Engage Aotearoa

Clinical experiences of supporting people to taper off antipsychotic medication

Tapering Antipsychotic Treatment
Mark Abie Horowitz, Robin M. Murray, David Taylor, JAMA Psychiatry. Published online August 5, 2020. doi:10.1001/jamapsychiatry.2020.2166

In this paper three leading researchers in the field of psychiatric drug withdrawal summarise their clinical experience in supporting people to taper off antipsychotic medication.

You can request a full-text copy of this short, peer-reviewed opinion piece directly from the authors on Research Gate here: www.researchgate.net/publication/343467517_Tapering_Antipsychotic_Treatment

More results from The Experiences of Antipsychotic Medication Study

Read online at Science Direct
or request a copy of the full-text on Research Gate

UK Doctors trial Arts Prescriptions

We stumbled upon this video from the BBC on Facebook earlier in the week. GP doctors referred people to “link workers” whose job was to know about all the extracurricular activities in the neighbourhood and link people in with them. Anything from gardening to painting groups. Why? Because most of the people presenting to their GP with mild to moderate mental health difficulties also had social difficulties. Well worth a watch. We wish this existed in NZ.

Click here to watch Dr. Daisy Fancourt talk about Arts on Prescription

 

New Research: Support makes a difference in antipsychotic medication withdrawal

An important part of my doctoral research and some further analysis has just been published in Social Psychiatry and Psychiatric Epidemiology. You can follow this link to view a copy of the full text online, but will need a subscription to download a pdf copy to keep:  https://rdcu.be/MpKs

Here’s a screenshot of the abstract for quick reference…

Abstract Attempting to Stop Antipsychotic Medication Success Supports and Efforts to Cope

Robert Whitaker reviews the evidence on antidepressants

Robert Whitaker has written a critical review of the antidepressant literature for the Mad in America website.

The review has three parts.

  • “The evidence for the efficacy of antidepressants over the short term in RCTs, which is the evidence that psychiatry relies on to claim that the drugs “work.”
  • The evidence for the effectiveness of antidepressants over the short term in “real-world” patients.
  • The evidence regarding their long-term effectiveness in real-world patients.

This broader review of the research literature does then lead to a dichotomous question for society. Do antidepressants, as they are being prescribed now, “work” for society? Do they produce a public health benefit?”

Read the full article Do Antidepressants Work: A People’s Review of the Evidence here.

Engage Update: Slowly coming out of hibernation

It’s been two years since our last update, and though the Engage Facebook page remains active, we are still in the process of slowly coming out of hibernation. Please note that The Butterfly Diaries is now officially out of print for the time-being and we are unable to accept new orders. An e-book is on the horizon. We’ll update you when we have a timeline in mind. Our co-editor Michelle Bolton unfortunately passed away in June of 2016 and we are only just now beginning to think our way back into the project.

We’ve gone through a few transformations of our own since we last updated the Engage Aotearoa website. We couldn’t keep up with the demands of maintaining charitable status and a volunteer base when Miriam entered her doctoral studies and then began working full-time as a psychologist. We were so busy having governance meetings, we couldn’t get the actual work done. So we’ve abandoned the charitable structure and reverted back to our original independent, self-funded structure.

The website and many of the resources are well over-due for an update and that’s the first thing on our to-do list as we try to figure out what’s next for the Engage Aotearoa website. Now that we’ve got a doctor of clinical psychology in the house we might be able to see a little private practice tab in the menu options one of these days in the not-too-very-distant future. For the moment, we’re just going to keep the website alive and gradually update it.

A whole website of personal stories

We recently discovered Our Mental Story, a website dedicated to sharing the stories of people with lived experience of mental-health difficulties. We think it’s well worth a look. You won’t find stories categorised by diagnostic labels here though. Expect a list of titles like “I was crafty with my trouble making”, managing to save my ten sick days a year is an annual challenge”, “Have you ever experienced that deep tight feeling of not being able to breathe” and “everyone wants to fix me with a quick solution.” The site was created by Charlotte-Rose Ruddell and Liv Young began in 2016.

Find more here… 

www.ourmentalstory.com/

The Latest from the British Psychological Society

In case you missed it, on the 1st of February the Division of Clinical Psychology at the British Psychological Society published a new report that presents a different way of looking at mental-health problems,  The Power Threat Meaning Framework.

The announcement explains, “A group of senior psychologists (Lucy Johnstone, Mary Boyle, John Cromby, David Harper, Peter Kinderman, David Pilgrim and John Read) and high profile service user campaigners (Jacqui Dillon and Eleanor Longden) spent five years developing the Power Threat Meaning Framework as an alternative to more traditional models based on psychiatric diagnosis. They were supported by researcher Kate Allsopp, by a consultancy group of service users/carers, and by many people who supplied examples of good practice that is not based on diagnosis.”

You can read the full Power Threat Meaning Framework or a shorter overview.

Find the original announcement here.

People’s Review of the Mental Health System

Share your story and help create a better mental-health system.

The people at Action Station have teamed up with Kyle MacDonald to create a People’s Review of the Mental-Health System. They want to gather together as many personal stories as possible, to convince our politicians of the need for improvements.

Their question to you is simple: what has your experience of the public mental health system been?

The public invitation goes on to say “Everyone has a story about mental health in New Zealand. Whether you work as a mental health professional, have experienced the mental health system directly yourself or someone in your family has, your story matters. We don’t need more statistics, the numbers already add up to make it clear that we have a crisis and need urgent action, and still nothing has been done. But personal stories can do what numbers cannot – they can move Ministers to action. Stories create empathy, and empathy creates change.

Find out more here.

The efficacy of a text messaging intervention for anxiety and depression among young people

One of Engage Aotearoa’s recovery resources, the Small Victories challenge, was included in the pilot of a text-messaging programme for young people with depression and anxiety at Youthline. The results of the evaluation were published last year in the Children and Youth Services Review.

Abstract
Background: Depression and anxiety are among the most commonly experienced mental health issues faced by young people in Aotearoa, New Zealand. Considerable barriers exist that prevent young people from engaging with face-to-face mental health services. Young people’s preference for technology-based counselling mediums such as text messaging opens up new pathways for intervention. Objective: A pilot text message-based intervention package was trialed for use by young people to evaluate the potential efficacy of the text package as an intervention for depression and anxiety symptoms.
Method: The text package was piloted using a 10-week longitudinal cohort pilot with 21 young participants (12– 24 years) who demonstrated mild to moderate anxiety and/or depression symptoms.
Results: Participants’ post-package scores were significantly lower than their pre-package scores for both anxiety (Z = −2.83, p = .005, r = −0.65) and depression (Z = −2.49, p = .013, r = −.056). ‘Feeling encouraged and supported’ increased as a result of receiving support from a trained supporter (Z = −2.06, p = .039, r = −0.45), but not from friends/family (Z = −1.72, p = .130, r = −0.37). Anxiety and depression scores did not change as a result of support from either trained supporters or friends/family.
Conclusions: Findings support the potential efficacy of the text package, justify wider trials of the text package, and support the use of text message-based interventions as potentially effective therapies for young people.

Read the full-text article by David Anstiss and Amber Davies here.