IMPROVING GP MANAGEMENT
OF DEPRESSION
It started with a quiz…
Q1. What proportion of GP
consultations are said to have a
mental health component?
A.
10%
B.
30%
C.
70%
Q2. There is an epidemic of
depression…
 True
 False
Q3. Anti-depressants are an
effective treatment for mildmoderate depression
 TRUE
 FALSE
Q4: A medical diagnosis improves
the outcomes for patients?
 TRUE
 FALSE
Q5: What do you find hardest
about Mental Health
consultations?
A global crisis of depression:
reality or hype?
Professor Chris Dowrick
Professor of Primary Medical Care, University of Liverpool
Author of Beyond Depression
The patient’s view…
Joan Ormond
Finding solutions – learning from the
project
Dr Joanne Reeve
Academic GP, Liverpool Uni
www.bouncebackproject.org.uk
The
project
www.amproject.org.uk
www.aiw.org.uk
www.primarycarehub.org
.uk/sage
www.bouncebackproject.org.uk
The
project
Phase 1:
Phase 2:
CONSULTATION MODEL:
ORGANISATIONAL
MODEL:
EVALUATING
IMPACT
www.bouncebackproject.org.uk
The
project
Phase 1:
Phase 2:
CONSULTATION MODEL: - Lens (imbalance)
-
Narrative
Support modification
ORGANISATIONAL
MODEL:
EVALUATING
IMPACT
www.bouncebackproject.org.uk
Two consultation styles…
 What topics were covered?
 What sort of questions were used?
 What sort of explanations were offered?
 What sort of follow up was planned?
 How did the patient respond?
Bounceback themes
 Personal story/narrative based
consultation
 Explores resources and demands
 Opportunities for change
Giving permission: what are other
professionals doing?
Professor Peter Kinderman
Professor of Clinical Psychology, University of Liverpool
Author of Prescription for Psychiatry: why we need a whole new approach to mental health
and wellbeing
Table based Discussion
 What appeals about the
model?
 What problems do you think there will be
in practice?
 How might we get over those barriers?
Questions…
Changing practice to improve care
Mr Mark Gilman
Strategic Recovery Lead, Public Health England
Final thoughts
Acknowledgements
The
project is funded by an
Innovations award from the National Institute
for Health Research (NIHR)
The
team would like to thank all
the practices and patients who are supporting
the project.
For more info: www.bouncebackproject.org.uk
Or contact: Joanne.reeve@liv.ac.uk
lmc82@liv.ac.uk
Jane.watkins@aiw.org.uk
peter.rosbottom@aiw.org.uk