Mental Health

Mental health problems affect many people across the UK. Recognising the importance of mental health problems in the primary care consultation has been a focus for several clinical priority areas. Please find below a range of resources to support general practitioners.

Youth mental health

Tools

Positive Cardiometabolic Health Resource: an intervention framework for patients with psychosis on antipsychotic medication.

The Lester UK Adaption

This clinical resource provides a simple framework for identifying and treating cardiovascular and type 2 diabetes risks in patients with psychosis receiving antipsychotic medication. It supports collaborative practice across professional disciplines and service settings. The resource was developed by the Royal College of Psychiatrists' Centre for Quality Improvement, the Royal College of General Practitioners Clinical Innovation and Research Centre and the Royal College of Nursing as part of the National Audit of Schizophrenia.

The resource is named in honour of the late Professor Helen Lester.

The Mental Health Consultation (with a Young Person): A Toolkit for GPs

This toolkit provides a practical resource for GPs to build skills and confidence in addressing the important area of mental health in young people. The toolkit was developed in 2012 by the Charlie Waller Memorial Trust with support from the RCGP.

Improving Physical and Mental Health

This website hosts a range of resources for supporting the physical health of people with mental health problems and learning difficulties and the mental health of people with physical health problems. The RCGP developed this resource in collaboration with the Royal College of Physicians, the Royal College of Paediatrics and Child Health and the Royal College of Psychiatrists.

Factsheets

Below are a range of fact sheets developed by the former Primary Care Mental Health Forum, which was jointly hosted by the Royal College of General Practitioners and the Royal College of Psychiatrists. These are a quick and easy reference for primary care.

e-Learning

Strategy

The Management of Patients with Physical and Psychological Problems in Primary Care

This joint report between the Royal College of General Practitioners and the Royal College of Psychiatrists was first published in 2009. It was reviewed in 2011/2012 and its currency was extended until 2015.

  • Management of patients with physical and psychological problems in primary care: Joint report

The management of anxiety and depression

This joint statement was developed by the Royal College of General Practitioners and the Royal College of Psychiatrists in 2008.

Wales Mental Health in Primary Care (WaMH in PC)

WaMH in PC is a special interest working group of RCGP Wales established in 2003. The group brings together a diverse group of workers from primary care, health boards, social care and the third sector with patients and carers.

The vision of the group is to support the delivery of a world class care service for Wales that gives parity of esteem to the physical and psychological wellbeing of patients; in order to present unnecessary distress, improve health outcomes, increase efficiency and ultimately transform lives.

To find out more contact Lesley Hills, Project Manager WaMH in PC at: lhills@rcgp.org.uk or telephone 029 20 504516.

Primhe

Primeh (Primary Mental Health and Education) is affiliated with the RCGP. It provides suitable training to ensure that all primary carers, GPs and allied professionals have the core skills to deal with poor wellbeing or mental health issues, working with researchers to understand what is effective, whether within NICE guidelines or not and lobbies for better teaching of primary care mental health education, measuring success through outcomes that matter in people's lives.

Guidance

There are a number of NICE guidelines focussed on mental health. They are accessible via the NICE Pathways, which are easy and intuitive to navigate and bring together related NICE guidance.

NICE Pathways

The mental health NICE Pathways are:

  • Antenatal and postnatal mental health
  • Antisocial behaviour and conduct disorders in children and young people
  • Attention deficit hyperactivity disorder
  • Autism
  • Common mental health problems
  • Delirium
  • Dementia
  • Depression (in adults CG90 and with a chronic physical health problem CG91)
  • Eating disorders
  • General anxiety disorder
  • Mental wellbeing and older people
  • Obsessive-compulsive disorder
  • Panic disorder
  • Post-traumatic stress disorder
  • Promoting mental wellbeing at work
  • Psychosis and schizophrenia in children and young people
  • Psychosis with coexisting substance misuse
  • Self-harm
  • Service user experience in adult mental health services
  • Social and emotional wellbeing for children and young people
  • Social anxiety disorder

Audit

National audit of schizophrenia

The National Audit of Schizophrenia (NAS) is focused on clinicians who treat people with schizophrenia in the community, including GPs to assess the quality of their prescribing of antipsychotic drugs and of their monitoring of patients' physical health. It also supports them to monitor patients' experience of treatment and its outcome plus carers' satisfaction with information and support.

The NAS is managed by the Royal College of Psychiatrists. It is commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP).

