1. Effective Training for GPs and Primary Care Workers in Mental health
Dr Ian Walton
Lisa Hill

2. Primary Care is different to Psychiatry
More art than science
Patients present with somatic symptoms
The border between distress and psychiatric illness is hard to define
Needs to include Wellbeing
Needs skills which can be used in a 10 minute consultation

3. Who deals with what?
Secondary Care
Primary Care

4. Psychological and Physical health are linked
The only way to separate the mind from the body is with an axe.
Physical illness causes stress
Stress may result in functional symptoms and organic alteration
The mind and body are one

5. The challenges
Developing the skills to deliver an integrated model for mental health in primary care is an area lacking in investment within the UK.
Government policies fail to focus on local and individual primary care requirements for the complexity of mental health work.

6. Primary Care Education in Mental Health and Wellbeing
Our education offers an opportunity to
Experience specifically designed primary care focused education
Gain an awareness of the emphasis on redesigning services to meet individual needs
Develop skills which can be used in a 10 minute consultation 6

7. What next…… Certificate In Primary Care Mental Health
Accredited Module in Primary Care Mental Health
Advanced Diploma in Primary Care Mental Health
Masters science in Primary Care Mental Health
What next……
Certificate
In Primary Care
Mental Health
Working with the RCGP to develop a post graduate framework for whole primary care workforce to develop practitioners with special interests in mental health. 7
20/04/2017
20/04/2017 7

8. Certificate in Primary Care Mental Health and Wellbeing
OUTCOME
Primary Care workers feel more capable and confident when working with people who need support with their mental health problems
Aims of the course:
Enable and empower people to live happy, healthy lives (service providers as well as recipients)
Develop reflective practice
Work towards effective leadership for mental health at local and regional levels
Develop skills in accessing and critical evaluating research into mental health
Deliver evidence based and consistent high quality health care in line with NICE guidelines best practice and WHO recommendations
Link theory and evidence to practice
Be able to evaluate and measure outcomes for clients and the service
Facilitate closer working with service users, citizens and communities

9. Accredited Module in Primary Care Mental Health
Earn 15 University Credits at level 3 and 50 credits for GP revalidation - Case study based course which includes practical skills useful in the 10 minute consultation taught by local and national experts over four afternoons designed to inform you how better to use local resources.
 MODULE 1
Introduction -values and beliefs, anxiety and disorders, Phobia, Panic disorder, Dealing with and helping patients with the effects of distress, Wellbeing and self management of stress ,The importance of sleep, Strengths and limitations of diagnosis and categorisation, Categorisation models (ICD 10,DSMIV,V) and practical consequences of their uses
MODULE 2
Depression, Unipolar and bipolar depression, The patient’s perspective, The carers perspective, Depression in the elderly, Suicide and risk, Self stigmatisation, Stepped Care Approach and “Watchful Waiting”,anti-depressant medication
MODULE 3
Psychosis, helping primary care practices to achieve QoF ,Identification and management of risk, Shared care and working more effectively with patients with complex needs, The carers perspective, working with complex needs, substance and alcohol misuse, Dual Diagnosis ,working with complex needs, substance misuse and alcohol
MODULE 4
Dementia, Older persons mental health needs, The carers perspective, Early onset dementias, Psychosomatic Medicine ,Medically unexplained symptoms, Why patients attend frequently and ways to help them 9

10. Advanced Diploma in Primary Care Mental Health
Course outcomes:
Improve the health outcomes for individuals with mental health problems when seen in general practice,
Improve the recognition, diagnosis and treatment of patients with mental health problems,
Develop and improve skills, knowledge and attitude that can be used in a ten minute consultation with patients suffering a mental health problem and an understanding of the range of problems seen in primary care
Contribute to the evidence base for the continuing development of mental health services.
‘I thought I understood mental health but for the first time I saw it pulled together and become meaningful’ GP
‘Informative, challenging and has changed my whole practice.’ GP
Each module is designed after careful deliberation using a range of expertise at a local and national level.
Module Anxiety
Module Depression
Module Psychosis
Module Dementia and medically unexplained symptoms
Module 5 Substance Misuse. Addictions and Personality Disorder
Module Children’s and Maternal Mental Health

11. Masters Science Specialist in Primary Care Mental health
Postgraduate Certificate
Level 7
Postgraduate Diploma
Masters
Year 1
Year 2
Year 3
Four Core Modules
(15 credits x 4)
Critical appraisal skills and research awareness.
Facts, Beliefs and Values
Leading and Enabling Service Development in Human Services
Therapies, Interventions and Treatments
Service Redesign
Mental Health Legislation and Ethics-Consent and Capacity.
Common Mental Disorders: Recognition, Assessment and Management
Research methods and methodologies.
One Core Module
(60 credits)
Project Based Change. OR
Masters Dissertation
Total 60 credits
Total 120 credits
Total 180 credits

12. Evaluation using the four levels of Kirkpatrick’s model
A meaningful evaluation of the learning via a steering group
Level one: Happy sheets ‘are completed following individual speakers and feedback forms gather subjective personal reactions to the learning experience. The learning sets also enable individuals to discuss their feelings with their peers. We have 98% High satisfaction rate of the training
Level two: Demonstrate an increase in knowledge and intellectual capability from before to after the learning experience through reflective case studies. All of the students who have submitted have passed the Diploma.
Level three: Examines the extent of the learned behaviour and the capability for personal improvement and the implementation or application of what they have learned. This is scoped through reflective practice during the programme.
Level four: Finally the overall results are evaluated and disseminated to demonstrate the effects on primary care through the performance and outputs of the primary care mental health workers.
The course provides primary care workers with 50 credits, equivalent to a whole years revalidation. A course handbook lets applicants clearly see the learning outcomes desired from them.

13. Level Four OUTCOMES
It is evidenced that practices attending the training use less secondary care resources and are smarter at referring
Staff are able to integrate pathways and share values
GP practices are able to hit their targets (QOF)
Patients have a better experience and there is a smooth transition from secondary to primary care
Increased confidence in dealing with suicidality and risk within primary care.

14. Further Information lisa.hill9@btinternet.com ianwalton@btinternet.com