Depression in Children and Young People: Identification and Management in Primary, Community and Secondary Care
National Collaborating Centre for Mental Health (NCCMH)
This evidence-based clinical guideline endorsed by the National
Institute for Health and Clinical Excellence (NICE) presents
guidance on physical, psychological and service-level interventions
for depression in children and young people. An essential resource
for all professionals involved in the management of depression,
this book is a milestone in the development of truly independent
and transparent clinical guidance and an essential tool in
improving the quality of mental healthcare in the UK.
NICE Mental Health Guidelines
These guidelines from NICE set out clear
recommendations, based on the best available evidence, for health
care professionals on how to work with and implement physical,
psychological and service-level interventions for people with
various mental health conditions.
The book contains the full guidelines that cannot be obtained
in print anywhere else. It brings together all of the evidence that
led to the recommendations made, detailed explanations of the
methodology behind their preparation, plus an overview of the
condition covering detection, diagnosis and assessment, and the
full range of treatment and care approaches.
The accompanying free CD-ROM contains all the data used as
evidence, including:
- Included and excluded studies.
- Profile tables that summarise both the quality of the evidence
and the results of the evidence synthesis.
- All meta-analytical data, presented as forest plots.
- Detailed information about how to use and interpret forest
plots.
Full Contents
Guideline Development Group Membership.
1. Introduction
- National guidelines.
- The national Depression in Children and Young
People guideline.
2. Methods used to develop this
guideline
- Methods used to develop this guideline.
- Overview.
- The Guideline Development Group.
- Clinical questions.
- Systematic clinical literature review.
- Health economics review.
- Stakeholder contributions.
- Validation of this guideline.
3. Depression
- The disorder.
- Prevalence.
- Diagnosis.
- Aetiology.
- Use of health service resources and other
costs.
- Treatment and management in the NHS.
- Black and minority ethnic groups.
- Clinical practice recommendations.
4. Screening and risk
factors
- Introduction.
- Screening instruments.
- Risk factors.
- Clinical recommendations.
5. Self-help, family support/parental
education and social/environmental interventions
- Self-help.
- Family support/parental education.
- Social/environmental interventions.
- Clinical practice recommendations.
6. Psychological treatment of
depression in children and young people
- Introduction.
- Psychological therapies.
- Association between primary outcomes and
characteristics of therapist/patient.
- Relapse prevention.
- Clinical practice recommendations.
7. Pharmacological and physical
treatment of depression in children and young people
- Introduction.
- Prescribing for children and young
people.
- The Regulatory Framework.
- Antidepressant drugs.
- Antidepressant drug versus psychological
therapies, and the combination.
- Other drug treatment.
- Relapse prevention.
- Electroconvulsive therapy (ECT).
- Psychotic depression.
- Clinical practice recommendations.
8. Service configurations
- Implications for service configuration.
- Inpatient units in the treatment of
depression.
- Clinical practice recommendations.
9. Summary of
recommendations
10. Appendices.
11. References.
12. Abbreviations.
13. Glossary of terms.