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In this section:

~ National Depression Week™ 2004 ~ New Information Leaflets 2004 ~ From Back Street to High Street 2004 ~ The Queen's Speech 2003 ~ Reforms to Charity Law ~ Disability discrimination rights  ~ New BBC Documentary ~ Living with fear ~ Panorama ~ National Depression Week 2003 ~ Draft Mental Health Bill 2002 defeated! ~ Survey Shows That Unrealistic Workloads Are To Blame For Increasing Rates of Depression And Stress At Work ~ Annual General Meeting 2003 ~ The Truth About Antidepressants And Side Effects

National Depression Week™ 2004 [top]

Reaching an estimated 12 million people, this year's National Depression Week focussed on the most frightening aspect of the condition, its prevalence. Thousands of individuals and organisations joined together in raising awareness through local events and activities. Over 4000 GP surgeries held displays and by the end of the week, if there was anyone left who didn't know that 1 in 5 of us will experience depression at some point in our lives, then they must have kept themselves well hidden away!

Would you like to be involved with next year's campaign?

New Information Leaflets 2004 [top]

Depression Alliance is pleased to announce the launch of a new series of leaflets. The leaflets cover aspects of depression from sexual dysfunction and sleep problems to self-help options and complementary therapies. To receive copies of these 9 leaflets please send £2 and a large stamped (35p) self-addressed envelope to Information series, Depression Alliance, Suite 212, Spitfire Studios, London, N1 9BE

From Back Street to High Street 2004 [top]

From Back Street to High Street - Unregulated Medicines Pose Serious Threat to Patient Safety

Concerns over the safety of prescription medicines were debated at a one-day conference From Back Street to High Street , held by the charity Depression Alliance on 17 November in London. Experts from the healthcare industry and public and voluntary health sectors were present to discuss the risks to the supply chain and the dangers posed by counterfeit medicines. Key to both issues was the threat that parallel importing poses to the quality control of prescription medicines.

One of the key speakers, Graham Satchwell is a former spokesman for the Association of Chief Police Officers, and presented key findings from the Sick Business report showing links between organised crime and counterfeit medicine. Other speakers included Martin Sweeney, External Affairs Manager for the European Trade Group at Pfizer, who discussed patient safety risks and effects on business of counterfeits, and Jim Thomson, chief executive of Depression Alliance on the dangers of buying medication through on-line pharmacies.

Learn more by visiting Safe Medicines.

The Queen's Speech 2003
Mental Health legislation was not mentioned: 
 [top]

Depression Alliance campaigned vigorously to ensure that the Draft Mental Health Bill 2002 was withdrawn. The charity feared that the proposed legislation was unfair, unworkable, highly stigmatising and would contravene Articles 3 and 5 of the European Convention on Human Rights.

However, Depression Alliance was surprised that a reformed Mental Health Bill was not included in this year's Queen's speech and is now seeking clarification from the government on its proposed course of action with regards to plans for future mental health legislation. It will be difficult for anyone involved in mental health to plan ahead until this matter is resolved but we are pleased to note the Health Minister's commitment to working with stakeholders to get the Bill right.

Currently people affected by mental health problems receive inadequate care due to a lack of community psychiatric services with thousands of people having to fall back on primary care. Without massive extra resources, any new legislation will fail in its objective of protecting good mental health. We welcome the Health Secretary's commitment to extra resources and support Dr Louis Appleby's (the National Clinical Director for Mental Health) recent calls for greater transparency in how that money is spent.

Reforms to Charity Law [top]

Depression Alliance welcomes reforms to charity law.

" They should breathe new life into the Charity Commission and clarify the role of charitable organisations in the public eye. We particularly welcome the self-regulation aspects as they will enable us to promote better practice in fundraising. If the government delivers on these plans then they will have succeeded in reforming a 400 year sector at a stroke."


