MS an Mental Health. Alison Carolan MS Mental Health Nurse Kings College Hospital. IMPARTS December 2013
|
|
|
- Melinda Austin
- 8 years ago
- Views:
Transcription
1 MS an Mental Health Alison Carolan MS Mental Health Nurse Kings College Hospital IMPARTS December 2013
2 MS and Mental Health MS is an autoimmune disease MS carries high risk of common mental disorders and psychiatric comorbidity The relationship between psychiatric morbidity and psychological problems in MS is likely to be multifactorial: as a result of chemical changes/neuropathological/ neurobiological process triggered in those susceptible biologically/genetically as a response to illness changes and demands/reactive to countless psychosocial factors Access to treatment for depression and anxiety could significantly impact mortality rates, outcomes of disease burden and suicide risk
3 How does it start? Common initial symptoms Sensory disturbance Weakness Poor balance Loss of vision or double vision Time course Gradual onset of symptoms (over hours / days) Symptoms plateau (days / weeks) Resolution: complete or partial (weeks / months) ( RRMS) Prevalence 2.5million people worldwide 85,000 in UK (1 in 8 )
4 Disability Types of MS RELAPSING-REMITTING MULTIPLE SCLEROSIS BENIGN MULTIPLE SCLEROSIS SECONDARY PROGRESSIVE MULTIPLE SCLEROSIS PRIMARY PROGRESSIVE MULTIPLE SCLEROSIS Time
5 Mental Health in MS MS lifetime prevalence Gen pop Depression 40-50% (20% a/p) 10-20% (3-10% a/p) Suicide Suicidal intent x higher 6.4% attempts 28.6% 0.1% 1% attempts 3.8% Anxiety 36% (14% a/p) 21% (12% a/p) GAD 18.6% (10% a/p) 5.1% (1.5% a/p) Psychosis 3% 1%
6 Mental Health in MS Cognitive impairment 65% 3.2% Fatigue 75% 23.7% Euphoria PBA Iatronegnic effects of symptom management meds 25% 10% / /
7 How to deliver an integrated approach? The NHS & services have been changing Primary care to mental health via GP & self referral to IAPT/ IPTS (3 rd wave therapies) Community Mental Health Services - severe 3 rd sector Private healthcare stepped care approach works best, but so do other ideas from Physical and mental health care:one agenda KHP day Oct 2013 MS Mental Health Nurses - 2 benchmarking projects and
8 Kings MS Mental Health Service Referral from MS professional Assessed by MS Mental Health Nurse mood, functioning, risk, MS symptoms, work & social adjustment, medications Discharged Treatment plan Stepped care model - measures Self help / self management Psychosocial support, SaMS, LTC, PIU, Home visit. Cognitive Therapy Liaison Review outcomes Signposting & Referral on i.e. IAPT, Kings therapy project Neuropsychiatry Psych Med MS groups Trials Voc rehab M-CBT in PPMS UWaT
9 IMPARTS Meetings for referral algorithm development Delivery of ipad with measures: PHQ -9 Depression GAD 7 Anxiety Hosp Anxiety & Depression Scale Work and Social Adjustment Scale CORE 10 Dep, anxiety, function, risk, trauma Chalder fatigue scale & Jenkins sleep scale Work and social adjustment
10 IMPARTS February & March Literature development Focus Group service users Feedback from MS Team 8 th March Training Mental Health Focus Day
11
12 Pilot for ipad introduction Suite 5 waiting room for 3 MS clinics (over 20 pts) PIU 1 MS MH clinic Access to EPR Leaflet & monitoring
13 MS clinic data 37 results 16 x Dr Brex, 14 x Dr Silber, 5 x Pauline Shaw, MS Specialist Nurse Depression 5% 2 pwms scored over 15 inc 2 risk Anxiety 11% 4 pwms scored over 10 HADS 47% 14/30 pwms scored over 10 total score CORE 10 55% - (17/31) 13 pwms scored over 10 inc 1 risk, 2 pwms scored over 20 inc 1 risk 2 pwms scored over 30 inc 2 risk Fatigue 71% - 22/31 pwms scored over 12 Sleep 61% - 19 pwms scored over 5 WSAS 62% - 18/29 pwms scored over 10 (Nb CORE 10 picked up 1 additional pw risk on score of under 10)
