Presentation is loading. Please wait.

Presentation is loading. Please wait.

Psychology in Healthcare meeting the needs of the Scottish population Prof. Ray Miller Chartered Clinical Psychologist and Chartered Health Psychologist.

Similar presentations


Presentation on theme: "Psychology in Healthcare meeting the needs of the Scottish population Prof. Ray Miller Chartered Clinical Psychologist and Chartered Health Psychologist."— Presentation transcript:

1 Psychology in Healthcare meeting the needs of the Scottish population Prof. Ray Miller Chartered Clinical Psychologist and Chartered Health Psychologist Professional Advisor for Psychology, NHS Lothian (Retired) Past President, The British Psychological Society ( )

2 15 March 2012 Psychology in Healthcare Prof. Ray Miller2 Download

3 15 March 2012 Psychology in Healthcare Prof. Ray Miller3 Definitions Psychology The scientific study of mental and behavioural processes The scientific study of mental and behavioural processes Applied Psychology in Healthcare The application of a knowledge of normal and abnormal mental and behavioural processes to issues of physical and mental health and well-being and health care delivery The application of a knowledge of normal and abnormal mental and behavioural processes to issues of physical and mental health and well-being and health care delivery

4 15 March 2012 Psychology in Healthcare Prof. Ray Miller4 Healthcare Objectives Promote good health Promote good health Prevent ill health Prevent ill health Identify, assess and treat psychologically based dysfunction Identify, assess and treat psychologically based dysfunction Promote recovery and rehabilitation Promote recovery and rehabilitation Promote and facilitate good psychological practice Promote and facilitate good psychological practice Promote and facilitate quality health care delivery Promote and facilitate quality health care delivery Develop and research innovation in healthcare Develop and research innovation in healthcare

5 15 March 2012 Psychology in Healthcare Prof. Ray Miller5 Context Health Issues Health Issues Health Policy Health Policy Healthy (and unhealthy) behaviour Healthy (and unhealthy) behaviour Public Health Public Health Mental Health Mental Health Physical Health Physical Health Research and Development Research and Development

6 15 March 2012 Psychology in Healthcare Prof. Ray Miller6 Recent Scottish Policies (2007 & 2012)

7 15 March 2012 Psychology in Healthcare Prof. Ray Miller7 Current Policies

8 15 March 2012 Psychology in Healthcare Prof. Ray Miller8 Health Survey 2010 Main Headings GENERAL HEALTH (Self-assessed general health, Long-term conditions, Mental Health and wellbeing) GENERAL HEALTH (Self-assessed general health, Long-term conditions, Mental Health and wellbeing) DENTAL HEALTH DENTAL HEALTH ALCOHOL ALCOHOL SMOKING SMOKING DIET DIET PHYSICAL ACTIVITY PHYSICAL ACTIVITY ADULT AND CHILD OBESITY ADULT AND CHILD OBESITY RESPIRATORY HEALTH RESPIRATORY HEALTH CARDIOVASCULAR DISEASE, HYPERTENSION AND DIABETES CARDIOVASCULAR DISEASE, HYPERTENSION AND DIABETES MULTIPLE RISKS MULTIPLE RISKS Risk clustering The most common combination of risks was being overweight and not meeting the physical activity and fruit and vegetable recommendations (15% of adults in Scotland had these three risks). A further 10% had these three risks and also drank outwith the recommended limits. The most common combination of risks was being overweight and not meeting the physical activity and fruit and vegetable recommendations (15% of adults in Scotland had these three risks). A further 10% had these three risks and also drank outwith the recommended limits. 44% of adults in Scotland drank outwith the recommended limits and had at least one of the other risks. 44% of adults in Scotland drank outwith the recommended limits and had at least one of the other risks.

9 15 March 2012 Psychology in Healthcare Prof. Ray Miller9 Projected % change in age structure of Scotland's population, Source: REGISTRAR GENERAL FOR SCOTLAND - Projected Population of Scotland (2004-based)

10 15 March 2012 Psychology in Healthcare Prof. Ray Miller10 Psychological Morbidity

11 15 March 2012 Psychology in Healthcare Prof. Ray Miller11 Common Mental Disorder (England 2007)

12 15 March 2012 Psychology in Healthcare Prof. Ray Miller12 Common Mental Disorder (England 2007)

13 15 March 2012 Psychology in Healthcare Prof. Ray Miller13 Cost of Mental Ill Health

14 15 March 2012 Psychology in Healthcare Prof. Ray Miller14 Published Date: 25 February 2011 Stressed and depressed - mental health problems cost £10bn a year By Gareth Rose SCOTLAND'S poor mental health is now costing the country more than £10 billion a year, a charity has revealed. Problems such as stress, depression and various disorders are keeping people out of work, putting pressure on the NHS, and also hitting police, housing and other services. The Scottish Association for Mental Health (SAMH) has launched a pre- election manifesto urging parties to take a broader approach to the problem. The charity, which helps 3,000 Scots every week, is also nearing completion of a study looking at the cost of mental health to the country. The final figures will be published in a few months, but is expected to be a sharp increase on the £8.6bn estimated cost of five years ago.

