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mental behavioral health

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1. Suicidal thoughts and behaviours and deliberate self-injury. Guidelines for providing mental health first aid to an Aboriginal or Torres Strait Islander person

Suicidal thoughts and behaviours and deliberate self-injury. Guidelines for providing mental health first aid to an Aboriginal or Torres Strait Islander person Purpose of these guidelines These guidelines describe how members of the public should provide first aid to an Aboriginal or Torres Strait Islander person who may be at risk of suicide or is suspected to be deliberately injuring themselves. The role of the first aider is to assist the person until appropriate professional help (...) . T ry to be familiar with their way of understanding. Also, the guidelines are designed to provide first aid in Australian Indigenous communities and may not be suitable for other cultural groups or for countries with different health systems. GUIDELINES FOR PROVIDING MENTAL HEALTH FIRST AID TO AN ABORIGINAL OR TORRES STRAIT ISLANDER PERSON SUICIDAL THOUGHTS & BEHAVIOURS AND DELIBERATE SELF-INJURY All MHFA guidelines can be downloaded from www.mhfa.com.au 1. Artwork by Charmaine SansburySUICIDAL

2008 Clinical Practice Guidelines Portal

2. Service user experience in adult mental health: improving the experience of care for people using adult NHS mental health services

Service user experience in adult mental health: improving the experience of care for people using adult NHS mental health services (CG136) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 17 of 42give information about different treatment options, including drug and psychological treatments, and their side effects, to promote discussion and shared understanding offer support after the assessment, particularly (...) to the psychological, psychosocial and pharmacological interventions recommended for their mental health problem in NICE guidance. 1.4.9 Mental health services should work with local third sector, including voluntary, black and minority ethnic and other minority groups to jointly ensure that culturally appropriate psychological and psychosocial treatments, consistent with NICE guidance and delivered by competent practitioners, are provided to service users from these groups. 1.4.10 Mental health and social care

2011 National Institute for Health and Clinical Excellence - Clinical Guidelines

3. Violence and aggression: short-term management in mental health, health and community settings

are offered appropriate psychological therapies, physical activities, leisure pursuits such as film clubs and reading or writing groups, and support for communication difficulties. Recognise possible teasing, bullying, unwanted physical or sexual contact or miscommunication between service users. Recognise how each service user's mental health problem might affect their behaviour (for example, their diagnosis, severity of illness, current symptoms and past history of violence or aggression). Anticipate (...) Introduction Violence and aggression refer to a range of behaviours or actions that can result in harm, hurt or injury to another person, regardless of whether the violence or aggression is physically or verbally expressed, physical harm is sustained or the intention is clear. Violence and aggression are relatively common and serious occurrences in health and social care settings. Between 2013 and 2014 there were 68,683 assaults reported against NHS staff in England: 69% in mental health or learning

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

4. No health without public mental health: The case for action

of prevalence, persistence and breadth of impact. 1 Mental illness is consistently associated with deprivation, low income, unemployment, poor education, poorer physical health and increased health-risk behaviour. Mental illness has not only a human and social cost, but also an economic one, with wider costs in England amounting to £105 billion a year. 2 Despite the impact of mental illness across a broad range of functional, economic and social outcomes, and despite ample evidence that good mental health (...) underlies all health, mental health is not prominent across public health actions and policy. Public health strategies concentrate on physical health and overlook the importance of both mental illness and mental well-being. Positioning mental health at the heart of public health policy is essential for the health and well-being of the nation. It will lead to healthy lifestyles and reduce health-risk behaviours, thereby both preventing physical illness and reducing the burden of mental illness. Most

2010 Royal College of Psychiatrists

5. Management of Behavioural and Psychological Symptoms of Dementia (BPSD)

in evaluating carer interventions. 28 REACH studies found that active engagement of carers with multifaceted interventions together with ongoing support reduced carer burden, depressive symptoms in carers and care recipients’ problem behaviour 29-32 . Marriott et al 33 found similar results. Furthermore structured carer training programs with follow-up and support services have shown to delay institutionalisation without compromising psychological health of carers. 34, 35 A meta-analysis by Brodaty et al 36 (...) Everywhere: The Toolkit (2012) 47 , Assessment and Management of People with Behavioural and Psychological Symptoms of Dementia (BPSD) by NSW Health and Royal Australian and New Zealand College of Psychiatrists (RANZCP) 57 Reducing Behaviours Of Concern (ReBOC) by Alzheimer’s Australia, South Australia 58 , Management Strategies to address Behaviours of Concerns by Bendigo Health 59 and Walking in Another’s Shoes: Encouraging person-centred care through an experiential education program in New Zealand

