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The Royal College of Psychiatrists Improving the lives of people with mental illness

Depression in Children and Young People: Identification and Management in Primary, Community and Secondary Care

National Collaborating Centre for Mental Health (NCCMH)


Price: £25.00

College members' price: £22.50

Published: 2005

Format: Paperback + free CD-ROM

Number of pages: 234

ISBN: 9781854334244

Depression in Children and Young People: Identification and Management in Primary, Community and Secondary Care

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.

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