Dr Alan Cohen, Director of Primary Care at West London Mental Health Trust, and Professor Andre Tylee, Professor of Primary Care Mental Health at King’s College London, explain how the IAPT (Improving Access to Psychological Therapies) programme has been helping treat chronic conditions.

1. Relieving distress, transforming lives Incorporating psychological therapies in the management of LTC – the role of IAPT Dr Alan Cohen FRCGP Director of Primary Care West London MH Trust

2. A game of two halves

3. What we are going to cover… A review of what was achieved in the first three years me A look at what will be achieved in the next three years Andre

4. The first three years Special interest group for LTCs and MUS Commitment and support of all primary care organisations Identified regional and local leads Supported with a training/leadership programme

5. The first three years Training programmes at RCGP e-learning and BMJ on-line A study using electronic recording of Med3/5 in the management of anxiety/depression including LTCs St Georges Study Collaborative Care – commissioning package

6. Thank you Alan.Cohen@wlmht.nhs.uk

7. IAPT: LTC Work Stream Prof André Tylee MD FRCGP MRCPsych Expert advisor, LTCs

8. Plan Multiple LTCs and multiple bio-psycho-social needs often co-exist Some initial IAPT plans Call for good examples

9. Patients may have a wide range of psychosocial needs and preferences Emasculation’ Loss of sexual Intimacy and self worth May be a carer also: lost freedom Loneliness Isolation Many think PCPs have a key role Interpersonal factors and Loss Bereavement/ grief Prefer talking RX and self help Some like groups CHD with distress or Depression. Often a ‘personal and social story’ of loss Relationship breakdown: partner and children Aging Multi-morbidity++ Fear of future Erectile dysfunction Health and loss Loss of employment and self worth Control May dislike drug side effects Lack of finances May prefer their own self help approaches (e.g yoga)

10. Approximately £1.7 million 2011/12 commitment to LTC/MUS developmental work Scoping work underway including mapping Initial elements: compendium; collaborative care pathways; economic calculator/analysis Phase 1 – developmental, likely to involve testing and evaluating good practice Engaging key stakeholders including CCGs Expert Reference Group to meet by Nov 2011 IAPT LTC – moving forward

11. Good practice examples needed Training for IAPT workers Collaborative care projects Case management Personalised care Psycho-education Facilitated groups Multi-morbidity Etc

12. Thank youandre.tylee@kcl.ac.uk Special thanks to; Linda.Charles-Ozuzu@dh.gsi.gov.uk New Projects Development Lead IAPT, Department of Health