Priority 13 from the Bipolar PSP

UNCERTAINTY: What is the best and most cost effective way to provide clinical care for those with bipolar, including who should provide it? (JLA PSP Priority 13)
Overall ranking	13
JLA question ID	0041/13
Explanatory note	Not available for this PSP
Evidence	None identified
Health Research Classification System category	Mental Health

Extra information provided by this PSP
Original uncertainty examples	For full examples, see Category ID H1 on spreadsheet. How long should someone with bipolar stay in contact with their psychiatrist or Community Mental Health Team following diagnosis of bipolar? ~ If I'm discharged how will anyone be monitoring me and my moods and my ability to care for myself ~ Can early intervention psychosis services be expanded to carefully deliver tailored care for people with Bipolar disorder? Common clinical wisdom dictates the long term use of medication over many years for people with bipolar disorder, even with sometimes minimal benefits and many side effects. The therapeutic level of lithium is close to the toxic level (hence the need for regular blood monitoring). ~ how can we support people who do not meet the threshold for ongoing secondary mental health support (ie treated in primary care)? ~ Would someone with bipolar be helped by having a "drop in" facility available to them?
Submitted by	Patients x 447 ~ Carers x 156 ~ Health Professionals x 74 ~ Others x 33

Extra information provided by this PSP

Original uncertainty examples

For full examples, see Category ID H1 on spreadsheet. How long should someone with bipolar stay in contact with their psychiatrist or Community Mental Health Team following diagnosis of bipolar? ~ If I'm discharged how will anyone be monitoring me and my moods and my ability to care for myself ~ Can early intervention psychosis services be expanded to carefully deliver tailored care for people with Bipolar disorder? Common clinical wisdom dictates the long term use of medication over many years for people with bipolar disorder, even with sometimes minimal benefits and many side effects. The therapeutic level of lithium is close to the toxic level (hence the need for regular blood monitoring). ~ how can we support people who do not meet the threshold for ongoing secondary mental health support (ie treated in primary care)? ~ Would someone with bipolar be helped by having a "drop in" facility available to them?

Submitted by

Patients x 447 ~ Carers x 156 ~ Health Professionals x 74 ~ Others x 33

PSP information
PSP unique ID	0041
PSP name	Bipolar
Total number of uncertainties identified by this PSP.	363 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	14 June 2016