2016 Australian and New Zealand Society for Geriatric Medicine

6. Guidelines for Psychological Practice in Health Care Delivery Systems

traditional psychological services in health care deliv- ery systems, such as mental status examinations, emer- gency evaluation and triage, diagnostic evaluation and assessment, and psychotherapy. However, psychologists increasingly perform other services within multidisci- plinary teams in health promotion and disease prevention programs, primary care, behavioral medicine (or mind– body medicine) programs, care of patients with acute and chronic medical conditions, and end-of-life care. Application (...) —with either contractual arrange- ments or following their patients as they enter a health care delivery system. In all cases, psychologists have special ex- pertise in communication, behavioral issues, patient decision making, human interaction and systems that is relevant to the full spectrum of health and mental health issues and settings; these guidelines apply to that full spectrum. It is recognized that there is rapid growth in the use of technology (in areas This article was published Online First

2013 American Psychological Association

7. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Mental Health Disorders

of self-report questionnaires, and behavioral observation. Non-Pharmacological Treatment of Mental Health Disorders New Key Section Level of evidence A B C Updated Evidence 8.2 C If a mental health disorder is determined to be present, then the treatment of the emotional/behavioural symptoms should be based upon individual factors, patient preference, symptom severity and comorbidity, and existing practice guidelines for the treatment of the diagnosed condition (e.g., depression, anxiety, PTSD (...) can influence related mental health disorders. In the case of mTBI, biologically the individual may suffer an insult to the brain and injuries to the body (e.g., whiplash injuries, etc.), with consequences to their experience of pain and ability to sleep, which can further cause changes in the neurobiology of the brain. At the psychological level they may experience acute stress due to their experience of trauma or injury, as well as in response to the consequences to their functional abilities

2018 Ontario Neurotrauma Foundation

8. Common mental health problems: identification and pathways to care

about stigma, and avoidance on the part of individual patients. The most common method of treatment for common mental health disorders in primary care is psychotropic medication. This is due to the limited availability of psychological interventions, despite the fact that these treatments are generally preferred by patients. Common mental health problems: identification and pathways to care (CG123) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms (...) of the effectiveness of counselling and psychodynamic psychotherapy in treating depression. ** For people with depression and a chronic physical health problem. † For women during pregnancy or the postnatal period. CBT, cognitive behavioural therapy; ERP , exposure and response prevention; EMDR, eye movement desensitisation and reprocessing; GAD, generalised anxiety disorder; OCD, obsessive compulsive disorder; IPT, interpersonal therapy; PTSD, post-traumatic stress disorder. Common mental health problems

2011 National Institute for Health and Clinical Excellence - Clinical Guidelines

9. Antenatal and postnatal mental health: clinical management and service guidance

recommendations 43 2.1 Preventing postpartum psychosis 43 Antenatal and postnatal mental health: clinical management and service guidance (CG192) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 3 of 502.2 The safety of drugs for bipolar disorder in pregnancy and the postnatal period 44 2.3 Psychological interventions focused on the mother-baby relationship 44 2.4 Structured clinical management for moderate to severe (...) personality disorders in pregnancy and the postnatal period 45 2.5 Psychological interventions for moderate to severe anxiety disorders in pregnancy 46 More information 47 Update information 48 Strength of recommendations 49 Antenatal and postnatal mental health: clinical management and service guidance (CG192) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 4 of 50This guideline replaces CG45. This guideline partially

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

10. Smoking: acute, maternity and mental health services

monoxide (CO) assessment 39 Formulary 39 Intensive behavioural support 39 Joint strategic needs assessment 39 Licensed nicotine-containing products 39 Nicotine-containing products 40 Nicotine replacement therapy (NRT) products 40 Pharmacotherapies 40 Secondary care 40 Smoking: acute, maternity and mental health services (PH48) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 3 of 66Smokefree 41 Smoking cessation (...) recommendation 6). Offer and, if the person agrees, arrange for them to receive intensive behavioural support, either during their current outpatient visit or during their inpatient stay (see Smoking: acute, maternity and mental health services (PH48) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 9 of 66recommendations 3 and 4). For people using secondary care services in a community setting, staff who are trained

