Online Resources to Support Mental HealthKate Flewelling, MLIS

National Network of Libraries of Medicine, Middle Atlantic Region

Agenda

Introduction to the National Library of Medicine and the National Network of Libraries of Medicine

Patient Education: MedlinePlus American Psychological Association National Institute of Mental Health Substance Abuse and Mental Health Administration

Drug Information: Drug Information Portal DailyMed Pill Box

Clinical Resources National Guideline Clearinghouse PubMed Health Mental Elf

Questions

National Network of Libraries of Medicine (NN/LM)

NN/LM, formerly Regional Medical Library Program

Established in the Medical Library Assistance Act (1965)

Mission Provide health professionals and the general public with

equal access to biomedical information

Coordinated by the National Library of Medicine

8 Regional Offices Support Network members to achieve NN/LM mission 5-year contracts

Who can become Network Members?•Any library, information center or other organization providing health information

•Membership is free!

•Resource Libraries

•Other Libraries• Academic, community college, public, hospital,

K-12

•Community and Faith-Based Organizations

•Public Health Departments

•Health Organizations

Benefits of Membership

Training and educational opportunities

Networking opportunities

Funding opportunities

If your organization provides health information services become a member at: http://nnlm.gov/mar/services/

National Library of Medicine

Part of the National Institutes of Health, NLM is the provider of PubMed.gov, MedlinePlus.gov, and many other health information resources

http://www.nlm.nih.gov

Patient Education

Over half of US adults have looked online for health information in the past year.

35% of US adults have used the Internet to self-diagnosis, but only half of them talked to a clinician about what they found online.

54% of those 65+ are online—and over half of them have looked up health information online in the past year.

Source: Pew Internet and American Life Project (2013)

http://www.pewinternet.org/

Social life of health information

“On a practical level, the vast majority of people living with chronic conditions never attend traditional, in-person support group meetings, although studies show they could benefit from such groups. Instead, people often mobilize their “social convoy” of family members, friends, colleagues, fellow patients, and fellow caregivers – many of whom are connected online via email, social network sites, or by other means.”

Pew Internet, 2011

MedlinePlus

http://medlineplus.gov/

MedlinePlus In a Nutshell

• Over 900 health topics in English and Spanish

• Drug and herbal supplement information

• Videos and animations

• Surgery videos

• Health Check tools

• Easy-to-read Materials

• Multiple Languages

• Medical Dictionary & Encyclopedia

• Health News

Mental Health Topics

Learning Disorders

Prescription Drug Abuse

Living with Cancer

Coping with Disasters

DepressionStressCaregivers

Self-HarmCoping with Chronic Illness

Seasonal Affective Disorder

Substance Abuse Problems

Personality Disorders

End of Life Issues

Post-traumatic stress disorder

Health Topic: PTSD

My mother has been using St. John's wort for her depression. Is it safe?

Image Source: http://1.usa.gov/1h2sxzu

Drugs and Supplements

Depression and alternative therapy

My 10-year-old son is stressed all the time—how can I help him relax?

Stress

I notice I have been drinking more than I used to. Do you have some tips for cutting back?

Tips for cutting back

Health Check Tools

MedlinePlus en español

NIH MedlinePlus magazine

http://www.nlm.nih.gov/medlineplus/magazine/ Bulk orders:

http://www.vitalitycommunications.com/medlineplus/libraries.php

Link MedlinePlus to EHRs!

http://www.nlm.nih.gov/medlineplus/connect/overview.html

MedlinePlus Connect

MedlinePlus Connect

Find Details from Link on Home Page

http://www.nlm.nih.gov/medlineplus/connect/overview.html

Information Rxhttp://informationrx.org/

Refer people to MedlinePlus

Order special prescription pads and other materials

Help people: better understand

health information enhance

conversations between healthcare providers and patients

encourage the use of evidence-based health information on the Internet

http://helping.apa.org

American Psychological Association

Mind/Body

National Institute of Mental Healthhttp://nimh.nih.gov

Information on NIMH

Health information by age, and gender Information on treatment including medication, psychotherapies and brain stimulation

