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For further information or to express an interest in this workstream please contact Julia Boot at Julia.Boot@cwp.nhs.uk
Welcome to the PSIGE IAPT webpage
The PSIGE National Committee has made IAPT one of its two strategic work streams for 2010/11. In 2010 PSIGE worked with clinical psychologists, IAPT workers and members of other professions interested in this area around the country to gather examples of best practice. These examples were presented at the Older People stream at the BABCP conference, a workshop at the Equalities in Mental Health conference and PSIGE workshops in Newcastle, London and Scotland. These conferences have raised issues about how IAPT is working for older people with the Department of Health and wider audiences represented by the New Savoy Partnership.
We know that older people comprise about 20% population and that they are very under represented in referrals for psychological therapies, typically only 4% of all adult referrals in primary care. We would like older people themselves to be more aware of the therapeutic opportunities available and work with GPs and other agencies to improve access to psychological therapies for older people. The Department of Health are committed to ensuring equal access for older people and are interested in identifying the characteristics of those IAPT services where older people are better represented in referrals.
During the autumn of 2010, Julia Boot and Louise Bergin collected and collated articles from across the membership, GPs, commissioners and service users for a very special edition of the PSIGE Newsletter which was published in January 2011 This is now freely available via a PDF (newsletter 113) on the PSIGE website homepage.
During 2011 we plan to:
- Finalise an email network for interested parties working with older people in IAPT services to share information.
- Provide good resources and training about older people and IAPT via this webpage and a CPD event in October 2011.
- Gather data about the equality of access of older people to psychological therapies in IAPT services.
- Identify the characteristics of IAPT services that work well for older people.
- Generate case studies of older people that have benefited from psychological therapies in Primary Care.
- Work closely with the Department of Health by providing them with the evidence of how IAPT is really working for older people to influence commissioning guidelines.
- Liaise with the Royal College of Psychiatry, Royal College of GPs, New Savoy Partnership, Division of Clinical Psychology and the Training Courses to highlight best practice in IAPT for Older People.
This website will provide:
- A mailing list for interested practitioners to share information
- Links to key websites and national documents
- Presentations from CPD events
- Key references
- Facts and figures on referral rates and care pathways
- Examples of best practice
- Information about the suitability of IAPT outcome measures for older people
- Guidance on working with commissioners
- Information about forthcoming training events, including the PSIGE IAPT Training Day in October 2011.
Julia Boot and Cath Burley will be leading this exciting work on behalf of the National Committee.
Please be involved by:
- joining the mailing list of people interested in this work
- providing examples of good practice, case studies and client comments
- offering to share these examples at training events and conferences
- collecting data in your service
- developing ideas for audit and research
- setting and maintaining standards of good practice
- publicising the benefits of therapeutic interventions for older people.
Thank you for your participation and support.
Cath Burley
PSIGE Vice Chair
Julia Boot
IAPT lead, PSIGE
Update - August 2011
Dear Everyone,
Sorry for the delay in updating you following the Stakeholder's Day on Increasing Access to Psychological Therapies (IAPT) for Older People, held in London on Thursday 30th June.
The event was well attended with around 50 participants, representing a wide range of organisations, professions and localities (including Scotland). They included representatives from the Department of Health, BPS, PSIGE, IAPT training courses, Age UK, Art Therapists, Physiotherapists, CBT therapists, Psychological Wellbeing Practioners, Clinical Psychologists, Heads of Mental Health Services, Workforce for London, Commissioners, Skills for Care, BABCP and the Royal College of Nursing, amongst others. Thank you to all of you who attended and participated so actively.
The aims of the day were to:
- To identify robust models for delivering IAPT for older people (nationally)
- To discuss workforce requirements and competencies to support these models
- To convene a steering group to carry the work forward.
The programme for the day included:
An overview of the policy, economic and clinical contexts.
The evidence-base for how IAPT is currently working for older people.
Good practice examples from six primary care psychology services that include older people (a generic IAPT service, IAPT + special provision for older people, specialist primary care services for older people, that also provide for those with dementia and in residential care settings).
Workforce models for IAPT and how to train IAPT workers to be useful to Older People.
Working groups identifying the need, access and delivery of IAPT services for different groups of older people, namely those that (1) can access a generic IAPT service or with some specialist provision, (2) have long term physical health conditions, (3) have early dementia, (4) are carers for people with dementia or physical health difficulties, (5) reside in residential or nursing care.
There were many good examples and ideas from the groups of ways to improve:
Access to IAPT-type services, including self-referral, drop in centres, providing services in residential/nursing care, including carers more proactively.
Providing a broader range of psychological interventions, more flexibly and systemically, in collaboration with other health professionals and voluntary organisations.
The skills required for IAPT workers to work in this way, based on a developing a competency framework, influencing course curricula and having guidelines for ongoing supervision and training.
There was considerable interest in forming a working group. PSIGE have suggested two workstreams for consideration:
- Developing guidelines and setting standards for Older People accessing IAPT services that can support commissioning of robust services.
- Generating a competency framework and guidelines for training and supervision so that IAPT workers are skilled for working with Older People.
Plan
We have a teleconference with the Department of Health on Monday 16th August to discuss the working group and next steps.
*Please let me know if you are interested in joining the working group and provisionally, which workstream at: julia.boot@cwp.nhs.uk
A provisional date for the working group to meet initially in London (BPS Offices) is on Tuesday 11th October.
IAPT and Older People will continue to be one of the workstreams for PSIGE over the next year and you'll be updated of the plans after the annual strategy meeting 21-23 September.
Please let me know if you have any updates that you would like me to circulate to the rest of the group or feel free to do this yourself.
Thank you all for your continued interest and contributions - it's greatly appreciated.
With best wishes,
Julia
Dr Julia Boot
Clinical Psychologist
IAPT and Older People Lead, PSIGE National Committee
Update - January 2012
Following the Stakeholder's Day on Increasing Access to Psychological Therapies (IAPT) for Older People run jointly by PSIGE (Older People's faculty of the Division of Clinical Psychology) and the National IAPT Team on the 30th June, we have now set up four working groups:
- Developing commissioning guidelines for older people using IAPT services (Chair: Julia Boot).
- Workforce issues for IAPT workers (Chair: Roslyn Hope, National IAPT Team).
- Broadening the scope to people with dementia and their carers (Chair: Dr Ian James).
- Reaching older people with long term conditions (Chair: Cath Burley ).
The four groups met on the 11th October, at the BPS Offices, London to discuss key issues and develop plans. All groups clarified their plans during teleconference in December and are due to meet again on the 27th January.
At the "Psychological Therapies in the NHS Conference" run by the New Savoy Partnership on the 24-25th November, Cath Burley (PSIGE Chair) and Sue Watts (Professional Lead for Older People's Services) convened a workshop on Older People and IAPT.
Cath Burley and I have also been linking in with the SW and NW IAPT Collaboratives (respectively) and have provided updates about national developments and considered how their local IAPT services could be adapted for older people.
We are interested in hearing how IAPT is working for older people in your area and will be contacting you shortly for further information. This will provide evidence for the commissioning guidelines we are developing in Working Group 1.
There have been several queries about how IAPT is working for older people across the country. Once we have received some reports, we will circulate these via this network. Please feel free to use the network in the meantime (using the above address) to ask your questions - there are nearly 170 members now.
I'm also happy to respond to queries directly and put you in touch with others: julia.boot@cwp.nhs.uk.
Thank you all for your continued interest and contributions - it's greatly appreciated.
With best wishes,
Julia
Dr Julia Boot
Clinical Psychologist
IAPT and Older People Lead, PSIGE National Committee
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