Reading Well Books on Prescription Commissioning Guide Public Library Health and Well-being Services Public libraries play an important role in the health and well-being of local communities. They are ideally placed to deliver early intervention and prevention services that address local health inequalities and deliver better health outcomes as part of the new commissioning landscape. Libraries provide: A network of local community hubs Community outreach supporting vulnerable people Staff with local knowledge and expertise in information management and community engagement Assisted online access to health information They enable local communities to help themselves through: Health and care information services Referral and signposting Health promotion activity National reading programmes promoting learning literacy and well-being Social and recreational opportunities e.g. reading groups Volunteering and community engagement opportunities What is Reading Well Books on Prescription? The Reading Well Books on Prescription scheme is an exciting new public library health and well-being service development. It provides self-help reading for adults based on cognitive behavioural therapy (CBT) for a range of common health conditions including anxiety, depression, phobias and some eating disorders. “I have found this book invaluable in helping to give concrete steps to dealing with what can be a crippling and sensitive issue.” Service user on Overcoming Binge Eating by Christopher Fairburn It is an early intervention treatment at step one in the Stepped Care Model for mental health and Improving Access to Psychological Therapies (IAPT) provision. It can be used as a stand-alone treatment, alongside medication and/or psychological treatments and as a key element in a supported programme. Books on Prescription was first developed in Cardiff by Professor Neil Frude, a clinical psychologist. There has been a national scheme in Wales since 2005. Reading Well Books on Prescription will be launched in June 2013, as the first national scheme for England. What does Reading Well Books on Prescription deliver? A consistent approach delivered through all English public libraries supported by national and local health partnerships Quality assured resources including a national, expert-endorsed, self-help booklist of 30 self-help titles in addition to user and prescriber guides and promotional posters. Signposting via the user guide to other well-being services in libraries such as readerrecommended mood-boosting novels and poetry, and social reading activity such as reading groups. “I am delighted to have been involved in this exciting project to bring help to the millions of people who suffer from anxiety and depression.” “I am sure GPs and other health professionals will value the Reading Well Books on Prescription Scheme. Cognitive behavioural therapy can be a highly effective talking treatment for people with common mental health problems. The core list of 30 CBT-based self-help books will be a real boost to the treatments currently available. It is not designed to replace existing care, but provide added value and guidance.” Paul Blenkiron, Consultant in Adult Psychiatry in York and NICE Fellow How does Reading Well Books on Prescription work? Books on Prescription user guide Books can be recommended by health professionals and borrowed from the local library service free of charge. GPs may recommend self-help reading to people they might not yet refer to IAPT services, or to use whilst waiting for treatment. Other mental health professionals such as psychiatrists, psychologists, counsellors, mental health nurses or therapists may also recommend books as part of treatment. Some people may use the library book collections independently as a first step in seeking help. Evidence base Guidelines from the National Institute for Health Care and Excellence (NICE) recommend CBTbased self-help approaches as a first step in the treatment of common disorders including depression, anxiety, phobias and some eating disorders. There is growing evidence that self-help based on the principles of CBT is effective. The evidence suggests that guided self-help is more effective than unguided self-help but that books alone can also be useful as they contain techniques of proven effectiveness used by professionals and are a springboard into further professional help. For a review of the evidence base go to http://readingagency.org.uk/readingwell “I think the Reading Well Books on Prescription scheme is one of best ideas I've heard in ages! I have a small number of books that I lend out on a variety of subjects and always get positive responses from patients who borrow them. The list of books available on your scheme is great, and something I know I will use” Dr Catherine Harrison, GP Tuxford, Nottinghamshire Working in partnership Reading Well Books on Prescription is delivered through a partnership between The Reading Agency and the Society of Chief Librarians. Health partners supporting the scheme include: Department of Health – Improving Access to Psychological Therapies programme (IAPT) Royal College of General Practitioners Royal College of Psychiatrists Royal College of Nursing British Association for Behavioural and Cognitive Psychotherapies British Association for Counselling and Psychotherapy The British Psychological Society Mind Reading Well Books on Prescription is co-ordinated locally by the relevant library authority working with GPs, IAPT teams and other mental health service providers. Commissioning the Reading Well Books on Prescription scheme Commissioners can support delivery in the following ways: The purchase of library self-help book collections The purchase of Reading Well Books on Prescription user guides, guides for health professionals and promotional posters Support with the distribution of materials to prescribers and with the building of prescriber partnerships Local advocacy for the scheme “Books on Prescription is a very useful resource to complement talking therapies and the use of antidepressant medication, having peer reviewed self-help books in local libraries is an asset to the general community, and the books can be used by patients working with IAPT practitioners.” Dr Sue Pritchard, Shipston Medical Centre, Warwickshire The purchase of linked Reading Well Mood-boosting Books, a national promotion of uplifting novels, poetry and non- fiction recommended by readers Support for linked social and recreational reading group activity in libraries Reading Well Books on Prescription commissioning case studies Croydon: Libraries and IAPT working together Croydon Library Service has run a Books on Prescription scheme since 2008. They were approached by Croydon IAPT Psychological Therapies and Well-being Service about the Reading Well scheme as a result of national IAPT support for the programme. The IAPT Service is funding Reading Well self-help book collections for each of Croydon’s 13 libraries as well as purchasing and distributing user guides, guides for professionals and posters. IAPT will also support the purchase of linked Reading Well Mood-boosting Books collections and resources. A local launch is being planned to coincide with the national launch in June 2013. “Reading Well Books on Prescription delivered through public libraries is a cost-effective tool to support well-being. We are investing in it because we can see its value both as a first step in seeking help and as support for the work of IAPT practitioners.“ Dr Catrin McGuire, Senior Cognitive Behavioural Therapist, South London and Maudsley NHS Foundation Trust Devon: A libraries and public health local authority partnership Devon County Council’s Director of Public Health has agreed to fund Reading Well Books on Prescription book collections and supporting resources for all library service points, including 50 static libraries, as well as 3 prison libraries and 8 mobiles. “The timeliness of the programme has really worked – to be able to have a low-cost, effective county wide health offer in place soon after the local authority takes on responsibility for public health is a huge strength.” Ciara Eastell, Chief Librarian, Devon County Council “I am really pleased to support Reading Well Books on Prescription in Devon. Libraries provide community access points for quality assured health information and guidance that helps people understand and manage common health conditions. They are key partners in delivering the local authority public health agenda.” Dr Virginia Pearson, Director of Public Health, Devon County Council Further information For further information about Reading Well Books on Prescription and linked programmes, please contact: Debbie Hicks debbie.hicks@readingagency.org.uk www.readingagency.org.uk/readingwell Local library service/SCL contact xxxx