Re: NHS proposes to stop funding 17 “unnecessary” procedures
The NHS should also consider to stop funding other unnecessary or even harmful treatments.
I modestly propose 1] long CBT treatments from Psychiatrists and Psychologists, 2] Long term use of Proton Pump Inhibitors, 3] Antidepressants and Methylphenidate in children and adolescents.
1] Junior MHWs, trained for only 5 days, were able to deliver Behavioural Activation sessions against Depression, with equally effective outcomes, compared to CBT or second generation antidepressant pharmacotherapies, without side effects.
"Effective psychological therapy for depression can be delivered without the need for costly and highly trained professionals" is concluded.
Reference http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(16)31140-0/fulltext
Rapid Response:
Re: NHS proposes to stop funding 17 “unnecessary” procedures
The NHS should also consider to stop funding other unnecessary or even harmful treatments.
I modestly propose 1] long CBT treatments from Psychiatrists and Psychologists, 2] Long term use of Proton Pump Inhibitors, 3] Antidepressants and Methylphenidate in children and adolescents.
1] Junior MHWs, trained for only 5 days, were able to deliver Behavioural Activation sessions against Depression, with equally effective outcomes, compared to CBT or second generation antidepressant pharmacotherapies, without side effects.
"Effective psychological therapy for depression can be delivered without the need for costly and highly trained professionals" is concluded.
Reference
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(16)31140-0/fulltext
2] PPIs greatly increase morbidity and mortality.
References
http://bmjopen.bmj.com/content/7/6/e015735
http://gut.bmj.com/content/early/2017/09/18/gutjnl-2017-314605
https://www.ncbi.nlm.nih.gov/pubmed/29233498
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4973085/
3] Harmful antidepressant pills and methylphenidate among children and adolescents.
References
http://www.bmj.com/content/352/bmj.i545
http://www.bmj.com/content/352/bmj.i65
http://www.bmj.com/content/353/bmj.i2550
Competing interests: No competing interests