https://www.england.nhs.uk/mentalhealth/adults/iapt/mus/
Consensus Statement
A
consensus statement has been developed by national clinical leaders setting out the key characteristics of integrated IAPT services. NHS England is working to support new services.
http://www.rcpsych.ac.uk/pdf/PS02_2015.pdf
Position Statement PS02/2015
Providing evidence-based psychological therapies
to people with long-term conditions and/or medically
unexplained symptoms
December 2015
Royal College of Psychiatrists,1
Royal College of General Practitioners,
British Psychological Society and
Royal College of Physicians
1. Approved by the Policy and Public Affairs Committee of the Royal College of Psychiatrists as Position
Statement PS02/2015, November 2015
People who have mental health problems in the context of long-term
physical health conditions (e.g. diabetes, chronic obstructive pulmonary
disease, cardiovascular disease, cancer) and people who are troubled by
symptoms inadequately explained by their medical condition (sometimes
called persistent physical symptoms or medically unexplained symptoms) are
poorly served by existing services. In particular, there is an urgent need to
provide them with more integrated physical and psychological healthcare to
improve their quality of life and reduce costs to the National Health Service
(NHS) and the wider system.
The Improving Access to Psychological Therapies programme has
already established some key principles for the delivery of treatment, below.
NICE-recommended therapies should be delivered by properly trained
practitioners.
Practitioners should receive regular (weekly) case supervision and be
managed as a team, led by appropriate experts.
IT systems that support supervision as well as outcome monitoring
should be used.
All patients should have their outcomes recorded and service-level
outcomes should be published.
Treatment should be delivered in the most cost-efficient manner,
including stepped care when appropriate.
Proposal
Two additional considerations apply for physical and psychological treatments
for long-term conditions and medically unexplained symptoms, centring on
the setting and integration with existing services.
Physical and mental healthcare provision should be co-located.
Mental healthcare provision should be integrated into existing medical
pathways and services – either primary or secondary care services
(e.g. oncology, community mental health teams, liaison psychiatry/
psychology services).
These considerations address the following requirements: (a) patient
preference for receiving physical and mental healthcare in the same
setting; (b) availability of expertise for the provision of physical and mental
healthcare and symptom management in the medical setting; (c) continuity
of care; (d) multidisciplinary team working and sharing; (e) removing
stigma; and (f) improving access.
Conclusion
We agree that care should be provided in a way that enables patients to
access the right care, in the right place and at the right time and is costeffective
and clinically effective. With this in mind, the Royal College of
Psychiatrists, Royal College of General Practitioners, British Psychological
Society and Royal College of Physicians are working together to promote
joined-up patient care. This is because integrated approaches have been
shown not only to improve patient outcomes but also to help drive efficiency
in healthcare.
Disclaimer
This guidance (as updated from time to time) is for use by members of the endorsing organisations. It sets out guidance, principles and specific recommendations that, in the view of these organisations, should be followed by their members. None the less, members remain responsible for regulating their own conduct in relation to the subject matter of the guidance. Accordingly, to the extent permitted by applicable law, the endorsing organisations exclude all liability of any kind arising as a consequence, directly or indirectly, of the member either following or failing to follow the guidance.
http://www.rcpsych.ac.uk
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Competence Framework
https://www.ucl.ac.uk/pals/research...ople_with_Persistent_Physical_Health_Problems
Psychological Interventions with People with Persistent Physical Health Problems
Welcome to the competence framework for psychological interventions for people with persistent physical health conditions. This site gives open access to the framework, as well as background documentation that explains how to use the framework.
etc
A brief description of the framework
The framework describes the various activities which need to be brought together in order to carry out effective clinical work for people with persistent physical health conditions. It is not intended to prescribe what a clinician should do: it makes suggestions about best practice in the light of our current knowledge of the effectiveness of approaches and interventions.
The framework locates competences across seven “domains”, each of which represents a broad area of practice. This helps users to see how the various activities associated with work in this area fit together.
It is important to read the background documentation, as this will help you to understand the principles underlying the construction of the framework and implement it to best effect. Although its primary audience will be clinicians, clinical managers and commissioners of services, service users will also find it useful. A document written specifically for service users will appear on this site shortly.
Access Background Document Here
A competence framework for psychological interventions with
people with persistent physical health conditions
Anthony D. Roth and Stephen Pilling
Research Department of Clinical, Educational and Health Psychology, UCL
Expert Reference Group (ERG)
The work was overseen by an Expert Reference Group whose invaluable advice, editorial comments and collegial approach contributed enormously to the development of the work. The ERG comprised:
Dr Pauline Adair, Professor Paul Bennett, Dr Chris Bundy, Dr Angela Busuttil, Professor Trudie Chalder, Dr Alex Clarke, Dr David Craig, Dr Vincent Deary, Dr Diane Dixon, Professor Christopher Dowrick, Dr Arek Hassey, Professor Elspeth Guthrie, Dr Jo Iddon, Professor Lance McCraken, Professor Rona Moss-Morris, Dr Katherine Rimes, Marie Claire Shankland, Dr Jon Stone, Dr Vivien Swanson, Judy Thomson, Professor Alison Wearden, Dr Abigail Wroe
(
https://www.ucl.ac.uk/pals/research...l_Health_Problems/Physical_Background_Doc.pdf )
How to access and download the competences
There are two ways of accessing the competences:
1. You can download them from
the map of competences. This shows the ‘architecture’ of the framework - the ways in which the competences relate to each other. The map displays seven domains of competence, and the activities associated with each domain. Placing the cursor over any of the boxes in the map links you to the competences, so to see the competences associated with a specific activity, just click on the relevant box
2. If you want to see all the competences in the first five domains of the map you can get “one click’ access here:
