Course leader: [email protected]@kcl.ac.uk Ext: 0207848 3285.
Website: kcl.ac.uk/iop/depts/pm/research/imparts Follow us on Twitter @IMPARTSP
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Transcript of Website: kcl.ac.uk/iop/depts/pm/research/imparts Follow us on Twitter @IMPARTSP
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New developments in IMPARTS: Integrating Mental and Physical Healthcare: Research Training and ServicesWebsite: www.kcl.ac.uk/iop/depts/pm/research/imparts
Follow us on Twitter @IMPARTSP
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IMPARTS - recap
AIM
To improve detection and management common mental disorders in medical settings
- web-based screening interface- patient-reported mental and physical health
outcome measurement- embedded in routine clinical practice - informs patient care and referral
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Page 3
IMPARTS informatics screening system:
http://217.154.233.99/teleomedic2/resource/KCH/SCREENINGDEMO
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IMPARTS – the wider context
Improve detection & management of symptom distress
Inform clinical decision-making
& promotes timely
interventionTrack change over time
Routine collection of
patient-reported outcomes Research databaseEvidence
generation
CLINICAL PRACTICE RESEARCH
Transformation of future care
POLICY
Identifying need & informing resource
allocation
Mental health
services in
general hospital
s
Mental health
training for
non- speciali
sts
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The IMPARTS package
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Implementation
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Acceptability of screening
CLINIC Pts approached
Pts declining screening n (%)
Rheumatology 296 15 (5.1)
Limb reconstruction
177 7 (4.0)
Hepatitis C 31 1 (3.2)
Proportion of patients declining screening:
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Depression (PHQ-9)
CLINIC Rheumatology n=432
Limb Reconstructionn=169
Hepatitis Cn=26
Probable Major Depression (MDD)
101 (23.4%) 36 (21.3%) 9 (34.6%)
Severe MDD with suicidal ideation
14 (3.2%) 7 (4.1%) 2 (7.7%)
Severe MDD without suicidal ideation
17 (3.9%) 6 (3.6%) 0
Moderate MDD 42 (9.7%) 17 (10.1%) 5 (19.2%)
Mild MDD 28 (6.5%) 6 (3.6%) 3 (11.5%)
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Anxiety (GAD-7)
CLINIC Rheumatology n=432
Limb Reconstructionn=169
Hepatitis Cn=26
Probable Generalised Anxiety Disorder (GAD)
107 (24.8%) 33 (21.3%) 6 (23.0%)
Severe GAD 42 (9.7%) 20 (11.8%) 5 (19.2%)
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Alcohol (AUDIT) & Drugs
CLINIC Limb Reconstructionn=169
Hepatitis Cn=26
Probable Alcohol Dependence
4 (2.4%) 0
Harmful drinking
0 1 (3.8%
Hazardous drinking
17 (10.1%) 1 (3.8%)
Probable Drug Dependence
4 (2.4%) 3 (11.5%)
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Post-traumatic Stress Disorder PTSD (PCL-4)
Probable PTSD10.4%
Some symptoms22.0%
No problem67.6%
Limb Reconstruction (n=169)
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IMPARTS Research Database
IMPARTS screening
data
EPR clinical &
demographic data
IMPARTS pseudonymised
Research Database
RESEARCHER
The database will bring together psychological & physical health outcomes into a single, searchable, anonymised data repository.
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Limb reconstruction, rheumatology, Hepatitis C…
Research opportunities (1)
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Trajectories of depression, anxiety, alcohol misuse in different clinical populations
Research opportunities (2)
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Research opportunities (3)Outcomes of mental health problems in physically ill populations over time…
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Depressed at T1
Depressed at T2
No depressio
n at T2
Can we predict likelihood of non-remission?
Research opportunities (4)
- Less social support- Unhelpful health beliefs- Unemployed- More pain
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Consent for contact
• We have ethical approval to prospectively request consent for contact via the IMPARTS screening interface
“I agree to be contacted by a researcher to offer me the opportunity to take part in relevant research projects if they think
I may be a suitable participant”.
• It would then be possible to deanonymise patient records to allow researchers to contact potential trial participants –when explicit consent has been given
Yes No More information
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Teaching programmes and self-help materials
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• Claire Doyle• Katie Steel
• More on breathlessness and anxiety later
• Example of Limb Reconstruction service
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Teaching programme
• Risk assessment and referral
• Managing anger
• Supporting adjustment
• Scheduling activity
• Increasing adherence
• Working with thought and expectations
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Self-help materials
• Learning to control your anger
• Are you on edge?
• Coping and living well
• Depression: are you struggling?
• Keeping active
• Getting on with your life after a trauma
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Other bespoke teaching programmes
• Respiratory ward
• Speech and language therapists
• Rheumatology nurses
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Materials of general relevance
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…and more specific
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Emphasis on strengths
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http://www.kcl.ac.uk/iop/depts/pm/research/
imparts/Ee-Self-help-materials.aspx
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Join the IMPARTS mailing list
Subscribe at:
//mailman.kcl.ac.uk/mailman/listinfo/mentalphysicalhealthcareinterface
Email the group:
For more information on IMPARTS: [email protected]
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IMPARTS module in Core Mental Health Skills
Delivered as part of Advanced Practice MSc module Open to all non-mental health specialists interested in
developing their skills Special introductory offer £499 5 interactive taught days with e-learning component (Jan-
Mar) For more info contact: [email protected]
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Prof Matthew Hotopf - Project Lead
Email: [email protected]
Dr Lauren Rayner - Project Coordinator
Email: [email protected]
Ms Faith Matcham – Research Assistant
Email: [email protected]
Dr Jane Hutton – Consultant Clinical Psychologist
Email: [email protected]
Dr Rina Dutta – Consultant Psychiatrist
Email: [email protected]
Dr Katie Steel – Clinical Psychologist
Email: [email protected]
Project Team