Transcript Kevin Mullins National IAPT Programme Lead

Kevin Mullins
National IAPT Director
An Update on the LTC/MUS Project &
National IAPT Programme
March 2013
Talking Therapies: four – year plan of action
• Complete roll-out of services for adults
• Improve access to psychological
therapies for people with Psychosis,
Bipolar Disorder, Personality Disorder
Talking
Therapies
2011 - 2015
• Initiate stand – alone programme for
children and young people
• Improve access for older people and
BME communities
Develop models of care for:
• Long Term Conditions
• Medically Unexplained Symptoms
Start Point & Planning
Assumptions
900k
present to
services
6m in
need
600k
complete
treatment
300k Recover
(25k Move off Benefits)
Map showing PCT with IAPT Services & Projects
KEY
No IAPT Service
IAPT Service
IAPT Service + PBR
IAPT Service + LTC/MUS
IAPT Service + CYP
IAPT Service + SMI
IAPT Service + PBR + CYP
IAPT Service + PBR + SMI
IAPT Service + CYP + SMI
IAPT Service + CYP + LTC/MUS
IAPT Service + PBR + LTC/MUS + CYP
IAPT Service + LTC/MUS + CYP + SMI
LTC/MUS The Clinical Background
• Approximately 15 million people with LTCs; many LTC patients – mixture
of multi-morbidity best addressed holistically
• There is a strong link between physical long term conditions and
psychological distress/disorder
• LTCs (diabetes, CVD & COPD) 3-4 times prevalence; poorer health
outcomes & inc costs
• MUS is often associated with significant psychological distress
• MUS can result in unnecessary and costly referrals, diagnostic tests &
operative procedures
• Psychological treatment can improve outcomes and reduce health care
consumption
• NICE recommends the use of psychological interventions in people with
depression and chronic physical health problems.
IAPT LTC/MUS Project – Aim
The IAPT LTC/MUS Project aims to extend the
benefits of improved access to
psychological therapies to people with long-term
physical conditions and/or medically
unexplained symptoms.
Key questions to be addressed via the LTC/MUS
pathfinders
• Is there an optimal stepped care pathway for LTC/MUS patients?
• What evidence supports each part of the pathfinder’s model of delivery?
• What core therapy competencies are required at each step of the
pathway?
• Which health professional groups, in terms of both clinical and cost
effectiveness, are best placed to offer care at each of these steps?
• What background experience and additional training is necessary at the
different levels of stepped care?
• How potentially cost-effective and efficient are the different models?
• How can services intervene early with upstream interventions?