Disability discrimination rights  [top]

Increasing the rights and opportunities of disabled people in Britain is a move which must be welcomed, especially where depression and other mental illness is concerned. The gaps in disability right's law, especially for mental health, have become increasingly apparent and need now to be addressed.

New BBC Documentary  [top]

One bad day is an hour long documentary for the BBC about a fictional day as seen through the eyes of five people each affected from different forms of depression. Initially each person appears 'sorted' but by telling his or her personal account and delving deeper the viewer begins to understand what daily challenges they face - the ups as well as the downs. It is also an opportunity for the viewer to reflect on their own mental health and prejudices towards it.

If you think that you might like to be involved in the documentary then please email ameliam@depressionalliance.org for more information. The documentary is being directed by Oli Barry who himself is affected by depression.

Living with fear - 85% of patients worry about their depression returning
 [top]

New research from Depression Alliance reveals that 85% of patients who have experienced depression are worried about suffering further bouts of the illness. The results of the survey of 1010 patients carried out by Taylor Nelson Sofres on behalf of Depression Alliance is published this month in the Journal of Current Medical Research and Opinion (CMR&O). It found that about a third of the people who had experienced depression reported overt fear or anxiety that their depression would return1b. Unfortunately for many this fear becomes a reality with around nine out of 10 of those with depression experiencing at least one repeat episode.1c

Dr Chris Manning, Honorary Vice President of Depression Alliance and co-author of the paper in CMRO commented, 'Whilst I am heartened that the majority of people questioned were taking a more holistic, proactive approach to managing their own depression with activities such as cognitive therapy, attending support groups, and participating in exercise, it remains scandalous that 85% still worry that they will have further bouts of depression. This concern is not acceptable when there are treatments such as SSRIs that have been shown to prevent depression returning. It is vital that we also ensure that people are treated with such medicines appropriately and are fully informed of any side effects or sudden discontinuation issues.'

The survey went on to reveal that 65% of patients admitted to having stopped taking their medication on at least one occasion.1d Guidelines from the British Association for Psychopharmacology recommend that treatment should be continued for at least six months from the point that mood is the same as it was before the patient became depressed2a, as it is estimated that without treatment from this point between one quarter and one third of patients will relapse into depression.2b

A GP survey supported by PriMHE (Primary Care Mental Health Education) was carried out in tandem, which questioned 200 GPs. Their responses would suggest that very few GPs (5%) follow the BAP guidelines with nearly a third following no guidelines at all.1e This is further reinforced by the finding that of the GPs questioned only 13% would treat for more than six months and just 36% for up to six months.

Dr Lisa Silver a GP from Oxfordshire, commented 'Although there is a wealth of information and guidance on treatment and management of depression, there still appears to be confusion amongst GPs. With one in five people likely to suffer depression in their lives, it is vital that GPs update their knowledge in this area so that they are in a position to treat and inform those experiencing depression adequately.'

References:
1) Manning C, Marr J. The 'Real Life Burden of Depression' Surveys - GP and Patient Perspective on Treatment and Management of Recurrent Depression. Current Medical Research & Opinion 2003; 19(6): 526-531 doi: 10.1185/030079903125002117.
2) Anderson IM et al. Evidence-based guidelines for treating depressive disorders with antidepressants: a revision of the 1993 British Association for Psychopharmacology guidelines. On behalf of the Consensus Meeting; endorsed by the British Association for Psychopharmacology. J Psychopharmacology 2000; 14(1):3-20.

Panorama and Antidepressants 2003 [top]

The Panorama programme broadcast on Sunday 3rd October made several claims about the SSRA class of antidepressants which may cause concern and distress amongst people affected by depression. Depression Alliance is working hard to ensure that accurate information is brought to you as soon as possible.

To have depression is to be at risk of suicide and current evidence suggests that adults benefit from taking antidepressants for their depression. Depression is a serious mental illness and the treatments for it are powerful and have potential side-effects. It is important to discuss any concerns you may have about your treatment with your doctor or pharmacist.