14 MS clinic data 37 patients (some missing results) Dr Brex x 16, Dr Silber x 14, Pauline Shaw x 5 Proportion % 60 55% 61% 62% 50 47% % 11% 0 Depression (PHQ-9 15) Anxiety (GAD-7 9) HADS ( 10) Core10 ( 10) Fatigue ( 12) Sleep ( 5) WSAS ( 10)
15 MS mental health clinic data 21 patients 15f/6m Dr Brex x 6 & Dr Silber x 15 Depression 33% 7/21 pwms scored over 15 Anxiety 38% 8/21 pwms scored over 10 HADS 66% 14/21 pwms scored over 10 total score CORE 10 76% 16/21 pwms scored over 10 50% 8/16 with risk issues Fatigue 66% 14/21 pwms scored over 12 Sleep 77% 14/20 pwms scored over 5 WSAS 52 % 11/21 pwms scored over 10
16 MS mental health clinic data 21 patients 15f/6m Dr Brex x 6 & Dr Silber x Proportion 80 76% 77% 70 66% 66% % 40 33% 38% Proportion Depression (PHQ-9 15) Anxiety (GAD- 7 9) HADS ( 10) Core10 ( 10) Fatigue ( 12) Sleep ( 5) WSAS ( 10)
17 Interventions Epr clinic note Clinic letter Referral into MS Mental Health Clinic Thank you for completing the screening questionnaires at your recent visit to Kings. I have attached some information for you, your scores indicated that you are experiencing some symptoms of anxiety and/or lowered mood, the leaflet is designed to guide you towards some resources that may be useful. Leaflet Referral to
18 Conclusions Mental health problems are common in PwMS Development of a signposting leaflet has been helpful Developing discussions with services who could take referrals for tx underway Need to develop waiting room screening Trial toolkit Revised measures to include smoking.
19 Thank you h/imparts/index.aspx
Psychological Self Care in Multiple Sclerosis: A Stepped Care Model
Psychological Self Care in Multiple Sclerosis: A Stepped Care Model Dr Dawn Reeve Consultant Clinical Neuropsychologist Mrs Dawn Anderson Self Care Development Manager Background to service evaluation
Dr. Anna M. Acee, EdD, ANP-BC, PMHNP-BC Long Island University, Heilbrunn School of Nursing
Dr. Anna M. Acee, EdD, ANP-BC, PMHNP-BC Long Island University, Heilbrunn School of Nursing Overview Depression is significantly higher among elderly adults receiving home healthcare, particularly among
How To Improve Health Care In South Essex
SEPT Clinical Health Psychology Service SOUTH ESSEX QIPP PROJECT Clinical Lead: Dr Greg Wood, Consultant Clinical Psychologist Clinical Health Psychology Initiatives Proposals posited locally: identified
How are you? A guide to psychological resources for coping with MS
How are you? A guide to psychological resources for coping with MS Having MS is a challenge and can affect not only physical abilities but also emotional wellbeing. The unpredictability of the illness
Mid Essex. Specialist Psychosis Service
Mid Essex Specialist Psychosis Service What is psychosis? Why have you been referred to us? Psychosis is general term used to describe a number of symptoms. Some of the symptoms of psychosis include: False
`çããçå=jéåí~ä= aáëçêçéêëw=^åñáéíó=~åç= aééêéëëáçå. aêk=`=f=lâçåü~ jéçáå~ä=aáêéåíçê lñäé~ë=kep=cçìåç~íáçå=qêìëí=
`çããçå=jéåí~ä= aáëçêçéêëw=^åñáéíó=~åç= aééêéëëáçå aêk=`=f=lâçåü~ jéçáå~ä=aáêéåíçê lñäé~ë=kep=cçìåç~íáçå=qêìëí= Overview: Common Mental What are they? Disorders Why are they important? How do they affect
Assessment of depression in adults in primary care
Assessment of depression in adults in primary care Adapted from: Identification of Common Mental Disorders and Management of Depression in Primary care. New Zealand Guidelines Group 1 The questions and
