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August 2006
Vol. 3 No. 10
Knowledge Update
CNWL: Implementing NICE Guidance
Special Inter est Articles:
The National Institute for Health and Clinical Excellence (NICE) is the independent organisation responsible for providing national guidance on L: Implementing NICE the promotion of good health and the prevention and treatment of ill health. Part of its work involves developing clinical guidelines. Clinical • SAFARI: An Online Information guidelines are recommendations, based on the best available evidence, on the most appropriate treatment and care of people with specific diseases and conditions. • ReFeR: Research Findings The implementation of NICE guidance within CNWL is led by the NICE • Mental Capacity Act 2005: Implementation Committee. This is chaired by Alex Lewis, the Medical Best Practice Tool Director, and includes Consultant Psychiatrists from each service area across the Trust. Current Awareness The NICE Implementation Committee has recently looked at the NICE guidance on obsessive compulsive disorder (OCD) and post traumatic stress disorder (PTSD) and considered what it means for CNWL. Successful implementation of NICE guidance depends on the activities of all health care professionals. The easiest way to find out about the latest guidance and CNWL's implementation plans is to have a look at the NICE pages on Trustnet. They are regularly updated and include copies of all relevant NICE guidance and implementation forms which track Trust progress on considering and implementing the guidance. (Medical Directorate - NICE Guidance) Don't forget to have a look at the guidance that applies to your service area and check that your practice is in line with the best available evidence. For further information please contact Rachel Huck, Clinical Audit Manager (rachel.huck@nhs.net) or Russell Hill, Chief Pharmacist (russell.hill@nhs.net). Liz Osborne – Knowledge Services Manager CNWL, 30 Eastbourne Terrace, London, W2 6LA Tel: 020 8746 5551 Fax: 020 8846 6867 E-mail liz.osborne@nhs.net Knowledge Services Update
Page 2 of 9
SAFARI: An Online Information Skills Tutorial
Safari is an interactive, web-based information skills tutorial. Launched in January 2001 by the Open University Library, it is designed to help people feel more confident about finding, evaluating and using information. Safari can be used in a variety of ways - as a training package, by working through each of the seven sections in Finding and order, or by dipping into specific topics of interest. The tutorial covers everything from understanding information to searching for resources.
To start your SAFARI go to: ReFeR: Research Findings Register
ReFeR is a database of the findings of research studies funded by the Department of Health. Unusually, it provides access to research findings in the gap between research completion and publication. Entries consist of structured records which outline the research question, methodology, outcome measures, findings, conclusions and implications for future research for each project. Publications to date, project web sites and key contacts are also listed. For more information see: Mental Capacity Act 2005: Best Practice Tool
best practice The Mental Capacity Act 2005 is due to come into effect in April 2007. A in service best practice tool has been developed by the Department of Health to help managers implement the Act successfully. It takes key elements of the Act and invites Trusts to score their current position, with a view to identifying what needs to be done, by whom and when. The best practice tool is available from: Liz Osborne – Knowledge Services Manager CNWL, 30 Eastbourne Terrace, London, W2 6LA Tel: 020 8746 5551 Fax: 020 8846 6867 E-mail liz.osborne@nhs.net Knowledge Services Update
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Current Awareness
Mörtberg, E (commentator). (2006). Barry, RJ; Clarke, AR (commentators). Mirtazapine reduces social anxiety (2006). Modafinil improves symptoms of and improves quality of life in women with social phobia. Evidence Based ADHD compared with placebo in young people. Evidence Based Mental Health; 9 Mental Health; 9 (3); p. 75. Available (3); p. 68. Available online . Greenhill, LL et al. (2006). Efficacy and BIPOLAR DISORDER
safety of dexmethylphenidate extended- Bauer, MS et al. (2006). Collaborative care for bipolar disorder: release capsules in children with attention-deficit/hyperactivity disorder. part I. Intervention and Journal of the American Academy of Child implementation in a randomized and Adolescent Psychiatry; 45 (7); p. 817- effectiveness trial. Psychiatric Services; 57 (7); p. 927-936. Bowden, CL et al. (2006). Impact of Johnston, JA et al. (2006). Decreased use of clonidine following treatment with lamotrigine and lithium on weight in atomoxetine in children with ADHD. obese and nonobese patients with Journal of Clinical Psychopharmacology; bipolar I disorder. American Journal of 26 (4); p. 389-395. Psychiatry; 163 (7); p. 1199-1021. Available online via . Reich, W; Huang, H; Todd, RD. (2006). ADHD medication use in a population- Cannon, DM et al. (2006). Reduced Keep up to date based sample of twins. Journal of the muscarinic type 2 receptor binding in with recently American Academy