IAPT plus Mild intellectual abilities

1. How can we meet the challenges as a team?
The next 3 years
Matt Broadway-Horner

2. What are the challenges
facing IAPT?
Working with Long Term conditions
(LTC)
Work with people with mild learning
disabilities

3. HOW CAN WE MEET UP TO
THE 1ST CHALLENGE ?
• Describe what we are doing now
• What links?
• How many Pts have a LTC in last 6 months
• Therapy outcomes
• Patient surveys

4. HOW CAN WE MEET THE
DEMAND FOR LTC ?
• MDS adding EQ5D and CGIS
• Screening tool amending
• Agenda and review cards
• Patient surveys
• Staff surveys
• Staff training

5. Step 4
health psychology
Immediate Tier 4 Criteria
Women’s Health: foetal & infant death, still born.
Ongoing medical negligence action
Sickle Cell Anaemia
Recent diagnosis of severe long term condition
Neuro
Moderate/severe symptoms
High levels of disability
History of multiple treatment failure
Significant comorbid medical condition or psychopathology including trauma
Complex/chaotic social environment
Difficulty engaging with therapy
High intensity IAPT
CBT or related therapy
•Moderate physical symptom experience
•Moderate level of functional impairment - physically, socially and emotionally
•Minimal history of multiple treatment failure
•Evidence of co morbid depression and anxiety
PWP IAPT
Low intensity intervention/supported self
management
•Mild to moderate physical symptom experience
•Mild to moderate level of functional disability - physically, socially and emotionally
•No history of multiple treatment failure
•No dominant co morbid psychopathology
•No significant risk of self harm
•Patient amendable to guided self management approaches for their symptoms.
Acute care
Diagnosis and initial management
Elicit patient beliefs and concerns about symptoms, provide positive diagnosis, biospychosocial
explanation of symptoms, initial management, refer to appropriate step above or offer integrated
care within this approach.
Primary care
Diagnosis and initial
management
Elicit patient beliefs and concerns about symptoms, provide positive diagnosis if possible,
biospychosocial explanation of symptoms, initial management, refer to appropriate step above or
offer integrated care within this approach. Confirmed
diagnosis not
possible

6. 2ND CHALLENGE
• Trouble-shooting telephone screening
• Engagement
• Measurement

7. 2ND CHALLENGE
• Trouble-shooting telephone screening
• Engagement
• Measurement