andre tylee and alan cohen: incorporating psychological therapies in the treatment of chronic...
DESCRIPTION
Dr Alan Cohen, Director of Primary Care at West London Mental Health Trust, and Professor Andre Tylee, Professor of Primary Care Mental Health at King’s College London, explain how the IAPT (Improving Access to Psychological Therapies) programme has been helping treat chronic conditions.TRANSCRIPT
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Relieving distress, transforming lives
Incorporating psychological therapies in the
management of LTC – the role of IAPT
Dr Alan Cohen FRCGP
Director of Primary Care
West London MH Trust
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A game of two halves
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What we are going to cover…
• A review of what was achieved in the first three years– me
• A look at what will be achieved in the next three years– Andre
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The first three years
• Special interest group for LTCs and MUS• Commitment and support of all primary
care organisations• Identified regional and local leads• Supported with a training/leadership
programme
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The first three years• Training programmes at RCGP e-learning and
BMJ on-line• A study using electronic recording of Med3/5 in
the management of anxiety/depression including LTCs
• St Georges Study• Collaborative Care – commissioning package
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IAPT: LTC Work Stream
Prof André Tylee MD FRCGP MRCPsych
Expert advisor, LTCs
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Plan
• Multiple LTCs and multiple bio-psycho-social needs often co-exist
• Some initial IAPT plans• Call for good examples
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CHD with distress or Depression.
Often a ‘personal and social story’ of loss
Interpersonalfactors and
Loss
Health andloss
Control
Emasculation’ Loss of sexualIntimacy and
self worth
LonelinessIsolation
Bereavement/grief
Relationship breakdown: partner
and children
AgingMulti-morbidity++
Fear of future
May dislike drug side effects
May prefer their own self help approaches (e.g yoga)
Erectiledysfunction
Loss of employmentand self worth
Lack of finances
May be a carer also: lost
freedom
Many think PCPs have a key role
Prefer talking RX and self help
Some like groups
Patients may have a wide range of psychosocial needs and preferences
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• Approximately £1.7 million 2011/12 commitment to LTC/MUS
developmental work
• Scoping work underway including mapping
• Initial elements: compendium; collaborative care pathways; economic
calculator/analysis• Phase 1 – developmental, likely to involve testing and evaluating good
practice• Engaging key stakeholders including CCGs• Expert Reference Group to meet by Nov 2011
IAPT LTC – moving forward
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Good practice examples needed
• Training for IAPT workers • Collaborative care projects• Case management• Personalised care • Psycho-education• Facilitated groups• Multi-morbidity• Etc
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Thank [email protected]
Special thanks to;
[email protected] Projects Development Lead
IAPT, Department of Health