15 15 March 2012 Psychology in Healthcare Prof. Ray Miller15 Scottish Review March 2011

16 15 March 2012 Psychology in Healthcare Prof. Ray Miller16 Psychology Workforce

17 15 March 2012 Psychology in Healthcare Prof. Ray Miller17 Psychology Workforce

18 15 March 2012 Psychology in Healthcare Prof. Ray Miller18 Psychologists per 100,000 population (Scotland 2011)

19 15 March 2012 Psychology in Healthcare Prof. Ray Miller19 No Health without Psychological Health Children and Education Children and Education –Health Promoting Schools –Childhood obesity –Immunisation uptake –Parenting skills/ abuse and neglect Workplace Workplace –Scotlands Health at Work –Workplace stress –Work/Life balance and retirement –Absenteeism

20 15 March 2012 Psychology in Healthcare Prof. Ray Miller20 No Health without Psychological Health Lifestyle Lifestyle –Smoking –Alcohol –Exercise –Diet Mental Health and Wellbeing Mental Health and Wellbeing –Mental Health & (In)Capacity Acts –Choose Life –Doing Well by People with Depression –Stigma (See Me) –Mental Health Delivery Plan

21 15 March 2012 Psychology in Healthcare Prof. Ray Miller21 No Health without Psychological Health Physical Health Physical Health –Cardiac rehabilitation –Diabetes –Sexual health –Chronic Illness and Rehabilitation Social wellbeing Social wellbeing –Social inclusion/ Fair for All –Public Health –Confidence and wellbeing –Anger and violence

22 15 March 2012 Psychology in Healthcare Prof. Ray Miller22 Service model Consultancy and advice Consultancy and advice Training and development Training and development Support and supervision Support and supervision Direct and indirect intervention Direct and indirect intervention Research, monitoring and evaluation Research, monitoring and evaluation Skill mix service delivery Skill mix service delivery Responsive to national and local needs and priorities Responsive to national and local needs and priorities Delivered within team approach to holistic healthcare Delivered within team approach to holistic healthcare

23 15 March 2012 Psychology in Healthcare Prof. Ray Miller23 Benefits Health promotion/ prevention and lifestyle change Health promotion/ prevention and lifestyle change Early and proactive intervention Early and proactive intervention Individual formulation and care plan Individual formulation and care plan Realistic treatment alternatives Realistic treatment alternatives Increased adherence and satisfaction Increased adherence and satisfaction Recovery focus Recovery focus Comprehensive healthcare Comprehensive healthcare

24 15 March 2012 Psychology in Healthcare Prof. Ray Miller24 Training and Competence 4 year honours degree + experience + 3 year doctoral level 4 year honours degree + experience + 3 year doctoral level 7 to 10 years in total 7 to 10 years in total Skill + Knowledge + Practice + Review = Competence Skill + Knowledge + Practice + Review = Competence Basic interpersonal skills Basic interpersonal skills Assessment and Formulation Assessment and Formulation Theoretical frameworks for intervention Theoretical frameworks for intervention Supervised therapeutic practice Supervised therapeutic practice Continuing professional development Continuing professional development Personal development (reflective practitioner) Personal development (reflective practitioner)

25 15 March 2012 Psychology in Healthcare Prof. Ray Miller25 Basic skills Establishing & Maintaining Communication creating the environmentactive listening verbal & non verbal cuesgenuineness empathyrespect confidentialitytrust agreementsharing partnershipexploring setting boundariesnetworking ending creating the environmentactive listening verbal & non verbal cuesgenuineness empathyrespect confidentialitytrust agreementsharing partnershipexploring setting boundariesnetworking ending Within an ethical and professional code of practice Within an ethical and professional code of practice

26 15 March 2012 Psychology in Healthcare Prof. Ray Miller26 Assessment Intellectual:IQ, Mental Ability Intellectual:IQ, Mental Ability Cognitive:Memory, Perception, Thinking, Processing Cognitive:Memory, Perception, Thinking, Processing Personality:Sociability, Stability, Traits Personality:Sociability, Stability, Traits Emotional State:Anxiety, Depression, Attributions Emotional State:Anxiety, Depression, Attributions Functional:Behaviour, Skills, Aptitudes, Strengths and Weaknesses Functional:Behaviour, Skills, Aptitudes, Strengths and Weaknesses

27 15 March 2012 Psychology in Healthcare Prof. Ray Miller27 Intervention (Therapy) Presenting problems Emotional problems: anxiety, depression, anger Emotional problems: anxiety, depression, anger Organic impairment and trauma Organic impairment and trauma Behavioural problems: obsessions, phobias, habits Behavioural problems: obsessions, phobias, habits Relationship problems: social and sexual dysfunction Relationship problems: social and sexual dysfunction Addiction, dependency and self control Addiction, dependency and self control Coping with illness / injury and rehabilitation Coping with illness / injury and rehabilitation Coping with living: stress, bereavement, disaster Coping with living: stress, bereavement, disaster

