improving the delivery of adult diabetes care through integration

Diabetes UK, October 2014

The Diabetes UK report ‘Improving the delivery of adult diabetes care through integration’, published in October 2014, explains how diabetes care can be improved to achieve better outcomes for people with diabetes. The challenge for commissioners and healthcare providers locally is to make the system work to support that.

Click here for further information and to download the full report.

Why are we failing young patients with ADHD?

BMJ, 17 October 2014

Many clinicians will have spent time with a child or adult with a diagnosis of attention deficit hyperactivity disorder (ADHD) and wondered if they were just attention seeking, naughty, or badly parented. Some may have been all three. But it is clear that a definitive diagnosis, early intervention with evidence based treatments, and continued support through important stages of life can hugely improve the quality of life, academic performance, and economic prospects of someone with ADHD.

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One New Drug a Week: Why novel psychoactive substances and club drugs need a different response from UK treatment providers

Royal College of Pscyhiatrists, September 2014

This report gives an overview of how drug use in the UK is changing and outlines the changes in services required to meet the needs of drug users.

Click here to view the full report.