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The Serenity Programme

The Serenity Programme. A brief introduction ... What is it, how it works. Steve Cottrell, June 2013. Contacts. SERENE.ME.UK/HELPERS. # SERENITYPROGRAM. SERENITY.PROGRAMME. serene.me.uk/helpers/ #SERENITYPROGRAM facebook.com/ serenity.programme.

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The Serenity Programme

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  1. The Serenity Programme A brief introduction ... What is it, how it works Steve Cottrell, June 2013

  2. Contacts SERENE.ME.UK/HELPERS #SERENITYPROGRAM SERENITY.PROGRAMME serene.me.uk/helpers/#SERENITYPROGRAMfacebook.com/serenity.programme This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License.

  3. Guided Online Self-help For Generalised Anxiety Disorder, (GAD) Phobias and Panic Disorder

  4. What is it? A unique, theoretically integrative blended learning approach to treatment of stress and anxiety disorders A blend of face-to-face contact alongside an interactive Internet programme and telephone support ...

  5. Assessment Begins with a two-hour semi-structured assessment Bespoke template-driven documentation, assessment using CORE-OM, HADS (or GAD-7) & PHQ-9

  6. 35 Interactive Assessment Tools, Including ... GAD-7 (Generalised Anxiety) PHQ-9 (Depression) WSAS (Work Adjustment) PEQ (User Satisfaction) PHQ-15 (Somatisation) IES-R (Trauma) PDSS (Panic Disorder) OCI (OCD) AUDIT (Alcohol Use)

  7. The Programme Presented in an attractive interactive workbook (in depth programme) and online multimedia format (brief psychoeducational programme) Assistive technology for people with dyslexia, visual impairment, physical or reading difficulties

  8. The Programme Assessment meeting Modules 1 and 2 Support call Takes most people at least three months to complete ... Module 3 Goal setting meeting Module 4 Support call Module 5 Support call Module 6 Support call Module 7 Support call Module 8 Support call Module 9 Final meeting

  9. Workbooks Password protected interactive workbooks , users download & keep to form a comprehensive client-held record Use on your PC or print and complete by hand (average reading age of 11 years) With more than 60 tasks and exercises

  10. Benefits - to the user Increased choice Increased confidentiality Range of options: Internet, CD, paper, USB drive Infrequent contact, longer term approach (CDM model) Reduced need to travel Time flexibility - night shift workers, carers, single parents User involvement during design process, CQI

  11. Benefits - to the service Prevents wasteful ‘admit > treat> discharge > readmit’ cycle Equity - services for agoraphobia, social phobia, avoidant and fearful, single mothers, young men, people with disabilities No inherent geographical boundary problems 100% increase in throughput

  12. Benefits - to the Wider Community Materials shared, reducing familial transmission of harm Use of model alone or as adjunctive treatment - EAP, CFS, MUS, anxiety in COPD and MI etc. Less paper, less travel, less cost, less waste, less pollution - more efficient use of time!

  13. Evaluation Interview with researcher, repeated measures (DASS, CORE-OM, HADS, PHQ-9) Studies with Beneficiaries of ‘Want 2 Work’ programme John Moore’s University Student Stress Study Ongoing NHS Study

  14. Awards Awards from WaMH in PC WIsH (2006) RCN (2008) BJN (2008) Best Nurse-led Project 2010 In RCN ‘Top 30’ UK Health Modernisation Projects 2011 (TBA)

  15. The Serenity Programme Outcome evaluation in BCUHB Early results ...

  16. Mixed-methods quasi-experimental study - semi-structured interview and repeated measures using HADS, PHQ-9 and CORE-OM '... navigation was easy...'  CM, Colwyn Bay '...the website was compelling and encouraging...'   KJ, Rhyl '...programme gives great insight and understanding to anxiety and the reasons why it is happening...'  CR, Rhyl '...it was good for changing thought patterns...'  JC, Abergele '...really liked the points of interest, helpful hints, and breakdown of what was wrong and how I could deal with it...'  RW, Colwyn Bay '..it’s absolutely super, I’m really, really very impressed with it, it’s a wonderful thing to have...'   AD, Denbigh  '...instantly appealed as it immediately seemed to address my problems...'  JT, Rhyl  '...layout was very user-friendly...'  CA, Rhyl  '...I liked the gentle approach...' SP, Rhyl  '...not loads of medical jargon, so could understand what was being said...'  SW, Rhyl '...it’s good to know someone else understands how I feel...'   SW, Rhyl  '...think the programme is good and should be rolled out to others...'  HR, Prestatyn

  17. Anxiety scores showed an average reduction of 31% over 3 months Normal 0 - 7 | Mild 8 - 10 | Moderate 11 - 14 | Severe 15 - 21 Mean baseline score = 16, SD = 3.48, CI = 1.53 | Mean 3-month score = 11, SD = 3.54, CI = 1.55, t-test (2-tailed) p<0.0002

  18. Depression scores showed an average reduction of 52% over 3 months Normal 0 - 7 | Mild 8 - 10 | Moderate 11 - 14 | Severe 15 - 21 Mean baseline score = 10, SD = 4.51, CI = 1.98 | Mean 3-month score = 5, SD = 4.11, CI = 1.80, t-test (2-tailed) p<0.0001

  19. The Serenity Programme Internet usage data ... The first seven months

  20. 357 visitors stayed for more than 30 minutes 1,821 visitors stayed for between 3 & 30 minutes

  21. Thanks for Listening! Questions?

  22. Thanks for Listening! Questions?

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