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Nov 26, 2023 130 likes •372 views

Working together to respond to Mental Health needs across the Life Span Our experience of delivery of a Life Skills Programme based on CBT concepts Pat Lynch and Anne McCabe Aware Defeat Depression Aware Northern Ireland Republic of Ireland

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Working together to respond to Mental Health needs across the Life Span

Our experience of delivery of a Life Skills Programme based on CBT concepts

Pat Lynch and Anne McCabe

Aware Defeat Depression Northern Ireland Aware Republic of Ireland

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Course Background

Initial programme piloted by Aware Defeat Depression in NI

2006 – 2008

Partly funded by Department of Health
A programme of educational workshops based on CBT using

resources developed by Dr Chris Williams

Originally called ‘Overcoming Depression’
Aimed at those with mild to moderate depression

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About the Programme

Renewed funding 2009 to 2011 coincided with the development
f new resources by Chris Williams
Now delivered under licence to – www.fiveareas.com
Being used in UK mainland as part of IAPT (Improving Access to

Psychological Therapies)

Also provided potential for it to be delivered as a ‘health

promotion’ course

Aware RoI commenced delivery in May 2012

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About the programme

Free to participants
Participants may self refer or be referred by GP etc.
Educational – teaches skills that can be used for life
Limited personal disclosure by participants
Can accommodate approximately 15 - 25 participants
Flexible delivery i.e. 4 to 8 sessions
Participants encouraged to attend all sessions

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The 5 Areas Approach

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Why Do I Feel So Bad?

Introduces vicious circle
Practical examples
Turning vicious circle to

virtuous circle

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I Can’t Be Bothered Doing Anything

Focus on overcoming reduced

activity and avoidance

Achieving a balance of

activities

Making a plan to change
Small steps

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Why Does Everything Always Go Wrong?

Focus on negative and extreme

thinking

7 Unhelpful thinking styles
Introduces 5 step -

‘Amazing Bad Thought Busting Programme’

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I’m Not Good Enough

Focus on overcoming low

self esteem

Acting confident can make

you feel confident

8 out of 10 is good enough

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How to Fix Almost Everything

Focus on dealing with practical

problems

Introduces the ‘Easy 4 Step

Plan’

Practical examples

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Things You Do That Mess You Up

Focus on things that can make

us feel worse – comfort eating, alcohol, spending too much, hiding away

How to stop doing them

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Are You Strong Enough to Keep Your Temper?

Focus on recognising

‘triggers’ that push our buttons

3- step plan for staying in

control - 1, 2, 3 Chill

Relaxation Techniques

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Feel Happier Straight Away

A bit of fun with a serious

message

Exercise, healthy eating,

appreciating the simple things, music, helping others, remembering the good things

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Over 220 courses delivered
Almost 3200 participants

Funded mainly by:

Public Health Agency
Health Trusts
Big Lottery

Courses delivered to date NI

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Courses delivered to date ROI

Over 110 courses delivered
2,062 Participants

Funded by: Tesco

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Does it work?

Overwhelmingly positive feedback from

participants indicates that it does

This is confirmed in evaluations to date

which demonstrate a significant improvement in mood for many participants

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Independent Evaluation NI 2011

Evaluation of 52 course delivered in NI in 2011
509 participants completed pre and post questionnaires
Before - 72% depressed, 18% not depressed, 10% happy
After -13% depressed, 20% not depressed, 67% happy

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Independent Evaluation ROI 2013

Evaluation of 15 courses delivered in February 2012
440 participants completed pre questionnaires, 62% remained for

the duration of six weeks. Pre, mid and post evaluations were completed.

PHQ9 - A 31% positive shift occurred from ‘depressed’ to ‘not

depressed’ between session 1 – 6.

GAD7 – A 35% positive shift from ‘anxious’ to mildly anxious or

better between session 1 - 6

In contrast, no individual reported having “severe” anxiety by

session 6 compared to 20% in session 1.

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Randomised Control Trial Derry/Glasgow 2012

50 participants - 27 Glasgow and 23 Derry
2 groups in each location - 1 immediate/1 delayed 12 weeks
Significant improvement for both depression and anxiety scores for

immediate group

Improvement not replicated in delayed group
Indicates that improvement in mood attributed to treatment i.e.

LLTTF class

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Future Plans

Make the course widely available across

the island of Ireland for all those who need it.

Core service for both organisations

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Head Office – Derry 56 Strand Road Londonderry BT48 7AJ 028 7126 0602 Belfast Office 40 – 44 Duncairn Gardens Belfast BT15 2GG 028 9035 7820

www.aware-ni.org

info@aware-ni.org

@AwareNI

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Aware - Republic of Ireland

Head Office: 72 Lower Leeson Street Dublin 2. 00353 1 6617211

www.aware.ie

info@aware.ie