of Child and subjects with bipolar disorder. Adolescent Psychiatry; 45 (7); p. 801-807. Archives of General Psychiatry; 63 (7); Available online via p. 741-748. Available online via – get copies from Sayal, K; Goodman, R; Ford, T. (2006). the web or your Barriers to the identification of children Citrome, L (commentator). (2006). with attention deficit/hyperactivity Maintenance treatment with local Library. disorder. Journal of Child Psychology olanzapine reduces relapse in people and Psychiatry and Allied Disciplines; 47 with bipolar I disorder who have (7); p. 744-750. Available online via responded to acute olanzapine treatment. Evidence Based Mental Health; 9 (3); p. 73. Available online Bowen, R; Baetz, M; DArcy, C. (2006). Self-rated importance of religion predicts Miklowitz, DJ et al. (2006). one-year outcome of patients with panic Psychotherapy, symptom outcomes, disorder. Depression and Anxiety; 23 (5); and role functioning over one year among patients with bipolar disorder. Psychiatric Services; 57 (7); p. 959- Buodo, G et al. (2006). Event-related potentials and visual avoidance in blood phobics: is there any attentional bias? Otto, MW et al. (2006). Prospective Depression and Anxiety; 23 (5); p. 304- 12-month course of bipolar disorder in out-patients with and without comorbid anxiety disorders. British Journal of Psychiatry; 189 (1); p. 20-25. Available online via Liz Osborne – Knowledge Services Manager CNWL, 30 Eastbourne Terrace, London, W2 6LA Tel: 020 8746 5551 Fax: 020 8846 6867 E-mail liz.osborne@nhs.net Knowledge Services Update
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Scott, J et al. (2006). Exposure to CRITICAL APPRAISAL
complications and subsequent Finlay, L. (2006). Rigour', ethical ent of bipolar disorder. integrity' or artistry'? Reflexively Systematic review. British Journal of reviewing criteria for evaluating Psychiatry; 189 (1); p. 3-11. Available qualitative research. British Journal of Occupational Therapy; 69 (7); p. 319- RLINE PERSONALITY
DISORDER
DEPRESSION
Hopwood, CJ. (2006). Brief treatments Artigas, F (commentator). (2006). for borderline personality. Clinical Review: an early sustained response can Psycholog y and Psychotherapy; 13 (4); occur in the first and second weeks of antidepressant treatment for major depressive disorder. Evidence Based Killaspy, H (commentator). (2006). Mental Health; 9 (3); p. 78. Available Topiramate improves psychopathological and quality of life in women rline personality disorder. Fava, M et al. (2006). A comparison of ce Based Mental Health; 9 (3); p. mirtazapine and nortriptyline following 74. Available online via two consecutive failed medication treatments for depressed outpatients: a COGNITIVE BEHAVIOUR THERAPY
STAR*D report. American Journal of h, BC et al. (2006). Clinicians' Psychiatry; 163 (7); p. 1161-1172. tives on cognitive-behavioral Available online via treatment for PTSD among persons with severe mental illness. Psychiatric Howland, RH. (2006). Transdermal 57 (7); p. 1027-1031. selegiline: a novel MAOI formulation for depression. Journal of Psychosocial ano, BA (commentator). (2006). Nursing and Mental Health Services; 44 : cognitive behavioural therapy is (7); p. 9-12. Available online via an effective treatment for depression, panic disorder, and generalised anxiety disorder, but may be less effective in Jackson, AP. (2006). The use of severe cases. Evidence Based Mental psychiatric medications to treat Health; 9 (3); p. 80. Available online via depressive disorders in African American women. Journal of Clinical Psychology; 62 (7); p. 793-800. Turkington, D et al. (2006). Outcomes of an effectiveness trial of cognitive- Schotte, CK et al. (2006). A behavioural intervention by mental health biopsychosocial model as a guide for nurses in schizophrenia. British Journal psychoeducation and treatment of of Psychiatry; 189 (1); p. 36-40. depression. Depression and Anxiety; 23 Available online via (5); p. 312-324. COUNSELLING
Segal, ZV et al. (2006). Cognitive Eriksen, K; Kress, VE. (2006). The reactivity to sad mood provocation and DSM and the professional counseling the prediction of depressive relapse. identity: bridging the gap. Journal of Archives of General Psychiatry; 63 (7); p. Mental Health Counseling; 28 (3); p. 202- 749-756. Available online via 217. Available online via Meyer, D; Ponton, R. (2006). The Solomon, A et al. (2006). A taxometric healthy tree: a metaphorical perspective investigation of unipolar depression in a of counselor well-being. Journal of large community sample. Psychological Mental Health Counseling; 28 (3); p. 189- Medicine; 36 (7); p. 973-986. 201. Available online via Liz Osborne – Knowledge Services Manager CNWL, 30 Eastbourne Terrace, London, W2 6LA Tel: 020 8746 5551 Fax: 020 8846 6867 E-mail liz.osborne@nhs.net Knowledge Services Update
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Knowledge Services Update
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Vaishnavi, S et al. (2006). Modafinil for LESBIANS & GAY MEN
atypical depression: effects of open-label Knocker, S. (2006). We don't have any and double-blind discontinuation gay people here'. [Introduction to a new treatment. Journal of Clinical Age Concern resource pack]. Journal of Psychopharmacology; 26 (4); p. 373-378.