Spanish information Clinical Trials You can order free copies of print patient handouts

Videos show stories of persons coping with mental illness as well as scientist and doctors presenting on the latest research

SAMHSA

http://mentalhealth.samhsa.gov

Publications for professionals and patientshttp://store.samhsa.gov/

Drug Information Portalhttp://druginfo.nlm.nih.gov/

Drug Information Portal: Haldol

Drug information portal: antidepressive agents

DailyMed http://dailymed.nlm.nih.gov

Manufacturer’s Label

Indications and Usage

Contraindications

Warnings

Dosage and Administration

Patient Counseling Information

DailyMed: Celexa

Pillbox http://pillbox.nlm.nih.gov

Pillbox enables rapid identification of unknown solid-dosage medications (tablets/capsules) based on physical characteristics and high-resolution images.

Once a medication is identified, Pillbox provides links to drug information and drug labels.

Clinical Effectiveness and Clinical Guidelines

PubMed Health• Clinical effectiveness

research

• Summaries for practitioners and consumers

• Systematic Reviews

http://www.ncbi.nlm.nih.gov/pubmedhealth

Systematic Reviews

Critical assessment and evaluation of all research studies that address a particular clinical issue

Studies are searched for and included in the review using a set of specific criteria

May include a quantitative pooling of data, called a meta-analysis.

Example: Scientists collected all the published studies that compared types of treatment for prostate cancer that had not spread beyond the prostate gland. They compiled the results of these studies in a comparative effectiveness review, which is a type of systematic review.

Source: Agency for Health Care Research and Quality http://1.usa.gov/1gFJZnw

Contents

Abstracts (short technical summaries) of systematic reviews in DARE, the Database of Abstracts of Reviews of Effects—many of them include a critical summary of the review

Plain language summaries and abstracts of reviews from the Cochrane Collaboration

Full texts of reviews from a growing group of public agencies

Information developed by public agencies for consumers and clinicians that is based on systematic reviews

More info: http://1.usa.gov/1iKAAA8

Sources

Cochrane Collaboration-Plain Language Summaries

National Institute for Health and Care Excellence (NICE) (UK)

Agency for Healthcare Research and Quality (US)

National Cancer Institute-PDQ (Physician Data Query)

Dept. of Veterans Affairs-Evidence-based Synthesis Program

Canadian Agency for Drugs and Technologies in Health.

Over 30,000 systematic reviews from last 10 years

Search: screening for suicide risk in primary care

Search: treatment of delirium elderly

Are antidepressants effective for relieving fibromyalgia pain?

Search: antidepressants fibromyalgia pain

National Guideline Clearinghouse

• Search evidence-based guidelines from a variety of sources

• Compare Guidelines side by side

• Save your favorite guidelines and organizations.

http://guidelines.gov/

Examples-Organizations

American Academy of Child and Adolescent Psychiatry

American Psychiatric Association

American College of Physicians

Department of Veterans Affairs

Health Care for the Homeless (HCH) Clinician's Network

National Collaborating Centre for Mental Health (UK)

American Geriatrics Society

Inclusion criteria as of June 2104

Documentation will need to be provided showing that the guideline is based upon a systematic review of the evidence.

Documentation must contain an assessment of the benefits and harms of the recommended care and alternative care options.

Source: http://www.guideline.gov/faq.aspx#Inclusion

Advanced search

Compare guidelines

Mental Elf

http://www.thementalelf.net/

Questions?

Thank You!

This project has been funded in whole or in part with Federal funds from the National Library of Medicine, National Institutes of Health, Department of Health and Human Services, under Contract No. HHS-N-276-2011-00003-C with the University of Pittsburgh, Health Sciences Library System.

Kate Flewelling, MLISNational Network of Libraries of Medicine,

Middle Atlantic Regionhttp://nnlm.gov/mar/flewkate@pitt.edu