improving gp management of depression. it started with a quiz…
TRANSCRIPT
IMPROVING GP MANAGEMENT OF DEPRESSION
It started with a quiz…
Q1. What proportion of GP consultations are said to have a
mental health component?
A. 10%
B. 30%
C. 70%
Q2. There is an epidemic of depression…
True
False
Q3. Anti-depressants are an effective treatment for mild-
moderate depression
TRUE
FALSE
Q4: A medical diagnosis improves the outcomes for patients?
TRUE
FALSE
Q5: What do you find hardest about Mental Health
consultations?
A global crisis of depression: reality or hype?
Professor Chris DowrickProfessor of Primary Medical Care, University of Liverpool
Author of Beyond Depression
The patient’s view…
Joan Ormond
Finding solutions – learning from the project
Dr Joanne ReeveAcademic GP, Liverpool Uni
www.bouncebackproject.org.uk
The project
www.bouncebackproject.org.uk
www.amproject.org.ukwww.aiw.org.uk
www.primarycarehub.org.uk/sage
The project
www.bouncebackproject.org.uk
Phase 1:
CONSULTATION MODEL:
ORGANISATIONAL MODEL:
Phase 2:
EVALUATING IMPACT
The project
www.bouncebackproject.org.uk
Phase 1: CONSULTATION MODEL: - - Lens (imbalance)- Narrative- Support modification
ORGANISATIONAL MODEL:
Phase 2:
EVALUATING IMPACT
Two consultation styles…
What topics were covered? What sort of questions were used? What sort of explanations were offered? What sort of follow up was planned? How did the patient respond?
Bounceback themes
Personal story/narrative based consultation
Explores resources and demands Opportunities for change
Giving permission: what are other professionals doing?
Professor Peter KindermanProfessor of Clinical Psychology, University of Liverpool
Author of Prescription for Psychiatry: why we need a whole new approach to mental health and wellbeing
Table based Discussion
What appeals about the model?
What problems do you think there will be in practice?
How might we get over those barriers?
Questions…
Changing practice to improve care
Mr Mark GilmanStrategic Recovery Lead, Public Health England
Final thoughts
Acknowledgements
The project is funded by an Innovations award from the National Institute
for Health Research (NIHR)
The team would like to thank all the practices and patients who are supporting
the project. For more info: www.bouncebackproject.org.uk
Or contact: [email protected] [email protected]@aiw.org.uk [email protected]