Yorkshire and the Humber Mental Health Network Early Intervention in Psychosis Network 13 February 2020 • Stephen McGowan, EIP Clinical Lead for Y&H CN and NHSE (North) (Chair) • Dr Steve Wright, Consultant Psychiatrist, TEWV (Co-Chair) • Sarah Boul, Quality Improvement Manager sarah.boul@nhs.net • Twitter: @YHSCN_MHDN #yhmentalhealth • February 2020 www.england.nhs.uk
Yorkshire and the Humber Early Intervention in Psychosis Network Welcome and Housekeeping Sarah Boul, Quality Improvement Manager, Yorkshire and the Humber Clinical Networks www.england.nhs.uk
Housekeeping: @YHSCN_MHDN #yhmentalhealth The parking code to exit the car park is: 5549
Slido: At today’s meeting we are going to use Slido to allow people to ask questions and take part in polls. • The WIFI code for the venue is: • Then open: www.slido.com • Enter code: #F485 Now let’s give it a go!!
Yorkshire and the Humber Early Intervention in Psychosis Network University of Hull 2020 CBTp program, supervision workshops and masterclasses Gavin Lawton, Program Director CBT SMI, University of Hull www.england.nhs.uk
Post Graduate Diploma in CBT
Overall course aims: • In increase access to CBT/ SMI training. • To give people an opportunity to be taught CBT to diploma level. • To maintain essential quality ingredients of IAPT high intensity training (reference to key evidence based protocols, evaluation of competence using recognised criteria) • To progress to implementation of CBT with secondary care clients and cover presentations included SMI IAPT competencies. • To establish the basics first and then specialise
Course Overview • For the PG Dip: Four taught modules, part – time over two years • Module 1: Basic CBT theories and Skills (30 credits) • Module 2: CBT for Common Disorders and Processes in SMI (30 credits) • Module 3: Psychosis and Bipolar Disorder (20 credits) • Module 4: Complex Disorders including Personality Disorders (20 credits) • In addition, two supervision modules (each 10 credits). Clinical work and supervision to be undertaken in service. • Six modules in total to complete the PG Diploma • Also: the taught modules can be taken individually
Plus… • Portfolio of work, to be recorded on PebblePad. • This covers clinical work from both supervised practice modules. • The Portfolio will support the BABCP Accreditation process.
The Course structure means that • Trainees can leave at the end of year one with a Post Graduate Certificate in CBT. • People with existing CBT Cert, CBT Dip or psychology qualification can join in year 2 (Top Up) and receive a Post Graduate Certificate. • Or can join to do either the CBTp or CBT for complex cases as a stand-alone 20 credit module.
Current Developments • Tender for Post Graduate Diploma in CBT-SMHP ongoing for September 2020 start. • New National Curriculum for CBT-SMHP • Year 1 3 x 20 credit modules Foundations of CBT CBT for Anxiety Disorders CBT for depression • Year 2 • 1 x generic complex disorder module (20 credits) • A choice of 3 pathways totalling 40 credits (CBT Psychosis and Bipolar, CBT Personality Disorders, CBT Eating Disorders)
• ‘Top Up’ access would be to one of the 3 pathways and access would be from September 2021. • The Tender also requires us to deliver CBT supervision training.