Dementia Care; 14 (4); p. 22-23. Valenstein, M et al. (2006). What MENTAL HEALTH
happened to lithium? Antidepressant Coid, J et al. (2006). Violence and augmentation in clinical settings. psychiatric morbidity in the national American Journal of Psychiatry; 163 (7); household population of Britain: public p. 1219-1225. Available online via health implications. British Journal of Psychiatry; 189 (1); p. 12-19. Available DEMENTIA
Cheng, ST; Chan, AC; Yu, EC. (2006). Papworth, M. (2006). Issues and An exploratory study of the effect of outcomes associated with adult mental mahjong on the cognitive functioning of health self-help materials: a "second persons with dementia. International order" review or "qualitative meta- Journal of Geriatric Psychiatry; 21 (7); p. review". Journal of Mental Health; 15 (4); p. 387-409. Available online via Mather, L. (2006). Developing needs-led services for younger people. Journal of MENTAL HEALTH, childhood and
Dementia Care; 14 (4); p. 18-20. adolescence
Corell, CU; Carlson, HE. (2006). Suh, GH; Greenspan, AJ; Choi, SK. Endocrine and metabolic adverse effects (2006). Comparative efficacy of of psychotropic medications in children risperidone versus haloperidol on and adolescents. Journal of the behavioural and psychological symptoms American Academy of Child and of dementia. International Journal of Adolescent Psychiatry; 45 (7); p. 771- Geriatric Psychiatry; 21 (7); p. 654-660. 791. Available online via . Timlin, A et al. (2006). A comparative Dineen Wagner, K et al. (2006). A evaluation: two models of memory double-blind, randomized, placebo- service. Journal of Dementia Care; 14 controlled trial of oxcarbazepine in the treatment of bipolar disorder in children and adolescents. American Journal of EATING DISORDERS
Psychiatry; 163 (7); p. 1179-1186. Osman, A et al. (2006). The Body Available online via. Influence Assessment Inventory (BIAI): development and initial validation. Ezpeleta, L; Domenech, JM; Angold, A. Journal of Clinical Psychology; 62 (7); p. (2006). A comparison of pure and comorbid CD/ODD and depression. Journal of Child Psychology and INFORMATION FOR SERVICE USERS
Psychiatry and Allied Disciplines; 47 (7); Higgins, A; Barker, P; Begley, CM. p. 704-712. Available online via (2006). Iatrogenic sexual dysfunction and . the protective withholding of information: in whose best interest? Journal of Fortune, SA. (2006). An examination of Psychiatric and Mental Health Nursing; 13 cutting and other methods of DSH (4); p. 437-446. Available online via among children and adolescents presenting to an outpatient psychiatric clinic in New Zealand. Clinical Child Psychology and Psychiatry; 11 (3); p. Liz Osborne – Knowledge Services Manager CNWL, 30 Eastbourne Terrace, London, W2 6LA Tel: 020 8746 5551 Fax: 020 8846 6867 E-mail liz.osborne@nhs.net Page 6 of 9
Knowledge Services Update
Shaw, P et al. (2006). Childhood-onset McCabe, MP et al. (2006). Depression schizophrenia: a double-blind, randomized among older people with cognitive clozapine-olanzapine comparison. Archives impairment: prevalence and detection. of General Psychiatry; 63 (7); p. 721-730. International Journal of Geriatric Psychiatry; Available online via 21 (7); p. 633-644. Steinhausen, HC; Bosiger, R; Metzke, CW. van Iersel, MB et al. (2006). Frail elderly (2006). Stability, correlates, and outcome of patients with dementia go too fast. [Falls in adolescent suicidal risk. Journal of Child the elderly]. Journal of Neurology, Psychology and Psychiatry and Allied Neurosurgery and Psychiatry; 77 (7); p. 874- Disciplines; 47 (7); p. 713-722. Available 876. Available online via MENTAL HEALTH, services