Find out more about this audit

National audit of psychological therapies

The National Audit of Psychological Therapies (NAPT) for Anxiety and Depression aims to promote access, appropriateness, acceptability and positive outcomes of treatment for those suffering from depression and anxiety.

The NAPT is managed by the Royal College of Psychiatrists and is commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP).

Find out more about this audit

Patient Information

Changing Minds

Hosted by Northamptonshire Teaching NHS Trust, Changing Minds is a patient focussed website with a range of information and resources.

Choice and Medication

Here you can find information leaflets on medications.

MindFull

MindFull is a service for 11-17 year olds, providing support, information and advice about mental health and emotional wellbeing.

Royal College of Psychiatrists

The RCP offers a range of information leaflets for patients and carers

Perinatal Mental Health
Guidelines

NICE guideline CG45; Antenatal and postnatal mental health. Clinical management and service guidance. Issued: February 2007 last modified: April 2007
Quick reference guide: http//guidance.nice.org.uk/CG54/QuickRef/Guide/pdf/English
NICE guideline: http//guidance.nice.org.uk/CG45/NICEGuidance/pdf/English
Revised guideline due for publication Nov-Dec 2014

SIGN/HIS. Management of perinatal mood disorders. Guideline No 127. March 2012
Quick reference guide: http://sign.ac.uk/pdf/qrg127.pdf [PDF]
Full guideline: http://sign.ac.uk/guidelines/fulltext/127/

COMMISSIONING
Joint Commissioning Panel for Mental Health: Guidance for commissioners of perinatal mental health services. Volume Two: Practical Mental Health Commissioning. 2012
http://www.jcpmh.info/resource/guidance-perinatal-mental-health-services/

CURRICULUM
NHS Education for Scotland, Nursing and Midwifery Perinatal Mental Health Curricular Framework. October 2006
http://www.nes.scot.nhs.uk/media/10161/Perinatal%20Curricular%20FW%20Final.pdf [PDF]

E-LEARNING: Postnatal depression
http://learning.bmj.com/learning/module-intro/.html?moduleId=5003277

IMPACT ON CHILDREN
A cross-party manifesto: Andrea Leadsom MP, Frank Field MP, Paul Burstow MP, Caroline Lucas MP
The 1001 Critical Days: The importance of the Conception to Age Two Period
http://www.andrealeadsom.com/downloads/1001cdmanifesto.pdf [PDF]

USEFUL REPORTS
NSPCC. Prevention in mind. All Babies Count: spotlight on perinatal mental health.
http://www.nspcc.org.uk/Inform/resourcesforprofessionals/underones/spotlight-mental-health_wdf96656.pdf June 2013
https://www.nspcc.org.uk/Inform/resourcesforprofessionals/underones/spotlight-mental-health-landing_wda96578.html 
Four children. Suffering in silence: 70,000 reasons why help with postnatal depression has to be better
http://www.4children.org.uk/Resources/Detail/Suffering-in-Silence

Public Health
Gray R. Chapter 5 Life stage: Pre-conception and pregnancy: in Annual Report of the Chief Medical Officer 2012. Our Children Deserve Better: Prevention Pays
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/252655/33571_2901304_CMO_Chapter_5.pdf

Experience of Care:
Boots Family Trust Alliance Netmums, the Institute for Health Visiting, Tommy', and the Royal College of Midwives. Perinatal Mental Health Experiences of Women and Health Professionals. October 2013
http://www.tommys.org/file/Perinatal_Mental_Health_2013.pdf [PDF]

KEY STAKEHOLDERS
http://maternalmentalhealthalliance.org.uk/

PATIENT INFORMATION
http://www.rcpsych.ac.uk/healthadvice/problemsdisorders/postnataldepression.aspx

Film: Over my left shoulder
http://www.rcpsych.ac.uk/healthadvice/problemsdisorders/postnataldepression/overmyleftshoulder.aspx

Self-help books
Overcoming postnatal depression: a five areas approach by Christopher Williams, Roch Cantwell and Karen Robertson, Hodder Arnold (2009)
Copying with postnatal depression by Sandra Wheatley, Sheldon Press (2005)
Surviving postnatal depression by Cara Aitken, Jessica Kingsley Publishers (2000)
Feelings after childbirth: the NCT book of postnatal depression by Heather Welford, NCT Publishers (2002)
Fiction
The Yellow Wallpaper by Charlotte Perkins Gilman
Hillbilly Gothic: A memoir of madness and motherhood by Adrienne Martini

Useful contacts and links

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