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Libby Jamieson (R.M.N.)

Libby Jamieson (R.M.N.). MENTAL HEALTH PRACTITIONER P.C.M.H.T. CLINICAL AREA. Population approx 88,000 people High numbers of refugees / asylum seekers High unemployment High incidence of crime High incidence of drug / alcohol misuse.

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Libby Jamieson (R.M.N.)

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  1. Libby Jamieson (R.M.N.) MENTAL HEALTH PRACTITIONER P.C.M.H.T.

  2. CLINICAL AREA • Population approx 88,000 people • High numbers of refugees / asylum seekers • High unemployment • High incidence of crime • High incidence of drug / alcohol misuse

  3. Mental Health problems account for up to one third of all GP consultations and as poverty has a significant negative impact on mental health, demand for services in North Glasgow is higher than in many other area of the city . ( North Glasgow Primary Care Mental Health Service Audit 2005 )

  4. “psychological therapies for mild to moderate mental health problems” • Stress • Anxiety • Low mood • Bereavement • Adjustment disorders

  5. HOW DO WE DO WHAT WE DO ? • Assessment • Supportive counselling • Cognitive Behavioural Therapy - C.B.T. • Solution focused therapy • Living Life to the Full - group • Good Stress - group • Partners in the North

  6. Rating scales • HAD - Hospital Anxiety and Depression Rating scale • Beck Depression Inventory • Beck Anxiety Inventory • C.O.R.E - clinical outcomes in routine evaluation • Invitations - “hearing the patient “

  7. Mental health = physical health What is it we want to change in our patients ? Why ? What does it mean for them ? Consequences for us ? for them ? Cycle of change - long term

  8. CYCLE OF CHANGE

  9. STIGMA • Gender • Age • Language we use • Labels • media

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