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Website: kcl.ac.uk/iop/depts/pm/research/imparts Follow us on Twitter @IMPARTSP

New developments in IMPARTS: I ntegrating M ental and P hysical H ealthcare: R esearch T raining and S ervices. Website: www.kcl.ac.uk/iop/depts/pm/research/imparts Follow us on Twitter @IMPARTSP. IMPARTS - recap. AIM

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Website: kcl.ac.uk/iop/depts/pm/research/imparts Follow us on Twitter @IMPARTSP

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  1. New developments in IMPARTS: Integrating Mental and Physical Healthcare: Research Training and Services Website: www.kcl.ac.uk/iop/depts/pm/research/imparts Follow us on Twitter @IMPARTSP

  2. IMPARTS - recap AIM To improve detection and management common mental disorders in medical settings - web-based screening interface - patient-reported mental and physical health outcome measurement - embedded in routine clinical practice - informs patient care and referral

  3. IMPARTS informatics screening system: Page 2 • http://217.154.233.99/teleomedic2/resource/KCH/SCREENINGDEMO

  4. IMPARTS – the wider context CLINICAL PRACTICE RESEARCH POLICY Routine collection of patient-reported outcomes Improve detection & management of symptom distress Identifying need & informing resource allocation Research database Inform clinical decision-making & promotes timely intervention Mental health services in general hospitals Mental health training for non- specialists Evidence generation Transformation of future care Track change over time

  5. The IMPARTS package

  6. Implementation

  7. Acceptability of screening Proportion of patients declining screening:

  8. Depression (PHQ-9)

  9. Anxiety (GAD-7)

  10. Alcohol (AUDIT) & Drugs

  11. Probable PTSD10.4% Some symptoms22.0% No problem67.6% Post-traumatic Stress Disorder PTSD (PCL-4) Limb Reconstruction (n=169)

  12. IMPARTS Research Database IMPARTS screening data EPR clinical & demographic data The database will bring together psychological & physical health outcomes into a single, searchable, anonymised data repository. IMPARTS pseudonymised Research Database RESEARCHER

  13. Research opportunities (1) Limb reconstruction, rheumatology, Hepatitis C…

  14. Research opportunities (2) Trajectories of depression, anxiety, alcohol misuse in different clinical populations

  15. Research opportunities (3) Outcomes of mental health problems in physically ill populations over time…

  16. Research opportunities (4) • Can we predict likelihood of non-remission? • Less social support • Unhelpful health beliefs • Unemployed • More pain Depressed at T2 Depressed at T1 No depression at T2

  17. Consent for contact • We have ethical approval to prospectively request consent for contact • via the IMPARTS screening interface “I agree to be contacted by a researcher to offer me the opportunity to take part in relevant research projects if they think I may be a suitable participant”. Yes No More information • It would then be possible to deanonymise patient records to allow researchers • to contact potential trial participants –when explicit consent has been given

  18. Teaching programmes and self-help materials

  19. Claire Doyle • Katie Steel • More on breathlessness and anxiety later • Example of Limb Reconstruction service

  20. Teaching programme • Risk assessment and referral • Managing anger • Supporting adjustment • Scheduling activity • Increasing adherence • Working with thought and expectations

  21. Self-help materials • Learning to control your anger • Are you on edge? • Coping and living well • Depression: are you struggling? • Keeping active • Getting on with your life after a trauma

  22. Other bespoke teaching programmes • Respiratory ward • Speech and language therapists • Rheumatology nurses

  23. Materials of general relevance

  24. …and more specific

  25. Emphasis on strengths

  26. http://www.kcl.ac.uk/iop/depts/pm/research/imparts/Ee-Self-help-materials.aspxhttp://www.kcl.ac.uk/iop/depts/pm/research/imparts/Ee-Self-help-materials.aspx

  27. Join the IMPARTS mailing list Subscribe at: //mailman.kcl.ac.uk/mailman/listinfo/mentalphysicalhealthcareinterface Email the group: mentalphysicalhealthinterface@kcl.ac.uk For more information on IMPARTS: Lauren.Rayner@kcl.ac.uk

  28. IMPARTS module in Core Mental Health Skills Delivered as part of Advanced Practice MSc module Open to all non-mental health specialists interested in developing their skills Special introductory offer £499 5 interactive taught days with e-learning component (Jan-Mar) For more info contact: Faith.Matcham@kcl.ac.uk

  29. Project Team • Prof Matthew Hotopf - Project Lead • Email: Matthew.Hotopf@kcl.ac.uk • Dr Lauren Rayner - Project Coordinator • Email: Lauren.Rayner@kcl.ac.uk • Ms Faith Matcham – Research Assistant • Email: Faith.Matcham@kcl.ac.uk • Dr Jane Hutton – Consultant Clinical Psychologist • Email: jane.1.hutton@kcl.ac.uk • Dr Rina Dutta – Consultant Psychiatrist • Email: rina.2.dutta@kcl.ac.uk • Dr Katie Steel – Clinical Psychologist • Email: Catherine.Steel@kcl.ac.uk

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