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Talking Therapies for LTC IAPT

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Talking Therapies for LTC IAPT

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  1. Talking Therapies for LTC IAPT

  2. Emotional well-being and mental health concerns are major health issues in their own right, but they can also greatly affect physical health • Having a physical health problem also impacts on mental health • Mental illness • Physical illness Physical health and emotional well-being

  3. Adherence - Physical health patients with depression are three times less likely to adhere to physical health care recommendations than patients without depression • DNA • Lifestyle choices – inactivity, diet, smoking, alcohol, self care • Life expectancy (increased risk of death for depressed patients with heart disease, diabetes and cancer) • Increased Suicide risk- 25.5% of cases cited a general health related problem2012- 2013 suicide audit • NHS cost - £8 to £13 billion (England) - depression • increases costs by 33% to 169% over range of conditions How mental health affects physical health

  4. “In the case of Type 2 diabetes, £1.8 billion of additional costs can be attributed to poor mental health. Yet fewer than 15 per cent of people with diabetes have access to psychological support”. For contemplation….

  5. Cambridgeshire and Peterborough CCG Initial outcomes • 61% reduction in A & E attendance in the cohort of patients accessing the integrated IAPT services • 73% reduction in GP visits • 75% reduction inpatient admissions • Berkshire East and West have initial findings: • 75% increase in specialist nurse use • 49% reduction in GP appointments • 52% reduction in A & E attendances • 80% reduction in X-Rays • Buckinghamshire can demonstrate initial evidence:- • 57% reduction in Physiotherapy appointments • 33% reduction in GP appointments • No A & E attendances from cohort completing treatment • 50% reduction in admission to hospital • Oxfordshire can evidence initial evaluations showing:- • 76% reduction in days off work due to sickness • 33% reduction in Consultant appointments • No A & E attendances from cohort completing treatment • 100% reduction in admission to hospital IAPT LTC Pilot site outcomes:

  6. People die younger- • Integration of IAPT is a key part of the 10 Year Plan • Increased cost of care • Improved health outcomes • Improved efficiency of resource Why change is needed..

  7. Stigma – fears of being labelled as being “mentally ill” and this impacting on how they are perceived by family/friends • Healthcare workers, friends and family or patients may not recognise the signs of depression or feel it’s a normal response to the condition • 30-50% not recognised in consultation • Not knowing where to find the help • Worries that they are a burden • Health care professionals may not feel fully equipped or that they have the time • The separation between mental health and physical health care • Trained to focus on a patient’s physical health Barriers..

  8. So you can get ‘just enough’ information to be able to signpost them on to get further support How to ask within tight time frames….

  9. IAPT for LTC….. • Improves health outcomes • Reduces costs • Reduces GP appointments and A&E/ acute admissions • Supports CCG in reaching access targets Summary..

  10. Situation/ Trigger The 5 areas model: Thoughts Physical Symptoms Feelings Behaviours

  11. IAPT Services CBT based Guided Self Help Cognitive Behavioural Therapy tailored for people living with Long Term Conditions, in the form of: • Face to face sessions • Telephone based sessions • Online Therapy (including physical health packages) • Groups Counselling for depression

  12. Who • 18+ • Experiencing emotional distress • LTC • Carers • Common mental health problem • Work stress • Not at high risk of suicide • Any existing SMI must be stable • In agreement to referral • When • Offer to anyone with an LTC • Refer as soon as you recognise an issue Who to refer

  13. Guildford & Waverley CCG Guildford, Godalming, Haslemere, Milford, Chiddingfold, HindheadWorplesdon, East Horsley & Cranleigh Centre for Psychology01483 570 765 DHC- NHS Talking Therapies01306 735473 orwww.dhcclinical.com/iapt.php IESO Digital Health01954 230066 or www.iesohealth.com/surrey Mind Matters- NHS0300 330 5450www.mindmattersnhs.co.uk/surrey ThinkActionWoking 03000 12 00 12 www.thinkaction.org.uk Text TALK to 82085 03000 12 00 12 North West Surrey CCG Ashford, Walton, Chobham, Weybridge, Woking, West Byfleet, Shepperton, Chertsey, Addlestone, Egham, Stanwell, Staines,VirginiaWater & Pirbright, DHC Talking Therapies01483 906392 orwww.dhcclinical.com/iapt.php IESO Digital Health01954 230066 or www.iesohealth.com/surrey Mind Matters NHS0300 330 5450www.mindmattersnhs.co.uk/surrey Talking Therapies Surrey Online0300 365 2000 orwww.berkshirehealthcare.nhs.uk/surreyonline ThinkAction Woking03000 12 00 12 www.thinkaction.org.uk Surrey Downs CCG Tadworth, Dorking, Leatherhead, Thames Ditton, East Molesey, Ashtead, Epsom, Worcester Park, Ewell, Stoneleigh, Esher, Banstead, Oxshott, Brockham, Newdigate, Claygate, Bookham & East Molesey Centre for Psychology 01483 570 765 DHC- NHS Talking Therapies01483 906392 orwww.dhcclinical.com/iapt.php IESO Digital Health01954 230 066 or www.iesohealth.com/surrey Mind Matters- NHS0300 330 5450www.mindmattersnhs.co.uk/surrey ThinkAction03000 12 00 12 www.thinkaction.org.uk East Surrey CCG Redhill, Merstham, Reigate, Caterham, Warlingham, Horley, Whyteleafe, Lingfielf, Oxted & Godstone, DHC- NHS talking therapies01306 735473 orwww.dhcclinical.com/iapt.php IESO Digital Health01954 230066 or www.iesohealth.com/surrey Mind Matters- NHS0300 330 5450www.mindmattersnhs.co.uk/surrey ThinkAction03000 12 00 12 www.thinkaction.org.uk Text TALK to 82085 Centre for Psychology01483 570 765 Surrey Heath CCG Ash Vale, Camberley, Frimley, Lightwater & Bagshot Centre for Psychology 01276 423 141 IESO Digital Health01954 230066 or www.iesohealth.com/surrey Mind Matters-NHS0300 330 5450www.mindmattersnhs.co.uk/surrey ThinkAction03000 12 00 12 www.thinkaction.org.uk Text TALK to 82085 Farnham and NE Hants CCG Farnham only Talk Plus 01252 533355 www.talkplus.org.uk/

  14. Suggested next steps? • Routinely Consider IAPT for all LTC clients and ensure IAPT resources are available • Consider integration of PHQ4 in review templates • Consider opportunities for co-location

  15. Please take a few minutes to complete an online evaluation of the event. Upon completion, a certificate of attendance will be emailed to you. https://www.smartsurvey.co.uk/s/D6JBU/ Thank you.