28 15 March 2012 Psychology in Healthcare Prof. Ray Miller28 Intervention (Therapy) Theoretical frameworks Some major dimensions: Psychodynamic [Freud, Adler, Jung] Psychodynamic [Freud, Adler, Jung] Counselling: Client Centred [Rodgers] / Skills Model [Egan] Counselling: Client Centred [Rodgers] / Skills Model [Egan] Cognitive [Ellis, Kelly] Cognitive [Ellis, Kelly] Behavioural and Cognitive–Behavioural (CBT) [Wolpe, Beck] Behavioural and Cognitive–Behavioural (CBT) [Wolpe, Beck] Cognitive Analytic Therapy (CAT) [Ryle] Cognitive Analytic Therapy (CAT) [Ryle] Systemic [Minuchin] Systemic [Minuchin] Positive Psychology [Seligman] Positive Psychology [Seligman] ACT, IPT, DBT, REBT, EMDR, Personal Construct, Solution focussed, Problem Solving, Mindfulness, etc. ACT, IPT, DBT, REBT, EMDR, Personal Construct, Solution focussed, Problem Solving, Mindfulness, etc. Eclectic/ Integrative Eclectic/ Integrative

29 15 March 2012 Psychology in Healthcare Prof. Ray Miller29 Therapy in practice Enable clients to: Access and use relevant information Access and use relevant information Identify aims and goals Identify aims and goals Decide on options for action Decide on options for action Acquire appropriate skills Acquire appropriate skills Implement a course of action Implement a course of action Review outcomes Review outcomes

30 15 March 2012 Psychology in Healthcare Prof. Ray Miller30 Successful therapy (John Teasedale) A model (formulation) of the problem understood and accepted by the client A model (formulation) of the problem understood and accepted by the client A model for the therapy understood and accepted by the client A model for the therapy understood and accepted by the client Actual change in cognitions and behaviour Actual change in cognitions and behaviour Reinforcement in the real world Reinforcement in the real world Change equation: reason + benefits > inertia + costs Change equation: reason + benefits > inertia + costs

31 15 March 2012 Psychology in Healthcare Prof. Ray Miller31 Post Qualification Registration Protected titles The titles below are protected by law. Anyone using one of these titles must be registered with the Health Professions Council, or they may be subject to prosecution and a fine of up to £5,000. Practitioner psychologist Registered psychologist Clinical psychologist Counselling psychologist Educational psychologist Forensic psychologist Health psychologist Occupational psychologist Sport and exercise psychologist

32 15 March 2012 Psychology in Healthcare Prof. Ray Miller32 Personal and Professional Development Supervision- external review of practice Supervision- external review of practice Establishing networks- support, onward referral Establishing networks- support, onward referral Updating- refreshing the old Updating- refreshing the old Professional advances- acquiring the new Professional advances- acquiring the new Evidence based- efficacy and effectiveness Evidence based- efficacy and effectiveness Research- breaking new ground Research- breaking new ground Personal awareness- reflective practice Personal awareness- reflective practice Personal therapy- physician heal thyself Personal therapy- physician heal thyself

33 15 March 2012 Psychology in Healthcare Prof. Ray Miller33 NHS Pay Scales

34 15 March 2012 Psychology in Healthcare Prof. Ray Miller34 Professional Body (www.bps.org.uk)

35 15 March 2012 Psychology in Healthcare Prof. Ray Miller35 BPS Membership

36 15 March 2012 Psychology in Healthcare Prof. Ray Miller36 Scottish Branch

37 15 March 2012 Psychology in Healthcare Prof. Ray Miller37 Divisions DCP (Clinical) DECP (Education & Child) SDEP (Scottish Education) DOP (Occupational) DFP (Forensic) DoN (Neuropsychology) DHP (Health) DCoP (Counselling) DARTP (Academic, Research & Teaching) DSEP (Sport & Exercise) Special Groups Psychology & Social Care Coaching Psychology

38 15 March 2012 Psychology in Healthcare Prof. Ray Miller38 DCP

39 15 March 2012 Psychology in Healthcare Prof. Ray Miller39 BPS Research Digest Free Free ed fortnightly ed fortnightly Key information on the latest, interesting research Key information on the latest, interesting research Join in online discussions Join in online discussions Follow on Facebook and Twitter Follow on Facebook and Twitter Sign up at: Also Student Members Group:

40 15 March 2012 Psychology in Healthcare Prof. Ray Miller40 Your Professional Body (www.bps.org.uk)

41 15 March 2012 Psychology in Healthcare Prof. Ray Miller41 Download


Download ppt "Psychology in Healthcare meeting the needs of the Scottish population Prof. Ray Miller Chartered Clinical Psychologist and Chartered Health Psychologist."

Similar presentations


Ads by Google