1. Low intensity psychological interventions for Deaf people in Primary Care: Improving Access to Psychological Therapies in British Sign Language- Widening Participation for Students who are Deaf Karen Rea, Kevin Baker, Hazel Flynn Contact: k.rea@ljmu.ac.uk; kevin.baker@nhs.netk.rea@ljmu.ac.uk

2. AMH for Deaf people with New IAPT Treatment of mild to moderate disorder in Primary Care Facilitated Self Help / Medication support / Signposting Step Two Recognition in Primary Care by GPs; Practice Nurses; Health Visitors; District Nurses etc “Watchful waiting” Step One Treatment of moderate disorder in Primary Care CBT / Case management / Counseling / IPT Step Three Out patient Treatment of by MH Specialists Step Four Inpatient Treatment Step Five HITS PWPs IAPT New IAPT

3. New IAPT for Deaf people Initial pilot project – 2012-13

4. Manager, hearing, counsellor, BSL fluent Performance Lead (data collection, support) High Intensity Therapist/clinical psychologist, Deaf, BSL fluent 3 hearing BSL PWPs trained first (fast tracked) 6 BSL PWPs trained in 2012-13 9 Deaf BSL PWPs currently in training

5. Recruitment and Educational challenges Availability of appropriately educated and academically qualified and interested applicants Use of APEL UG and PG academic routes of the programme Interviewing panel Acknowledging, respecting and working with ‘third’ parties in assessments and discussions

6. Adaptations & Practice Delivered in BSL All-Deaf cohort – peers Adapting materials – IAPT video clips, – Outcome measures – Guided self help materials – Deaf experiences included in teaching and clinical examples – Taking notes while using BSL (eye-contact) – Drawing out an ABC formulation – Alternative ways of delivering support and interventions Use of video summaries at the end of the teaching day

7. Trainee’s feedback “Information is clear” “Role plays are useful” “Very interesting” “Discussion is useful” “Would like more practice with role plays” “Very visual”

8. Lessons learnt Be prepared! Be flexible! Be honest! Seek advice Respect expert knowledge and experience

9. Services to people who are Deaf and who have common MH problems Total number of referrals is 431 across all regions, 61% Female, 39% Male Delivering IAPT services in the North West, South Central, North East, East Midlands, South East Coast and Yorkshire & Humber regions. Referral routes are Self referral (45%), GP referrals (19%), Mainstream IAPT Services (15%) with the remainder coming from Social Services, Community Mental Health Teams, Other Independent Sector Mental Health Services etc.. Majority of referral reasons are Mixed Anxiety and Depressive Disorder, Depressive Episode and General Anxiety Disorder with the remainder coming from the various other categories.

10. Contacts Karen Rea – k.rea@ljmu.ac.uk Dr Kevin Baker – kevin.baker@nhs.net Hazel Flynn – hflynn@signhealth.org.uk Dr Sarah Powell – sarah.powell@signhealth.org.uk]