Implementing the Intensive Support Programme (ISP) approach in adult acute care services Dr Jane...

Implementing the Intensive Support Programme (ISP) approach in adult acute

care services

Dr Jane Birrell, Specialist Clinical PsychologistKellie Jacques, Assistant Psychologist

Dr Donna Rutherford, Principal Clinical Psychologist

Intensive Support Programme

Trust-wide initiative rolled out in 20134 acute units3 main components;– Emotion-focussed formulation– Skills-focussed groups– Training and development of acute care staff

ISP in Practice - North

1 Clinical Psychologist, 1 CBT Therapist, 1 Assistant Psychologist Individual formulation sessions (6-8 per week)Intensive 2-week group programme– Emotional Coping Skills, Self-compassion, Psychosis

Management, Mindfulness, CBT for Insomnia

Regular staff trainingSupervision / ConsultPre and post outcome measures

Group Programme - North

ISP in Practice - East

Individual assessment, formulation (EFFA) & interventionProgramme of skills groups:– Mindfulness, Stress and Anxiety Management,

Compassionate Friend, Taking Control, Emotional Coping Skills

Staff training and supervisionEvaluationSettings: 34-bed acute patient ward, inpatient rehabilitation service and a community-based Acute Mental Health Team.

Staff training - East

1 hour sessions run fortnightlyOpen to all clinical staff Topics covered have included:– Introduction to ISP groups and how to support people attending– Recovery principles in practice– Introducing mindfulness– Validation– Values-based behavioural activation– Graded exposure

Clinical Outcomes

n = 62p<0.001d = 0.58

n = 63p<0.001d = 0.85

Staff Training Outcomes

Feedback from 23 participants has been positive All 23 respondents wanted the

sessions to continue, of which…– 10 (44%) wanted sessions

to take place weekly– 9 (39%) wanted sessions to

take place fortnightly– 4 (17%) wanted sessions to

take place monthly

Participant Responses

Staff Comments …

“Reassurance that we have the skills and it’s

an opportunity to reflect on our own

practice.”

“Learning techniques that I can take back to

the ward and use with patients”

“It’s good to be able to help

patients continue things they have learnt in groups.

Feel more informed.”

“Helps to identify the skills we use

daily with our patients and be

able to use them more effectively.”

“Increased knowledge and understanding”

“Increased knowledge and understanding”

Further developments

Service-user experience studyCarer involvement

Contacts

Psychology ServicesParklands HospitalAldermaston RoadBasingstokeRG24 9RH01256 817 718jane.birrell@nhs.netkellie.jacques@nhs.net

Psychology ServicesElmleigh61a New LaneHavantHampshirePO9 2JJ023 92 682820donna.rutherford@nhs.net