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TALKING THERAPIES

TALKING THERAPIES. Who W e Are. Primary care, not for profit Charity organisation Reputation for innovative & flexible client-centred services. Each service region run from local office.

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TALKING THERAPIES

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  1. TALKING THERAPIES

  2. Who We Are • Primary care, not for profit Charity organisation • Reputation for innovative & flexible client-centred services. • Each service region run from local office. • Services based on a culture of clinical excellence – regularly amongst the top 15% in the UK (Department of Health data for IAPT services).

  3. Who We Are • Services provided in: • Sefton • Bassetlaw • Calderdale • Darlington • Derby City & County • East Riding of Yorkshire • Kent & Medway • Newcastle • Nottingham City & County • Peterborough • Tees

  4. The East Midlands Service • Nottingham City & County, Derby City & County since 2013. • We support the frontline NHS in implementing NICE guidelines for people suffering from depression and anxiety disorders. • Offers a realistic and timely first-line treatment combined, where appropriate, with medication. • Any Qualified Provider (‘AQP’) gives clients a choice of service-provider. • Insight are accredited as an AQP provider of Primary Care Psychological Therapies.

  5. Referrals into the Service • GP • Self-referral (online or telephone). • Other organisations (Social Services, Framework, third sector organisations etc…)

  6. Appropriate Presenting Problems • Depression • Obsessive Compulsive Disorder • Post Traumatic Stress Disorder • Panic Disorder • Health Anxiety • Specific Phobias • ‘Mild to moderate’ mood and anxiety problems. • Problems are amenable to short-term primary care psychological therapy. • Social Anxiety • Generalised Anxiety Disorder • Low self esteem • Anger • Low confidence • Stress • Sleep difficulties

  7. Inappropriate Presenting Problems ‘Severe’ and/or ‘Enduring’ psychological problems. Severe:Depression/anxiety disorders where there is risk of harm to self/others (e.g. self harm, suicide, neglect, lack of capacity, lack of ability to engage with short-term therapy). Enduring: Personality Disorders, Schizophrenia, Bi-Polar Disorder, Psychosis etc…

  8. LTHC Early Implementers Integrated Clinics • Phase one – Early Implementers for Nottingham West CCG – Chronic working within the PICS pathway • Phase two – Pain Management Solutions- direct referrals • Derbyshire- Primary Care Diabetes Specialists • LTC training for practitioners at Sheffield University

  9. Access PromptAssessment within 2 weeks of referral. Signposted if not suitable- example ISAS, CRUZE Women's Centre Therapy available within 6 weeks - low waiting times in Nottingham City Offered between 6-10 sessions which is reviewed for benefit of extension or referral on to Secondary Care Flexible Telephone or face-to-face Flexible appointment times Service open 8am - 8pm (Mon-Thurs), 8am-4.30pm (Fridays) AccessibleAppointments available locally to clients in a variety of community venues / GP surgeries. New Venue on Mansfield Road opened.

  10. Prioritising In accordance with national guidelines, clients are prioritised appropriately to ensure prompt access to treatment. Examples of where priority is given: • Risk concerns • Veterans • Peri-natal period • Potential for significant deterioration in symptoms &functioning • Other appropriate reasons such as off work on sick leave

  11. The Stepped Care Model

  12. Types of step 3 therapy • Cognitive Behavioural Therapy – Depression, Anxiety and single episode of PTSD • Eye Movement Desensitisation Reprocessing (EMDR)- PTSD historical or more than one incidents • IPT – Relationship problems • Counselling - stabilising emotionally distressed clients unable to engage in CBT • Couples counselling – support when one of the partners has depression

  13. Groups • ACT (Acceptance Commitment Therapy)- Long term health conditions such as Cancer, Stroke, pain and diabetes patients • Weight Management – address psychological issues before consideration for bariatric surgery • Mindfulness - It can help regulate our physical stress response and ultimately reduce the risk and severity of stress-related diseases. • Depression – Step 3 group • Wellbeing group – Step 2 stress management

  14. Training & Supervision • All staff are appropriately qualified or in-training. They also have diverse experience within the field of mental health. Practitioners currently attending LTHC training in Sheffield • Supervision is held regularly, as per IAPT guidelines. • All supervisors have attended or are attending Supervisor Training

  15. ? Thank you.Any Questions?

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