Rural Proofing the National Service Framework for Mental Health
"The Rural Proofing project was funded by NIMHE, in response to the mechanism, introduced in the Government's 2000 Rural White Paper, to assess all major polices for their rural impact and adjustments made. The project was managed by Mind and the National Mental Health Partnership.
The initial intention was to rural proof the English adult NSFMH, however the resulting document is more than that. As we researched the project it became clear that there was no single repository for rural issues that impact on mental health. We have therefore produced a document that has considered not only the adult NSFMH, its Standards and underpinning programmes, the Mental Health Policy Implementation Plan and the NHS Plan, but also other significant issues relevant to rural communities..." - Keith Elder, Rural Minds Development Manager.
Tuesday, September 21, 2004
Boston Globe story - "Last week's finding by a government advisory panel that the newest generation of antidepressants is linked to suicidal behavior in a small percentage of children has left parents and care givers in a quandary as they weigh the drugs' risks against possible benefits and search for other options. The nine medications, which the Food and Drug Administration panel said should be labeled with the agency's sternest "black box" warning, already presented doctors with a confusing array of treatment choices..."
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HealthDayNews story at Yahoo - "When should people with Alzheimer's or other cognitive impairments lose the right to vote? A new report suggests it's when they can't pass a standardized competency test. A panel of doctors and attorneys, which floated the proposal this month, cautions that mental illness itself isn't good enough of a reason to deny access to the voting booth. But the caveat hasn't quieted critics who say a test spells trouble..."
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Reuters Health story at Medscape - "Selective serotonin reuptake inhibitors (SSRIs) may commonly lead to sexual dysfunction in adolescents as in adults, but doctors aren't asking, according to psychiatrists at Johns Hopkins University School of Medicine in Baltimore." [Viewing Medscape resources requires registration, which is free].
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Reuters Health story at Medscape - "The number of children and teenagers prescribed antidepressants has fallen more than 20% this year after U.S. warnings that the drugs may increase suicidal tendencies among young people, pharmacy benefits manager Medco Health Solutions Inc. said on Tuesday. Medco, which acts as an intermediary between employers, health plans and drugmakers, said its research indicates an 18% decrease in the number of patients under age 18 who took an antidepressant in the first quarter of 2004. An additional 5% decrease was seen in the second quarter, it said..." [Viewing Medscape resources requires registration, which is free].
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A Medscape "Webcast Video Editorial" by George Lundberg, Editor of MedGenMed, that requires QuickTime - "The controlled clinical trial, ethically conducted with sufficient numbers of participants, randomization, blinding, and statistical power, is the gold standard for such testing. If trial results of an intervention are favorable, they are written as an article and efforts are made to get it published in a proper, peer-reviewed medical journal. No problem. But if the results are equivocal or negative, what then? ... Shouldn't you have a way of finding that so you don't begin an unnecessary, even potentially harmful trial? What if voluminous relevant data apply to a patient you are caring for and you can't find those data? Is that not a wasteful or even harmful situation? Many individuals and organizations are asking these questions, and a groundswell is developing to require the posting of clinical trials in progress and their results as an international registry..." [Viewing Medscape resources requires registration, which is free].
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Psychiatric News story - "Presidential candidates George W. Bush and John Kerry acknowledge that several facets of the U.S. health care system are in dire need of reform. Their reform plans, however, show they often take divergent paths. ... During the 2000 presidential race, the Bush campaign told Psychiatric News that if Bush was elected, he would create a national commission on mental health services, reauthorize the 1996 parity law, and double the NIH budget. A review of his four years in office shows a record that has garnered praise from mental health care advocates in some areas and drawn criticism in others. ... Kerry supports full parity and ... has vowed to fight the 'social stigma' that accompanies mental illness and 'to end discrimination against those with mental illness.' Kerry also supports an end to discrimination against Medicare beneficiaries with mental illness ... and has pledged to protect the Medicaid program..."
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Story at Scoop - "The de-institutionalisation of mental health services has gone too far when at-risk people are likely to be put into independent living to fend for themselves, National's Health spokeswoman, Judith Collins, says. She is commenting on a report highlighting Health Ministry plans to abolish existing residential care levels, which range from those requiring least support to those requiring intensive support. Existing residential care contracts are not being renewed, and the ministry is quoted as saying it has no definitive replacement plans for them..."
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Copyright 2003 © Bill Davis.
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