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7. Health Improvement, Efficiency, Access and Treatment targets ( HEAT)
Delivering for Mental Health includes and promotes delivery of the three identified HEAT targets. HEAT targets form the basis of the performance management of the NHS. The particular targets in Delivering for Mental Health focus on antidepressant prescribing; reducing suicide; and reducing hospital readmissions. Co-occurring problems are relevant to all of these issues.
- There are high rates of anti-depressant prescribing in alcohol dependence. In some locations more than 30% of males and more than 60% of females with alcohol dependence were prescribed anti-depressants on referral from general practice.
- The relationship between substance misuse, mental health problems and suicide is also highlighted in this guidance.
- Substance misuse (alcohol and drugs) is the main diagnosis in 14% (2512/18115) of psychiatric hospital readmissions and is the most common admission diagnosis for men. 28% (943/3309) of people admitted with an alcohol main diagnosis had a secondary psychiatric diagnosis. (Alcohol Statistics Scotland 2007)
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