CAMDEN & ISLINGTON IAPT
LTC/MUS PATHFINDER
Judy Leibowitz
Head of Trust IAPT services
Judy.leibowitz@candi.nhs.uk
Esther Hansen
Clinical Psychologist LTC specialist
esther.hansen@candi.nhs.uk
Camden and Islington Pathfinder- key
elements
•
•
•
•
Increase skills of IAPT workforce
Care pathways development
Dedicated clinical sessions in LTC settings
Pilot projects with identified GP practices
IAPT
LTC/MUS
OUTCOMES
referral pathways
primary care – leaflets and letters
links with community health teams
sessions in self-management groups
o referral no
o MDT skills
Access
o
o
o
o
Moving
into
treatment
o
o
o
o
amend assessment process
(psychological) service mapping
identified contacts for consultation
staff competencies to sell psychological
interventions
o joint working with primary care teams
o increased
up-take
o short wait
o knowledge
of services
o range of worksheets
o LI interventions – eg self-help booklet/
carer package
o guides for staff
o develop staff competencies
o collaborative care – pilot practices
o LTC/MUS
outcome
measures
o staff
competencies
Recovery
ACCESS
o referral pathways
o
▪ screening questions
▪ training/coaching of MDT staff
▪ devising scripts
▪ responding to common barriers to access
o primary care - leaflets and letters
▪ leaflet about service
▪ invitation for ‘psychological wellbeing review’
o links with community health teams
▪ based in integrated care service (Camden)
▪ close links with team leaders
▪ IAPT consulting MDT members
osessions in self-management groups
▪ heart failure, COPD, Desmond & Daphne
outcomes
o quarterly
increase in
referral numbers
o materials
available
(leaflets, scripts)
o survey of MDT
staff
o staff consulting
MDT members
regarding LTC
o LI staff running
psychoeducation
sessions
TREATMENT UP-TAKE
o amend assessment process
▪ asking about LTC
▪ asking questions that help decision making
re treatment or referral
o mapping services
▪ clarification of referral criteria
▪ when should people be referred on
o
o identified specialists in the service
• available for consultation
o staff competencies to sell psychological
interventions
▪ training/coaching LI workers on engagement
▪ worksheets that can be used in assessment
o Joint work with primary care teams
• when to raise psychological factors
• collaborative care approach (eg cardiac risk
study)
outcomes
o quarterly
increase in
numbers taken
into treatment
o shorter time for
decision to treat
o increased
knowledge of
services
o competence and
confidence in
staff
RECOVERY
o worksheets to support interventions for
ocommon symptoms or difficulties in
LTC/MUS (e.g. pacing, relaxation, managing
health worries etc.)
o guided self-help booklet “Reclaiming
your life from illness, disability, pain or fatigue”
and carer intervention
o practitioner guides for LI workers for
different treatment packages that include
scripts and problem-solving tips
o develop staff competencies
 training and skills workshops
▪ consultation and supervision groups
o collaborative care
 Pilot practices – MUS – cardiac risk study
outcomes
o sessional
and treatment
measures
o materials
available
(worksheets,
scripts)
o survey of staff
Challenges and Learning points so far
• Context – funding delay, organisational & staff
changes
• Support from commissioning (CCG) – fits with
priorities – additional funding from Camden
• Importance of language in engagement – involve
service users
• LI interventions fit well with self management
approach for LTCs
• LTC pathways complex – specialist knowledge and
links very helpful
• Culture change takes time – staff and referrers