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

No 352 No 352

nd Jully 2nd 2012 Ju y 2nd 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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Conttentt Con en
Department of Health
The bulletin is also available online at the sites below ePH evidence WEBSITE

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

National News International News

TIN WEBSITE

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

Employers urged to offer flexible working to support mental health needs

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National News

Care homes in England 'failing vulnerable adults' Almost half of all care homes and treatment centres in England are failing to protect the welfare of vulnerable adults, a report says Role of stress in dementia investigated UK experts are to begin a study to find out if stress can trigger dementia Suicidal teenagers 'let down' by parts of health service Suicidal teenagers are not getting the help they need, it's claimed Rising adult care costs leave councils facing 16.5bn black hole Funding gap underlines need for government to urgently reform adult social care funding, says Local Government Association Young people harmed by mental health stigma A survey has revealed the negative impact that discrimination and stigma is having on a generation of young people with mental illness DVDs and Computer Games Rated for Adult Use May Damage Children's Mental Health Media violence does have an effect on children's behavior and a concerted public health response involving parents, professionals, the media and policymakers is needed to reduce its effects Big care providers to start publishing performance data Nine large care providers, including Barchester Healthcare and Bupa, have pledged to produce information on performance as part of an initiative to help service users make decisions about their care Medicines management biggest problem for social care Increase in the number of service users with multiple and complex conditions leading to problems for providers in managing medicines, says the Care Quality Commission Two thirds of adopters never told about adoption support Adoption UK survey reveals adoptive families are still struggling to access vital post-adoption
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support Support for tomorrow's leaders in social care The National Skills Academy for Social Care has launched a programme to help prepare people to take on leadership roles to deal with the challenges this brings Ken Clarke announces closure of 'abuse loophole' Justice secretary announces the closure of a terrible loophole which has, until now allowed people accused of seriously harming a child or vulnerable adult to escape unpunished Offenders need integrated, on-going, mental health care, according to a new study examining healthcare received by offenders across the criminal justice system Offenders with mental health problems need improved and on-going access to health care, according to the first study to systematically examine healthcare received by offenders across the criminal justice system Autism: recognition, referral, diagnosis and management of adults on the autism spectrum NICE Guidelines

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International News

40 Million Americans Addicted to Cigarettes, Alcohol or Drugs About 16 percent of Americans aged 12 and older are hooked CBT Psychotherapy Best For Anxiety Disorders A University of Houston researcher has found that patients suffering from anxiety disorders showed the most improvement when treated with cognitive-behavioral therapy (CBT) in conjunction with a transdiagnostic approach, which allows therapists to use one kind of treatment no matter what the anxiety

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RESEARCH RESEARCH

Brain activity patterns may aid mental illness diagnosis The identification of neural activity patterns in response to facial expressions of emotion may help in the diagnoses of mental illness, say researchers Can general practice help address youth mental health? A retrospective cross-sectional study in Dublin's south inner city With general practice potentially having an important role in early intervention of mental and substance use disorders among young people, we aim to explore this issue by determining the prevalence of psychological problems and general practice/health service utilization among young people attending general practice
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Managing risks of violence in a youth mental health service: a service model description There is a significant relationship between experiencing a severe mental illness, particularly psychosis, and exhibiting violent or offending behaviour. Reducing, if not preventing, the risks of violence among patients of mental health services is clinically warranted, but models to address this are limited

Addictions
Substance abuse, alcoholism, A Double-Blind Randomized Controlled Trial of N-Acetylcysteine in Cannabis-Dependent Adolescents Preclinical findings suggest that the over-the-counter supplement N-acetylcysteine (NAC), via glutamate modulation in the nucleus accumbens, holds promise as a pharmacotherapy for substance dependence Neurons That Impact On Appetite Also Linked To Cocaine Desire People who have higher appetites for food tend to have lower interest in cocaine, or exploratory behavior The Best Way To Treat Problem Alcohol Use; Scientists Weigh The Evidence Scientists from the Centre for Addiction and Mental Health (CAMH) have released comprehensive reviews of the most effective treatments for alcohol dependence, one of the most prevalent addictions in Canada Patterns of alcohol expectancies and alcohol use across age and gender To investigate the relationship between alcohol expectancies and alcohol use in a community sample as a function of age and gender Respondent driven sampling and community structure in a population of injecting drug users, Bristol, UK A 2006 respondent driven sampling (RDS) survey of injecting drug users (IDUs) in Bristol, UK, estimated 40 per 100 person years HCV incidence but in 2009 another RDS survey estimated only 10 per 100 person years incidence amongst the same population