Taylor, H et al. (2006). Why a ‘roof' is not Harris, C; Boaden, R. (2006). Copying enough: the characteristics of young letters to patients: the view of patients and homeless people referred to a designated health professionals. Journal of Health Mental Health Service. Journal of Mental Services Research and Policy; 11 (3); p. Health; 15 (4); p. 491-501. Available online 133-140. Available online via Hawley, CJ et al. (2006). Structure and Vernberg, EM et al. (2006). Intensive mental content of risk assessment proformas in health services for children with serious mental healthcare. Journal of Mental emotional disturbances through a school- Health; 15 (4); p. 437-448. Available online based, community-oriented program. Clinical via Child Psychology and Psychiatry; 11 (3); p. Hutchings, A; Raine, R. (2006). A systematic review of factors affecting the Vinnerljung, B; Hjern, A; Lindblad, F. (2006). judgments produced by formal consensus Suicide attempts and severe psychiatric development methods in health care. morbidity among former child welfare clients - Journal of Health Services Research and a national cohort study. Journal of Child Policy; 11 (3); p. 172-179. Available online Psychology and Psychiatry and Allied Disciplines; 47 (7); p. 723-733. Available Kewley, T; Bolton, J. (2006). A survey of liaison psychiatry services in general Von Folsach, LL; Montgomery, E. (2006). hospitals and accident and emergency Pervasive refusal syndrome among asylum- departments: do we have the balance right? seeking children. Clinical Child Psychology Psychiatric Bulletin; 30 (7); p. 260-262. and Psychiatry; 11 (3); p. 457-474. Mason, C; Subedi, S. (2006). Helping Warren, SL et al. (2006). Toddler anxiety parents with mental illnesses and their disorders: a pilot study. Journal of the children: a call for family-focused mental American Academy of Child and Adolescent health care. Journal of Psychosocial Psychiatry; 45 (7); p. 859-866. Available Nursing and Mental Health Services; 44 (7); p. 36-41. Available online via MENTAL HEALTH, older adults
MINORITY ETHNIC COMMUNITIES
Clarkson, P et al. (2006). Integrated Soonthornchaiya, R; Dancy, BL. (2006). specialist assessment of older people and Perceptions of depression among elderly predictors of care-home admission. Thai immigrants. Issues in Mental Health Psychological Medicine; 36 (7); p. 1011-1022. Nursing; 27 (6); p. 681-698. Available Liz Osborne – Knowledge Services Manager CNWL, 30 Eastbourne Terrace, London, W2 6LA Tel: 020 8746 5551 Fax: 020 8846 6867 E-mail liz.osborne@nhs.net Page 7 of 9
Knowledge Services Update
OCCUPATIONAL THERAPY
Angermeyer, MC et al. (2006). Burnout Devlin, C; Burnside, L; Akroyd, L. (2006). of caregivers: a comparison between Mental health vocational rehabilitation: an partners of psychiatric patients and overview of occupational therapy service nurses. Archives of Psychiatric Nursing; provision in Northern Ireland. British Journal 20 (4); p. 158-165. Available online via of Occupational Therapy; 69 (7); p. 334-338.
