Improvement and Innovation in Psychological Therapies in Primary Care (InPsyTe)

Nicola Wiles and David Kessler, Joint Leads, UoB

Focus of HIT• Improving uptake of, access to, and outcomes of, psychological therapies

for common mental health problems (anxiety/depression)

• Why anxiety/depression? – Burden of disease (WHO)

• Leading cause of disability in high income countries by 2030• Only HIV/AIDS and perinatal conditions rank higher for LMI countries

• Why are psychological therapies important?– Patient preference

– Investment in IAPT• £300 million for first phase roll-out• additional £400 million over the next four years to 2014/15

‘Added value’ of HIT

• Strong history of collaboration with Bristol MH services (AWP, Bristol CCG & IAPT)

• large pragmatic trials and service development

• Links with Commissioners

• Multi-disciplinary and cross-organisational team • Address local priorities • Rapid translation of research findings into clinical practice and service

delivery

HIT Leadership TeamHIT Co-Directors: David Kessler & Nicola Wiles

AWP: Julian Walker, Director of R&D

Bristol City Council: Marvin Rees

Bristol CCG: Catherine Wevill, Programme Manager, Mental Health Commissioning

Aly Fielden, Mental Health and LD Commissioner

UoB: Rachel Churchill, Reader in Psychiatric Epidemiology

UWE: Adam Joinson, Professor of Behaviour Change

PPI reps: tbc

Executive Group: 1st met November 2014; then quarterly

BHP Observers: Lisa Wheatley (BHP Programme Manager)Ailis Campbell (BHP Management Assistant)

Partner Organisations and CollaboratorsNorth Somerset CCG: Angela Kell, Commissioner and Managerial LeadSouth Gloucs CCG: Kate Archibald, Commissioner and Managerial LeadBristol CCG: Katherine Grice, Information Analyst

Oasis-Talk (AQP Rep): Vicki Palmer, Clinical and Managing DirectorMayden: Chris Eldridge, Director of OperationsThe Wellbeing Partnership: Viran Patel, Managing DirectorUWE: Praminda Caleb-Solly, Senior Lecturer in Creative Technologies

Alan Tapp, Professor of Social MarketingLukasz Piwek, Research Fellow in the Behavioural Research LabSimon Scarle, Senior Lecturer in Games Technology Heidi Williamson, Senior Research Fellow, Centre for Appearance Research,Tim Moss, Associate Professor, Psychology, Yvette Moray, Research Fellow, Bristol Social Marketing CentreKate Beckett, Researcher

UoB: Carol Joinson, Senior Lecturer Kate Button, NSPCR Postdoctoral Fellow

AWP Bristol City Council CCGs

Bristol CCGS Gloucs CCG N Somerset CCG

UoBUWE

PPIHIT management team(Executive Group)

HIT Directors

Working Group 1Improving Access

Working Group 2Technological

Innovation

Working Group 3PPI

Bristol Health Partners

HIT Team

HIT Working Groups

PPI

• PPI representatives part of leadership team

• Links with – Local Clinical Research Network (MHRN)– Elizabeth Blackwell Institute Public Advisory Group– Knowle West Media Centre - workshops

• PPI group – Input into designing and implementing service changes– Small group meetings in June

Short-term goals• Efficiency

– increasing number who engage with service 10%

• Quality improvement – fully informed patient decisions; we are commissioning a short film for

patients and doctors using participants from previous research

Leading to:

• Improved patient outcomes – better adherence to treatment

• Enhanced patient experience

Medium-term goals

• Improvements in performance – implementing evidence from 3 studies

• REEACT2, REEACT3, TONIC

• Model of effectiveness in e-therapy

• Expanding access to psychol services through e-innovation– Self-help app for anxiety– Face IT@home for social anxiety

Long-term goals

• Transforming psychological therapies care pathway

• New model of delivery of CBT– Integrated therapist and online CBT (PGfAR)

• Serious gaming

• Apps as mental health interventions– Activity-tracking for relapse prevention

Questions?