CBTp Masterclasses 2020 • Dr Lizzie Newton & Liz I’Anson, ‘Keeping Mood on Track – Cognitive Behavioural Group Psychoeducation and Individual Staying Well work with people with a diagnosis of Bipolar Disorder’. 30 th March. • Dr Charlie Heriot- Maitland, ‘ Compassion Focussed Therapy and Psychosis’. 30 th April. • Dr Katherine Berry, ‘Attachment and Psychosis’. 18 th May. • Dr Pamela Jacobsen, ‘ Mindfluness and Psychosis’ (date TBC). • Dr Christopher Taylor, ‘Imagery Techniques and Psychosis’ (TBC) https://shop.hull.ac.uk/conferences-and-events
Yorkshire and the Humber Early Intervention in Psychosis Network Integrated care systems, the new community mental health framework and the prevention concordat: where EIP fits in Dr Steve Wright, Co-Chair, Consultant Psychiatrist, TEWV & Clinical Advisor, Y&H Clinical Network www.england.nhs.uk
A Brief Strategic Overview of Community Mental Health Steve Wright Yorkshire & Humber EIP Clinical Network
A Brief Strategic Overview of Community Mental Health • NHSE • 44 STPs (3 in Yorkshire & Humber) • S is for Sustainability & • T is for Transformation • P is for…………. • Plan • Programme • Partnership
From the top to the bottom of the LTP • Integrated Care Systems (ICS) Wave 1 completed, 2 nd Wave from April 2020 then (final?) wave September 2020 • Integrated Care Partnerships (ICP) • Place (~250k) • Primary Care Networks (PCNs) (30-50k) • Ward & Street Level Populations
The NHS Long Term Plan sets out that “by April 2021, Integrated Care Systems will cover the whole country” Integrated care systems (ICSs) bring together local organisations to redesign care and improve population health, building partnership with local government and community partners, developing shared leadership and action and managing collective resources ICSs are a way of creating shared local responsibility to: • Improve quality of care, access to care and health outcomes, • Reduce inequalities and address the population health challenges in a system • Address wider determinants of health and wellbeing and provide better, more independent lives for people with complex needs • Create the capacity to implement system-wide changes NHS England ICSs, 2019 1. South Yorkshire and Bassetlaw 13. Suffolk and North East Essex 2. Frimley Health and Care 14. North Cumbria 3. Dorset 4. Bedfordshire 5. Nottinghamshire 6. Lancashire and South Cumbria 7. Berkshire West 8. Buckinghamshire 9. Greater Manchester (devolution deal) 10. Surrey Heartlands (devolution deal) 11. Gloucestershire 12. West Yorkshire and Harrogate
… and are expected to implement new service models to support more joined-up, proactive and person-centred care
0-25 services • Year- by- year milestones for delivery (realistic and achievable) • e.g. “19/20: review data and needs analysis, 20/21: develop commissioning plan, 21/22, phased approach to implementing 18-25 offer, 23/24: comprehensive offer in place” • Whole pathway focus commitment to support both ends of the age spectrum • Needs analysis identifies local need • Join up across adult and CYP MH services “we will plan and deliver training to further develop competencies of IAPT and CMHT practitioners to support young adults” • Reflects the multi agency nature of the ask - support for CYP 0-25 requires partnership working across health, social care and education not just across CYPMH and AMH.
The “Prevention Concordat” • Prevention involves reducing the incidence and prevalence of mental health problems and suicide. • Primary prevention aims to prevent the onset of mental health problems by addressing the wider determinants of illness and using ‘upstream’ approaches that target the majority of the population. • Secondary prevention involves the early identification of signs of mental health problems or suicide risk and early intervention to prevent their progression or the development of other health complications. • Tertiary prevention involves working with people with established mental health problems to promote recovery and prevent (or reduce the risk of) recurrence. Mental health promotion is part of primary prevention but also important for those experiencing and at risk of developing, mental health problems. Prevention Concordat for Better Mental 21 Health Programme
A public mental health approach • World Health Organization and SDG methodology for public mental health which has been adopted by Public Health England • Everyone, irrespective of where they live, has the Mental health promotion opportunity to achieve good mental health and wellbeing - especially communities Reducing facing the greatest barriers Mental illness premature prevention and mortality for those and those people who have suicide living with or prevention to overcome the most recovering from mental illness disadvantages. • This includes those living with and recovering from mental illness 22 A Public Mental Health Approach
Sign up – Who is it aimed at? Partnerships: Sustainability and Transformation Partnership, Health and wellbeing Boards, Community Safety partnerships, Voluntary sector partnerships Organisations: Local authority, Clinical Commissioning Groups, NHS Hospital Trust, Voluntary organisation Communities : local community groups, faith groups, Big Locals National organisations : Professional membership bodies, charities, government agencies
Prevention Concordat for Better Mental Health: Local Adoption and Signatories August 2019 Prevention Concordat for Better Mental Health – Local areas signed up 24
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