DEPRESSION Depression Assessment PHQ-9 Screening tool Depression treatment Treatment flow chart Medications Patient Resource
E-Resource March, 2015 DEPRESSION Depression Assessment PHQ-9 Screening tool Depression treatment Treatment flow chart Medications Patient Resource Depression affects approximately 20% of the general population
Depression in Adults
Depression in Adults A chapter of Croydon s mental health Joint Strategic Needs Assessment 2012/13 Health and Wellbeing Board 5 December 2012 Bernadette Alves, Locum Consultant in Public Health Croydon
Safer prisons: the challenge of mental ill-health and wider dual diagnosis. Sean Duggan, Chief Executive 21 March 2013
Safer prisons: the challenge of mental ill-health and wider dual diagnosis Sean Duggan, Chief Executive 21 March 2013 Dual diagnosis Dual diagnosis can mean A primary mental health problem that provokes
CARE MANAGEMENT FOR LATE LIFE DEPRESSION IN URBAN CHINESE PRIMARY CARE CLINICS
CARE MANAGEMENT FOR LATE LIFE DEPRESSION IN URBAN CHINESE PRIMARY CARE CLINICS Dept of Public Health Sciences February 6, 2015 Yeates Conwell, MD Dept of Psychiatry, University of Rochester Shulin Chen,
Effective Care Management for Behavioral Health Integration
Effective Care Management for Behavioral Health Integration Title: Effective Care Management for Behavioral Health Integration A process improvement initiative focused on improving mental health outcomes
IMPROVING YOUR EXPERIENCE
Comments trom the Aberdeen City Joint Futures Brain Injury Group The Aberdeen City Joint Futures Brain Injury Group is made up of representatives from health (acute services, rehabilitation and community),
mpv`elildf`^i=qob^qjbkqp=ñçê= ^åñáéíó=~åç=aééêéëëáçå h~íó=dê~òéäêççâ `äáåáå~ä=ié~çi=dêééåïáåü=qáãé=qç=q~äâ `çåëìäí~åí=`äáåáå~ä=mëóåüçäçöáëí
mpv`elildf`^i=qob^qjbkqp=ñçê= ^åñáéíó=~åç=aééêéëëáçå h~íó=dê~òéäêççâ `äáåáå~ä=ié~çi=dêééåïáåü=qáãé=qç=q~äâ `çåëìäí~åí=`äáåáå~ä=mëóåüçäçöáëí Plan of the presentation Summary of NICE recommended psychological
DEPRESSION CARE PROCESS STEP EXPECTATIONS RATIONALE
1 DEPRESSION CARE PROCESS STEP EXPECTATIONS RATIONALE ASSESSMENT/PROBLEM RECOGNITION 1. Did the staff and physician seek and document risk factors for depression and any history of depression? 2. Did staff
Depression Screening in Primary Care
Depression Screening in Primary Care Toni Johnson, MD Kristen Palcisco, BA, MSN, APRN MetroHealth System Our Vision Make Greater Cleveland a healthier place to live and a better place to do business. 2
Depression, anxiety and long term conditions. Linda Gask Professor of Primary Care Psychiatry University of Manchester
Depression, anxiety and long term conditions Linda Gask Professor of Primary Care Psychiatry University of Manchester Depression and LTCs People with LTCs are twice as likely than other adults to suffer
TECHNICAL/CLINICAL TOOLS BEST PRACTICE 7: Depression Screening and Management
TECHNICAL/CLINICAL TOOLS BEST PRACTICE 7: Depression Screening and Management WHY IS THIS IMPORTANT? Depression causes fluctuations in mood, low self esteem and loss of interest or pleasure in normally
Local payment examples Improving Access to Psychological Therapies: a local payment case study
Local payment examples Improving Access to Psychological Therapies: a local payment case study Monitor publication code: IRCP 15/14 NHS England Publications Gateway Reference 02457 Contents Purpose of
Michael Brennan, MA, LMHC Providence St. Peter Hospital Crisis Services
Michael Brennan, MA, LMHC Providence St. Peter Hospital Crisis Services Welcome to the E.R.: Emergency: noun Webster 1. a sudden, urgent, usually unexpected occurrence or occasion requiring immediate action.
