CG123 Common mental health disorders - National Institute for ...

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Further assessment of risk and need for treatment, and routine outcome monitoringTable 30: Preliminary summary and synthesis of selected text fromrecommendations relating to previous illness (by guideline) to support theprocess of adoption and adaptationGuidelineAlcohol-use Disorders(NICE, 2011b)Antenatal and PostnatalMental Health (NICE, 2007a)(For common mental healthdisorders only)Depression (NICE, 2009a)Depression in Adults with aChronic Physical HealthProblem (NICE, 2009b)Drug Misuse: OpioidDetoxification (NICE, 2007c)Drug Misuse: PsychosocialInterventions (NICE, 2007b)Generalised Anxiety Disorderand Panic Disorder (with orwithout Agoraphobia) inAdults (NICE, 2011a)Obsessive-compulsive Disorder(NICE, 2005a)Post-traumatic Stress Disorder(NICE, 2005b)RecommendationNone identifiedNone identifiedConsider antidepressants for people with a pasthistory of moderate or severe depression.For people with depression who are at significantrisk of relapse or have a history of recurrentdepression, discuss with them treatments to reducethe risk of recurrence, including continuing medication,augmentation of medication or psychologicaltreatment (CBT). Treatment choice should beinfluenced by previous treatment history, includingthe consequences of a relapse, residual symptoms,response to previous treatment and anydiscontinuation symptoms.Consider medication, when:• there is a history of moderate to severe depression• mild depression complicates the care of thephysical health problem• subthreshold depressive symptoms have beenpresent for a long period• subthreshold depressive symptoms or milddepression persist(s) after other interventions.None identifiedNone identifiedNone identifiedNone identifiedNone identified157
Further assessment of risk and need for treatment, and routine outcome monitoringTable 31: Preliminary summary and synthesis of selected text fromrecommendations relating to previous response to treatment (by guideline) tosupport the process of adoption and adaptationGuidelineAlcohol-use Disorders(NICE, 2011b)Antenatal and PostnatalMental Health (NICE,2007a)(For common mentalhealth disorders only)Depression (NICE, 2009a)RecommendationNone identifiedNone identifiedSupport and encourage a person who has benefitedfrom taking an antidepressant to continuemedication for at least 6 months after remissionof an episode of depression.Depression in Adults with a The choice of intervention should beChronic Physical Health influenced by the previous course ofProblem (NICE, 2009b) depression and response to treatment.Drug Misuse: OpioidDetoxification (NICE,2007c)None identifiedDrug Misuse: Psychosocial None identifiedInterventions (NICE,2007b)Generalised AnxietyDisorder and PanicDisorder (with or withoutAgoraphobia) in Adults(NICE, 2011a)Obsessive-compulsiveDisorder (NICE, 2005a)Post-traumatic StressDisorder (NICE, 2005b)The following must be taken into accountwhen deciding which medication to offer:• previous treatment response• tolerability• the possibility of interactions with concomitantmedication.None identifiedNone identified158
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Commonmental healthdisordersTHE NIC
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© The British Psychological Societ
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Contents6 FURTHER ASSESSMENT OF RIS
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Guideline development group members
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Preface1 PREFACEThis guideline has
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Prefacecollaborative manner using t
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PrefaceThe experience of people wit
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Common mental health disorders2.2 T
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Common mental health disordersto ho
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Common mental health disordersManua
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Common mental health disordershighe
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Common mental health disordersNegat
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Common mental health disorderscours
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Common mental health disordersover
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Common mental health disorders2.2.6
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Common mental health disordersTable
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Common mental health disorders1996)
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Common mental health disordersSumma
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Common mental health disordersTable
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Common mental health disordersappli
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Common mental health disorderspatie
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Methods used to develop this guidel
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Access to healthcare4. ACCESS TO HE
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Access to healthcareunder the Menta
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Access to healthcare4.2.3 Studies c
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Access to healthcareIndividual-leve
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Access to healthcareJUNG2003 review
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Access to healthcareSCHEPPERS2006).
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Access to healthcare70Table 8: Clin
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Access to healthcareTable 9: Study
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Access to healthcareCHAPMAN2004 inc
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Access to healthcare4.4 SERVICE DEV
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Access to healthcareBEACH2006 [Beac
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Access to healthcareTable 12: Summa
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Access to healthcareAll studies wer
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Access to healthcarepractitioners h
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Access to healthcareIndividual-leve
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Access to healthcarefrom such popul
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Access to healthcarestructure and d
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Case identification and formal asse
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Page 107 and 108: Case identification and formal asse
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Systems for organising and developi
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Summary of recommendations8.1.1.6 S
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Summary of recommendationsFigure 12
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Summary of recommendations●Genera
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Summary of recommendations8.4 STEPS
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Summary of recommendations●●a g
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Summary of recommendationsDiscuss w
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Summary of recommendationsinclude p
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Appendices9 APPENDICESAppendix 1: S
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Appendix 1of a depressive disorder
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Appendix 1b) Assessment of anxiety
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Appendix 2APPENDIX 2:DECLARATIONS O
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Appendix 2Mr Mike BessantEmployment
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Appendix 2Personal non-pecuniary in
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Appendix 2Actions takenMr Rupert Su
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Appendix 2Personal family interestN
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Appendix 3APPENDIX 3:STAKEHOLDERS A
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Appendix 4ClinicalpopulationPeople
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Appendix 4Case identificationNo. Pr
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Appendix 5APPENDIX 5:REVIEW PROTOCO
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Appendix 7APPENDIX 7:METHODOLOGY CH
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Appendix 9APPENDIX 9:METHODOLOGY CH
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Appendix 92.10 Are all important pa
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Appendix 9case also excludes costs
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Appendix 9For consistency, the EQ-5
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Appendix 9Answer ‘yes’ if the a
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Appendix 9Answer ‘yes’ if the e
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Appendix 9Answer ‘yes’ if appro
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Appendix 10APPENDIX 10: EVIDENCE TA
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Appendix 11APPENDIX 11:HIGH PRIORIT
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Appendix 11discussion of options bu
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Appendix 13APPENDIX 13:GENERALIZED
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ReferencesAndlin-Sobocki, P., Jöns
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ReferencesBower, P., Gilbody, S., R
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ReferencesCooper, S., Smiley, E., M
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ReferencesEhlers A., Gene-Cos N. &
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ReferencesGiles, D. E., Jarrett, R.
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ReferencesHorowitz, M. J., Wilner,
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ReferencesKnapp, M. & Ilson, S. (20
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ReferencesMarks, J., Goldberg, D. P
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ReferencesNCCMH (forthcoming) Self-
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ReferencesOzer, E. J., Best, S. R.,
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ReferencesSartorius, N. (2002) Eine
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ReferencesTiemens, B. G., Ormel, J.
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ReferencesWilkinson, M. J. B. & Bar
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Glossarybeliefs and interpretations
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Glossaryto learn to become more awa
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Abbreviations12 ABBREVIATIONSADDADS
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AbbreviationsOASISOCDONSORPHQ (-A,
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