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Effective Training for GPs and Primary Care Workers in Mental health


Effective Training for GPs and Primary Care Workers in Mental health Dr Ian Walton Lisa Hill Primary Care is different to Psychiatry * More art than science Patients ... – PowerPoint PPT presentation

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Title: Effective Training for GPs and Primary Care Workers in Mental health

Effective Training for GPs and Primary Care
Workers in Mental health
  • Dr Ian Walton
  • Lisa Hill

Primary Care is different to Psychiatry
  • More art than science
  • Patients present with somatic symptoms
  • The border between distress and psychiatric
    illness is hard to define
  • Needs to include Wellbeing
  • Needs skills which can be used in a 10 minute

Who deals with what?
Secondary Care

Primary Care
Psychological and Physical health are linked
  • The only way to separate the mind from the body
    is with an axe.
  • Physical illness causes stress
  • Stress may result in functional symptoms and
    organic alteration
  • The mind and body are one

The challenges
  • Developing the skills to deliver an integrated
    model for mental health in primary care is an
    area lacking in investment within the UK.
  • Government policies fail to focus on local and
    individual primary care requirements for the
    complexity of mental health work.

Primary Care Education in Mental Health and
  • Our education offers an opportunity to
  • Experience specifically designed primary care
    focused education
  • Gain an awareness of the emphasis on redesigning
    services to meet individual needs
  • Develop skills which can be used in a 10 minute

What next
Certificate In Primary Care Mental Health
Certificate in Primary Care Mental Health and
  • Primary Care workers feel more capable and
    confident when working with people who need
    support with their mental health problems
  • Aims of the course
  • Enable and empower people to live happy, healthy
    lives (service providers as well as recipients)
  • Develop reflective practice
  • Work towards effective leadership for mental
    health at local and regional levels
  • Develop skills in accessing and critical
    evaluating research into mental health
  • Deliver evidence based and consistent high
    quality health care in line with NICE guidelines
    best practice and WHO recommendations
  • Link theory and evidence to practice
  • Be able to evaluate and measure outcomes for
    clients and the service
  • Facilitate closer working with service users,
    citizens and communities

Accredited Module in Primary Care Mental
  • Earn 15 University Credits at level 3 and 50
    credits for GP revalidation - Case study based
    course which includes practical skills useful in
    the 10 minute consultation taught by local and
    national experts over four afternoons designed to
    inform you how better to use local resources.
  •  MODULE 1
  • Introduction -values and beliefs, anxiety and
    disorders, Phobia, Panic disorder, Dealing with
    and helping patients with the effects of
    distress, Wellbeing and self management of stress
    ,The importance of sleep, Strengths and
    limitations of diagnosis and categorisation,
    Categorisation models (ICD 10,DSMIV,V) and
    practical consequences of their uses
  • MODULE 2
  • Depression, Unipolar and bipolar depression, The
    patients perspective, The carers perspective,
    Depression in the elderly, Suicide and risk, Self
    stigmatisation, Stepped Care Approach and
    Watchful Waiting,anti-depressant medication
  • MODULE 3
  • Psychosis, helping primary care practices to
    achieve QoF ,Identification and management of
    risk, Shared care and working more effectively
    with patients with complex needs, The carers
    perspective, working with complex needs,
    substance and alcohol misuse, Dual Diagnosis
    ,working with complex needs, substance misuse and
  • MODULE 4
  • Dementia, Older persons mental health needs, The
    carers perspective, Early onset dementias,
    Psychosomatic Medicine ,Medically unexplained
    symptoms, Why patients attend frequently and ways
    to help them

Advanced Diploma in Primary Care Mental Health
  • Course outcomes
  • Improve the health outcomes for individuals with
    mental health problems when seen in general
  • Improve the recognition, diagnosis and treatment
    of patients with mental health problems,
  • Develop and improve skills, knowledge and
    attitude that can be used in a ten minute
    consultation with patients suffering a mental
    health problem and an understanding of the range
    of problems seen in primary care
  • Contribute to the evidence base for the
    continuing development of mental health services.
  • I thought I understood mental health but for the
    first time I saw it pulled together and become
    meaningful GP
  • Informative, challenging and has changed my
    whole practice. GP
  • Each module is designed after careful
    deliberation using a range of expertise at a
    local and national level.
  • Module 1 Anxiety
  • Module 2 Depression
  • Module 3 Psychosis
  • Module 4 Dementia and medically unexplained
  • Module 5 Substance Misuse. Addictions and
    Personality Disorder
  • Module 6 Childrens and Maternal Mental

Masters Science Specialist in Primary Care Mental
Postgraduate Certificate Level 7 Postgraduate Diploma Level 7 Masters Level 7
Year 1 Year 2 Year 3
Four Core Modules (15 credits x 4) Critical appraisal skills and research awareness. Facts, Beliefs and Values Leading and Enabling Service Development in Human Services Therapies, Interventions and Treatments Four Core Modules (15 credits x 4) Service Redesign Mental Health Legislation and Ethics-Consent and Capacity. Common Mental Disorders Recognition, Assessment and Management Research methods and methodologies. One Core Module (60 credits) Project Based Change. OR Masters Dissertation
Total 60 credits Total 120 credits Total 180 credits
Evaluation using the four levels of Kirkpatricks
  • A meaningful evaluation of the learning via a
    steering group
  • Level one Happy sheets are completed following
    individual speakers and feedback forms gather
    subjective personal reactions to the learning
    experience. The learning sets also enable
    individuals to discuss their feelings with their
    peers. We have 98 High satisfaction rate of the
  • Level two Demonstrate an increase in knowledge
    and intellectual capability from before to after
    the learning experience through reflective case
    studies. All of the students who have submitted
    have passed the Diploma.
  • Level three Examines the extent of the learned
    behaviour and the capability for personal
    improvement and the implementation or application
    of what they have learned. This is scoped through
    reflective practice during the programme.
  • Level four Finally the overall results are
    evaluated and disseminated to demonstrate the
    effects on primary care through the performance
    and outputs of the primary care mental health
  • The course provides primary care workers
    with 50 credits, equivalent to a whole years
    revalidation. A course handbook lets applicants
    clearly see the learning outcomes desired from

  • It is evidenced that practices attending the
    training use less secondary care resources and
    are smarter at referring
  • Staff are able to integrate pathways and share
  • GP practices are able to hit their targets (QOF)
  • Patients have a better experience and there is a
    smooth transition from secondary to primary care
  • Increased confidence in dealing with suicidality
    and risk within primary care.

Further Information
  • lisa.hill9_at_btinternet.com
  • ianwalton_at_btinternet.com
  • www.primhe.org.uk
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