Do not stop taking any medication without first consulting your doctor. Stopping medication suddenly and without medical advice may result in discontinuation symptoms.

See the MHRA's response to concerns over Seroxat.

National Depression Week™ 2003  [top]

National Depression Week is now one of the most successful initiatives in the busy awareness campaign calendar. Support for the campaign grows year on year, reaching an ever widening audience of health professionals, politicians and the general public. Working through a variety of media, including the press, our publications and the internet, we have made real progress in changing the way depression is viewed in the 21st century.

National Depression Week™ 2003 concentrated on one of the most frightening aspects of the illness - depression in young people. Distressingly, 20% of all deaths by young people are by suicide, the large majority of whom are affected by depression. Depression can strike at any age but it is more common in the young. For more information please click here.

Draft Mental Health Bill 2002 defeated! [top]

(Thanks to all who helped defeat the Draft Mental Health Bill 2002. We believe that the Draft Bill was rejected for 6 key reasons:
  1. It contravened Articles 3 and 5 of the European Convention on Human Rights.
  2. It was highly stigmatising and will deter people with mental illness from seeking help.
  3. It was likely to lead to a "safety first" culture in which people are detained due to a perception of risk rather than any actual threat to themselves and/or others.
  4. It would have resulted in more bureaucracy leading to less patient care.
  5. It would have lead to people receiving inadequate services due to bed blocking, overstretching of community psychiatric services and thousands of people having to fall back on primary care services.
  6. Without massive extra resources, it would have failed in its objective of preventing people with mental illnesses committing homicide and suicide; and would have made ordinary mental health care unworkable in practice.
We must now keep the pressure on Government to ensure that any proposed changes to mental health law are just and workable. Watch this space!

For Depression Alliance's full response to the bill, click here.

Survey Shows That Unrealistic Workloads Are To Blame For Increasing Rates of Depression And Stress At Work. [top]

The results of a survey released as part of the National Depression Week™ 2002 campaign by Depression Alliance clearly show that many people with depression who have sought help from their employers are still being made ill through unrealistic workloads and bad management.

The results, launched at the start of National Depression Week™ (8th - 14th April 2002), which concentrated on depression and work, shows that employers can no longer ignore a condition that is as dangerous as cancer and heart disease.

The UK now has one of the highest attempted suicide rates in Europe, with a massive 50% increase since 1990. At least three-quarters of suicides are the result of depression, with more than 7,000 people taking their own lives each year in the UK and Ireland.
One of the most striking results from the survey of 200 people was the number who had had told their employers about their illness but who had received little or no support from managers and were struggling under unrealistic workloads. Worryingly, over a quarter of people interviewed (29%) felt their depression was caused or made worse by unrealistic workloads, with 35% of people blaming bad management. This has serious implications for employers everywhere as the number of people off sick from work increases, costing industry billions of pounds each year.

Depression Alliance's Director, Jim Thomson, says:

"It is incredible that at the beginning of the third Millennium, with employers demanding ever-greater commitment from and exerting ever-greater pressure on employees, depression and stress are by and large not taken seriously in the workplace. The employee affected by depression, often wary of turning to the employer, simply has no release valve".


In another blow to employers, when asked whether workers felt they were always offered the support they needed only 11% were able to say yes.

Surprisingly, results show that many more people are finding it easier to inform their colleagues and managers of their illness with only 1.5% of interviewees declaring that they had not disclosed their illness to anyone. However, most people interviewed (23%) were only prompted to tell their employer of their illness after they had been unwell for a period. With people now being more open about their condition, Depression Alliance is calling for the government and employers to act quickly and responsibly in supporting workers and those who are unable to work through depression and stress.
As part of National Depression Week™ , Depression Alliance has launched its training programme aimed at employers and employees to help them better cope with depression and stress in the workplace. The message behind this year's National Depression Week™ is that early intervention and a better understanding of depression and stress in the workplace will save time, money and lives.

