Karen Rea, Kevin Baker, Hazel Flynn Contact: k.rea@ljmu.ac.uk ; kevin.baker@nhs

1. Low intensity psychological interventions for Deaf people in Primary Care:Improving Access to Psychological Therapies in British Sign Language-Widening Participation for Students who are Deaf Karen Rea, Kevin Baker, Hazel Flynn Contact: k.rea@ljmu.ac.uk; kevin.baker@nhs.net

2. AMH forDeaf people with New IAPT Inpatient Treatment Step Five Out patient Treatment of by MH Specialists Step Four Treatment of moderate disorder in Primary Care CBT / Case management / Counseling / IPT New IAPT Step Three Treatment of mild to moderate disorder in Primary Care Facilitated Self Help / Medication support / Signposting IAPT PWPs Step Two Recognition in Primary Care by GPs; Practice Nurses; Health Visitors; District Nurses etc “Watchful waiting” Step One HITS

3. New IAPTfor Deaf people Initial pilot project – 2012-13

4. Manager, hearing, counsellor, BSL fluent • Performance Lead (data collection, support) • High Intensity Therapist/clinical psychologist, Deaf, BSL fluent • 3 hearing BSL PWPs trained first (fast tracked) • 6 BSL PWPs trained in 2012-13 • 9 Deaf BSL PWPs currently in training

5. Recruitment and Educational challenges • Availability of appropriately educated and academically qualified and interested applicants • Use of APEL • UG and PG academic routes of the programme • Interviewing panel • Acknowledging, respecting and working with ‘third’ parties in assessments and discussions

6. Adaptations & Practice • Delivered in BSL • All-Deaf cohort – peers • Adapting materials • IAPT video clips, • Outcome measures • Guided self help materials • Deaf experiences included in teaching and clinical examples • Taking notes while using BSL (eye-contact) • Drawing out an ABC formulation • Alternative ways of delivering support and interventions • Use of video summaries at the end of the teaching day

7. Trainee’s feedback • “Information is clear” • “Role plays are useful” • “Very interesting” • “Discussion is useful” • “Would like more practice with role plays” • “Very visual”

8. Lessons learnt • Be prepared! • Be flexible! • Be honest! • Seek advice • Respect expert knowledge and experience

9. Services to people who are Deaf and who have common MH problems • Total number of referrals is 431 across all regions, 61% Female, 39% Male • Delivering IAPT services in the North West, South Central, North East, East Midlands, South East Coast and Yorkshire & Humber regions. • Referral routes are Self referral (45%), GP referrals (19%), Mainstream IAPT Services (15%) with the remainder coming from Social Services, Community Mental Health Teams, Other Independent Sector Mental Health Services etc.. • Majority of referral reasons are Mixed Anxiety and Depressive Disorder, Depressive Episode and General Anxiety Disorder with the remainder coming from the various other categories.

10. Contacts • Karen Rea – k.rea@ljmu.ac.uk • Dr Kevin Baker – kevin.baker@nhs.net • Hazel Flynn – hflynn@signhealth.org.uk • Dr Sarah Powell – sarah.powell@signhealth.org.uk]