Gutman, SA. (2006). Why addiction has a Berger, JL. (2006). Incorporation of the chronic, relapsing course. The neurobiology Tidal Model into the interdisciplinary plan of addiction: implications for occupational of care - a program quality improvement therapy practice. Occupational Therapy in project. Journal of Psychiatric and Mental Health; 22 (2); p. 1-30. Mental Health Nursing; 13 (4); p. 464- 467. Available online via Labelle, K-L; Mihailidis, A. (2006). The use of automated prompting to facilitate Brookes, N; Murata, L; Tansey, M. handwashing in persons with dementia. (2006). Guiding practice development American Journal of Occupational Therapy; using the Tidal Commitments. Journal of 60 (4); p. 442-450. Psychiatric and Mental Health Nursing; 13 (4); p. 460-463. Available online via PERSONALITY DISORDERS
Duff, S; Kinderman, P. (2006). An interacting cognitive subsystems approach Finnell, DS; Osborne, FH. (2006). to personality disorder. Clinical Psychology Stages of change for psychotropic and Psychotherapy; 13 (4); p. 233-245. medication adherence and substance cessation. Archives of Psychiatric Emmelkamp, PMG et al. (2006). Nursing; 20 (4); p. 166-174. Available Comparison of brief dynamic and cognitive- behavioural therapies in avoidant personality disorder. British Journal of Garbarino, D. (2006). Suicide and Psychiatry; 189 (1); p. 60-64. Available documentation: don't let the pen kill your career. Journal of Psychosocial Nursing and Mental Health Services; 44 (7); p. 18-25. Available online via Otis, HG; King, JH. (2006). Unanticipated psychotropic medication reactions. Journal Gerolamo, AM. (2006). The of Mental Health Counseling; 28 (3); p. 218- conceptualization of physical restraint as 240. Available online via a nursing-sensitive adverse outcome in acute care psychiatric treatment settings. PHYSICAL ENVIRONMENT
Archives of Psychiatric Nursing; 20 (4); Andes, M; Shattell, MM. (2006). An p. 175-185. Available online via exploration of the meanings of space and place in acute psychiatric care. Issues in Mental Health Nursing; 27 (6); p. 699-707. O'Donovan, I; Gijbels, H. (2006). Available online via Understanding psychiatric nursing care with nonsuicidal self-harming patients in PHYSICAL HEALTH CARE
acute psychiatric admission units: the Jensen, LW; Decker, L; Andersen, MM. views of psychiatric nurses. Archives of (2006). Depression and health-promoting Psychiatric Nursing; 20 (4); p. 186-192. lifestyles of persons with mental illnesses. Issues in Mental Health Nursing; 27 (6); p. 617-634. Available online . Liz Osborne – Knowledge Services Manager CNWL, 30 Eastbourne Terrace, London, W2 6LA Tel: 020 8746 5551 Fax: 020 8846 6867 E-mail liz.osborne@nhs.net Page 8 of 9
Knowledge Services Update
Muir-Coch rane, E. (2006). Medical co- Nesvag, R et al. (2006). Serum morbidity risk factors and barriers to care concentrations of risperidone and 9-OH e with schizophrenia. Journal of risperidone following intramuscular injection Psychiat ric and Mental Health Nursing; 13 of long-acting risperidone compared with (4); p. 447 -452. Available online via oral risperidone medication. Acta Psychiatrica Scandinavica; 114 (1); p. 21- 26. Available online via POST NATAL DEPRESSION
Wisner, KL et al. (2006). Postpartum van Meijel, B (commentator). (2006). Early n: a randomized trial of sertraline intervention has no effect on symptoms in versus no rtriptyline. Journal of Clinical people with first episode, non-affective pharmacology; 26 (4); p. 353-360. psychosis, although it may improve overall function and medication adherence. Evidence Based Mental Health; 9 (3); p. 69. Ferro, A. (2006). Clinical implications of Available online via . ught. International Journal of analysis; 87 (4); p. 989-1003. Young, CL; Taylor, DM. (2006). Health resource utilization associated with Hietanen, OM; Punamäki, R-L. (2006). switching to risperidone long-acting Attachment and early working alliance in injection. Acta Psychiatrica Scandinavica; adult psyc hiatric inpatients Journal of 114 (1); p. 14-20. Available online via Mental He alth; 15 (4); p. 423-435. Salomonsson, B. (2006). The impact of Lutz, W et al. (2006). The probability of n children with ADHD and DAMP: treatment success, failure and duration - nces for psychoanalytic what can be learned from empirical data to que. International Journal of support decision making in clinical analysis; 87 (4); p. 1029-1047. practice? Clinical Psychology and Psychotherapy; 13 (4); p. 223-232. an, A. (2006). Mentalization, tfulness, and therapeutic action: the nce of mental organization. Alim, TN; Charney, DS; Mellman, TA. International Journal of Psychoanalysis; 87 (2006). An overview of posttraumatic (4); p. 965 -987. stress disorder in African Americans. Journal of Clinical Psychology; 62 (7); p. PSYCHOSIS