SLEEP DISTURBANCE AND PSYCHIATRIC DISORDERS
E-Resource December, 2013 SLEEP DISTURBANCE AND PSYCHIATRIC DISORDERS Between 10-18% of adults in the general population and up to 50% of adults in the primary care setting have difficulty sleeping. Sleep
Costing statement: Depression: the treatment and management of depression in adults. (update) and
Costing statement: Depression: the treatment and management of depression in adults (update) and Depression in adults with a chronic physical health problem: treatment and management Summary It has not
'What do they do? The role of mental health nurses in general practice. Kim Ryan Chief Executive Officer Australian College of Mental Health Nurses
'What do they do? The role of mental health nurses in general practice Kim Ryan Chief Executive Officer Australian College of Mental Health Nurses 1 Hearing loss, vision problems and mental disorders are
Psychology Externship Program
Psychology Externship Program The Washington VA Medical Center (VAMC) is a state-of-the-art facility located in Washington, D.C., N.W., and is accredited by the Joint Commission on the Accreditation of
Sunderland Psychological Wellbeing Service
Sunderland Psychological Wellbeing Service Information for Referrers Offering a range of psychological therapies across Sunderland. To make a referral call 0191 566 5454 A partnership between Northumberland,
Depression & Multiple Sclerosis. Managing Specific Issues
Depression & Multiple Sclerosis Managing Specific Issues Feeling blue The words depressed and depression are used so casually in everyday conversation that their meaning has become murky. True depression
Algorithm for Initiating Antidepressant Therapy in Depression
Algorithm for Initiating Antidepressant Therapy in Depression Refer for psychotherapy if patient preference or add cognitive behavioural office skills to antidepressant medication Moderate to Severe depression
Services for Children and Young People with Mental Health Needs. Lancashire s Local Offer. Lancashire s Health Services
Services for Children and Young People with Mental Health Needs Lancashire s Local Offer Lancashire s Health Services 1. Name of the service and what the service provides Lancashire Care NHS Foundation
Mental health problems in people with MS: What can we do? Eli Silber Consultant Neurologist Kings College hospital
Mental health problems in people with MS: What can we do? Eli Silber Consultant Neurologist Kings College hospital The emotional consequences of MS MS Population General Population Depression (Lifetime
Bipolar Disorder: Psychosocial Factors and Psychological Therapies. Steve Jones Spectrum Centre for Mental Health Research
Bipolar Disorder: Psychosocial Factors and Psychological Therapies Steve Jones Spectrum Centre for Mental Health Research Overview Scale of the Problem Factors associated with Bipolar course and outcome
Healthy Coping in Diabetes Self Management
Healthy Coping in Diabetes Self Management Support for this product was provided by a grant from the Robert Wood Johnson Foundation in Princeton, New Jersey, 2009 Objectives Describe the relationship among
ADHD and Autism (and everything else in between) Dr Ankit Mathur Consultant Community Paediatrician
ADHD and Autism (and everything else in between) Dr Ankit Mathur Consultant Community Paediatrician Objectives Community Paediatric service pathways Importance of these conditions Case studies Differential
MOLINA HEALTHCARE OF CALIFORNIA
MOLINA HEALTHCARE OF CALIFORNIA MAJOR DEPRESSION IN ADULTS IN PRIMARY CARE HEALTH CARE GUIDELINE (ICSI) Health Care Guideline Twelfth Edition May 2009. The guideline was reviewed and adopted by the Molina
Mellen Center for Multiple Sclerosis
Mellen Center Cleveland Clinic Marie Namey, RN, MSN, MSCN Mellen Center Cleveland Clinic Cleveland, OH Home of. Mellen Center for Multiple Sclerosis Mellen Center Mission The Mellen Center remains committed
How to Recognize Depression and Its Related Mood and Emotional Disorders
How to Recognize Depression and Its Related Mood and Emotional Disorders Dr. David H. Brendel Depression s Devastating Toll on the Individual Reduces or eliminates pleasure and jo Compromises and destroys
Depression & Multiple Sclerosis
Depression & Multiple Sclerosis Managing specific issues Aaron, diagnosed in 1995. The words depressed and depression are used so casually in everyday conversation that their meaning has become murky.
