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Applied behaviour analysis is clinically effective and cost-effective at 2...

Previous studies have reported that the use of applied behaviour analysis by a specialist team in addition to standard treatment for adults with learning disabilities and challenging behaviour was both...

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Review finds lack of published, robust evidence on impact of advocacy in...

Background A recent report from the Improving Health and Lives team suggested that over half of the advocacy organisations in the UK provide services for people with learning disabilities. The report...

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The cost-effectiveness of liaison psychiatry: the case of RAID

Liaison psychiatry brings together medical and psychiatric staff in hospital wards and emergency departments, with the aim of more adequately addressing comorbidities between physical and mental...

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Joint crisis plans: cost-effective for whom?

Chris Sampson looks at the economic outcomes of a recent RCT of joint crisis plans to reduce compulsory treatment for people with psychosis. The study reports the potential for gains specifically among...

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Cytisine and varenicline for smoking cessation

Andrew Jones and Chris Sampson report on a systematic review and economic evaluation of cytisine and varenicline for smoking cessation, which finds that both drugs are clinically effective compared...

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Are treatments for bipolar disorder cost-effective?

Chris Sampson reports on a recent systematic review and critical appraisal of economic evaluations in bipolar disorder. He finds that there's a pressing need for new studies, especially discrete event...

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Mental health support for older adults needs to improve

Dave Steele summarises an NIHR funded mixed methods study that concludes we don't know much about how we should support older adults with mental health problems, except to say that we should be doing...

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Do perinatal mental health problems cost the UK £8 billion per year?

A recent report estimated the societal cost of perinatal mental health problems to be £8 billion, but should we believe it? Chris Sampson advises caution. The post Do perinatal mental health problems...

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Searching for the cost of bipolar disorder

Bipolar disorder is associated with high economic costs...or is it? Chris Sampson reports on a new systematic review, which highlights limitations in our understanding. The post Searching for the cost...

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Can telecare be cost effective and improve quality of life?

Clarissa Giebel tackles a randomised controlled trial (RCT) of telecare assistive technology and examines the findings on cost effectiveness and quality of life. The post Can telecare be cost effective...

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Away from crime and into treatment: diversion and aftercare for drug-using...

Can we steer drug-using offenders away from crime and into treatment? Chris Sampson explores a study of the cost-effectiveness of diversion and aftercare programmes for offenders using class A drugs....

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Art therapy for common mental health disorders

Chris Sampson reports on a new HTA systematic review and economic evaluation of art therapy for non-psychotic mental health disorders like depression, anxiety and phobias. The post Art therapy for...

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Paucity of high-quality evaluations of the relative effectiveness,...

This new Cochrane review looks at studies assessing the effectiveness, costs and cost effectiveness of dental auxiliaries in providing care traditionally provided by dentists. Only 5 studies, the...

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Crowns improved survival of root treated teeth suggests review

This technology review looked at the effectiveness of crowns on root treated teeth. 3 systematic reviews and 4 non-randomised studies were included. They found that the short term survival with crowns...

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Patient safety- few dental studies have been conducted

There is growing interest in patient safety in health care. This review sought to identify any dental research in this area, only a small number of studies were identified demonstrating the need for...

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Stratify, specialise, standardise, analyse: maximising quality and efficiency...

Our resident Elf Economist Chris Sampson summarises a recent report from Monitor (England’s health services regulator), which looks at how NHS providers can improve productivity in elective care. The...

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CBT plus mother-child interaction for anxiety disorder

Paul Ramchandani considers an RCT of treatment for childhood anxiety disorder in the context of maternal anxiety disorder, which finds that mother-child interaction might be of value for childhood...

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CBT plus medication for treatment-resistant depression: the CoBalT RCT...

Sarah McDonald considers the findings of the CoBalT RCT long-term follow-up, which finds that CBT plus antidepressants are clinically and cost effective for treatment-resistant depression in primary...

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Parenting interventions for children with severe attachment problems

Jasmin Wertz summarises a systematic review of the clinical effectiveness and cost-effectiveness of parenting interventions for children with severe attachment problems. The post Parenting...

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School-based CBT for anxiety and low mood: the FRIENDS programme

Alan Underwood appraises a recent RCT of the effectiveness and cost-effectiveness of a school-based CBT programme (FRIENDS) to help prevent anxiety and low mood in children. The post School-based CBT...

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