Yorkshire and the Humber Mental Health Network Senior PWP Network 23 January 2018 • Andy Wright, IAPT Advisor, Heather Stonebank, Senior PWP Advisor and Sarah Boul, Quality Improvement Manager • andywright1@nhs.net, heather.stonebank@shsc.nhs.uk and sarah.boul@nhs.net • Twitter: @YHSCN_MHDN #yhmentalhealth • January 2018 www.england.nhs.uk
Housekeeping: @YHSCN_MHDN #yhmentalhealth www.england.nhs.uk
Yorkshire and the Humber Senior PWP Network Welcome, Introductions and Apologies Andy Wright, IAPT Advisor, Yorkshire and the Humber Clinical Network www.england.nhs.uk
Yorkshire and the Humber Senior PWP Network Wellbeing Activity Lottie Hutton and Tyra Sutton, North Yorkshire IAPT www.england.nhs.uk
Progressive Muscle Relaxation • When we are anxious and stressed our muscles are regularly contracting and tensing up which over time can result in aches and pains and a feeling of constantly being on edge • PMR teaches you to manage this tension and anxiety to promote your health and wellbeing. www.stresscontrolaudio.com
Yorkshire and the Humber Senior PWP Network Group Skills Supervision Table Top Discussion Sally Poyser, Deputy Manager and Psychological Wellbeing Practitioner, Touchstone- IAPT www.england.nhs.uk
STRESS CLASS SUPERVISION Sally Poyser Touchstone (Leeds IAPT)
My Background • Worked drugs worker for 5 years • Trained as Trainee PWP in 2012 at Sheffield Uni whilst working at Insight in Halifax • Moved to Touchstone IAPT in Leeds IAPT in 2013 • In 2015 became Deputy Manager for the Touchstone team
Why have a separate type of supervision for SCC? • No training on presentation skills in PWP course • We had no service training on delivering courses • PWPs would tell us that delivering courses the most anxiety provoking part of the job • Helps give PWPs another skill • Seeing a high number of clients in the classes so we want it to be good quality!!! • If people have a good experience then they may not need further therapy
Aims • To increase effectiveness of Stress control delivery. • To support facilitators/teachers in their role. • To develop the skills of the facilitators/teachers in the delivery of the class. • To problem solve difficulties in delivery/content. • To develop and support facilitators/teachers knowledge of the content.
Delivery of Supervision • To meet every 4/5 weeks for 2 hrs • Facilitators attend supervision prior to running a class. • To then attend where possible each month, with a minimum of one every 2 months. • Each participant to create an individual learning contract and identify areas for their development.
Plan for the session Set Agenda for the session • PEQ feedback • Learning/ reflections from last session • Pre- agreed area of focus - A presentation skill or section of Class - Watch PWP video or expert video • Reflect on own practice • Make plan for development
Challenges • Took a long time to shift from discussing practical issues to move to skills practice • Service issues about allowing staff time to attend away from the assessment hub • Change in staffing of facilitators
Resources
Video Resources • Video Resources Breathing: https://www.youtube.com/watch?v=KanWhGY33Hk • Hissing (darth vador) https://www.youtube.com/watch?v=zdYLXN0CxHA • Breathing- sshh technique- https://www.youtube.com/watch?v=9WvgWQIn4ZY • Pacing- story of regan on plane- https://www.youtube.com/watch?v=AWbkAboFsTQ Pacing: • Speaking rate: https://www.youtube.com/watch?v=A50rOCPevzc • Pause after each sentence- https://www.youtube.com/watch?v=-qOU1oFy8wQ • Taking a pause- https://www.youtube.com/watch?v=AGhEGrzfTRE • https://www.youtube.com/watch?v=S2nFK_fLhu4 • https://www.youtube.com/watch?v=my2XaSTgq-0 Pitch : • https://www.youtube.com/watch?v=1nXhAjuICTA Style of speech: • How to do a smart sounding talk: https://www.youtube.com/watch?v=8S0FDjFBj8o&app=desktop
Video Resources Reinforcing key points: https://www.ted.com/talks/shonda_rhimes_my_year_of_saying_yes_to_everything Moving around • (walk stop talk) https://www.youtube.com/watch?v=Z3hae6jG1hs Body language - fake it until you make it! • https://www.ted.com/talks/amy_cuddy_your_body_language_shapes_who_you_are?referrer =playlist-the_most_popular_talks_of_all (best part of the video from 10:30) • https://www.youtube.com/watch?v=cFLjudWTuGQ Handing over in the session: • https://www.youtube.com/watch?v=f6Xa1fq-oPo Visualising success: • https://www.youtube.com/watch?v=26intm7aNaI Plan for your fears: • https://www.youtube.com/watch?v=SqrxJpYEHkM Body language - fake it until you make it! • https://www.ted.com/talks/amy_cuddy_your_body_language_shapes_who_you_are?referrer =playlist-the_most_popular_talks_of_all (best part of the video from 10:30) • https://www.youtube.com/watch?v=cFLjudWTuGQ