Gould, M et al. (2006). Initial treatment se in early psychosis: can intensive Hegadoren, KM; Lasiuk, GC; Coupland, NJ. home trea tment prevent admission? (2006). Posttraumatic stress disorder part Psychiat ric Bulletin; 30 (7); p. 243-246. III: health effects of interpersonal violence among women. Perspectives in Psychiatric rt, MT (commentator). (2006). Care; 42 (3); p. 163-173. Available online ne is associated with more rapid ht gain than haloperidol in people with sode psychosis. Evidence Based Clark, T; Rowe, R. (2006). Violence, alth; 9 (3); p. 72. Available online stigma and psychiatric diagnosis: the effects of a history of violence on Moncrieff, J. (2006). Does antipsychotic psychiatric diagnosis. Psychiatric Bulletin; withdrawal provoke psychosis? Review of 30 (7); p. 254-256. the literature on rapid onset psychosis (supersensitivity psychosis) and withdrawal-related relapse. Acta Psychiat rica Scandinavica; 114 (1); p. 3-13. Liz Osborne – Knowledge Services Manager CNWL, 30 Eastbourne Terrace, London, W2 6LA Tel: 020 8746 5551 Fax: 020 8846 6867 E-mail liz.osborne@nhs.net Lysaker, PH (commentator). (2006). McQueen, J; Allan, L; Mains, D. (2006). Olanzapine and risperidone may improve Brief motivational counselling for alcohol neurocognition more than haloperidol in abusers admitted to medical wards. people with schizophrenia who continue British Journal of Occupational Therapy; treatment for 52 weeks. Evidence Based 69 (7); p. 327-333. Mental Health; 9 (3); p. 71. Available online Rapp, RC (commentator). (2006). Case management and vouchers improve Rabinowitz, J et al. (2006). Premorbid uptake of methadone treatment functioning and treatment response in programmes. Evidence Based Mental recent-onset schizophrenia. British Journal Health; 9 (3); p. 81. Available online via of Psychiatry; 189 (1); p. 31-35. Available Liz Osborne
wledge Services
Saha, TD; Chou, SP; Grant, BF. (2006). Saha, S et al. (2006). The incidence and Toward an alcohol use disorder prevalence of schizophrenia varies with continuum using item response theory: Centra l and NW London
latitude. Acta Psychiatrica Scandinavica; results from the National Epidemiologic Mental Health NHS Trust
114 (1); p. 36-39. Available online via Survey on Alcohol and Related Conditions. Psychological Medicine; 36 30 Eastbourne Terrace (7); p. 931-942. SELF HARM
Simpson, A. (2006). Can mainstream Soyez, V et al. (2006). The impact of a health services provide meaningful care for social network intervention on retention people who self-harm? A critical reflection. in Belgian therapeutic communities: a Journal of Psychiatric and Mental Health quasi-experimental study. Addiction; 101 Nursing; 13 (4); p. 429-436. Available (7); p. 1027-1034. SMOKING CESSATION
Linehan, MM et al. (2006). Two-year http://www.cnwl.org/ Snyder, M. (2006). Serious mental illness randomized controlled trial and follow-up and smoking cessation. Issues in Mental of dialectical behavior therapy vs therapy Health Nursing; 27 (6); p. 635-645. by experts for suicidal behaviors and liz.osborne@nhs.net Available online via borderline personality disorder. Archives of General Psychiatry; 63 (7); p. 757- Mohr, WK. (2006). Spiritual issues in psychiatric care. Perspectives in Reinherz, HZ et al. (2006). Adolescent Psychiatric Care; 42 (3); p. 174-183. suicidal ideation as predictive of Available online via. psychopathology, suicidal behavior, and compromised functioning at age 30. SUBSTANCE MISUSE
American Journal of Psychiatry; 163 (7); Baylen, CA; Rosenberg, H. (2006). A p. 1226-1232. Available online via review of the acute subjective effects of MDMA / ecstasy. Addiction; 101 (7); p. VOCATIONAL REHABILITATION
Latimer, EA et al. (2006). Grella, CE; Stein, JA. (2006). Impact of Generalisability of the individual program services on treatment outcomes of placement and support model of patients with comorbid mental and supported employment: results of a substance use disorders. Psychiatric Canadian randomised controlled trial. Services; 57 (7); p. 1007-1015. British Journal of Psychiatry; 189 (1); p. Marsden, J et al. (2006). An evaluation of a brief motivational intervention among Lee, H-L et al. (2006). Effectiveness of young ecstasy and cocaine users: no effect a work-related stress management on substance and alcohol use outcomes. program in patients with chronic Addiction; 101 (7); p. 1014-1026. schizophrenia. American Journal of Occupational Therapy; 60 (4); p. 435-441.
Liz Osborne – Knowledge Services Manager CNWL, 30 Eastbourne Terrace, London, W2 6LA Tel: 020 8746 5551 Fax: 020 8846 6867 E-mail liz.osborne@nhs.net

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