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News and updates from today's IAPT: Improving Psychological Therapies for Older People conference

Following the chair's introductions on the Hidden in plain sight, Ursula James IAPT Programme Manager, Adult Mental Health Programme Delivery at NHS England, will open the conference with a National update from NHS England covering:

• access and outcomes for older people: the facts
• developments in Integrated IAPT in Physical Health Pathways
• current national projects and successes for improving IAPT outcomes for older people 

Ursula comments:

“the tariff system has recently been released and should now be available on the NHS England website”

“we know that access isn’t growing in the way that we need it to but we know that the outcomes are well above average”

“there is currently no national target for IAPT Older Adults, it’s been discussed but nothing has been set”

“once you get them in to treatment they stay in and complete the treatment with great outcomes”

Ursula's biography:

Ursula James joined the IAPT Programme in NHS England in June 2016 and leads on core IAPT quality improvement and equality. Ursula has an extensive background in Mental Health, having trained as a nurse in 1991. She worked in acute mental health care for many years before training as a therapist and moving to IAPT services in 2009. Ursula has worked as a Clinical Lead and IAPT Service Manager focusing on quality improvement and, before joining NHS England, was the regional Recovery Lead for the South West IAPT Clinical Network. Ursula works on national policy developments of the IAPT Programme, most notably this year has been the expansion into integrated IAPT services into physical health pathways, and she is a specialist clinical advisor for the CQC.

Continueing the morning is Marie Chellingsworth Founder The CBT Resource and Executive Director Norwich Medical School, UEA.   Marie is an author of the revised national curriculum for IAPT CBT and LICBT with Older People and associated Clinician’s Guides.  Marie will present on 'CBT with older people: what works?' covering:

• CBT and LICBT challenges for practitioners and strategies to overcome obstacles
• how can practitioners rebuild skills in CBT LICBT to assess and treat depression or anxiety disorders in older patients, increase access and intervene early

Marie-Claire Shankland Clinical Advisor Mental Health Access Improvement Team Healthcare Improvement Scotland, closes the morning with a session on 'Improving accessibility to IAPT for older people', discussing:

• the key elements of a service that is accessible for older patients
• addressing the mental health needs of an ageing population
• the barriers faced and how we move past them 

Marie-Claire comments:

“older people are not invisible in the health & social care sector, I think the issue is the physical is in the fore and this is what is being engaged with, the physical rather then the mental health”

“if you could get everyone to stay in treatment the way older people do you would have a recovery rate of over 80%”

“sleep is a big issue if you are depressed and over the age of 65, sleep is a real issue and sleep groups really seemed to help”

Marie-Claire's biography:

I am currently working for the Mental Health Access Improvement Team in Healthcare Improvement Scotland as the national clinical lead. The focus of this work is to help services to improve access for psychological therapies using QI methodology.  My areas of interest are psychotherapy with older people, working with carers of people with dementia, psychotherapy outcome research, improving psychological skills with the NHS workforce and improving psychology services.

Marie-Claire's presentation Abstract:

I will look at some of the reasons we have difficulty ‘seeing’ common mental health problems in older people and how we have tried to address this across general practice and mental health. I will highlight existing good practice in IAPT and what look like the key factors in successfully improving Older People’s access. I will highlight resources and research that assist in this.

19 June 2017


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