Anxiety Disorders

The relationships of child and parent factors with children's anxiety symptoms: Parental anxious rearing as a mediator A considerable body of research has identified various child and parent factors that contribute to and maintain anxiety symptoms in children Trajectories of Social Anxiety during Adolescence and Relations with Cognition, Social Competence, and Temperament This cohort-sequential study examined developmental trajectories of social anxiety in a nonclinical sample (N=331, 161 girls) aged 9 to 17 years at initial and 12 to 21 years at final assessment
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Testing the specificity between social anxiety disorder and drinking motives This study tested the specificity of the relationship between social anxiety disorder and coping drinking motives within the context of a range of potentially confounding variables measured during adolescence

Dementia
Alzheimers Donepezil or memantine improved cognitive functioning in moderate-to-severe Alzheimer disease In community-dwelling patients with moderate-to-severe Alzheimer disease, what are the benefits of continuing donepezil and/or initiating memantine treatment? Prediction of Incident Dementia: Impact of Impairment in Instrumental Activities of Daily Living and Mild Cognitive Impairment-Results From the German Study on Ageing, Cognition, and Dementia in Primary Care Patients There is an increasing call for a stronger consideration of impairment in instrumental activities of daily living (IADL) in the diagnostic criteria of Mild Cognitive Impairment (MCI) to improve the prediction of dementia Translating Current Knowledge Into Dementia Prevention Considerable knowledge has been gained from epidemiologic studies and randomized clinical trials regarding risk factors for dementia, including Alzheimer disease and vascular dementia Fighting Alzheimer's Disease With Exercise The most common cause of dementia, Alzheimer's disease results in the loss of cognitive faculty. In the majority of cases, Alzheimer's disease occurs after age 65, and factors such as diet and exercise appear to play a role in its development, with high-fat diets as a risk factor Analysis of Caregiver Perceptions of Hallucinations in People With Dementia in Institutional Settings This study investigated the meanings and etiologies of hallucinations in persons with dementia Medication Reminder Device for the Elderly Patients With Mild Cognitive Impairment Reminder devices reportedly improve medication adherence in the elderly patients with mild dementia; however, the efficacy of such devices remains unexplored

Depression
Bipolar disorders Self-Harming And Suicide In Young People - The Impact Of Social Networking Sites Worldwide, suicide is the most prevalent cause of death in female teenagers, and the third most common cause of death in male adolescents, after road traffic accidents and violence Male Suicide Rates - Who Is At Greatest Risk?
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Suicide rates among young men (ages 19-30) are rising in some countries including Brazil, Ireland, Lithuania and Singapore. However, new research published in The Lancet shows that very few studies published over the last decade distinguish factors which identify those at greatest risk The relationship between bipolar disorder and type 2 diabetes: More than just co-morbid disorders Type 2 diabetes mellitus (T2DM) rates are three times higher in patients with bipolar disorder (BD), compared to the general population Maternal antidepressant use and adverse outcomes: a cohort study of 228,876 pregnancies The purpose of this study was to describe antidepressant medication use patterns during pregnancy and pregnancy outcomes Women With Depression May Benefit From Vitamin D Women with moderate to severe depression had substantial improvement in their symptoms of depression after they received treatment for their vitamin D deficiency Probing The Roots Of Depression By Tracking Serotonin Regulation At A New Level The capability, which took nearly a decade to achieve, makes it possible to study the dynamics of serotonin regulation at a new level of detail, which is important because of the key role that serotonin plays in the regulation of mood, appetite and sleep High medical illness rates in bipolar disorder Results from a US study show that more than half of patients with bipolar disorder have a significant burden of comorbid medical illnesses

