Findings from the South London and Maudsley (SLaM) demonstration site for psychosis
Poster B106, Friday, October 21, 11:30 am - 1:00 pm, Le Baron
Louise Johns1,4, Majella Byrne1,2, Suzanne Jolley1,2, Miriam Fornells-Ambrojo1,2,3, Juliana Onwumere1,2, Emmanuelle Peters1,2, Philippa Garety1,2; 1King's College London, 2South London and Maudsley NHS Foundation Trust, 3University College London, 4Oxford Health NHS Foundation Trust
Purpose: South London and Maudsley NHS Foundation Trust (SLaM) serves four London boroughs, with high rates of psychosis incidence. It was selected as a demonstration site because it was well placed to use additional funding to extend psychological therapy provision in local services. Method: IAPT-SMI was a virtual service that included teams in the Early Intervention (EI) and Promoting Recovery (PR) care pathways, and offered CBTp and FIp alongside existing interventions. Therapists had access to expert supervision and training from senior clinicians with links to the Post Graduate Diploma in CBT for Psychosis at King’s College London. Results: In the three years of the demonstration site, access to CBTp and FIp increased by 104%, and 60% of referrals were from black and minority ethnic (BME) groups. Assistant psychologists collected the routine outcome data, and a high completion rate of 93% for paired outcome measures was achieved for people completing therapy. Improvement across a range of outcome measures was demonstrated with medium to large effects, for both EI and PR client groups. In addition, service use and crisis contacts reduced following therapy, compared with the same time period prior to therapy. Service user and carer feedback has been very positive. Conclusions: There is a very high demand for psychological therapies in this client group. Improving access and outcomes is possible with ring fenced time, additional therapists, and close supervision to deliver high-quality CBTp and FIp. This model is replicable in other EI services, with management support and modest targeted resources.
Topic Area: Psychosocial Interventions