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ITEM 2 DR ALISON MUNN PRESENTATION

ITEM 2 DR ALISON MUNN PRESENTATION. Stevenage Practice Based Joint Commissioning Pilot for Adult Mental Health Overview and Scrutiny Committee 12/6/07. Gaps. NICE stepped care approach (Anxiety and Depression). NICE stepped care approach (Anxiety and Depression). Gaps.

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ITEM 2 DR ALISON MUNN PRESENTATION

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  1. ITEM 2 DR ALISON MUNN PRESENTATION Stevenage Practice Based Joint Commissioning Pilot for Adult Mental HealthOverview and Scrutiny Committee12/6/07

  2. Gaps

  3. NICE stepped care approach (Anxiety and Depression)

  4. NICE stepped care approach (Anxiety and Depression)

  5. Gaps • Psychological services for patients with mild symptoms / need

  6. NICE stepped care approach (Anxiety and Depression)

  7. Gaps • Psychological services for patients with mild symptoms / need • Psychological services for patients with moderate symptoms / need who would prefer a psychological approach over drug treatment

  8. NICE stepped care approach (Anxiety and Depression)

  9. Gaps • Psychological services for patients with mild symptoms / need • Psychological services for patients with moderate symptoms / need who would prefer a psychological approach over drug treatment • Rapid access to psychological services for patients with moderate to severe symptoms / need who have not improved with drug therapy.

  10. A composite story • Wk 0 sees GP starts meds off work • Wk2 slight improvement • Wk4 feels more in control, v positive returns to work • Wk8 less good increase dose • Wk12 problem at work off work • Wk 13 DNA • Wk14 no change change drug, refer • Wk16 feels worse • WK 18 no change, start guided self help • Wk22 resigned from work • Wk 27 Saw OPD • Wk 31 no better no worse • Wk 36 Saw OPD • Wk 40 Had letter from psychology • Wk 44 saw OPD • Wk 48 letter from psychology

  11. What we would like to see: • Wk 0 sees GP starts meds • Wk2 slight improvement • Wk4 feels more in control, v positive • Wk8 less good, referred to Primary Mental Health Care Team • Wk10 assessment and plan 6 weeks CBT • Wk 20 completed CBT, full resolution of symptoms. • Wk 46 end of meds

  12. Aim to Provide: • Psychological services for patients with mild symptoms / need • Psychological services for patients with moderate symptoms / need who would prefer a psychological approach over drug treatment • Rapid access to psychological services for patients with moderate to severe symptoms / need who have not improved with drug therapy.

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