Annual General Meeting 2003  [top]

Members of Depression Alliance gathered at the Headquarters of the Mothers Union in London on July 5 for the charity's Annual General Meeting. It was the first to be held since it became a Company Limited by Guarantee earlier this year.

Anne Brookes the Depression Alliance Chair led the meeting. The reports spoke of a positive vibrant charity that was giving more help to increasing numbers of people. The teams in London, Cardiff and Edinburgh have worked very hard to build a stronger, more focussed and responsive organisation. Services remained very popular and A Single Step had been re-launched in a different format to meet the changing needs of the charity. The website had grown from an average of 6500 individual visits a week at the start of the year to an incredible 20,000 a week at the end of the year. The Communications section had expanded during the year, making more resource material available to enquirers and dealing with a growing number of media consultations. Financially the charity ended the year with a small surplus. However, despite fundraising in the voluntary sector being highly competitive and mental illness not a popular cause, our drive to raise funds for campaigning and to support the services remains a high priority.

The rest of the morning was given to a brilliant lecture by Dr Tim Cantopher, the Medical Director of the Priory Hospital, Sturt. His theme, based on his recently published book of the same title was Depressive Illness, the Curse of the Strong. His hypothesis went clean against the beliefs of many depressed people who think that their illness is a sign of weakness. He argued that far from being a sign of weakness, depression was often associated with strong caring people who were trying to over-achieve and to care too much - he compared it to a fuse in an electrical circuit, a means of defence against excessive and damaging strain. He then outlined ways by which those affected could cope with their problems and come through them.

Lunch was provided, then members spent the afternoon in discussion groups. It was good to welcome Danny Jackson and Shawn Martin on board as Trustees. We still have six vacancies on the trustee board and are actively looking for appropriately qualified people to join us - please contact Anne or Alison if you would like to know more.
The day was expertly organised by Julia Cosby at one of the best venues that we have ever used. The atmosphere was optimistic and positive about the future. Almost more important it was one of friendship, mutual support and compassion; for all its professionalism DA has not lost the personal touch that has always been at its heart.
If you would like to receive a copy of the Annual Report and accounts presented to the AGM, please send a cheque or postal order for £2.00 payable to Depression Alliance, to: Depression Alliance, 35 Westminster Bridge Rd, London SE1 7JB.

The Truth About Antidepressants And Side Effects  [top]

Have you been prescribed an antidepressant but are worried about the side effects? Is a member of your family taking medication for depression and you want to know more? Depression Alliance has launched a new booklet to help you understand more about antidepressant medicines. Called Depression & Antidepressants, the guide provides practical, impartial information about antidepressants currently available, and avoids the use of medical language and technical jargon.

Indeed, one in five of us will suffer from depression at some point during our lifetime and about one in 20 of us visit our GP because of it. While milder forms of depression may be treated by self-help or talking therapies such as counselling, people with moderate and severe depression often benefit from treatment with one of the 30 antidepressants now available in the UK.

Reviewed by antidepressant expert Stephen Bazire, Director of Pharmacy Services, Norfolk Mental Health Care Trust, the booklet provides answers to commonly asked patient questions such as: How well do antidepressants work? Are some antidepressants better than others? And don't antidepressants have unpleasant side effects? The guide reviews the use of different types of antidepressant - from older MAOIs and TCAs to commonly prescribed SSRIs and newer types of drugs such as NaSSAs.

Commenting on the new booklet, Jim Thompson, [former] Director, Depression Alliance, said:

"It's important that people seek help when they feel depressed because it is a treatable illness. People shouldn't feel ashamed or embarrassed. Antidepressants are one approach and it's important that people have as much information to hand about them as possible, in an easy-to-understand and balanced format."
For a free copy of this leaflet, do contact us on 020 7633 0557 or email information@depressionalliance.org)

 
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