IAPT BSL

1. IAPT BSL Kay Helliwell IAPT for Deaf People National Team Chris Bojas Promotion Team

2. IAPT National Context Lord Richard Layard - 2005 Reduce the number of people claiming UB create better health Overcome the inequitable and patch nature of Psychological Therapy provision including long waiting lists and lack of consistency in implementing NICE guidelines for Depression and Anxiety Phase 1 � The proposal achieved �3.7m � demonstration sites in Doncaster and Newham Phase 2 � May 06/07 funding of �2m � 10 pathfinder sites Phase 3 � April 08/11 funding of �173m � 32 IAPT sites

3. What we now know GP Survey � Deaf population 101,107 Psychological or emotional condition 6% whole population � 10% Deaf population Unemployed 4% whole population � 13% Deaf population

4. Why IAPT for Deaf People? Primary care inaccessible on many different levels Mild problems go unnoticed leading to entrenched issues later Risk assessment, monitoring and review inappropriate or at worst non-existent Few Deaf professionals with clinical responsibilities who are reflective of the community they work with Assessment tools inaccessible for Deaf people (GAD7/PHQ9) Guided self help materials inaccessible Mainstream service provision for Deaf people costly and ineffective

5.  IAPT for Deaf People National Project Managed by NHS NW on behalf of DH National Lead � provide guidance, specialist support to SHAs, PCTs and providers Promotion Team An existing PWP course will be translated into BSL � yet to be appointed Assessment tools and guided self help materials will be produced in BSL

6.  Service Delivery Options Option 1 � Continue with current model of employing BSL interpreters to work alongside existing therapists Option 2 � Train current therapists to work fluently in BSL Option 3 � Train a PWP workforce who are reflective of the community they work with and take a HIT workforce from existing pool of professionals

8. The Promotion Team Why we need to promote IAPT for Deaf people Lack of information about IAPT in BSL Reduce the stigma of mental health in the Deaf community Who needs to know � Deaf community Mainstream services, GPs, etc How we will do it � Attend conferences Local Deaf Clubs/health events Develop information channels ie; website, blogs leaflets etc

9. The Workforce Psychological Wellbeing Practitioners � PWPs also referred to as Low Intensity Workers High Intensity Therapists � HITs IAPT compliant supervisors fluent in BSL

10. Psychological Wellbeing Practitioner (PWP) Step 2 Provide initial mental health assessment Signpost Provide 6 sessions CBT Referral onto HIT, other mental health professional Supervision of other PWPs At every session completion of GAD7, PHQ9 and W-SAS

11. High Intensity Therapist (HIT) Step 3 Provide mental health assessment/interventions Provide 12 sessions CBT Referral up to Step 4 or down to Step 2 Supervision of other HITs At every session completion of GAD7, PHQ9 and W-SAS

13. Role of the Social Worker Inform Deaf community of positive mental wellbeing Imperative that social work and IAPT teams collaborate to de-stigmatise mental health within the Deaf community

14. Contact Hazel Flynn IAPT for Deaf People National Lead Contact No: 07590 135 392 Kay Helliwell IAPT for Deaf People Project Support Manager Contact No: 07850 852 479 www.iapt.nhs.uk www.bshmd.org.uk/policy.htm