Mental Health Prescribing
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.
The Deprescribing page 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.
Specialist Pharmacy Service: Summary of prescribing recommendations from NICE guidance – This guideline covers the diagnosis and management of Dementia.
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.
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.
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
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
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.
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.
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.
Perinatal Mental Health
Perinatal Mental Health Treatment provides free evidence-based resources for new parents and clinicians.
Bumps – best use of medicine in pregnancy The Bumps website is the public facing site of UKTIS.
Use of selective serotonin reuptake inhibitors in pregnancy- UKTIS The UK Teratology Information Service page on SSRIs.
Safety in Lactation: Antidepressants – SPS Information from the Specialist Pharmacy Service who host UK Drugs in Lactation Service.
Anxiety and Breastfeeding – The Breastfeeding Network The Breastfeeding Network provide evidence-based resources aimed at the public.
Severe Mental Illness (SMI)
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.
The Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLs)
- The Mental Capacity Act (2005) (MCA) and deprivation of liberty safeguards (DoLS) during the coronavirus (COVID-19) pandemic
- The Mental Capacity Act 2005: deprivation of liberty safeguards
- Deprivation of liberty safeguards: a practical guide – The Law Society have produced a practical guide for identifying a deprivation of liberty which can be found on their website
- Social Care Institute for Excellence (SCIE): Deprivation of Liberty Safeguards (DoLS) at a glance