Derbyshire clahrc project
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This document describes the experience of the Mood Disorder Project at Derbyshire Healthcare Foundation Trust. It outlines how the project evolved from an existing 2-year group program to integrate individual therapy and medical interventions through funding from the CLARHC study. Key changes included modularizing group sessions, training staff in new therapies like MBCT and BA, and coordinating medical and therapy treatment. While medical input and individual therapy will end with the study, the service now has an efficient group program and merged CBT department that can effectively treat more clients.
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(There are hyperlinks here so some slides will not have any titles. Just refer to slide 4 for each step)
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Chapter two developmental and process models with narration
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A service improvement focused on frailty using an R&D approach, pop up uni, 3...
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
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Precepting, Supervision, Leadership, Logistics: What are the Staff Roles in a...
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Derbyshire clahrc project
- 1. Derbyshire Healthcare Foundation Trust Mood Disorder Project: Our Experience
- 2. The Beginning • The influence of Fate • What we had to work with – Me – The ‘day hospital’ group programme – A supportive manager • Contribution from the study
- 3. The Old Programme • Compassion Focussed Therapy was the basis • Additional techniques according to need • Open group, 2 days per week for 1 year; 3 groups per day • Clients attended a preparatory group initially • Following the year programme had option of a follow on group once a week for up to 1 year • Throughput – 30 clients per year • 4 staff members
- 4. What We Wanted To Offer Medical and Psychotherapeutic Approaches • Individual CBT • Group therapy – Compassionate Mind Training – Compassion Focussed Therapy – Mindfulness Based Cognitive Therapy – Behaviour Activation • Pharmacological Intervention Deliverable within the time frame of the study
- 5. The issues • Current programme was 2 years – well established, good outcomes • ‘Day hospital’ not with in CBT services • No individual therapy available • Staff not trained in MBCT • Staff not trained in BA • No Consultant • No administrative support
- 6. The Solutions • Worked with ‘Day Hospital’ manager; identifying clinical effectiveness and through- put efficiencies as a targets • Dissected the group programme and identified component interventions • Devised a programme which allowed CLARHC interventions to be offered; with non CLARHC interventions being on the ‘back burner‘ to allow for therapist time to be used for individual therapy • Nottingham agreed to offer training and supervision for MBCT ) (thank you Nottingham) • Sheffield CBT staff offered training in BA in exchange for input into their CBP training ( thank you Sheffield) • CLARHC funded 4 hours Consultant Psychiatrist time • CLARHC funded administration time
- 7. From Little Acorns….. • One size fits all group transforms to modular groups programme • Paul Gilbert (OBE) support for CMT/CFT • The Menu Metaphor • Links with the Anxiety Disorder CBT service • Fitting in with a wider secondary care service • Writing a manual for CMT groups
- 8. The Study • Running late and playing catch up • Recruitment • Managing assessments • Working as a team • Holiday period • Organised chaos • The BA group take up • Dedicated staff • Help from the CLARHC team
- 9. The benefits to Clients in the Study • One contact point • Seeing therapist and consultant together • Medication and Therapy targeting same goals • Medication Reviews responsive and timely • Same medic each review • Not having to repeat their story • Knowing we work together.
- 10. What We Lose When The Study Ends • The medical input • The individual therapy • The team work
- 11. Benefits to the Service – What We Keep • A service that can treat more people; through put on CMT and MBCT since Jan = 80 (plus 20 clients waiting for next groups) • Effectiveness and outcomes are good • Efficient group programme • A CBT department that merges group programme and Anxiety Disorder service. • Possibilities for the future - endless