Health chiefs have drawn up new guidance to encourage doctors to place mental health therapists in practice surgeries – bringing more mental and physical health services under one roof.
These new therapists will be integrated into primary care teams and focus on common mental health disorders such as anxiety and depression, particularly where this occurs in patients with a long term physical health condition such as diabetes, respiratory or heart problems.
Evidence suggests nine out of 10 adults with mental health problems are supported in primary care and broadening the range of services for patients, means local health services are better equipped to deal with patients’ physical and mental health needs.
In house mental health therapists, largely provided through collaboration with local Improving Access to Psychological Therapies (IAPT) services are expected to be full members of the primary healthcare team – receiving self-referrals from patients as well as GPs, clinical pharmacists, practice nurses and healthcare assistants. In addition they should:
- Attend practice meetings
- Provide specialist advice to support to ensure mental health is taken on-board and considered as part of treatment and care in the surgery
- Link in with clinicians across other mental and physical health services on behalf of the patient and practice
This closer way of working usually means the patient doesn’t have to travel far for their psychological treatment encouraging attendance and for some patients, receiving treatment in their GP surgery reduces the perception of stigma associated with having a mental health problem.
Intervening at an earlier stage and addressing common mental health issues can also improve care, while closer team-working can help reduce the number of referrals to hospital or community care – releasing capacity.
People with a physical health condition are more likely than the rest of the population to experience mental ill health. More than 16 million people in England are diagnosed with a long-term physical health condition, and one in three of this group will experience a mental health problem.
NHS England’s IAPT programme has been described as ‘the world’s most ambitious effort to treat depression’ and the latest monthly figures (May) showed 25,198 patients moved on to recovery – delivering the highest recovery rate (52.8%) ever.