Video Resources Good speeches: Steve jobs- commencement speech: https://www.youtube.com/watch?v=UF8uR6Z6KLc Cameron Russell: https://www.ted.com/talks/cameron_russell_looks_aren_t_everything_believe_me_i_m_a_mo del Bill gates: https://www.youtube.com/watch?v=ZLkbWUNQbgk Michael Pritchard: https://www.youtube.com/watch?v=rXepkIWPhFQ Brene Brown: https://www.ted.com/talks/brene_brown_on_vulnerability Simon Sinek https://www.ted.com/talks/simon_sinek_how_great_leaders_inspire_action?referrer=playlist- the_most_popular_talks_of_all David Blane: https://www.ted.com/talks/david_blaine_how_i_held_my_breath_for_17_min?referrer=playlist- the_most_popular_talks_of_all Kelly Mcgonigal https://www.ted.com/talks/kelly_mcgonigal_how_to_make_stress_your_friend?referrer=playlis t-the_most_popular_talks_of_all Bryan Stevenson: https://www.ted.com/talks/bryan_stevenson_we_need_to_talk_about_an_injustice
Leeds IAPT • NHS contract • Provided by a consortium of 4 partners: Leeds Community Healthcare (NHS), Touchstone, Northpoint and Community Links. • Cover the whole Leeds area • See around 17,000 people a year • Target for access is 1313 clients a month Provide the following therapies: • Stress control class • Depression recovery class • Silvercloud (ccbt) • Guided Self Help • CBT • IPT • EMDR (PTSD and OCD) • CfD/ DiT
Yorkshire and the Humber Senior PWP Network Time for a break? 15 minutes only please! www.england.nhs.uk
Yorkshire and the Humber Senior PWP Network Provider Presentation: Kirklees Improving Access to Psychological Therapies Service Sarah Mullaney, Kirklees and Calderdale IAPT www.england.nhs.uk
Kirklees IAPT Service Sarah Mullaney – Senior PWP
The Kirklees Area Most populated borough in England that is not a city 11 th largest borough in England Rural and urban areas Population: 434,600 Ethnicity: 79.1 % White 15% South Asian 1.9% Black 2.3% Mixed 1.7% Other
Kirklees IAPT Service Established 2008 Commissioned by two CCGs: North Kirklees Greater Huddersfield 64 GP practices LTC Pilot site since April 2017 Operates Monday-Friday 8am-8pm
Core IAPT Staff Team manager x2 CBT Lead Senior PWP x1.80 (1 vacancy) Data analyst (+ assistant) CBT x13 (inc. two trainees) Counsellors x5.5 PWP x12 (inc. five trainees & one assistant + two vacancies)
LTC Staff Team leader CBT x2.5 PWPs x4 Funding has been secured for another 12 months
Administration Manager Secretaries x9 (not all full-time) Four answering phones Two on emails Two group admin + one vacancy
Referral Pathways GP & other healthcare professionals • Single Point of Access (SPA) form Self-referral • Telephone • Website Perinatal & Veteran pathways
Step Two Assessments (Telephone/Face to face) Guided self-help (Telephone/Face to face) Silvercloud computerised CBT Stress control course Wellbeing group Assistant PWP – Assessments & Silvercloud
Step Three: Counselling for Depression Couple’s Counselling Interpersonal Psychotherapy Cognitive Behaviour Therapy Eye Movement Desensitisation and Reprocessing Groups: • Introduction to CBT • Managing difficult emotions • Building confidence • Loss/Bereavement
Partnership Working Employee Healthcare Older People’s Mental Health Services Sahara Women’s Group Kirklees College & University of Huddersfield Employers Recovery College
Increasing Access BME Organisations Older People Services – Focus Group Rebranding Website development Targeting GP surgeries Waiting area screens
STRENGTHS WEAKNESSES Fidelity to the IAPT model Difficult relationship with GPs LTC pilot success Lack of clinics Buddy system & supervision Small communications team Experienced Counsellors & CBT Inexperienced PWPs Treatment choice Rio and IT Good links with secondary care Being part of SWYPFT OPPORTUNITIES THREATS LTC clinics in community/hospitals Recruiting qualified PWPs Partnership working Increasing access target Development of groups Waiting times for one to one Champion roles/staff specialism Increasing pressure on secondary Bespoke IAPT website care services PC-MIS (April) Being part of SWYPFT
Thank you Any questions?
Yorkshire and the Humber Senior PWP Network Time for some lunch? www.england.nhs.uk
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