echat: Screening & intervening for mental health & lifestyle issues
echat: Screening & intervening for mental health & lifestyle issues Felicity Goodyear-Smith Professor & Academic Head Dept of General Practice & Primary Health Care Faculty of Medicine & Health Science
How To Treat A Mental Illness At Riveredge Hospital
ABOUT US n Riveredge Hospital maintains the treatment philosophy of Trauma Informed Care. n Our commitment to providing the highest quality of care includes offering Animal Assisted Therapy, and Expressive
Wellness for People with MS: What do we know about Diet, Exercise and Mood And what do we still need to learn? March 2015
Wellness for People with MS: What do we know about Diet, Exercise and Mood And what do we still need to learn? March 2015 Introduction Wellness and the strategies needed to achieve it is a high priority
SPECIFICATION FOR THE LOCAL COMMISSIONED SERVICE FOR THE MANAGEMENT ALCOHOL MISUSE
SPECIFICATION FOR THE LOCAL COMMISSIONED SERVICE FOR THE MANAGEMENT OF ALCOHOL MISUSE Date: March 2015 1 1. Introduction Alcohol misuse is a major public health problem in Camden with high rates of hospital
Integrative Humanistic Counselling & Psychotherapy
Integrative Humanistic Counselling & Psychotherapy Aileen Hackett (CNS Psychotherapy, North Lee Mental Health Services) Integrative Psychotherapy embraces an attitude towards the practice of psychotherapy
SPECIALIST ARTICLE A BRIEF GUIDE TO PSYCHOLOGICAL THERAPIES
SPECIALIST ARTICLE A BRIEF GUIDE TO PSYCHOLOGICAL THERAPIES Psychological therapies are increasingly viewed as an important part of both mental and physical healthcare, and there is a growing demand for
Impact of Financial Crisis on Mental Health- June 2013. Carol Moore info@dualdiagnosis.ie
Impact of Financial Crisis on Mental Health- An Irish Dual Diagnosis perspective June 2013 Carol Moore info@dualdiagnosis.ie What is Dual Diagnosis? A person who has both an alcohol or drug problem and
Seniors and. Depression. What You Need to Know. Behavioral Healthcare Options, Inc.
Seniors and Depression What You Need to Know Behavioral Healthcare Options, Inc. Depression More Than Just The Blues ou may not know exactly what is wrong with you, but you do know that you just don t
Depression: Facility Assessment Checklists
Depression: Facility Assessment Checklists A facility system assessment is a starting point for a quality improvement project. The checklists included in this booklet will be most useful if you take a
Primary mental health care for the elderly
Guides to specific issues 1 This issues guide is linked to the vignette Mental health needs of the elderly. From a system perspective the elderly represent another invisible population as far as the management
SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011
SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011 This document is intended to be used with the Somerset Dual Diagnosis Operational Working guide. This document provides principles governing joint working
PCORI Workshop on Treatment for Multiple Sclerosis. Breakout Group Topics and Questions Draft 3-27-15
PCORI Workshop on Treatment for Multiple Sclerosis Breakout Group Topics and Questions Draft 3-27-15 Group 1 - Comparison across DMTs, including differential effects in subgroups Consolidated straw man
Prevention and treatment of alcohol misuse
Prevention and treatment of alcohol misuse Liz Burns Public Health Development Advisor elizabeth.burns@mhsc.nhs.uk Alison Rodriguez alison.rodriguez@mhsc.nhs.uk Head of Service Community Alcohol Team and
Improving the Rehabilitation and Recovery Service Model in Leeds
Improving the Rehabilitation and Recovery Service Model in Leeds Presenters: Emma Brown (Care Coordinator) James Byrne (Recovery Worker Leeds Mind) Nigel Whelan (Care Coordinator) Introduction Provide
REHABILITATION MEDICINE by PROFESSOR ANTHONY WARD
REHABILITATION MEDICINE by PROFESSOR ANTHONY WARD What is Rehabilitation Medicine? Rehabilitation Medicine (RM) is the medical specialty with rehabilitation as its primary strategy. It provides services
Profile: Incorporating Routine Behavioral Health Screenings Into the Patient-Centered Medical Home
104 A LOOK TO THE FUTURE Profile: Incorporating Routine Behavioral Health Screenings Into the Patient-Centered Medical Home Background Management of chronic diseases can be challenging in primary care,
Mental Health Needs Assessment Personality Disorder Prevalence and models of care
Mental Health Needs Assessment Personality Disorder Prevalence and models of care Introduction and definitions Personality disorders are a complex group of conditions identified through how an individual
Depression Assessment & Treatment
