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Intensive Support Programme

Implementing the Intensive Support Programme (ISP) approach in adult acute care services Dr Jane Birrell , Specialist Clinical Psychologist Kellie Jacques, Assistant Psychologist Dr Donna Rutherford, Principal Clinical Psychologist. Intensive Support Programme.

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Intensive Support Programme

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  1. Implementing the Intensive Support Programme (ISP) approach in adult acute care servicesDr Jane Birrell, Specialist Clinical PsychologistKellie Jacques, Assistant PsychologistDr Donna Rutherford, Principal Clinical Psychologist

  2. Intensive Support Programme • Trust-wide initiative rolled out in 2013 • 4 acute units • 3 main components; • Emotion-focussed formulation • Skills-focussed groups • Training and development of acute care staff

  3. ISP in Practice - North • 1 Clinical Psychologist, 1 CBT Therapist, 1 Assistant Psychologist • Individual formulation sessions (6-8 per week) • Intensive 2-week group programme • Emotional Coping Skills, Self-compassion, Psychosis Management, Mindfulness, CBT for Insomnia • Regular staff training • Supervision / Consult • Pre and post outcome measures

  4. Group Programme - North

  5. ISP in Practice - East • Individual assessment, formulation (EFFA) & intervention • Programme of skills groups: • Mindfulness, Stress and Anxiety Management, Compassionate Friend, Taking Control, Emotional Coping Skills • Staff training and supervision • Evaluation • Settings: 34-bed acute patient ward, inpatient rehabilitation service and a community-based Acute Mental Health Team.

  6. Staff training - East • 1 hour sessions run fortnightly • Open to all clinical staff • Topics covered have included: • Introduction to ISP groups and how to support people attending • Recovery principles in practice • Introducing mindfulness • Validation • Values-based behavioural activation • Graded exposure

  7. Clinical Outcomes n = 62 p<0.001 d = 0.58 n = 63 p<0.001 d = 0.85

  8. Staff Training Outcomes • Feedback from 23 participants has been positive • All 23 respondents wanted the sessions to continue, of which… • 10 (44%) wanted sessions to take place weekly • 9 (39%) wanted sessions to take place fortnightly • 4 (17%) wanted sessions to take place monthly

  9. Participant Responses

  10. Staff Comments … “Learning techniques that I can take back to the ward and use with patients” “Reassurance that we have the skills and it’s an opportunity to reflect on our own practice.” “It’s good to be able to help patients continue things they have learnt in groups. Feel more informed.” “Helps to identify the skills we use daily with our patients and be able to use them more effectively.” “Increased knowledge and understanding”

  11. Further developments • Service-user experience study • Carer involvement

  12. Contacts Psychology Services Elmleigh 61a New Lane Havant Hampshire PO9 2JJ 023 92 682820 donna.rutherford@nhs.net Psychology Services Parklands Hospital Aldermaston Road Basingstoke RG24 9RH 01256 817 718 jane.birrell@nhs.net kellie.jacques@nhs.net

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