How can we meet the challenges as a team?The next 3 years

Matt Broadway-Horner

What are the challenges facing IAPT?

Working with Long Term conditions (LTC)

Work with people with mild learning disabilities

HOW CAN WE MEET UP TO THE 1ST CHALLENGE ?

•Describe what we are doing now

•What links?

•How many Pts have a LTC in last 6 months

•Therapy outcomes

•Patient surveys

HOW CAN WE MEET THE DEMAND FOR LTC ?

•MDS adding EQ5D and CGIS

•Screening tool amending

•Agenda and review cards

•Patient surveys

•Staff surveys

•Staff training

Step 4health psychology

Immediate Tier 4 CriteriaWomen’s Health: foetal & infant death, still born.Ongoing medical negligence actionSickle Cell AnaemiaRecent diagnosis of severe long term conditionNeuro

Moderate/severe symptomsHigh levels of disabilityHistory of multiple treatment failureSignificant comorbid medical condition or psychopathology including traumaComplex/chaotic social environmentDifficulty engaging with therapy

High intensity IAPTCBT or related therapy

•Moderate physical symptom experience •Moderate level of functional impairment - physically, socially and emotionally•Minimal history of multiple treatment failure•Evidence of co morbid depression and anxiety

PWP IAPTLow intensity intervention/supported self management

•Mild to moderate physical symptom experience •Mild to moderate level of functional disability - physically, socially and emotionally•No history of multiple treatment failure•No dominant co morbid psychopathology •No significant risk of self harm•Patient amendable to guided self management approaches for their symptoms.

Acute care Diagnosis and initial management

Elicit patient beliefs and concerns about symptoms, provide positive diagnosis, biospychosocial explanation of symptoms, initial management, refer to appropriate step above or offer integrated care within this approach.

Primary careDiagnosis and initial management

Elicit patient beliefs and concerns about symptoms, provide positive diagnosis if possible, biospychosocial explanation of symptoms, initial management, refer to appropriate step above or offer integrated care within this approach.

Confirmed diagnosis not possible

2ND CHALLENGE

•Trouble-shooting telephone screening

•Engagement

•Measurement