In a post appearing in the Boston Globe (10/26) “Child in Mind” blog, Claudia M. Gold, MD, refers to an article that appears in the current issue of the Journal of the American Academy of Child and Adolescent Psychiatry, “Integrating Mental Health Care Into Pediatric Primary Care Settings.” She quotes the article, which states that “pediatric training provides limited experience in screening or intervening for mental disorders,” while “child psychiatry training emphasizes the treatment of children with established psychiatric diagnoses and typically offers limited experience with children at risk for mental disorders or children whose symptoms do not reach the threshold for diagnosis.” Gold says the article suggests that “the current structure of the health care system does not have room for prevention.”

Related Links:

— “Preventive mental health care for children falls through the cracks, “Claudia M Gold, Boston.com, October 25, 2012.

Medwire (10/25) reports, “Counseling about alcohol misuse can reduce the number of drinks consumed weekly among adults with risky drinking habits,” according to a reviewpublished online Sept. 25 in the Annals of Internal Medicine. The review of 23 trials lasting at least six months also found that “behavioral counseling can reduce the number of adults who engage in heavy drinking episodes, as well as reduce the amount of drinking above the currently recommended quantities.”

The Los Angeles Times (10/24, Brown) reports, “In a statistical analysis of nearly 230,000 trials compiled from a variety of disciplines, study results that claimed a ‘very large effect’ rarely held up when other research teams tried to replicate them,” according to research published in the Journal of the American Medical Association.

HealthDay (10/24, Gordon) reports, “When initial findings about an experimental drug or treatment sound too good to be true, they probably are, according to a new study” published in the Journal of the American Medical Association. Investigators “found that after a single study reports large benefits for a new medical intervention, additional studies almost always find a smaller treatment effect.” The researchers “suspect that a small study size contributes to the initially inflated benefits.”

Related Links:

— “Medical studies with striking results often prove false, “Eryn Brown, Los Angeles Times, October 24, 2012.

Forbes (10/24, Martin) reports, “Depression tops the list of health-related productivity costs in the workplace. That was the finding in a medicalstudy shortly after the economy tanked in the 2008 recession, and it’s no different now.” In fact, “the annual cost of depression is estimated at $44 billion in lost productivity to American companies according to the National Institute of Mental Health.”

Related Links:

— “Tackling Depression at Work as a Productivity Strategy,”Judy Martin, Forbes, October 23, 2012.

On its website and its “Talk of the Nation” program, NPR (10/23) reports, “The American Psychiatric Association defines a psychiatrist as a medical doctor who conducts psychotherapy and prescribes medications and other medical treatments. With recent developments in the pharmaceutical and insurance industries, the definition of the practice appears to be shifting.” Host Neal Conan discussed the changing role of psychiatry with Richard Friedman, MD, director, Psychopharmacology Clinic, Weill Cornell Medical College, and psychiatrist Steve Balt, editor-in-chief, The Carlat Psychiatry Report. One of the topics discussed was how, with the increased use of antidepressants in recent years, the “use of talk therapy” has declined, a trend driven by “market forces” and managed care.

Related Links:

— “Psychiatrists Shift Focus To Drugs, Not Talk Therapy,NPR, October 22, 2012.