Relieving distress, transforming lives<br />Incorporating psychological therapies in the management of LTC – the role of I...
A game of two halves<br />
What we are going to cover…<br />A review of what was achieved in the first three years<br />me<br />A look at what will b...
The first three years<br />Special interest group for LTCs and MUS<br />Commitment and support of all primary care organis...
The first three years<br />Training programmes at RCGP e-learning and BMJ on-line<br />A study using electronic recording ...
Thank you <br />Alan.Cohen@wlmht.nhs.uk<br />
IAPT: LTC Work Stream<br />Prof André Tylee MD FRCGP MRCPsych<br />Expert advisor, LTCs<br />
Plan<br />Multiple LTCs and multiple bio-psycho-social needs often co-exist<br />Some initial IAPT plans<br />Call for goo...
Patients may have a wide range of psychosocial needs and preferences<br />Emasculation’<br />Loss of sexual<br />Intimacy ...
Approximately £1.7 million 2011/12 commitment to LTC/MUS developmental work<br />Scoping work underway including mapping<b...
Good practice examples needed <br />Training for IAPT workers <br />Collaborative care projects<br />Case management<br />...
 Thank youandre.tylee@kcl.ac.uk<br />Special thanks to;<br />Linda.Charles-Ozuzu@dh.gsi.gov.uk<br />New Projects Developme...
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Andre Tylee and Alan Cohen: Incorporating psychological therapies in the treatment of chronic conditions

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Dr Alan Cohen, Director of Primary Care at West London Mental Health Trust, and Professor Andre Tylee, Professor of Primary Care Mental Health at King’s College London, explain how the IAPT (Improving Access to Psychological Therapies) programme has been helping treat chronic conditions.

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Andre Tylee and Alan Cohen: Incorporating psychological therapies in the treatment of chronic conditions

  1. 1. Relieving distress, transforming lives<br />Incorporating psychological therapies in the management of LTC – the role of IAPT<br />Dr Alan Cohen FRCGP<br />Director of Primary Care<br />West London MH Trust<br />
  2. 2. A game of two halves<br />
  3. 3. What we are going to cover…<br />A review of what was achieved in the first three years<br />me<br />A look at what will be achieved in the next three years<br />Andre<br />
  4. 4. The first three years<br />Special interest group for LTCs and MUS<br />Commitment and support of all primary care organisations<br />Identified regional and local leads<br />Supported with a training/leadership programme<br />
  5. 5. The first three years<br />Training programmes at RCGP e-learning and BMJ on-line<br />A study using electronic recording of Med3/5 in the management of anxiety/depression including LTCs<br />St Georges Study<br />Collaborative Care – commissioning package<br />
  6. 6. Thank you <br />Alan.Cohen@wlmht.nhs.uk<br />
  7. 7. IAPT: LTC Work Stream<br />Prof André Tylee MD FRCGP MRCPsych<br />Expert advisor, LTCs<br />
  8. 8. Plan<br />Multiple LTCs and multiple bio-psycho-social needs often co-exist<br />Some initial IAPT plans<br />Call for good examples<br />
  9. 9. Patients may have a wide range of psychosocial needs and preferences<br />Emasculation’<br />Loss of sexual<br />Intimacy and <br />self worth<br />May be a carer also: <br />lost <br />freedom<br />Loneliness<br />Isolation<br />Many think PCPs <br />have a key role<br />Interpersonal<br />factors and <br />Loss<br />Bereavement/<br />grief<br />Prefer talking RX <br />and self help<br />Some like groups<br />CHD with distress or <br />Depression. <br />Often a ‘personal and social <br />story’ of loss<br />Relationship <br />breakdown: partner<br />and children<br />Aging<br />Multi-morbidity++<br />Fear of future<br />Erectile<br />dysfunction<br />Health and<br />loss<br />Loss of employment<br />and self worth<br />Control<br />May dislike drug <br />side effects<br />Lack of finances<br />May prefer their own <br />self help approaches (e.g yoga) <br />
  10. 10. Approximately £1.7 million 2011/12 commitment to LTC/MUS developmental work<br />Scoping work underway including mapping<br />Initial elements: compendium; collaborative care pathways; economic calculator/analysis<br />Phase 1 – developmental, likely to involve testing and evaluating good practice<br />Engaging key stakeholders including CCGs<br />Expert Reference Group to meet by Nov 2011<br />IAPT LTC – moving forward<br />
  11. 11. Good practice examples needed <br />Training for IAPT workers <br />Collaborative care projects<br />Case management<br />Personalised care <br />Psycho-education<br />Facilitated groups<br />Multi-morbidity<br />Etc<br />
  12. 12. Thank youandre.tylee@kcl.ac.uk<br />Special thanks to;<br />Linda.Charles-Ozuzu@dh.gsi.gov.uk<br />New Projects Development Lead<br />IAPT, Department of Health <br />
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