National Collaborating Centre for Mental Health

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The National Collaborating Centre for Mental Health (NCCMH) is a collaboration between the Royal College of Psychiatrists and the Centre for Outcomes Research and Effectiveness at University College London (UCL). The NCCMH aims to promote the role of evidence synthesis in making informed judgments about healthcare policy. The NCCMH has a history of developing guidelines, conducting systematic reviews and developing implementation guidance for commissioners and service providers. Formed in 2001,[1] on 1 April 2016 a new guideline development centre, the National Guideline Alliance, based at the Royal College of Obstetricians and Gynaecologists took over the clinical guideline programme that had been run by NCCMH.[2]

NICE clinical guidelines[edit]

The NCCMH began producing clinical guidelines for the National Institute for Health and Care Excellence (NICE). It produced the first NICE guideline on schizophrenia, the first guideline on service user experience, and the first guideline in collaboration with the Social Care Institute for Excellence (SCIE) on dementia. This work led to further developments in the field of mental health, providing the evidence base that has supported the National Service Framework and the Improving Access to Psychological Therapies (IAPT) programme for depression and anxiety disorders.

The NICE clinical guideline on schizophrenia, developed by the NCCMH, was twice recognised by the World Health Organization as being the best developed internationally available guideline on that topic. A number of guides have also been translated and adopted or adapted by other healthcare systems, including those of Italy, Australia and Slovenia.[3] The NCCMH has also supported several other countries as part of NICE International, establishing guideline development programmes. Countries included: the Netherlands, working with the WHO collaborating centre Trimbos;[4] Georgia; Turkey; and the USA, working with the American Psychological Association. The NCCMH have also advised on the development of mental health services in South Korea.[5]

The NCCMH is committed to finding evidence-based solutions to improving and achieving better access to mental health care. It does this through its connections with the National Guideline Alliance, and strong links with academic health science centres and world-leading clinical psychiatric centres.

Independent systematic reviews[edit]

The NCCMH has conducted several independently funded systematic reviews:

  • Tourette syndrome in children and young people, for the Academy for Royal Colleges
  • E-mediated therapies and computer-based applications for the prevention and treatment of mental health problems, for MindEd
  • Community health and social care services for coexisting severe mental illness and substance misuse, for NICE Public Health.

Mental health care pathways[edit]

In October 2014, NHS England and the Department of Health jointly published Achieving Better Access to Mental Health Services by 2020[6] as part of the government’s extended commitment to achieving parity of esteem for mental and physical health. The publication was based on and led to further key initiatives and policy documents that committed to improving access to mental health care, standardising the quality of that care and creating a financially sustainable system.

The following key initiatives and policy documents give more information about the 2020/21 plan for mental health:

  • No Health Without Mental Health (2011)[7]
  • Closing the Gap (2014)[8]
  • The Five Year Forward View (2014)[9]
  • Delivering the Forward View: NHS Planning Guidance 2016/17 – 2020/21 (2015)[10]
  • The Five Year Forward View for Mental Health (2016)[11]
  • Implementing the Five Year Forward View for Mental Health (2016)[12]
  • CCG Improvement and Assessment Framework 2016/17 (2016)[13]
  • The Five Year Forward View for Mental Health: One Year On (2017)[14]
  • The Government’s Mandate to NHS England for 2016-17 (2017)[15]

The NCCMH was commissioned by NHS England and NICE to develop mental health care pathways to support the delivery of the ambitions set out in The Five Year Forward View for Mental Health.[11] The pathways set out the evidence base and recommendations for providing timely, equal access and effective treatment and care. They also provide guidance to commissioners and service providers on how to implement the recommendations. The pathways are to be implemented by clinical commissioning group (CCG) commissioners and mental health providers, working collaboratively with service users, their families or carers, and partner organisations. The guidance is also useful for allied professional organisations, health and social care providers, health and social care regulators, local authorities, educational organisations and government agencies.

