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

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ContentsCONTENTSGUIDELINE DEVELOPMENT GROUP MEMBERS 5ACKNOWLEDGEMENTS 71 PREFACE 81.1 National clinical guidelines 81.2 The national common mental health disorders guideline 112 COMMON MENTAL HEALTH DISORDERS 132.1 Introduction 132.2 The disorders 142.3 Treatment 312.4 Identification, assessment and pathways to care 343 METHODS USED TO DEVELOP THIS GUIDELINE 413.1 Overview 413.2 The scope 413.3 The guideline development group 423.4 Review questions 433.5 Systematic clinical literature review 443.6 Health economic methods 513.7 From evidence to recommendations 553.8 Stakeholder contributions 563.9 Validation of the guideline 574 ACCESS TO HEALTHCARE 584.1 Introduction 584.2 Factors affecting access 604.3 Adapting models of service delivery and therapeutic interventions 694.4 Service developments and interventions specifically designedto promote access 764.5 Recommendations 895 CASE IDENTIFICATION AND FORMAL ASSESSMENT 915.1 Introduction 915.2 Case identification 925.3 Formal assessment of the nature and severity of commonmental health disorders 1195.4 Recommendations 1333
Contents6 FURTHER ASSESSMENT OF RISK AND NEED FORTREATMENT, AND ROUTINE OUTCOME MONITORING 1366.1 Introduction 1366.2 Risk assessment 1366.3 Factors that predict treatment response 1436.4 Routine outcome monitoring 1807 SYSTEMS FOR ORGANISING AND DEVELOPINGLOCAL CARE PATHWAYS 1887.1 Introduction 1887.2 Clinical evidence review 1907.3 Health economic evidence 2117.4 From evidence to recommendations 2127.5 Recommendations 2138 SUMMARY OF RECOMMENDATIONS 2158.1 Improving access to services 2158.2 Stepped care 2178.3 Step 1: identification and assessment 2178.4 Steps 2 and 3: treatment and referral for treatment 2228.5 Developing local care pathways 2279 APPENDICES 23010 REFERENCES 27711 GLOSSARY 30312 ABBREVIATIONS 3084
Page 1 and 2: Commonmental healthdisordersTHE NIC
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Page 7 and 8: Guideline development group members
Page 9 and 10: Preface1 PREFACEThis guideline has
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Methods used to develop this guidel
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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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Further assessment of risk and need
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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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