Early Intervention in Psychiatry – Lancashire & South Cumbria Library Blog

Public Health

Current awareness updates

A retrospective investigation of the prodromal stages of eating disorders and use of health services in young patients the year prior to the diagnosis. [Abstract]
Gómez Del Barrio A. Early Intervention in Psychiatry 2022;16(2):162-167.
[CONCLUSIONS: The majority of reasons for consultation were related to symptoms that could be prodromal symptoms, but the patients were not diagnosed with an eating disorder. These findings highlight the importance of professionals understanding how to identify the warning signs of an eating disorder, so they can refer patients to a specialized unit to establish an early treatment.]

State of the nation 2021: children and young people’s wellbeing.
Department for Education (DfE); 2022.
[This report collates and presents new analysis of published evidence on the wellbeing of children and young people over the period of August 2020 to July 2021, including a wider set of indicators on their: mental and physical health; education and skills; relationships; activities and time use; views on the self, society, and future; an analysis of Covid-19 and the psychological health of young adults; and an analysis of individual predictors of school attendance in 2020 to 2021.]

Subnational indicators explorer.
Office for National Statistics (ONS); 2022.
[A core set of indicators which align with some of the metrics selected to measure the progress of levelling-up, where data is available. Indicators are grouped in three broad categories: boosting living standards, spreading opportunity and improving public services, and restoring local pride. Measures include healthy life expectancy, smokers, overweight, anxiety, happiness, internet capability. Searchable by UK local authority.]

Public Health

Current awareness updates

Type 2 diabetes in adults: management.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers care and management for adults (aged 18 and over) with type 2 diabetes. It focuses on patient education, dietary advice, managing cardiovascular risk, managing blood glucose levels, and identifying and managing long-term complications. In November 2021, NICE reviewed the evidence on SGLT2 inhibitors for adults with type 2 diabetes and chronic kidney disease, and made new recommendations. See the section on chronic kidney disease for more information.]

Cognitive behavioural social skills training: Methods of a randomized controlled trial for youth at risk of psychosis.[Abstract]
Addington J. Early Intervention in Psychiatry 2021;15(6):1626-1636.
[Poor functioning has become a hallmark of many youth at clinical high-risk (CHR) of psychosis. Even for those who do not make the transition to psychosis remain troubled by functional deficits and a decline in functioning increases the odds of transitioning to psychosis. There are very few treatment studies that have attempted to improve social and role functioning. The aim of this paper is to describe the methods of a treatment study to address social and role functioning in CHR.]

Good health and Wellbeing – Social Prescribing: Global Social Prescribing Alliance Playbook.
Global Social Prescribing Alliance; 2021.
[The Global Social Prescribing Playbook is aimed at people and organisations leading local, national, and international implementation of social prescribing. Among other things this report aims to clarify the role of the link worker and help leaders to plan how they can work with community groups, voluntary organisations and civic society to increase the number of community activities available, including across physical activity, financial wellbeing, arts and culture, and nature.]

Gendered experiences of obesity: Narrowing gender gaps in prevention and treatment.
Social Market Foundation; 2021.
[This report explores gendered experiences of obesity in the UK , examining how obesity rates differ between men and women, the drivers of these trends and the extent to which policy aimed at reducing obesity rates needs to be gender specific.]

Emerging infections: monthly summaries.
UK Health Security Agency (UKHSA); 2021.
[October update on new or emerging infectious disease events that could affect UK public health.]

Substance misuse treatment for adults: statistics 2020 to 2021.
Office for Health Improvement and Disparities; 2021.
[Statistics on alcohol and drug misuse treatment for adults from the National Drug Treatment Monitoring System (NDTMS).]

Environmental enrichment for stroke and other non-progressive brain injury. [Abstract]
Qin H. Cochrane Database of Systematic Reviews 2021;11:CD011879.
[OBJECTIVES: To assess the effects of environmental enrichment on well-being, functional recovery, activity levels and quality of life in people who have stroke or non-progressive brain injury.]

