Engagement with BME & Faith Communities Donna Hayward-Sussex - - PowerPoint PPT Presentation

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Engagement with BME & Faith Communities Donna Hayward-Sussex - - PowerPoint PPT Presentation

IAPT Engagement with BME & Faith Communities Donna Hayward-Sussex Service Manager, Sutton & Merton IAPT & Shikainah Champion-Samuel Psychological Therapist, Sutton& Merton IAPT Presenting: What is IAPT The service


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IAPT Engagement with BME & Faith Communities

Donna Hayward-Sussex Service Manager, Sutton & Merton IAPT & Shikainah Champion-Samuel Psychological Therapist, Sutton& Merton IAPT

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  • What is IAPT
  • The service offer
  • Our work with the temple and with the

Tamil community

  • Achievements
  • Replication of learning – extending reach

Presenting:

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  • Improving Access to Psychological Therapies (IAPT) is a

government initiative to make NICE- approved psychological treatments more widely available to the general public

  • Common mental health problems anxiety and depression (1:4 of us

will experience at some point in our lives)

  • Varying severity (defined by level of distress or impact on function

e.g.. social or occupational)

  • Risk of suicide in people who are depressed is about 2-3 times that
  • f non-depressed population
  • Primary care – economically sensible (people of benefits, and into

work)

What is IAPT?

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1. Evidence-based psychological treatments for people suffering from depression or anxiety problems – Depression – Generalised anxiety disorder (GAD) – Panic / agoraphobia – Health anxiety – Social anxiety disorder – Obsessive-compulsive disorder (OCD) – Post-traumatic stress disorder (PTSD) – Bulimia nervosa 2. A ‘stepped care’ approach – People receive the least intensive treatment necessary to get better (in line with NICE)

Service Offer…

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Employers Watchful waiting Books on prescription Mood Manager One-day CBT workshops (other) Step 1 Triage assessment

Step 2

One-day CBT workshops

Step 3

CBT Depression groups (8 sessions) Individual CBT (8 - 20 sessions) Discharge Discharge Employment service available at every step.

Step 2b

TA Psychotherapy group (16 sessions) Discharge Occupational health GP referrals & health professionals Signposting to

  • ther services

Discharge 3-month follow-up Self-referrals

Step 2a Ass

Discharge

Ass

Mindfulness-based CBT group (8 sessions) Individual Psychodynamic counselling (8 sessions) Individual Transactional Analysis (TA) counselling (8 sessions)

Ass

Pathway – Step up/ Down Triage to Steps 2, 2a and 3 (Not 2b) Step 2 – Ass and treatment – possible step up to 2a, 2b or 3 (Step down from step 3 Ass only) Step 2a – Ass and treatment, or step up to 2b or 3 (No step down) Step 2b – Ass and treatment - possible step up to 3 (step down to 2a only) Individual IPT (8 - 20 sessions) CBT Anxiety groups (8 sessions) Individual EMDR (8 - 12 sessions) Pathway – Step up/ Down Step 3 – Ass and treatment (possible step down to 2b, 2a and 2). LTC Groups Panic & Phobia course (6 sessions) Guided CBT (6 sessions) Individual DIT (8 - 20 sessions) Couples Therapy (8 - 20 sessions) LTC Groups Stress & Worry course (6 sessions) Mood Management course (6 sessions)

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1. Patients are referred by their GP or a community organisation, or they can self- refer. 2. They are then called and booked in for a structured ½-hour telephone assessment. 3. Once the assessment has been completed, clients are offered the most appropriate intervention to meet their needs.

How to access IAPT…

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Example of improving access in partnership …

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How our involvement with the community started…

  • Awareness talks – building relationships

–Basics of CBT –What is available to the community –What is most suitable –PTSD, What can be done –Mindfulness – how it can be helpful –Working Together!

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At the current time we are…

  • Using the temple rooms to see patients - a

setting they are comfortable and familiar with

  • Developed a telephone script for a helpline

to ‘signpost’ people to the best services

  • Running CBT groups for Depression

Management in Tamil

  • Translated Mood Manager DVD and psycho

educational materials into Tamil

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  • We are in our third Depression Management
  • group. The first two produced good outcomes,

with at least 75% showing non clinical scores at the time of discharge.

  • The group is being run for 12 weeks as against
  • ur regular 8 week groups.
  • We are now aiming to run a similar Tamil group

in Sutton as well.

  • Using of different names for group, keeping in

mind the stigma of words such as Depression.

Tailoring interventions for local need

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Achievements: Group 1

Graph depicting average reduction in each measure

5 10 15 20 25 30 35 Pre Post Treatment Stage Scores PHQ-9 GAD-7 W&SAS Phobia 1 Phobia 2 Phobia 3

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Achievements: Group 2

Graph depicting average reduction for each mesaure

5 10 15 20 25 30 35 Pre Post Treatment Stage Scores PHQ-9 GAD-7 W&SAS Phobia 1 Phobia 2 Phobia 3

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What we have learned

  • A better sense of what local people want

from our service

  • Importance of working with the community

to improve access for all

  • Adapting our existing interventions so that

they are most accessible

  • Assume nothing and listen!
  • Work together to find solutions
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Support an awareness programme for community leaders in identifying common signs and symptoms of anxiety & depression, in a way that translates well to community ideas and understandings Identify community venues that are more acceptable and non medical! Work with our peers to identify people who need our help, and support them to access the appropriate services

Our Principles

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For more information

Dr Hendrik Hinrichsen, Clinical Lead 07736 818 236 or 020 8254 1034 Hendrik.Hinrichsen@swlstg-tr.nhs.uk Or Donna Hayward-Sussex, Service Manager, Tel: 0208 4073959; Mob: 07736818242 Donna.Hayward-Sussex@swlstg-tr.nhs.uk To access the IAPT service, call

  • ur freephone number:

0800 032 4207