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One in four of us will be affected by emotional health or mental health problems at some point in our life.

This page contains information, links and resources around prescribing for mental health conditions. Please expand the topics below for more information.

For information on mental health services see the Somerset Mental Health and Learning Disabilities Commissioning Team page.

Dementia

Formulary Chapter 4.11 Drugs for Dementia

CCG Deprescribing webpage – This section has helpful resources and links to aid deprescribing, including STOPP START. This should be a planned and supervised process involving prescriber, patient and carer to ensure medicines that are no longer needed are stopped safely.

UKMi Q&A How to minimise the risks of medication errors with rivastigmine patches

Specialist Pharmacy Service: Summary of prescribing recommendations from NICE guidance – This guideline covers the diagnosis and management of Dementia.

Hypnotics and Anxiolytics

For specific information and useful resources around prescribing of hypnotics and anxiolytics (including reducing and stopping) please see our hypnotics and anxiolytics webpage.

Formulary chapter 4.1 – Hypnotics and Anxiolytics

Learning Disabilities and Autism

People with learning disabilities (LD) have poorer physical and mental health than other people and die younger. Many of these deaths are avoidable and not inevitable. Annual Health Checks can identify undetected health conditions early, ensure the appropriateness of ongoing treatments and establish trust and continuity care.

The Royal College of General Practitioners have published a toolkit which collects guidance and resources to help GPs, practice nurses and the primary administration team organise and perform quality Annual Health Checks on people with a learning disability.

Health checks for people with learning disabilities toolkit

Stopping over medication of people with a learning disability, autism or both (STOMP)

STOMP stands for stopping over medication of people with a learning disability, autism or both with psychotropic medicines. It is a national project involving many different organisations which are helping to stop the over use of these medicines.  STOMP is about helping people to stay well and have a good quality of life.

NHS England – Stopping over medication of people with a learning disability, autism or both (STOMP)

Over-medication, and then lack of review, is a historic problem, but one that nobody knew the true scale of until recently. It is estimated that on an average day in England, between 30,000 and 35,000 people with a learning disability are being prescribed powerful drugs, with serious potential side effects, without clinical justification and for too long. This is often despite evidence-based alternative interventions being available.

This inequality in care is unacceptable, and it is incumbent on clinicians and every other professional involved in an individual’s care to ensure they are acting in their patient’s best interest at all times.

Royal College of General Practitioners

How healthcare providers can support STOMP

STOMP STAMP Day July 2021

See below a series of videos from the STOMP STAMP Day in July 2021 introduced by Carl Shaw & Dr Roger Banks

Welcome and Core Message Slides
Data to support the STOMP STAMP programme
Improving care within primary care
Learning from lives and deaths of people with a learning disability (LeDeR)
Children and Young People
Alternatives to medication
National Autistic Society Resources
Multicultural STOMP resources
Reasonable adjustment flag
Future work for children and young people
NHS Futures Platform
Next steps and Menti poll

Mental Health and Wellbeing Resources

Somerset Health and Wellbeing list a number of mental health resources.

Mind in Somerset provide support and resources and also run a 24/7 emotional support helpline.

Every Mind Matters provides a wealth of information and resources around mental health including anxiety, low mood, stress, sleep, youth and also relating to coronavirus.

NHS recommended apps are are free to download and use. Some may have in-app purchases.

The NHS Health and Care Video Library provides free videos for patients around wellbeing, anxiety, depression, fatigue, loneliness and mental health first aid.

Mental Health and Menopause

Consider HRT for low mood associated with menopause.

Consider CBT for low mood or anxiety associated with menopause.

There is no clear evidence for SSRIs or SNRIs.

See our menopause webpage for further information and resources around menopause and hormone replacement therapy.

Mental Health in the Perinatal period

Please see our Medicines used in Pregnancy and Breastfeeding and Medicines pages for resources around prescribing in the perinatal period.

Perinatal Mental Health Treatment provides free evidence-based resources for new parents and clinicians.

NHS Staff Wellbeing

The Somerset Emotional Wellbeing Podcast by NHS Somerset CCG’s Dr. Andrew Tresidder and Dr. Peter Bagshaw with special expert guests provides free mental and emotional wellbeing support.

The Somerset Emotional Wellbeing Staff Hub is a dedicated online resource for all health and care workers and volunteers in Somerset.

Severe Mental Illness (SMI)

Improving physical healthcare for people living with severe mental illness (SMI) in primary care

The Lester Tool is recommended in the Somerset shared care guidance and nationally as a support for medication reviews in patients prescribed anti-psychotics. Although initially produced for SMI patients it should also be used as a resource for patients who also have a learning disability, autism or both and who are receiving anti-psychotic medication.

Shared Care Guidelines

Shared Care Guidelines for ADHD, Agomelatine, Antipsychotics and Lithium can be found on our Shared Care Guidelines page.

Suicide Prevention

Suicide Awareness Training ‘Suicide Lets Talk’ can be found on the Somerset Health and Wellbeing website.

Samaritans offer a free helpline 24 hours a day, 365 days a year.

Talking Therapies

Somerset Talking Therapies provide a range of options to support anyone 18 years and older who lives in the Somerset area or who is registered with a Somerset GP. Patients are able to self-refer to Talking Therapies.