Covid 19

Current awareness updates

How many care home staff in England have received two Covid-19 vaccine doses? Nuffield Trust chart.
Nuffield Trust; 2021.
[After the deadline passed, care home staff in England now need to have received two Covid-19 jabs to carry on working. Nina Hemmings looks at how many had been vaccinated twice only a few weeks before the deadline.]

Effects of COVID-19 pandemic on mental health outcomes in a cohort of early psychosis patients.[Abstract]
Szmulewicz AG. Early Intervention in Psychiatry 2021;15(6):1799-1802.
[AIM: To evaluate the impact of the COVID-19 pandemic on clinical outcomes, we used data from Electronic Health Records from 128 patients receiving care at a First Episode Psychosis clinic. CONCLUSIONS: We report that patients have avoided accessing higher levels of care, except in extreme cases. We argue that this is not a sustainable trajectory and that public health actions are required.]

Provider collaboration review: Mental health care of children and young people during the COVID-19 pandemic.
Care Quality Commission (CQC); 2021.
[Review of care in 7 areas of England in June and July 2021 found COVID-19 pandemic has had an enormous impact on the mental health of children and young people, and has led to an increased demand on services, particularly eating disorder services.]

Effectiveness of public health measures in reducing the incidence of covid-19, SARS-CoV-2 transmission, and covid-19 mortality: systematic review and meta-analysis.
BMJ; 2021.
[This systematic review and meta-analysis suggests that several personal protective and social measures, including handwashing, mask wearing, and physical distancing are associated with reductions in the incidence covid-19. Public health efforts to implement public health measures should consider community health and sociocultural needs.]

COVID-19 Young people and vaccines Toolkit.
Cabinet Office; 2021.
[An updated vaccines toolkit for younger people has been launched by the Cabinet Office. The toolkit includes links to assets and videos designed to encourage vaccine uptake among young people aged 18 to 29.]

Public Health

Current awareness updates

Avian influenza: guidance for managing human cases.
UK Health Security Agency (UKHSA); 2021.
[Information to assist with the management of possible and confirmed human cases of avian influenza.]

Heart valve disease presenting in adults: investigation and management.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers investigation and management of heart valve disease presenting in adults. It aims to improve quality of life and survival for people with heart valve disease through timely diagnosis and appropriate intervention.]

Acute heart failure: diagnosis and management.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers diagnosing and managing acute heart failure or possible acute heart failure in people aged 18 and over. Heart failure may indicate acute myocardial injury in patients with COVID-19. See the recommendations in NICE COVID-19 rapid guideline on managing COVID-19. In November 2021, NICE withdrew the recommendations on valvular surgery and percutaneous intervention because they have been replaced by the NICE guideline on heart valve disease.]

Public health commissioning in the NHS: 2021 to 2022.
Department of Health and Social Care (DHSC); 2021.
[Information about NHS England’s objectives and funding arrangements as it commissions public health services in the ongoing context of coronavirus (COVID-19).]

Cause for concern: Australian youth engaged with alcohol and other drug services are falling behind our community progress in reducing tobacco use.[Abstract]
Hallam KT. Early Intervention in Psychiatry 2021;15(6):1789-1792.
[Tobacco use is decreasing in the general youth population yet little evidence is tracking changes in young people who are engaged with youth alcohol and other drug (AOD) services that are often disengaged from school and work settings. Conclusion: The results highlight a need for the adoption of evidence-based tobacco early intervention programs in youth AOD services to address this significant health risk.]

Quality improvement project to decrease unnecessary investigations in infants with bronchiolitis in Cork University Hospital.[Abstract]
Jansen L. BMJ Open Quality 2021;10(4):DOI: 10.1136/bmjoq-2021-001428.
[Conclusion: An evidence-based protocol improved physicians’ ability in diagnosing and managing infants with bronchiolitis. This led to a reduction in unnecessary and potential harmful investigations, thereby improving patient quality of care. This improvement will contribute to decreased healthcare cost and appropriate use of resources during the high-pressured winter period.]