Questions

Referrers

"Since the new IAPT website has been up and running it has become a useful resource to direct patients towards. Rather than just getting a leaflet with a phone number to ring, the website gives patients an opportunity to read about what to expect when they contact the service for an assessment. They can find out more about which treatments are on offer and make an informed decision about accessing the services available. I have received positive feedback from patients who feel more empowered and involved in their care as a result of this."

 Simon Hulme, GP - Leigh View Medical Practice


Information for Referrers

The IAPT service is not an emergency or crisis service. If patients are at risk of harming themselves or others, or are experiencing severe/enduring mental health conditions other services are more appropriate. Please contact the Single Point of Access on 0300 3001485 or go to their website.

The service provides brief evidence based psychological therapies for adults aged 17 and over (no upper age limit), who are registered with a Leeds GP and who are experiencing a Common Mental Health Problem. 

This service is not appropriate for people who are already receiving treatment from another mental health service or who have a severe and enduring mental health problem.

Information on IAPT for women in the perinatal period can be found here


Suitability Guide

 

Suitable

Not Suitable

Is the patient aged?

17 and over

0-16

Does the patient have depression or anxiety or another common mental health problem?

Common Mental Health Problems:

·  Depression

·  Anxiety & Stress

·  Panic Disorder

·  Specific Phobia

·  Health Anxiety

·  Post Traumatic Stress Disorder

·  Obsessive Compulsive Disorder (incl. trichotillomania & skin picking)

·  Bulimia (mild)

·  Binge Eating Disorder

·  Generalised Anxiety Disorder

·  Social Phobia

·  Body Dysmorphic Disorder

·  Historic diagnosis of Bipolar Disorder-no active symptoms or treatment (psychological or medication)

·   Psychosis

·   Schizophrenia

·   Bipolar Disorder-active symptoms or treatment (psychological or medication)

·   Personality Disorder

·   Anorexia Nervosa

·   Brain Injury with cognitive impairment

·   Drug & Alcohol use that prevents effective engagement in psychological therapy

·   Anger

·   Learning disability which prevents effective engagement in psychological therapy

·   Dementia

·   Parasomnia disorders e.g. night terrors

·   Addictive behaviour e.g. gambling

·   Complex Post Traumatic Stress Disorder

·   People under the care of Secondary Mental Health Services including CPA

·   For the purpose of diagnosis or medical reports

Does the patient have any risk to themselves or others?

Some suicidal ideation but no plans or intent to act on thoughts

Active or immediate intentions or plans to harm self or others

Does the patient have mild to moderate symptoms or if more severe does not require immediate or intensive intervention?

PHQ-9 and/or GAD-7:

·   Mild

·   Moderate

·   Severe – not requiring immediate & intensive case management

Severe presentations requiring psychiatric assessment or management

Does the patient understand what the treatment involves and have they consented?

The person:

·   Wishes to be referred

·   Is motivated to engage actively in therapy

 

If the presentation or history suggest a mild and self-limiting common mental health problem of recent onset, consider psycho-education and active monitoring before making a referral

Referrals are accepted from all healthcare professionals and self-referrers

Screening

The first appointment in the service is either a 45 minute telephone, or an online self-referral screening to gain a first impression of the patients’ difficulties and recommend a treatment plan. In some cases the recommendation will be for treatment with another service or organisation.

To arrange a telephone screening appointment telephone: 0113 843 4388

(line open 8.30am – 4pm Mon – Fri)

To complete an online self-referral please follow the link below:

http://www.leedsiapt.com

Professional referral forms are available to download below.

Alternatively you can directly contact our services specialising in working with:

Young People (17-21) 0113 200 9188 (Community Links)

Black and Minority Ethnic Communities 0113 216 3000 (Touchstone)

Treatment

Treatment will vary according to individual needs and may involve seeing more than one therapist following a stepped-care approach. Where possible, patients will be offered a choice between treatments at a similar step.

Step 1 (General Practice)

Assessment, treatment advice and support.

Step 2 (Primary Care Mental Health IAPT)

 

 

Computerised CBT (SilverCloud)

Stress Control Class

Depression Recovery Class

Guided Self-Help

Step 3 (Primary Care Mental Health IAPT)

Cognitive Behaviour Therapy (CBT)

Interpersonal Therapy (IPT)

Eye Movement Desensitisation Reprocessing (EMDR)

Counselling (CfD/DIT)

Coping with Worry Group

Behavioural Activation Group

Mindfulness Based Cognitive Therapy Group

Step 4 (Psychological Therapy Service)

Further assessment and treatment

Referral Advice

If you are in any doubt or unsure whether a referral is suitable and wish to discuss this, please telephone our professional line and ask to speak to the duty worker on 0113 8434431

Do you know we provide a range of workshops and classes, available to book onto without having to complete an assessment? This is to provide a faster way to access our workshops and classes. Please find the link attached below:

www.leedscommunityhealthcare.nhs.uk/iapt/all-workshops/

These are aimed at clients who have sleep difficulties or milder presentations of stress, anxiety, or low mood, who want to maintain good mental health. They are not suitable for clients with more complex mental health needs.


If you are interested in finding out more about IAPT or would like to speak about working with us please contact leedsiapt@nhs.net

If you need IAPT leaflets please email leedsiapt@nhs.net

If a patient needs to be referred, please download and complete a referral form, or a word version is available here

If you are a patient wanting to refer yourself to IAPT please complete our online referal form