Engagement and Assessment of Patients with Common Mental Health Problems Using Low Intensity CBT (PWP Route)

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

• Demonstrate knowledge of, and competence in the use of standardised assessment tools including symptom and other psychometric instruments to aid problem recognition and definition and subsequent decision making.
• Demonstrate knowledge of, and competence in giving evidence-based information about treatment choices and in making shared decisions with patients.
• Demonstrates the common factor competencies necessary to engage patients across the range of assessment formats.
• Demonstrate knowledge of, and competence in applying the principles, purposes and different types of assessment undertaken with people with common mental health disorders
• Demonstrate knowledge of, and competence in recognising patterns of symptoms consistent with diagnostic categories of mental disorder from a patient centred interview.
• Demonstrate competence in understanding the patient’s attitude to a range of mental health treatments including prescribed medication and evidence-based psychological treatments.
• Demonstrate competence in accurate recording of interviews and questionnaire assessments using paper and electronic record keeping systems.
• Demonstrate knowledge of, and competence in accurate risk assessment to patient or others.
• Demonstrate knowledge, understanding and critical awareness of concepts of mental health and mental illness, diagnostic category systems in mental health and a range of social, medical and psychological explanatory models.
• Demonstrate knowledge of, and competence in using ‘common factors’ to engage patients, gather information, build a therapeutic alliance with people with common mental health problems, manage the emotional content of sessions and grasp the client’s perspective or “world view”.
• Demonstrate knowledge, understanding and competence in using behaviour change models in identifying intervention goals and choice of appropriate interventions.
• Demonstrates experience and competence in the assessment of presenting problems across a range of problem descriptor including depression and two or more anxiety disorders.
• Demonstrates competency in undertaking and recording a range of assessment formats. This should include both triage within an IAPT service and problem focused assessments.
• Demonstrate knowledge of, and competence in ‘patient-centred’ information gathering to arrive at a succinct and collaborative definition of the person’s main mental health difficulties and the impact this has on their daily living.

• Concepts and categories of mental health.
• A range of assessment strategies; including triage, risk and symptom assessment.
• Common factor skills and engaging the patient.
• Patient centred information gathering.
• Use of standardised assessment tools.
• Developing skills in behaviour change models to identify goals and interventions.
• Assessing attitudes to treatments including medication and psychological interventions.
• Accurate recording of information.

Teaching and learning methods

Skills based competencies will be learnt through a combination of clinical simulation in small groups working intensively under close supervision with peer and tutor feedback and supervised practice through supervised direct contact with patients in the workplace. Knowledge will be learnt through a combination of lectures, seminars, discussion groups, guided reading and independent study.

Resources & Reading list

Journal Articles

Mead, N. & Bower, P. (2000). Patient-centredness: a conceptual framework and review of the empirical litterature. Social Science and Medicine, 51, pp. 1087-1110.

Pullen, I. & Loudon, J. (2006). Improving standards in clinical record-keeping. Advances in Psychiatric Treatment, 12, pp. 280–286.

Mead, N. & Bower, P (2002). Patient-centred consultations and outcomes in primary care: a review of the literature. Patient Education and Counseling, 48, pp. 51-61.

A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine, 166, pp. 1092-1097.

Kroenke, K., Spitzer, R. & Williams, J. (2001). The PHQ–9: validity of a brief depression severity measure. Journal of General Internal Medicine, 16, pp. 606–613.

Textbooks

Lovell, K. & Richards, D. (2008). A recovery programme for depression. London: Rethink.

Gray, P. & Mellor-Clark, J. (eds.) (2007). CORE: A Decade of Development. Rugby: CORE IMS.

Heron, J (2000). Helping the client: a creative practical guide. London: Sage.

Myles, P. & Rushforth, D (2007). A complete guide to primary care mental health. London: Robinson.

Pilgrim, D. & Rogers, A. (2005). Sociology of mental health. Maidenhead: Maidenhead.

Goldberg, D. & Huxley, P., (1992). Common mental disorders: a biosocial model. London: Routledge.

Westbrook, D., Kennerley, H. & Kirk, J (2007). An introduction to cognitive behaviour therapy: skills and applications. Michigan: Sage.

Raistrick, H. & Richards, D. (2006). Designing primary care mental health services. Hyde: Care Services Improvement Partnership.

Kennerley, H. (1997). Overcoming anxiety.. London: Constable Robinson.

Bennett-Levy, J., Richards, D.A. & Farrand, P., et al., eds (2010). The Oxford Guide to Low Intensity CBT Interventions. Oxford: Oxford University Press.

Williams, C (2003). Overcoming anxiety: a five areas approach. London: Arnold.

Depression in Adults (update). Depression: the treatment and management of depression in adults. London: National Institute for Clinical Excellence.

Newell, R. & Gournay, K (2000). Mental health nursing: an evidence-based approach. Oxford: Elsevier Health Services.

Bazire, S. (2003). Psychotropic drug directory 2003/2004: the professionals’ pocket handbook and aide memoire. Salisbury: Fivepin Publishing.

Egan, G., (2001). The skilled helper: a systematic approach to effective helping. California: Brooks / Cole.

Layard, R. (2006). The depression report. London: London School of Economics.

Appleby, L (2004). The national service framework for mental health – five years on. London: Department of Health Publications.

Silverman, J., Kurtz, S. & Draper, J. (2005). Skills for communicating with patients. Oxford: Radcliffe Publishing.

BMA & RPS (2008). British National Formulary.. London: British Medical Association and Royal Pharmaceutical Society of Great Britain..

Department of Health (1999). National service framework for mental health: modern standards and service models.. London: Department of Health.

Williams, C.J. (2006). Overcoming Depression and low mood: A Five Areas Approach. London: Hodder Arnold.

American Psychiatric Association (1994). The diagnostic and statistical manual of mental disorders (DSM) IV. Washington DC: American Psychiatric Association.

National Institute for Clinical Excellence (2009). Generalised anxiety disorder and panic disorder (with or without agoraphobia) in adults Management in primary, secondary and community care. London: National Institute for Clinical Excellence.

Department of Health (2000). The NHS Plan: A plan for investment, a plan for reform. London: Department of Health.

World Health Organization (1992). ICD-10 Classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. Geneva: World Health Organization.

Care Services Improvement Partnership (2006). Primary care services for depression – a guide to best practice, appendix 4: asking about risk. Hyde: Care Services Improvement Partnership.

Assessment strategy

Method of repeat year: 2x failure of assessment 1 leads to immediate withdraw from programme as specified in national curriculum.

Formative

This is how we’ll give you feedback as you are learning. It is not a formal test or exam.

Summative

This is how we’ll formally assess what you have learned in this module.

Referral

This is how we’ll assess you if you don’t meet the criteria to pass this module.

Repeat Information

Repeat type: Internal & External