1. Online Resources to Support Mental Health Kate Flewelling, MLIS National Network of Libraries of Medicine, Middle Atlantic Region

2. 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

3. 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

4. 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

5. 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/http://nnlm.gov/mar/services/

6. 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

7. 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/

8. 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

9. MedlinePlus http://medlineplus.gov/

10. 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

11. Mental Health Topics  Learning Disorders  Prescription Drug Abuse  Living with Cancer  Coping with Disasters  Depression  Stress  Caregivers  Self-Harm  Coping with Chronic Illness  Seasonal Affective Disorder  Substance Abuse Problems  Personality Disorders  End of Life Issues

12. Post-traumatic stress disorder

13. Health Topic: PTSD

14. My mother has been using St. John's wort for her depression. Is it safe? Image Source: http://1.usa.gov/1h2sxzu

15. Drugs and Supplements

16. Depression and alternative therapy

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

18. Stress

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

20. Tips for cutting back

21. Health Check Tools

22. MedlinePlus en español

23. NIH MedlinePlus magazine  http://www.nlm.nih.gov/medlineplus/magazine/ http://www.nlm.nih.gov/medlineplus/magazine/  Bulk orders: http://www.vitalitycommunications.com/medlineplus/libraries.php http://www.vitalitycommunications.com/medlineplus/libraries.php

24. Link MedlinePlus to EHRs! http://www.nlm.nih.gov/medlineplus/connect/overview.html

25. MedlinePlus Connect

26. Find Details from Link on Home Page http://www.nlm.nih.gov/medlineplus/connect/overview.html

27. Information Rx http://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

28. http://helping.apa.org American Psychological Association

29. Mind/Body

30. National Institute of Mental Health http://nimh.nih.gov

31. 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

32. SAMHSA http://mentalhealth.samhsa.gov

33. Publications for professionals and patients http://store.samhsa.gov/

34. Drug Information Portal http://druginfo.nlm.nih.gov/

35. Drug Information Portal: Haldol

36. Drug information portal: antidepressive agents

37. DailyMed http://dailymed.nlm.nih.gov  Manufacturer’s Label  Indications and Usage  Contraindications  Warnings  Dosage and Administration  Patient Counseling Information

38. DailyMed: Celexa

39. 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.

40. Clinical Effectiveness and Clinical Guidelines

41. PubMed Health Clinical effectiveness research Summaries for practitioners and consumers Systematic Reviews http://www.ncbi.nlm.nih.gov/pubmedhealth

42. 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

43. 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

44. 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

45. Search: screening for suicide risk in primary care

46. Search: treatment of delirium elderly

47. Are antidepressants effective for relieving fibromyalgia pain?

48. Search: antidepressants fibromyalgia pain

49. 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/

50. 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

51. 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

52. Advanced search

53. Compare guidelines

54. Mental Elf http://www.thementalelf.net/

55. Questions?

56. 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, MLIS National Network of Libraries of Medicine, Middle Atlantic Region http://nnlm.gov/mar/ flewkate@pitt.edu