psychosocial

Consistent use of ADHD medication may stunt growth by 2 inches, large study finds

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The Mul­ti­modal Treat­ment Study of ADHD (MTA Study) is the largest ADHD treat­ment study ever con­duct­ed — near­ly 600 7–9‑year-old chil­dren with ADHD were ran­dom­ly assigned to one of four interventions:

1) Care­ful­ly mon­i­tored med­ica­tion treatment;

2) Inten­sive behav­ior therapy;

3) Med­ica­tion Treat­ment com­bined with Behav­ior Ther­a­py; or

4) Com­mu­ni­ty Care (par­ents obtained what­ev­er treat­ment they desired).

After 14 months, results indi­cat­ed that [Read more…] about Con­sis­tent use of ADHD med­ica­tion may stunt growth by 2 inch­es, large study finds

Google gets serious about brain & mental health innovation and hires NIMH Director Tom Insel

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thomas-insel

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NIH Director’s State­ment Regard­ing Dr. Thomas Insel’s Depar­ture:

“After serv­ing 13 years as Direc­tor for the Nation­al Insti­tute of Men­tal Health (NIMH), Thomas R. Insel, M.D., will step down effec­tive Novem­ber 1, 2015…he is def­i­nite­ly not retir­ing. He is plan­ning to join the Google Life Sci­ences [Read more…] about Google gets seri­ous about brain & men­tal health inno­va­tion and hires NIMH Direc­tor Tom Insel

Transcript: David DiSalvo on How Cultural Evolution Outpaces Natural Evolution and Old Brain Metaphors

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Below you can find the full tran­script of our engag­ing Q&A ses­sion today with David DiS­al­vo, author of What makes your brain hap­py and why you should do the oppo­site, mod­er­at­ed by Alvaro Fer­nan­dez. You vis­it pre­vi­ous Q&A Ses­sions Here.

Full Tran­script (Light­ly edit­ed) of Live Q&A held on Decem­ber 9th, 2–3pm ET

[Read more…] about Tran­script: David DiS­al­vo on How Cul­tur­al Evo­lu­tion Out­paces Nat­ur­al Evo­lu­tion and Old Brain Metaphors

Technology as the missing link to enable a brain-based model of brain care: interview with Dr. John Docherty

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Dr. John Docher­ty is an Adjunct Pro­fes­sor of Psy­chi­a­try at the Weill Med­ical Col­lege, Cor­nell Uni­ver­si­ty, Direc­tor of Post Grad­u­ate Edu­ca­tion there, and Chief Med­ical Offi­cer of Brain Resource. Trained as a clin­i­cal research fel­low in neu­ropsy­chophar­ma­col­o­gy at NIMH, he lat­er returned as Chief of the Psy­choso­cial Treat­ments Research Branch, respon­si­ble for all fed­er­al­ly sup­port­ed psy­choso­cial treat­ment research in men­tal health nation­wide. He over­saw the land­mark Nation­al Col­lab­o­ra­tive Study of the Treat­ment of Depres­sion and served as a mem­ber and Chair­man for over 10 years on the NIMH and then NIDA Treat­ment Research IRGs. Dr. Docher­ty has wide expe­ri­ence in suc­cess­ful­ly imple­ment­ing inno­va­tion in both clin­i­cal oper­a­tions and man­aged health care. He found­ed North­east Psy­chi­atric Asso­ciates in 1985. As Nation­al Med­ical Direc­tor for Nation­al Med­ical Enter­pris­es, he over­saw med­ical con­trol and qual­i­ty improve­ment in 74 hos­pi­tals in 34 states. He was the Exec­u­tive Vice-Pres­i­dent and Chief Med­ical Offi­cer for Mer­it Behav­ioral Care, which then cov­ered 30 mil­lion peo­ple. In 1998, he found­ed Com­pre­hen­sive Neu­ro­Science (CNS). Its Care Man­age­ment Tech­nolo­gies are cur­rent­ly imple­ment­ed in 17 state Med­ic­aid plans. Dr Docher­ty has received numer­ous hon­ors and awards and has authored over 100 sci­en­tif­ic publications.

(Edi­tor’s note: this inter­view with Dr. John Docher­ty was orig­i­nal­ly pub­lished in Sharp­Brains’ mar­ket report Trans­form­ing Brain Health with Dig­i­tal Tools to Assess, Enhance and Treat Cog­ni­tion across the Lifes­pan, pub­lished in July 2010)

Alvaro Fer­nan­dez: Dr. Docher­ty, it is a plea­sure to be with you today to dis­cuss the main theme of Sharp­Brains’ 2010 mar­ket report – how the con­ver­gence of sci­en­tif­ic find­ings and tech­nol­o­gy plat­forms and tools is reshap­ing how as a soci­ety and as indi­vid­u­als we will take care of cog­ni­tion and men­tal well­ness along the life­course, giv­ing birth to the emerg­ing dig­i­tal brain health and fit­ness mar­ket. Can you first briefly dis­cuss your career tra­jec­to­ry and your cur­rent role at Brain Resource?

Dr. John Docher­ty: Sure. The main theme of my work since the 1960s has remained the same, “How do we put knowl­edge into effec­tive use to improve men­tal health?” Over the last cen­tu­ry, med­i­cine made tremen­dous progress in gen­er­at­ing sci­en­tif­ic and clin­i­cal knowl­edge. Basic research dis­cov­ery sci­ence and clin­i­cal treat­ment devel­op­ment sci­ence have made great progress. With­in Psy­chi­a­try there was stan­dard set­ting advance in the 1960’s through the NIMH-VA coop­er­a­tive stud­ies to the method­ol­o­gy of assess­ing the effi­ca­cy of psy­chophar­ma­co­log­i­cal drugs. This work estab­lished prin­ci­ples adopt­ed for the study of med­ica­tions in the oth­er areas of med­i­cine. The study of psy­chother­a­py, how­ev­er, lagged in devel­op­ment. In my role of Chief of the Psy­choso­cial Treat­ments Branch of the NIMH , I helped con­tribute to the advance of that work by sup­port­ing the efforts of an extra­or­di­nary group of indi­vid­u­als led by Irene Waskow who car­ried out the TDCRP. This study estab­lished the method­olo­gies that made pos­si­ble the effec­tive sci­en­tif­ic study of the effi­ca­cy of psy­chother­a­pies. The evi­dence base and of such treat­ments as CBT, DBT, Moti­va­tion­al Enhance­ment Treat­ment and oth­er evi­dence-based psy­chother­a­pies derives direct­ly from this study and its sem­i­nal influ­ence. This was a con­tri­bu­tion to the sci­ence of Clin­i­cal Treat­ment Devel­op­ment research.

I would say that my major inter­est, how­ev­er, has been in the next step, the sci­ence of knowl­edge trans­fer. There has been and remains a long and cost­ly (in terms par­tic­u­lar­ly of unnec­es­sary suf­fer­ing) lag between the devel­op­ment of new knowl­edge and its com­mon and effec­tive use in practice.

In order the help the field moved for­ward, I have worked for the last 20 years in the devel­op­ment and imple­men­ta­tion of meth­ods to effec­tive­ly trans­fer knowl­edge into prac­tice. [Read more…] about Tech­nol­o­gy as the miss­ing link to enable a brain-based mod­el of brain care: inter­view with Dr. John Docherty