Depressive Symptoms? Administer depression screening tool: PSC Depression Assessment & Treatment Yes Positive screen Safety Screen (see Appendix): Administer every visit Neglect/Abuse? Thoughts of hurting
Managing depression after stroke. Presented by Maree Hackett
Managing depression after stroke Presented by Maree Hackett After stroke Physical changes We can see these Depression Emotionalism Anxiety Confusion Communication problems What is depression? Category
information for service providers Schizophrenia & Substance Use
information for service providers Schizophrenia & Substance Use Schizophrenia and Substance Use Index 2 2 3 5 6 7 8 9 How prevalent are substance use disorders among people with schizophrenia? How prevalent
Understanding The Unique Aspects And Challenges Of Living With MS
Connecticut Resident Services Coordinator Training Understanding The Unique Aspects And Challenges Of Living With MS July 23, 2009 Susan Raimondo, Senior Director, Advocacy & Programs National Multiple
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Schizophrenia: core interventions in the treatment and management of schizophrenia in primary and secondary care (update) 1.1
ONLINE IMPACT TRAINING LEARNING OBJECTIVES
ONLINE IMPACT TRAINING LEARNING OBJECTIVES & LEARNER S CHECKLIST IMPORTANT INSTRUCTIONS It is the learner s responsibility to track your progression through the training modules. The AIMS Center does not
Henriëtte van der Horst VUmc Head of Department of General Practice and Elderly Care Medicine
MUS and psychiatry in primary care Henriëtte van der Horst VUmc Head of Department of General Practice and Elderly Care Medicine Double Dutch: two topics Major changes in the mental health care organisation
Elizabeth A. Crocco, MD Assistant Clinical Professor Chief, Division of Geriatric Psychiatry Department of Psychiatry and Behavioral Sciences Miller
Elizabeth A. Crocco, MD Assistant Clinical Professor Chief, Division of Geriatric Psychiatry Department of Psychiatry and Behavioral Sciences Miller School of Medicine/University of Miami Question 1 You
Delivering Appropriate Emergency Care Services - Protocol Development and Design
Delivering Appropriate Emergency Care Services - Protocol Development and Design Sherrill Evans, Karen Evans, Peter Huxley, Helen Snooks, Ian Russell et al Mental Health Research Team, College of Human
New perception of disability including cognition, fatigue, pain and other impairments related to MS
New perception of disability including cognition, fatigue, pain and other impairments related to MS Diego Cadavid, MD Director, MS Clinical Development Biogen Idec 1 Need for clarity on terminology for
Preferred Practice Guidelines Bipolar Disorder in Children and Adolescents
These Guidelines are based in part on the following: American Academy of Child and Adolescent Psychiatry s Practice Parameter for the Assessment and Treatment of Children and Adolescents With Bipolar Disorder,
Pennsylvania Depression Quality Improvement Collaborative
Pennsylvania Depression Quality Improvement Collaborative Carol Hann, RN, MSN, CPHQ, Collaborative Manager Southeastern Pennsylvania Association for Healthcare Quality (SPAHQ) David Payne, Psy.D., Senior
B i p o l a r D i s o r d e r
B i p o l a r D i s o r d e r Professor Ian Jones Director National Centre for Mental Health www.ncmh.info @ncmh_wales /WalesMentalHealth 029 2074 4392 info@ncmh.info Robert Schumann 1810-1856 Schumann's
Tinnitus: a brief overview
: a brief overview sufferers experience sound in the absence of an external source. Sounds heard in tinnitus tend to be buzzing, hissing or ringing rather than fully-formed sounds such as speech or music.
Victorian Nurse Practitioner Project Phase 4, Round 4.11 - Chronic Disease Management
Victorian Nurse Practitioner Project Phase 4, Round 4.11 - Chronic Disease Management Eastern Health Multiple Sclerosis Nurse Practitioner Service Model April 2014 Prepared by Jodi Haartsen and Deanna
Step 4: Complex and severe depression in adults
Step 4: Complex and severe depression in adults A NICE pathway brings together all NICE guidance, quality standards and materials to support implementation on a specific topic area. The pathways are interactive
Self-management strategies for mild to moderate depression
Department of Epidemiology & Public Health Lunchtime seminar, 18 th Feb 2014 Self-management strategies for mild to moderate depression The internet-based ifightdepression tool Dr Celine Larkin National
Costing statement: Generalised anxiety disorder and panic disorder (with or without agoraphobia) in adults
Costing statement: Generalised anxiety disorder and panic disorder (with or without agoraphobia) in adults Introduction The partial update of the guideline on Generalised anxiety disorder and panic disorder
Sleep Medicine and Psychiatry. Roobal Sekhon, D.O.