2013 National Institute for Health and Clinical Excellence - Clinical Guidelines

11. Best Practice Guidelines for Mental Health Disorders in the Perinatal Period

psychosis) and/or direct observation or reports (e.g., unusual behavior, racing thoughts, distractible, inflated self-esteem or grandiosity, disorganized thoughts, erratic and impulsive behaviour, rapid speech, difficulty sleeping).9 Mental Health Disorders in the Perinatal Period For women with bipolar disorder, develop an integrated treatment plan which involves the woman and her family supports, psychiatry, obstetrics (obstetrician, family physician, midwife), primary care, and public health nursing (...) as “high”, immediate referral to the Emergency Room is recommended. Contact with partner/family should take place to inquire about arrangements for the baby and consideration given to making a referral to the Ministry of Child and Family Development (MCFD). Neonaticide and infanticide are also very rare but a subset of women who commit these acts have a diagnosed mental health disorder that influences their behaviour. Postpartum psychosis is a risk factor and there is an associated risk between

2014 British Columbia Perinatal Health Program

12. Royal College of Psychiatrists? Statement on Mental Health Payment Systems

Royal College of Psychiatrists? Statement on Mental Health Payment Systems Royal College of Psychiatrists’ Statement on Mental Health Payment Systems (formerly Payment by Results) Position Statement PS01/2014 January 2014 Royal College of Psychiatrists London Approved by the Policy Committee: January 20141 Royal College of Psychiatrists Statement on Mental Health Payment Systems (formerly Payment by Results) 2014 Introduction In 2012/13 the NHS mandated national currencies for much of adult (...) mental health services in England. The currencies consist of 20 Clusters, each of which are a global description of a group of people with similar characteristics as identified from a holistic assessment and rated using the mental health clustering tool (MHCT). Each Cluster is linked to a set of interventions (Care Packages) which have a total cost, and for which a tariff would be paid once the system is ‘live’. Care Packages are a summary of the types of care to be delivered (often divided

2014 Royal College of Psychiatrists

13. Guidance for commissioners: service provision for Section 136 of the Mental Health Act 1983

be a minimum of two mental healthcare professionals immediately available to receive the individual from the police. If the unit is staffed by community staff, the local monitoring group must assure itself of their availability and of the required competences, including the ability to safely manage disturbed behaviour without police support. Consideration should be given to having dedicated Section 136 staff who can be assigned to other wards or teams when not required in the mental health place of safety (...) and Clinical Excellence (2005) Violence: The Short-term Management of Disturbed/Violent Behaviour in In-patient Psychiatric Settings and Emergency Departments (Clinical Guideline CG25). NICE. Royal College of Psychiatrists (2011) Standards on the Use of Section 136 of the Mental Health Act 1983 (England and Wales) (College Report CR159). Royal College of Psychiatrists. Welsh Assembly Government (2008) Mental Health Act 1983: Code of Practice for Wales. Welsh Assembly Government.

2015 Royal College of Psychiatrists

14. Mental health of adults in contact with the criminal justice system.

Prevention Risk Assessment Psychiatry Psychology Advanced Practice Nurses Allied Health Personnel Health Care Providers Nurses Other Patients Physician Assistants Physicians Psychologists/Non-physician Behavioral Health Clinicians Public Health Departments Social Workers Substance Use Disorders Treatment Providers Utilization Management To make recommendations for the identification and management of mental health problems and integration of care for adults in contact with the criminal justice system (...) Health Screen for Men (CMHS-M) or Women (CMHS-W) to identify possible mental health problems if: The person's history, presentation or behaviour suggest they may have a mental health problem The person's responses to the first-stage health assessment suggest they may have a mental health problem The person has a chronic physical health problem with associated functional impairment Concerns have been raised by other agencies about the person's abilities to participate in the criminal justice process

2017 National Guideline Clearinghouse (partial archive)

15. Mental health care in the perinatal period: Australian clinical practice guideline

mental health conditions • psychological approaches to prevention and treatment of depressive and anxiety disorders • prescribing in pregnant and breastfeeding women, in terms of potential risks (harm to fetus/infant) and benefits • potential areas for future development to support the sustainable and measurable implementation of best practice. The Guideline does not cover: • the diagnosis or specifics of managing mental health conditions in the perinatal period • routine assessment of specific (...) of a woman’s physical and mental health should be central to every aspect of maternity care. As well as affecting a woman’s emotional welfare and happiness, mental health conditions affect her experience of pregnancy and parenting, are associated with a degree of increased risk of obstetric and neonatal complications and can profoundly affect a woman’s ability to bond with her baby and the infant’s psychological adaptation over the longer term. Fetal exposure to an untreated maternal mental health