Publications[edit]

NICE clinical guidelines[edit]

Alcohol-use disorders[16] Depression in adults with a chronic physical health problem[17]
Antenatal and postnatal mental health[18] Depression in children and young people[19]
Antisocial behaviour and conduct disorders in children and young people[20] Drug misuse in over 16s: opioid detoxification[21]
Antisocial personality disorder[22] Drug misuse in over 16s: psychosocial interventions[23]
Attention deficit hyperactivity disorder[24] Generalised anxiety disorder and panic disorder in adults[25]
Autism spectrum disorder in adults[26] Obsessive-compulsive disorder and body dysmorphic disorder[27]
Autism spectrum disorder in under 19s[28] Post-traumatic stress disorder[29]
Bipolar disorder[30] Psychosis and schizophrenia in adults[31]
Borderline personality disorder[32] Psychosis and schizophrenia in children and young people[33]
Challenging behaviour and learning disabilities[34] Self-harm in over 8s: long-term management[35]
Children’s attachment[36] Self-harm in over 8s: short-term management and prevention of recurrence[35]
Coexisting severe mental illness (psychosis) and substance misuse[37] Service user experience in adult mental health[38]
Common mental health problems[39] Social anxiety disorder[40]
Dementia[41] Violence and aggression[42]
Depression in adults[43]

Mental health care pathway[edit]

Pathway Published date Full guide and helpful resources Short guide
Early intervention in psychosis services August 2015 https://www.rcpsych.ac.uk/pdf/nccmh_eip-guidance.pdf

https://www.rcpsych.ac.uk/pdf/nccmh_eip-resources.pdf

-
Community eating disorder services for children and young people April 2016 https://www.rcpsych.ac.uk/pdf/nccmh_eating-disorders-community-care-guidance.pdf
Emergency mental health care: Liaison mental health care for adults and older adults November 2016 https://www.rcpsych.ac.uk/pdf/nccmh_urgent_liaison-mhs-guidance.pdf

https://www.rcpsych.ac.uk/pdf/nccmh_urgent_liaison-mhs-resources.pdf

-
Dementia care August 2017 https://www.rcpsych.ac.uk/pdf/The%20Dementia%20Care%20Pathway%20-%20full%20implementation%20guidance.pdf

https://www.rcpsych.ac.uk/pdf/The%20Dementia%20Care%20Pathway%20-%20appendices%20and%20helpful%20resources.pdf

https://www.england.nhs.uk/publication/implementation-guide-and-resource-pack-for-dementia-care/
IAPT for people with long-term physical health conditions and medically unexplained symptoms March 2018 https://www.rcpsych.ac.uk/pdf/IAPT-LTC%20_Full_Implementation_Guidance.pdf

https://www.rcpsych.ac.uk/pdf/IAPT-LTC%20_Helpful_Resources.pdf

https://www.england.nhs.uk/wp-content/uploads/2018/03/improving-access-to-psychological-therapies-long-term-conditions-pathway.pdf
Perinatal mental health care May 2018 https://www.rcpsych.ac.uk/pdf/The_Perinatal_Mental_Health_Care_Pathways_Full_Implementation_Guidance.pdf https://www.rcpsych.ac.uk/pdf/The_Perinatal_Mental_Health_Care_Pathways_Appendices_Helpful_Resources.pdf https://www.rcpsych.ac.uk/pdf/Perinatal_infographic.pdf https://www.rcpsych.ac.uk/pdf/The_Perinatal_Mental_Health_Care_Pathways_Short_Guide.pdf
IAPT manual June 2018 https://www.rcpsych.ac.uk/pdf/The%20IAPT%20Manual.pdf

https://www.rcpsych.ac.uk/pdf/IAPT_Manual_Appendices_helpful_resources_amendment_6.6.18.pdf

See also[edit]

General:

References[edit]

