Children’s mental health services good but variable, CQC says

‘Too many children and young people have a poor experience of care and some are simply unable to access timely and appropriate support’, the Care Quality Commission concludes in its Review of children and young people’s mental health services (www.cqc.org.uk).
The report, the first to emerge …

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EMA to restrict daclizumab use for MS

The Pharmacovigilance Risk Assessment Committee (PRAC) of the European Medicines Agency has recommended that provisional measures to restrict the use of daclizumab (Zinbryta) to treat relapsing forms of multiple sclerosis should be strengthened and made permanent (www.ema.europa.eu). Treatment should now be limited to patients who …

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Compulsory Treatment in the Community, if so, on what basis?

A request for help from psychiatrists and all community mental health practitioners.
The Dutch government is introducing new mental health legislation, which will controversially allow for compulsory treatment to be used in the community and in patient’s homes. 
To try to understand the issues better, the Vincent …

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Antidepressant adherence not related to prescriber status

There is minimal variation in adherence to antidepressant therapy between patients treated by a psychiatrist and those treated by a GP, a US study shows (J Clin Psychiatry 2017;10.4088/JCP.16m11324).
Analysis of electronic health records and insurance claims for Washington, Idaho, Minnesota, Colorado, Hawaii and California identified …

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Public concern about pregabalin prescribing and abuse

There is wide variation between clinical commissioning groups in prescribing rates of pregabalin and growing concern that prescribed treatment is being diverted for misuse, according to a BBC report.
Labelling pregabalin the ‘new Valium’, the report draws on data available from OpenPrescribing, a website that provides …

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Lithium after diagnosing CKD

Treatment with lithium following a diagnosis of chronic kidney disorder (CKD) does not necessarily increase the risk of end-stage kidney disease in people with bipolar disorder, say Danish investigators (Acta Psychiatr Scand 2017; doi: 10.1111/acps.12820).
Their cohort study included everyone in Denmark diagnosed with CKD between …

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Ocrelizumab reduces MS disability

Roche’s 6-monthly anti-CD20 monoclonal antibody ocrelizumab reduces disability due to progression of multiple sclerosis, according to a post-hoc analysis of randomised trials presented at the 7th Joint European Committee for Treatment and Research in Multiple Sclerosis (ECTRIMS) – Americas Committee for Treatment and Research in …

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Lithium in tap water reduces dementia risk

A high amount of lithium in ordinary tap water has been shown to reduce the risk of dementia by up to 17%, according to a new Danish study published in the JAMA Psychiatry.
The study was based on the water consumption of 800,000 individuals …

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Future plans to transform UK mental health care

The Health Secretary Jeremy Hunt yesterday announced new government plans to expand the mental health workforce and tackle the “historic imbalance” between physical and mental health services.
The plans commit £1.3 billion of extra funds to enable mental health services to treat an additional 1 million …

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Sugar intake associated with depression in men

High sugar intake has been shown to result in a 23% increased risk of suffering a common mental disorder (CMD) in men, according to new research published in Science Reports.
Anika Knüppel, lead author of the study at the UCL Institute of Epidemiology and …

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