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Enhancing Psychological Services for Adult Mental Health Patients

This presentation discusses gaps in NICE stepped care approach for anxiety and depression, advocating for improved psychological services for patients with varying symptom severity. It highlights a patient journey and proposes a structured care plan with timely interventions to achieve symptom resolution.

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Enhancing Psychological Services for Adult Mental Health Patients

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  1. ITEM 2 DR ALISON MUNN PRESENTATION Stevenage Practice Based Joint Commissioning Pilot for Adult Mental HealthOverview and Scrutiny Committee12/6/07

  2. Gaps

  3. NICE stepped care approach (Anxiety and Depression)

  4. NICE stepped care approach (Anxiety and Depression)

  5. Gaps • Psychological services for patients with mild symptoms / need

  6. NICE stepped care approach (Anxiety and Depression)

  7. Gaps • Psychological services for patients with mild symptoms / need • Psychological services for patients with moderate symptoms / need who would prefer a psychological approach over drug treatment

  8. NICE stepped care approach (Anxiety and Depression)

  9. Gaps • Psychological services for patients with mild symptoms / need • Psychological services for patients with moderate symptoms / need who would prefer a psychological approach over drug treatment • Rapid access to psychological services for patients with moderate to severe symptoms / need who have not improved with drug therapy.

  10. A composite story • Wk 0 sees GP starts meds off work • Wk2 slight improvement • Wk4 feels more in control, v positive returns to work • Wk8 less good increase dose • Wk12 problem at work off work • Wk 13 DNA • Wk14 no change change drug, refer • Wk16 feels worse • WK 18 no change, start guided self help • Wk22 resigned from work • Wk 27 Saw OPD • Wk 31 no better no worse • Wk 36 Saw OPD • Wk 40 Had letter from psychology • Wk 44 saw OPD • Wk 48 letter from psychology

  11. What we would like to see: • Wk 0 sees GP starts meds • Wk2 slight improvement • Wk4 feels more in control, v positive • Wk8 less good, referred to Primary Mental Health Care Team • Wk10 assessment and plan 6 weeks CBT • Wk 20 completed CBT, full resolution of symptoms. • Wk 46 end of meds

  12. Aim to Provide: • Psychological services for patients with mild symptoms / need • Psychological services for patients with moderate symptoms / need who would prefer a psychological approach over drug treatment • Rapid access to psychological services for patients with moderate to severe symptoms / need who have not improved with drug therapy.

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