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Abstract"Objective To evaluate whether a new computerised cognitive behavioural therapy intervention (SPARX, Smart, Positive, Active, Realistic, X-factor thoughts) could reduce depressive symptoms in help seeking adolescents as much or more than treatment as usual.Design Multicentre randomised controlled non-inferiority trial.Setting 24 primary healthcare sites in New Zealand (youth clinics, general practices, and school based counselling services).Participants 187 adolescents aged 12-19, seeking help for depressive symptoms, with no major risk of self harm and deemed in need of treatment by their primary healthcare clinicians: 94 were allocated to SPARX and 93 to treatment as usual.Interventions Computerised cognitive behavioural therapy (SPARX) comprising seven modules delivered over a period of between four and seven weeks, versus treatment as usual comprising primarily face to face counselling delivered by trained counsellors and clinical psychologists.Outcomes The primary outcome was the change in score on the children's depression rating scale-revised."

By establishing programs to help people recover emotionally after unexpected negative events, hospitals can achieve gains in patient satisfaction and in staff retention.

"As the U.S. population undergoes continuous shifts the population's health profile changes dynamically resulting in more or less expression of certain psychiatric disorders and utilization of health-care resources. In this paper, we analyze national data on the psychiatric morbidity of American patients and their summated cost in different age groups. Methods: The latest data (2009) on the number of hospital discharges and national bill (hospital charges) linked with psychiatric disorders were extracted from the Nationwide Inpatient Sample (NIS). Results: National data shows that mood disorders are the largest diagnostic category in terms of percentage of psychiatri-crelated discharges in the 1 - 17 years age group. The proportion decreases gradually as age progresses while delirium, dementia, amnestic and other cognitive disorders increase exponentially after 65 years of age. Schizophrenia and other psychotic disorders as well as alcohol and substance-related disorders peak in the working age groups (18 - 64 years). From an economic point of view, mood disorders in the 18 - 44 age group has the highest national bill ($5.477 billion) followed by schizophrenic and other psychotic disorders in the same age group ($4.337 billion) and mood disorders in the 45 - 64 age group ($4.310 billion). On the third place come schizophrenic and other psychotic disorders in the 45 - 64 age group ($3.931 billion). Conclusion: This paper illustrates the high cost of psychiatric care in the U.S., especially the large fraction of healthcare money spent on working-age patients suffering from mood disorders. This underlines psychiatric cost-efficiency as a vital topic in the current healthcare debate. "

www.CheckYourDrinking.net reduces alcohol consumption in a sample of problem drinkers by 30%

Among the research in collaborative care, the most comprehensive work has been done by Wayne Katon, MD, and Jürgen Unützer, MD, both of the University of Washington. Under the latter's collaborative care model, participants had fewer suicidal thoughts, higher recovery rates and improved function, and more depression-free days compared to typical primary care treatment. In addition, Unützer's research has shown potential overall health care savings of $3,300 per individual over a four-year period compared to individuals in usual primary care treatment.

Are we doing more harm than good by exporting our diagnoses and remedies for mental illnesses? A new book - Crazy Like Us: The Globalization of the American Psyche - sets the agenda for a vital public discussion.

Overcoming drug addiction isn't simply about being strong enough, it is a complex and unpredictable process that you should understand will take time. Know the tips to find addiction support that works for you! Read the latest blog from Rehab for Teens by clicking on the link.

Best exercises for a healthy heart by Dr. Alla Gopala Krishna Gokhale, the best heart and lung transplant surgeon in Hyderabad

A guide prepared by the National Resource Center for Youth Development

The program significantly reduced overall readmission rates at participating hospitals. Patients involved in specific quality improvement initiatives that came out of the program also experienced significantly fewer readmissions, along with associated declines in inpatient days and costs.

" The American Psychiatric Association (APA) instituted a financial conflict of interest disclosure policy for the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The new disclosure policy has not been accompanied by a reduction in the financial conflicts of interest of DSM panel members. Transparency alone cannot mitigate the potential for bias and is an insufficient solution for protecting the integrity of the revision process. Gaps in APA's disclosure policy are identified and recommendations for more stringent safeguards are offered."

Happiness is the goal of life. Embark on the path to true happiness by connecting to the inner guidance through the Trivedi Effect

From the abstract: "We conducted systematic literature searches in PubMed, PsycINFO, and Embase up to November 2012, and identified additional studies through earlier meta-analyses and the references of included studies. We identified 198 studies, including 15,118 adult patients with depression, and coded moderator variables. Each of the seven psychotherapeutic interventions was superior to a waitlist control condition with moderate to large effects (range d = −0.62 to d = −0.92). Relative effects of different psychotherapeutic interventions on depressive symptoms were absent to small (range d = 0.01 to d = −0.30). Interpersonal therapy was significantly more effective than supportive therapy (d = −0.30, 95% credibility interval [CrI] [−0.54 to −0.05]). Moderator analysis showed that patient characteristics had no influence on treatment effects, but identified aspects of study quality and sample size as effect modifiers. Smaller effects were found in studies of at least moderate (Δd = 0.29 [−0.01 to 0.58]; p = 0.063) and large size (Δd = 0.33 [0.08 to 0.61]; p = 0.012) and those that had adequate outcome assessment (Δd = 0.38 [−0.06 to 0.87]; p = 0.100). Stepwise restriction of analyses by sample size showed robust effects for cognitive-behavioural therapy, interpersonal therapy, and problem-solving therapy (all d>0.46) compared to waitlist. Empirical evidence from large studies was unavailable or limited for other psychotherapeutic interventions."

Treatment is challenging both because interventions with clear empirical support have not been identified and because individuals affected by AN are typically reluctant to undergo weight restoration. Preliminary studies suggest that family-based treatment may be useful for younger patients with AN. Treatment development for adults with AN and pursuit of neurobiological correlates of AN remain high-priority research areas. (requires subscription or payment)

From the abstract: "the current study provides a n analysis of homeless and runaway youths' attitudes towards mental health servic es in order to identify possible factors t hat can assist service providers with understanding and increasing service engagement . V ariables examined included help seeking propensity, psychological openness , concern for mental health stigma, parental maltreat ment, street victimization and services n eeds assessment. The current study also examines the relationship between social support and attitudes toward mental health services. A comparison sample of housed youth was obtained in order to de termine if mental health attitudes are unique to homeless y outh. Fifty - six youth who identified as homeless were recruited through youth drop - in centers and a shelter in Northern California , and 97 housed youth were recruited from alternative community continuation schools in the same region . A nalys is of v ariance iii showed that homeless and housed groups did not differ significant ly on attitudes toward mental health services, help seeking propensity, psychological openness, and concern for mental health stigma . Additional f indings revealed that , for homeless youth, t he more perceived friend support , the more their concern for mental health stigma decreased and the more supportive individuals available , the more positive attitudes toward mental health services and help seeking propensity increased . Comparison of correl ations between homeless and housed groups revealed only one significant difference; the association between perceived family support and help seeking propensity was strongest for the housed group than for the homeless group . Results demonstrate d that home less youth and housed youth share similar attitudes toward mental health services , help seeking propensity, psychological openness, and c o ncern for mental health stigma. Mean scores obtained on these measures were comparable to the only existing study on