Dual Diagnosis

Effectiveness of Cognitive-behavioral Trauma Treatment for Incarcerated Women with Mental Illnesses and Substance Abuse Disorders An open trial design was used to examine the implementation and effectiveness of a cognitivebehavioral intervention for comorbid post-traumatic stress disorder and substance use disorder for incarcerated women with Axis I mental disorders who self-referred for specialty trauma treatment The impact of comorbid cannabis and methamphetamine use on mental health among regular ecstasy users Residual effects of ecstasy use induce neurotransmitter changes that make it biologically plausible that extended use of the drug may induce psychological distress Mission impossible: treating serious mental illness and substance use co-occurring disorder with integrated treatment: a meta-analysis Integrated treatment of co-occurring substance use and mental health disorders is defined by the concurrent delivery of treatment for both disorders by a team of providers

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Eating Disorders

Is impaired set-shifting a feature of pure anorexia nervosa? Investigating the role of depression in set-shifting ability in anorexia nervosa and unipolar depression Impaired set-shifting has been reported in patients with anorexia nervosa (AN) and in patients with affective disorders, including major depression Body esteem and eating disorder symptomatology: The mediating role of appearancemotivated exercise in a non-clinical adult female sample Low body esteem poses a risk for the development of eating disorder symptomatology. Appearance-motivated exercise, as opposed to health-motivated exercise, has been associated with both low body esteem and eating disorder symptomatology

Forensic Psychiatry

Effectiveness of Cognitive-behavioral Trauma Treatment for Incarcerated Women with Mental Illnesses and Substance Abuse Disorders An open trial design was used to examine the implementation and effectiveness of a cognitivebehavioral intervention for comorbid post-traumatic stress disorder and substance use disorder for incarcerated women with Axis I mental disorders who self-referred for specialty trauma treatment Integrated, On-Going, Mental Health Care Needed For Offenders Offenders with mental health problems need improved and on-going access to health care, according to the first study to systematically examine healthcare received by offenders across the criminal justice system

Learning Disabilities

EEG brain trace 'can detect autism' A simple brain trace can identify autism in children as young as two years old, scientists believe Early Start to ADHD Meds Lowers Risk of Academic Decline Early initiation of stimulants linked to reduced academic decline in math, particularly for girls Psychiatric comorbidities in asperger syndrome and high functioning autism: diagnostic challenges Several psychiatric conditions, both internalizing and externalizing, have been documented in comorbidity with Asperger Syndrome (AS) and High Functioning Autism (HFA) Individuals with Aspergers Disorder Exhibit Difficulty in Switching Attention from a Local Level to a Global Level The purpose of the present study was to determine whether individuals with Aspergers disorder
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exhibit difficulty in switching attention from a local level to a global level

Nursing Research

Factors associated with the use of intrusive measures at a tertiary care facility for children and youth with mental health and developmental disabilities This study seeks to identify some of the explanatory factors associated with the use of intrusive measures among children with mental health and developmental disabilities in psychiatric facilities Stories of women involved in a postpartum depression peer support group Living through postpartum depression (PPD) might lead women to seek a variety of support to re-establish their well-being, including a hybrid of traditional and non-traditional services

Obsessive Compulsive Disorders

Surgery for Tourette Syndrome Tourette syndrome is a chronic neuropsychiatric disorder characterized by motor and vocal tics Compulsive hoarders: How do they differ from individuals with obsessive compulsive disorder? Hoarding has been considered a subtype of obsessivecompulsive disorder (OCD). Planned revisions to the diagnostic criteria propose that hoarding form a separate diagnosis in a larger cate

Occupational Therapy

Occupational therapy for caregivers of people with dementia: a review of the United Kingdom literature Caring for a family member with dementia is associated with a wide range of challenges. The national strategy for caregivers highlights the growing need for health professionals to provide support to caregivers of people with dementia Are occupational therapists in acute general hospitals addressing psychological wellbeing? There is compelling evidence in the literature that anxiety and depression affect high percentages of people with long-term physical conditions and that these often go undiagnosed

