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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 [email protected]@nhs.net
Psychology ServicesElmleigh61a New LaneHavantHampshirePO9 2JJ023 92 [email protected]