Sleep Medicine and Psychiatry Roobal Sekhon, D.O. Common Diagnoses Mood Disorders: Depression Bipolar Disorder Anxiety Disorders PTSD and other traumatic disorders Schizophrenia Depression and Sleep: Overview
Healthy in mind, body and spirit: The case manager's role in behavioral health care integration
Healthy in mind, body and spirit: The case manager's role in behavioral health care integration Benjamin F. Miller, PsyD Director, Eugene S. Farley, Jr. Health Policy Center and Assistant Professor, Department
Common mental health disorders
Issue date: May 2011 Common mental health disorders Identification and pathways to care NICE clinical guideline 123 Developed by the National Collaborating Centre for Mental Health NICE clinical guideline
Mild depression: Few, if any, symptoms in excess of the 5 required to make the diagnosis, and symptoms result in only minor functional impairment.
6.1 Anxiety Depression - Adults Anxiety is a condition characterized by persistent worry or unease and is usually accompanied by fear, panic, irritability, poor sleep, poor concentration and avoidance,
Borderline personality disorder
Borderline personality disorder Treatment and management Issued: January 2009 NICE clinical guideline 78 guidance.nice.org.uk/cg78 NICE 2009 Contents Introduction... 3 Person-centred care... 5 Key priorities
Improving access to psychological therapies for people with severe and enduring mental health problems: rehabilitation psychiatrists perspectives
Improving access to psychological therapies for people with severe and enduring mental health problems: rehabilitation psychiatrists perspectives Dr Helen Killaspy Reader and honorary consultant in rehabilitation
What is Specialist CAMHS? And your role in it!
What is Specialist CAMHS? And your role in it! The Service We Provide Consultation, Liaison & Mental Health Promotion Urgent Mental Health Assessment Psychological Therapy Diagnostic assessment/intervention
Dual diagnosis: working together
Dual diagnosis: working together Tom Carnwath RCGP conference Birmingham 2007 DSM-IV & cocaine Cocaine intoxication Cocaine withdrawal Cocaine-induced sleep disorder Cocaine-induced sexual dysfunction
Depression and its Treatment in Older Adults. Gregory A. Hinrichsen, Ph.D. Geropsychologist New York City
Depression and its Treatment in Older Adults Gregory A. Hinrichsen, Ph.D. Geropsychologist New York City What is Depression? Everyday use of the word Clinically significant depressive symptoms : more severe,
A MANIFESTO FOR BETTER MENTAL HEALTH
A MANIFESTO FOR BETTER MENTAL HEALTH The Mental Health Policy Group General Election 2015 THE ROAD TO 2020 The challenge and the opportunity for the next Government is clear. If we take steps to improve
BHIVA Standards of care online consultation comments. 7 October 2012. Standard 6: Psychological care
BHIVA Standards of care online consultation comments Standard 6: Psychological care 12 September 2012 Matt Williams sent the following message: Very good, I hope it is able to be implemented. 13 September
OPEN DOOR TEAM MANAGEMENT REPORT 2011/12. Overview of period 1 st August 2011 to 31 st July 2012-11-16
OPEN DOOR TEAM MANAGEMENT REPORT 2011/12 Overview of period 1 st August 2011 to 31 st July 2012-11-16 - It has been another busy year for the Open Door Team with a further increase in the number of students
Psychosis Psychosis-substance use Bipolar Affective Disorder Programmes EASY JCEP EPISO Prodrome
Dr. May Lam Assistant Professor, Department of Psychiatry, The University of Hong Kong Psychosis Psychosis-substance use Bipolar Affective Disorder Programmes EASY JCEP EPISO Prodrome a mental state in
RN Care Manager Assessment: The 4 Domains
RN Care Manager Assessment: The 4 Domains Access to Care Experience with Provider(s) Getting Needed Services Coordination of Care Medical Home / Services Risk Medical Neighborhood Social Support Home Environment
Borderline personality disorder
Issue date: January 2009 Borderline personality disorder Borderline personality disorder: treatment and management NICE clinical guideline 78 Developed by the National Collaborating Centre for Mental Health