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Post Traumatic Stress Disorder

A Socio-interpersonal Perspective on PTSD: The Case for Environments and Interpersonal Processes Post-traumatic stress disorder (PTSD) is a common reaction to traumatic experiences. We propose a socio-interpersonal model of PTSD that complements existing models of posttraumatic memory processes or neurobiological changes Association between posttraumatic stress, depression, and functional impairments in adolescents 24 months after traumatic brain injury The degree to which postinjury posttraumatic stress disorder (PTSD) and/or depressive symptoms in adolescents are associated with cognitive and functional impairments at 12 and 24 months after traumatic brain injury (TBI) is not yet known

Psychology

Exploring Compassion: A meta-analysis of the association between self-compassion and psychopathology Compassion has emerged as an important construct in studies of mental health and psychological therapy Subtypes, Dimensions, Levels, and Mental States in Narcissism and Narcissistic Personality Disorder Various conceptualizations of subtypes, levels, and dimensions of narcissism and narcissistic personality disorder (NPD) are considered with a particular focus on overt grandiose presentations and covert vulnerable presentations Moving beyond the trait conceptualization of self-esteem: The prospective Effect of impulsiveness, coping, and risky behavior engagement Past research has largely focused on examining self-esteem as an independent as opposed to a dependent variable. At the same time, research suggests that during adolescence, selfesteem is subject to yearly, monthly, as well as daily change, and consequently, it is important to identify underlying vulnerability factors and behaviors, which shape self-esteem lability Difficulty Identifying Feelings, Distress Tolerance and Compulsive Buying: Analyzing the Associations to Inform Therapeutic Strategies Difficulty identifying feelings (a component of alexithymia) and distress tolerance both appear to play a role in impulse-control problems

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Schizophrenia

Liability for schizophrenia linked to cognition in mood disorders Schizotypal traits and genetic liability for schizophrenia are associated with reduced cognitive functioning in patients with mood disorders Genetic risk for schizophrenia linked to brain volume alterations Patients with schizophrenia and their unaffected first-degree relatives show altered gray and white matter volumes in specific brain regions compared with mentally healthy individuals Clinical interventions for women with schizophrenia: pregnancy A comprehensive treatment program for schizophrenia needs to include services to women of childbearing age that address contraception, pregnancy, and postpartum issues, as well as safe and effective parenting Oxytocin levels linked to medication dose, symptoms in schizophrenia Higher doses of second-generation antipsychotics and more severe negative symptoms are associated with lower levels of oxytocin in cerebrospinal fluid among patients with schizophrenia Family history influences age at prodrome and psychosis onset A family history of psychosis is associated with an earlier age at onset of both prodromal symptoms and full-blown psychosis, US research shows Review confirms impaired cognition in prodromal psychosis Patients at high risk for psychosis show significant and widespread impairments in neurocognitive functioning and social cognition, results from a systematic review and metaanalysis of published studies show

Social Work

Exposure to childhood neglect and physical abuse and developmental trajectories of heavy episodic drinking from early adolescence into young adulthood Although the literature suggests that childhood maltreatment (CM) relates to adolescent heavy episodic drinking (HED), few studies have examined the long-term effects of CM on adolescent HED Engaging parents of suicidal youth in a rural environment Engaging caregivers is an essential component of service for at-risk youth. Engagement has been described as specific behaviours and attitudes

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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 COCOA: Care for Offenders Continuity of Access NIHR Service Delivery and Organisation Programme Violence and Abuse in Society: Understanding a Global Crisis Combat Trauma: A Personal Look at Long-term Consequences Family Therapy: Concepts and Methods: International ed of 10th revised ed Medicating Foster Care Children With Psychotropic Drugs: An Examination Psychological Adaptive Mechanisms: Ego Defense Recognition in Practice and Research Management of Treatment-Resistant Major Psychiatric Disorders

Paradigms Lost: Fighting Stigma and the Lessons Learned Neurobiology of Psychiatric Disorders

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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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