Being Pathway The Big Life Group Gaddum Pennine Care The Thinking - - PowerPoint PPT Presentation

Mental Health and Well Being Pathway

The Big Life Group Gaddum Pennine Care

The Thinking Ahead Partnership

The Big Life Group Admin Hub Step 2 CBT & Counsellors Gateway Team (MHP & MHSW) Gaddum – “Getting Help Offer ” Step 1 Five Partners (RWWA, RCT, Recovery Republic, Petrus, Proud Trust)

Thinking Ahead Partnership

Pennine Care Step 3 CBT Psychology

Getting Help

Non Therapy Offer (Step 1)

• Partner with five other local organisations which are: Petrus, Rochdale

Connections Trust, Rochdale Women's Welfare Association, Recovery Republic, The Proud Trust.

• Range of volunteer counsellors and befrienders who work with the

partner organisations and the community.

• Offer: Support to individuals whose low mood /anxiety depression is

primarily being caused by any of the following:-

• Debt /Finances,
• Loneliness/ Isolation,
• Homelessness, housing or living situation,
• Drugs and Alcohol,
• Addiction

Getting Help

• Support plans / sessions to help clients work through any of

the presenting issues.

• Signposting to clients to a wide variety of other services such

as carers support, domestic abuse, and LGBTQ+ etc.

• Opportunity to continue with low intensity counselling whilst

accessing other services.

Step 2 CBT

• Psychological Well Being Practioners (PWP’s)
• Initial techniques

Psychoeducation Assessment / Engagement techniques Basic Formulation – 5 areas / ABC model Treatment Interventions Behaviour Activation / COMBI Model Cognitive Restructuring Graded Exposure Therapy Medication Management Sleep Hygiene Problem Solving Managing Panic

Step 2 - Therapy Choices

• Choice of therapy options-
• Telephone
• Face to Face
• Group / Therapy Workshops

( Overcoming Depression& Overcoming Worry)

• Stress Taster Workshops

Step 2 - SilverCloud

• Online programme
• Flexible, easily accessible
• Access to a PWP as a support worker
• Increased level of support from the PWP as required
• Low cost / Less time requirement of service
• No wait times

SilverCloud - Programmes

• Dedicated programmes for;

– Depression – Generalised Anxiety – OCD – Social Anxiety – Health Anxiety – Phobias – Panic Recovery rates on par with other therapeutic approaches

Counselling

• Counselling within Thinking Ahead

6 sessions as standard (negotiable with Line Manager)

• Integrated Counselling

Most counsellors tend to describe their modality as counselling skills to be able to effectively engage w to effectively reflect on past events / relationships. a variety of skills / approaches within their practice.

• Counselling for Depression

Core IAPT Counselling training. Trains counsellors to work within an IAPT framework.

Gateway Team

• Triage
• Duty Function
• In-depth assessment
• Risk, safeguarding, Complexity
• Not therapy ready
• Complex presentations
• Psychosis
• Medication management

Pennine care Step 3 /3.5

• High Intensity CBT Therapists (HITS)
• CBT- presenting with common, mild (few core symptoms, limited duration/little

impact on day to day functioning) to moderate ( all core symptoms, prolonged duration and a clear impact on functioning) mental health difficulties including

• GAD
• Panic Disorder
• OCD
• Phobias
• Social Anxiety Disorder
• PTSD
• Health Anxiety
• Unipolar Depression
• Eating Difficulties generally with a recent onset eg under 12months, no prior

history of an eating disorder.

• Bi polar disorder with a stable presentation of no less than 2 yrs.
• Medically unexplained symptoms/LTC /Chronic Fatigue

Pennine Care Step 3 /3.5

• Mindfulness – Drop In/ 8 week Course

Psychology-

• Presenting with repeating patterns of interpersonal problems
• Present with symptoms(Significant history of trauma, abuse, neglect ,

significant mood problems

• Clients who present with multiple difficulties occurring over a number of

years, contributing to a “complex” presentation.

• Those who would like to achieve an in-depth understanding
• Clients who are able to engage in, commit to and be contained by weekly
• r by weekly appointments.
• Clients who have capacity to recognise/come up with a therapy goal.

Referral Routes

Self referral

• Telephone
• Online Portal “Thinking Ahead”
• Engagement Events
• Workshops

Professional Referrals

• Online portal
• Fax
• Email

Referrals

• Daily MDT Triage Hub (all partners)
• Holistic Assessment
• Well Being Screen / Mental Health Assessment
• Offer Case Consultation to determine correct therapy

pathway or Step up.

Outcomes

• All staff have or working towards an IAPT accredited

qualification

• Consistent positive performance on recovery and prevalence
• In top 20 nationally in terms of prevalence performance.
• Recovery plans in place where needed.

Performance Apr-19 May-19 June-19 Recovery 54.7% 53.7% 50.6% Prevalence 520 532 541

Service Developments

• LTC Offer

– 5 PWPs have been trained to work specifically with LTC clients. – Conditions include; Heart disease, COPD, Amputee, chronic fatigue, diabetes, post prognosis cancer, pain management. – Completed placement in hospital departments

• This psychological focus should save time and

money for physical health settings.

Service Developments

• Couples Counselling

– 3 Counsellors have attended specific training provided by Tavistock (world leading trainer) – Will work with couples where one or both present with depression and is affecting the relationship.

• Nearest Relate is either, Manchester centre,

Hebden Bridge, Huddersfield or Blackburn

• Relationship hub in Bury

Service Developments

• BAME Engagement

– Currently running an urdu women’s group in local mosque. – Group shortly starting in urdu for men in local mosque. – Stress tasters delivered in urdu – In talks around delivering a group in Bengali.

Service Developments

• Link in with Neighbourhood teams

– We will be assigning a designated worker to each

• f the 6 neighbourhood teams.

– This will be a named practitioner who will be working closely in the neighbourhood team and who you can liaise with for any queries.

Service Developments

• CCG investment in counselling

– Identified that one of our high demand modalities is for counselling. – As an outcome this has our longest waiting times. – CCG has invested in our counselling provision – We have already recruited 4 additional counsellors who are starting working with us this month. – We will see an initial big drop in waiting times, then a greater throughput of counselling clients being picked up – We calculate a waiting times under 6 weeks by Q4

Summary

• We have different waiting lengths for different

modalities.

• The longest waiting lists have strong recovery

plans in place.

• We are one of the top performing services in

GM.

• We have new therapies developing; LTC,

Couples Counselling, BAME focused work.

• Stronger liaison via Neighbourhood teams

going forward.