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Sunderland Psychological
Wellbeing Service
Development of Long Term Physical
Health Condition Services within IAPT
By
Heather Blackburn, Kerri Netherwood and
Glynis Henderson
National Context & Rationale
• LTC’s have a significant impact on
peoples wellbeing, ability to function and
quality of life
• Patients engaged in and informed about
management of their illness achieve the
best health and quality of life
Long term conditions: 30% of population of England (approx 15.4
million people)
30% of people with a long term condition have a mental health problem
(approx 4.6 million people
Mental health problems: 20% of population of England (approx 10.2
million people)
46% of people with a mental health problem
have along term condition (approx 4.6 million people)
Sunderland Context
Highest prevalence
of depression in
NE
High levels of
unidentified need
Over twice the expected
level
MUS = 20% of new GP
consultations
Sunderland Implementation
• Investment by Commissioners
• Recruitment
• Training
• Everybody's business
• Pathways work – in-reach
• Inclusive approach – to LTCs, information,
access, treatments
• Promotion and awareness raising
Effective Self Management
• Acceptance of the illness
• Management of symptoms
• Personal motivation
• Adherence to treatment regimes
• Managing stressful medical procedures
• Adjustment of expectations
• Changes in behaviour and routines
Long term conditions within SPWS
• Ready to engage with psychological treatment and work towards change
• Must be able to communicate through verbal means or through an interpreter
• No ongoing medical tests or investigations, i.e. a clear diagnosis
• Step 2 - focus to be on wellbeing and symptom management rather than adjustment
• Step 3 – building on step 2 and exploring adjustment to LTC
Coping with Persistent Physical Symptoms Class
• Week 1 – Persistent Physical Symptoms and Symptom
Management
• Week 2 – Activity and Rest Patterns and Goals
• Week 3 – Pacing and Graded Activity
• Week 4 – Improving Sleep Patterns
• Week 5 – Improving Mood and Enjoyment
• Week 6 – Being Kind to Yourself
• Week 7 – Relaxation and Mindfulness
• Week 8 – Maintaining the Positives
WEMWBS – Warwick-Edinburgh Mental
Well-Being Scale • Self report measure of mental well-being and positive
mental health
• Encompasses the subjective experience of happiness
and life satisfaction; and psychological functioning, good
relationships and self realisation
• User-friendly and psychometrically sound at population
level, currently exploring efficacy/validity pre and post
intervention
• 14 positively orientated questions; positive affect,
satisfying interpersonal relationships, positive functioning
• Meaningful change demonstrated by a 3-8 point
difference +/-
PPS Class July 2014 –July 2015• Initial referrals: 64
• Did not engage: 32
• Attended at least 4 sessions: 32
• Recovery by MDS: 28.12%, Improvement on WEMWBS: 56.25%
PPS Class – Qualitative Feedback
• I have become more confident within myself. I have achieved my goals, e.g. walking to the local shops, walking the dog. I have managed to go out more and not let my illness take over me.
• I have found this course very valuable and has helped me to change certain things I do/say. The course and therapists have helped me enormously and I feel in a much better place from when I started and I feel positive and optimistic for the future.
• I have already recommended this course to others.