Transcript 127 Hill

Effective Training for GPs and Primary Care
Workers in Mental health
Dr Ian Walton
Lisa Hill
Primary Care is different to
Psychiatry
 More
art than science
 Patients present with somatic
symptoms
 The border between distress and
psychiatric illness is hard to define
 Needs to include Wellbeing
 Needs skills which can be used in a
10 minute consultation
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Who deals with what?
Secondary Care
Primary Care
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Psychological and Physical
health are linked
 The
only way to separate the
mind from the body is with an
axe.
 Physical illness causes stress
 Stress may result in functional
symptoms and organic alteration
 The mind and body are one
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The challenges
 Developing
the skills to deliver an
integrated model for mental health in
primary care is an area lacking in
investment within the UK.
 Government
policies fail to focus on local
and individual primary care requirements
for the complexity of mental health work.
Primary Care Education in Mental
Health and Wellbeing
Our education offers an opportunity to
 Experience specifically designed primary care
focused education
 Gain an awareness of the emphasis on
redesigning services to meet individual needs
 Develop skills which can be used in a 10 minute
consultation
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What next……
Certificate
In Primary Care
Mental Health
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www.primhe.ning.com
Accredited
Module in
Primary
Care Mental
Health
Advanced
Diploma in
Primary
Care Mental
Health
29/03/2016
Masters
science in
Primary
Care Mental
Health
29/03/2016
Certificate in Primary Care Mental
Health and Wellbeing
OUTCOME
Primary Care workers feel more capable and
confident when working with people who need
support with their mental health problems
Aims of the course:
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Enable and empower people to live happy,
healthy lives (service providers as well as
recipients)
Develop reflective practice
Work towards effective leadership for mental
health at local and regional levels
Develop skills in accessing and critical
evaluating research into mental health
Deliver evidence based and consistent high
quality health care in line with NICE
guidelines best practice and WHO
recommendations
Link theory and evidence to practice
Be able to evaluate and measure outcomes
for clients and the service
Facilitate closer working with service users,
citizens and communities
Accredited Module in Primary Care
Mental Health
Earn 15 University Credits at level 3 and 50 credits for GP revalidation - Case study based course which
includes practical skills useful in the 10 minute consultation taught by local and national experts over four
afternoons designed to inform you how better to use local resources.
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MODULE 1
Introduction -values and beliefs, anxiety and disorders, Phobia, Panic disorder, Dealing with and helping patients with the
effects of distress, Wellbeing and self management of stress ,The importance of sleep, Strengths and limitations of
diagnosis and categorisation, Categorisation models (ICD 10,DSMIV,V) and practical consequences of their uses
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MODULE 2
Depression, Unipolar and bipolar depression, The patient’s perspective, The carers perspective, Depression in the elderly,
Suicide and risk, Self stigmatisation, Stepped Care Approach and “Watchful Waiting”,anti-depressant medication
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MODULE 3
Psychosis, helping primary care practices to achieve QoF ,Identification and management of risk, Shared care and working
more effectively with patients with complex needs, The carers perspective, working with complex needs, substance and
alcohol misuse, Dual Diagnosis ,working with complex needs, substance misuse and alcohol
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MODULE 4
Dementia, Older persons mental health needs, The carers perspective, Early onset dementias, Psychosomatic Medicine
,Medically unexplained symptoms, Why patients attend frequently and ways to help them
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Advanced Diploma in Primary Care
Mental Health
Course outcomes:
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Improve the health outcomes for individuals
with mental health problems when seen in
general practice,
Improve the recognition, diagnosis and
treatment of patients with mental health
problems,
Develop and improve skills, knowledge and
attitude that can be used in a ten minute
consultation with patients suffering a mental
health problem and an understanding of the
range of problems seen in primary care
Contribute to the evidence base for the
continuing development of mental health
services.
‘I thought I understood mental health but for the
first time I saw it pulled together and become
meaningful’ GP
‘Informative, challenging and has changed my
whole practice.’ GP
Each module is designed after careful
deliberation using a range of expertise
at a local and national level.
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Module 1
Anxiety
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Module 2
Depression
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Module 3
Psychosis
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Module 4 Dementia and medically
unexplained symptoms
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Module 5 Substance Misuse.
Addictions and Personality
Disorder
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Module 6 Children’s and Maternal
Mental Health
Masters Science Specialist in Primary Care
Mental health
Postgraduate Certificate
Level 7
Postgraduate Diploma
Level 7
Masters
Level 7
Year 1
Year 2
Year 3
Four Core Modules
(15 credits x 4)
Critical appraisal skills and
research awareness.
Facts, Beliefs and Values
Leading and Enabling
Service Development in
Human Services
Therapies, Interventions and
Four Core Modules
(15 credits x 4)
Service Redesign
Mental Health Legislation and
Ethics-Consent and Capacity.
Common Mental Disorders:
Recognition, Assessment and
Management
Research methods and
One Core
Module
(60 credits)
Project Based
Change.
OR
Masters
Treatments
methodologies.
Total 60 credits
Total 120 credits
Dissertation
Total 180
credits
Evaluation using the four levels of
Kirkpatrick’s model
A meaningful evaluation of the learning via a steering group
Level one: Happy sheets ‘are completed following individual speakers and feedback forms
gather subjective personal reactions to the learning experience. The learning sets also
enable individuals to discuss their feelings with their peers. We have 98% High
satisfaction rate of the training
Level two: Demonstrate an increase in knowledge and intellectual capability from before to
after the learning experience through reflective case studies. All of the students who
have submitted have passed the Diploma.
Level three: Examines the extent of the learned behaviour and the capability for personal
improvement and the implementation or application of what they have learned. This is
scoped through reflective practice during the programme.
Level four: Finally the overall results are evaluated and disseminated to demonstrate the
effects on primary care through the performance and outputs of the primary care mental
health workers.
The course provides primary care workers with 50 credits, equivalent to a whole years
revalidation. A course handbook lets applicants clearly see the learning outcomes
desired from them.
Level Four OUTCOMES
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It is evidenced that practices attending the training
use less secondary care resources and are smarter
at referring
Staff are able to integrate pathways and share
values
GP practices are able to hit their targets (QOF)
Patients have a better experience and there is a
smooth transition from secondary to primary care
Increased confidence in dealing with suicidality and
risk within primary care.
Further Information
[email protected]
[email protected]
www.primhe.org.uk