2018 Clinical Practice Guidelines Portal

16. Mental Health Disorders in Adolescents

and conclusions: At least one in five youth aged 9–17 years currently has a diagnosable mental health disorder that causes some degree of impairment; one in 10 has a disorder that causes significant impairment. The most common mental illnesses in adolescents are anxiety, mood, attention, and behavior disorders. Suicide is the second leading cause of death in young people aged 15–24 years. Obstetrician–gynecologists who see adolescent patients are highly likely to see adolescents and young women who have one (...) or more mental health disorders. Adolescents with mental illness often engage in acting-out behavior or substance use, which increase their risk of unsafe sexual behavior that may result in pregnancy or sexually transmitted infections (STIs). Adolescents with psychiatric disorders may be taking psychopharmacologic agents that can cause menstrual dysfunction and galactorrhea. Pregnant adolescents who take psychopharmacologic agents present a special challenge in balancing the potential risks of fetal

2017 American College of Obstetricians and Gynecologists

17. Transition between inpatient mental health settings and community or care home settings

sets of group sessions led by trained practitioners that focus on, respectively: people's current mental health and recent experiences in hospital psychoeducation or cognitive behavioural therapy early warning signs and coping strategies. P Peer support eer support 1.5.13 For people being discharged from hospital, consider a group-based, peer- delivered self-management training programme as part of recovery planning. Sessions should: Transition between inpatient mental health settings and community (...) Transition between inpatient mental health settings and community or care home settings T T r ransition between inpatient mental ansition between inpatient mental health settings and community or care health settings and community or care home settings home settings NICE guideline Published: 30 August 2016 nice.org.uk/guidance/ng53 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

18. Mental health problems in people with learning disabilities: prevention, assessment and management

asking a family member, carer or care worker to provide support and assistance (such as reminders) to practise new skills between meetings. Mental health problems in people with learning disabilities: prevention, assessment and management (NG54) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 21 of 38Specific psy Specific psychological interv chological interventions entions 1.9.5 Consider cognitive behavioural (...) and interventions for family members and carers 11 1.5 Social and physical environment interventions 11 1.6 Annual health check 12 1.7 Identification and referral 13 1.8 Assessment 14 1.9 Psychological interventions 20 1.10 Pharmacological interventions 22 1.11 Occupational interventions 25 T erms used in this guideline 26 Putting this guideline into practice 29 Context 31 More information 32 Recommendations for research 33 1 Develop case identification tools for common mental health problems 33 2 Psychological

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

19. Coexisting severe mental illness and substance misuse: community health and social care services

NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 10 of 60pregnancy and childcare responsibilities. 1.3.3 Consider covering behaviours in the care plan that may affect the person's physical or mental health, in addition to their substance misuse (see NICE's pathways on drug misuse and alcohol-use disorders). Pay particular attention to: diet (see the NICE pathway on diet) physical activity (see the NICE pathway (...) . Ensure staff can meet their needs. Adapting e Adapting existing secondary care mental health services xisting secondary care mental health services 1.5.6 Adapt existing specialist services to meet both a person's coexisting severe mental illness and substance misuse needs and their wider health and social care needs. Do not create a specialist 'dual diagnosis' service. 1.5.7 Offer interventions that aim to improve engagement with all services, support harm reduction, change behaviour and prevent

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

20. Mental health of adults in contact with the criminal justice system

into practice 31 Context 33 More information 34 Recommendations for research 35 1 Psychological and pharmacological interventions for people with paraphilic disorders 35 2 Structured clinical management interventions in probation service providers 36 3 Interventions for coordination and delivery of care to improve access and uptake 36 4 T ools for case identification for cognitive impairment in criminal justice system populations 37 5 Prevalence of mental health problems 38 6 Identification of factors (...) using the Correctional Mental Health Screen for Men (CMHS-M) or Mental health of adults in contact with the criminal justice system (NG66) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 14 of 39Women (CMHS-W) to identify possible mental health problems if: the person's history, presentation or behaviour suggest they may have a mental health problem the person's responses to the first-stage health assessment suggest

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

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