Depression and Mental Health:
Depression and Mental Health: A Psychiatrist s Perspective Peter M. Lake, MD Medical Director Rogers Memorial Hospital Oconomowoc Depression The Intersection of Hope, Medicine and Research Marquette University
Professional Reference Series Depression and Anxiety, Volume 1. Depression and Anxiety Prevention for Older Adults
Professional Reference Series Depression and Anxiety, Volume 1 Depression and Anxiety Prevention for Older Adults TA C M I S S I O N The mission of the Older Americans Substance Abuse and Mental Health
Addiction Billing. Kimber Debelak, CMC, CMOM, CMIS Director, Recovery Pathways
Addiction Billing Kimber Debelak, CMC, CMOM, CMIS Director, Recovery Pathways Objectives Provide overview of addiction billing contrasting E&M vs. behavioral health codes Present system changes in ICD-9
Major Depressive Disorder (MDD) Guideline Diagnostic Nomenclature for Clinical Depressive Conditions
Major Depressive Disorder Major Depressive Disorder (MDD) Guideline Diagnostic omenclature for Clinical Depressive Conditions Conditions Diagnostic Criteria Duration Major Depression 5 of the following
Drugs PSYCHOSIS. Depression. Stress Medical Illness. Mania. Schizophrenia
Drugs Stress Medical Illness PSYCHOSIS Depression Schizophrenia Mania Disorders In preschool children imaginary friends and belief in monsters under the bed is normal (it may be normal in older developmentally
RELAPSE MANAGEMENT. Pauline Shaw MS Nurse Specialist 25 th June 2010
RELAPSE MANAGEMENT Pauline Shaw MS Nurse Specialist 25 th June 2010 AIMS OF SESSION Relapsing/Remitting MS Definition of relapse/relapse rate Relapse Management NICE Guidelines Regional Clinical Guidelines
Specialist mental health service components
Specialist mental health service components The specialist public mental health system consists of clinical services and psychiatric disability rehabilitation and support services (PDRSS). Clinical mental
Step 2: Recognised depression in adults persistent subthreshold depressive symptoms or mild to moderate depression
Step 2: Recognised depression in adults persistent subthreshold depressive symptoms or mild to moderate depression A NICE pathway brings together all NICE guidance, quality standards and materials to support
Early Response Concussion Recovery
Early Response Concussion Recovery KRISTA MAILEY, BSW RSW, CONCUSSION RECOVERY CONSULTANT CAREY MINTZ, PH.D., C. PSYCH., PRACTICE IN CLINICAL NEUROPSYCHOLOGY FOR REFERRAL: Contact Krista Mailey at (204)
Fixing Mental Health Care in America
Fixing Mental Health Care in America A National Call for Measurement Based Care in Behavioral Health and Primary Care An Issue Brief Released by The Kennedy Forum Prepared by: John Fortney PhD, Rebecca
Antidepressant Skills @ Work Dealing with Mood Problems in the Workplace
Antidepressant Skills @ Work Dealing with Mood Problems in the Workplace Dr. Joti Samra PhD, R.Psych. Adjunct Professor & Research Scientist CARMHA www.carmha.ca Dr. Merv Gilbert PhD, R.Psych. Principal
POLL. Co-occurring Disorders: the chicken or the egg. Objectives
Co-occurring Disorders: the chicken or the egg Christopher W. Shea, MA, CRAT, CAC-AD Clinical Director Father Martin s Ashley Havre de Grace, Maryland chrismd104@yahoo.com Objectives To identify what is
INDEPENDENT MENTAL HEALTHCARE PROVIDER. Eating Disorders. Eating. Disorders. Information for Patients and their Families
INDEPENDENT MENTAL HEALTHCARE PROVIDER Eating Disorders CARDINAL CLINIC Eating Disorders Information for Patients and their Families What are Eating Disorders? Eating Disorders are illnesses where there
Diagnosis: Appropriate diagnosis is made according to diagnostic criteria in the current Diagnostic and Statistical Manual of Mental Disorders.
Page 1 of 6 Approved: Mary Engrav, MD Date: 05/27/2015 Description: Eating disorders are illnesses having to do with disturbances in eating behaviors, especially the consuming of food in inappropriate