  1. ^ Kendall, Tim (3 May 2004). "Clinical Guidelines in Mental Health I: The National Collaborating Centre for Mental Health". BJPsych Bulletin. 28 (5). 
  2. ^ "Work in Psychiatry: NCCMH". Royal College of Psychiatrists. Retrieved 7 July 2017. 
  3. ^ Gaebel, Wolfgang; Weinmann, Stefan; Sartorius, Norman; Rutz, Wolfgang; McIntyre, John S. (September 2005). "Schizophrenia practice guidelines: international survey and comparison". The British Journal of Psychiatry. 187: 248–255. doi:10.1192/bjp.187.3.248. ISSN 0007-1250. PMID 16135862. 
  4. ^ 1963-, Franx, Gerdien (G.C.), (2013). Quality improvement in mental healthcare : the transfer of knowledge into practice. Ladenius Communicatie). [S.l.: s.n.] ISBN 9789052537313. OCLC 824621802. 
  5. ^ "NICE Clinical Guidelines". www.rcpsych.ac.uk. Retrieved 2018-04-05. 
  6. ^ "Achieving Better Access to Mental Health Services by 2020" (PDF). April 2015. 
  7. ^ "No health without mental health: A cross-government mental health outcomes strategy for people of all ages" (PDF). Feb 2011. 
  8. ^ "Closing the gap: priorities for essential change in mental health" (PDF). January 2014. 
  9. ^ "FIVE YEAR FORWARD VIEW" (PDF). October 2014. 
  10. ^ "Delivering the Forward View:NHS planning guidance 2016/17 – 2020/21" (PDF). December 2015. 
  11. ^ a b "The Five Year Forward View for Mental Health: A report from the independent Mental Health Taskforce to the NHS in England" (PDF). Feb 2016. 
  12. ^ "IMPLEMENTING THE FIVE YEAR FORWARD VIEW FOR MENTAL HEALTH" (PDF). July 2016. 
  13. ^ "CCG improvement and assessment framework 2016/17" (PDF). March 2016. 
  14. ^ "FIVE YEAR FORWARD VIEW FOR MENTAL HEALTH: ONE YEAR ON" (PDF). Feb 2017. 
  15. ^ "The Government's mandate to NHS England for 2016-17" (PDF). March 2017. 
  16. ^ "Alcohol-use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  17. ^ "Depression in adults with a chronic physical health problem: recognition and management | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  18. ^ "Antenatal and postnatal mental health: clinical management and service guidance | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  19. ^ "Depression in children and young people: identification and management | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  20. ^ "Antisocial behaviour and conduct disorders in children and young people: recognition and management | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  21. ^ "Drug misuse in over 16s: opioid detoxification | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  22. ^ "Antisocial personality disorder: prevention and management | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  23. ^ "Drug misuse in over 16s: psychosocial interventions | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  24. ^ "Attention deficit hyperactivity disorder: diagnosis and management | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  25. ^ "Generalised anxiety disorder and panic disorder in adults: management | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  26. ^ "Autism spectrum disorder in adults: diagnosis and management | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  27. ^ "Obsessive-compulsive disorder and body dysmorphic disorder: treatment | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  28. ^ "Autism spectrum disorder in under 19s: support and management | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  29. ^ "Post-traumatic stress disorder: management | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  30. ^ "Bipolar disorder: assessment and management | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  31. ^ "Psychosis and schizophrenia in adults: prevention and management | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  32. ^ "Borderline personality disorder: recognition and management | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  33. ^ "Psychosis and schizophrenia in children and young people: recognition and management | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  34. ^ "Challenging behaviour and learning disabilities: prevention and interventions for people with learning disabilities whose behaviour challenges | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  35. ^ a b "Self-harm in over 8s: long-term management | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  36. ^ "Children's attachment: attachment in children and young people who are adopted from care, in care or at high risk of going into care | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  37. ^ "Coexisting severe mental illness (psychosis) and substance misuse: assessment and management in healthcare settings | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  38. ^ "Service user experience in adult mental health: improving the experience of care for people using adult NHS mental health services | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  39. ^ "Common mental health problems: identification and pathways to care | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  40. ^ "Social anxiety disorder: recognition, assessment and treatment | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  41. ^ "Dementia: supporting people with dementia and their carers in health and social care | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  42. ^ "Violence and aggression: short-term management in mental health, health and community settings | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05. 
  43. ^ "Depression in adults: recognition and management | Guidance and guidelines | NICE". www.nice.org.uk. Retrieved 2018-04-05.