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Presentation on theme: "CAMDEN & ISLINGTON IAPT LTC/MUS PATHFINDER"— Presentation transcript:

Esther Hansen Clinical Psychologist LTC specialist Judy Leibowitz Head of Trust IAPT services

2 Camden and Islington Pathfinder- key elements
Increase skills of IAPT workforce Care pathways development Dedicated clinical sessions in LTC settings Pilot projects with identified GP practices

3 IAPT LTC/MUS OUTCOMES Access referral pathways
primary care – leaflets and letters links with community health teams sessions in self-management groups referral no MDT skills Moving into treatment amend assessment process (psychological) service mapping identified contacts for consultation staff competencies to sell psychological interventions joint working with primary care teams increased up-take short wait knowledge of services Recovery range of worksheets LI interventions – eg self-help booklet/ carer package guides for staff develop staff competencies collaborative care – pilot practices outcome measures staff competencies

4 ACCESS referral pathways ▪ leaflet about service
▪ screening questions ▪ training/coaching of MDT staff ▪ devising scripts ▪ responding to common barriers to access primary care - leaflets and letters ▪ leaflet about service ▪ invitation for ‘psychological wellbeing review’ links with community health teams ▪ based in integrated care service (Camden) ▪ close links with team leaders ▪ IAPT consulting MDT members sessions in self-management groups ▪ heart failure, COPD, Desmond & Daphne outcomes quarterly increase in referral numbers materials available (leaflets, scripts) survey of MDT staff staff consulting MDT members regarding LTC LI staff running psycho- education sessions

5 TREATMENT UP-TAKE amend assessment process
▪ asking about LTC ▪ asking questions that help decision making re treatment or referral mapping services ▪ clarification of referral criteria ▪ when should people be referred on identified specialists in the service available for consultation staff competencies to sell psychological interventions ▪ training/coaching LI workers on engagement ▪ worksheets that can be used in assessment Joint work with primary care teams when to raise psychological factors collaborative care approach (eg cardiac risk study) outcomes quarterly increase in numbers taken into treatment shorter time for decision to treat increased knowledge of services competence and confidence in staff

6 RECOVERY worksheets to support interventions for
common symptoms or difficulties in LTC/MUS (e.g. pacing, relaxation, managing health worries etc.) guided self-help booklet “Reclaiming your life from illness, disability, pain or fatigue” and carer intervention practitioner guides for LI workers for different treatment packages that include scripts and problem-solving tips develop staff competencies training and skills workshops ▪ consultation and supervision groups collaborative care Pilot practices – MUS – cardiac risk study outcomes sessional and treatment measures materials available (worksheets, scripts) survey of staff

7 Challenges and Learning points so far
Context – funding delay, organisational & staff changes Support from commissioning (CCG) – fits with priorities – additional funding from Camden Importance of language in engagement – involve service users LI interventions fit well with self management approach for LTCs LTC pathways complex – specialist knowledge and links very helpful Culture change takes time – staff and referrers


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