Service overview Our primary care psychological health team provides brief cognitive behavioural therapy and counselling to adults in Kensington and Chelsea who have common mental health problems. These can include: depression anxiety bereavement relationship/family difficulties financial/employment problems. Who is our psychological therapies service for? Our psychological health service is for people aged 18 and over who are registered with a GP in the borough of Kensington and Chelsea or in the Queens Park and Paddington area, and who have common mental health problems. We are commissioned by the West London Clinical Commissioning Group. What does our psychological therapies service do? Our primary care psychological health team provides brief cognitive behavioural therapy and counselling to adults. We are part of the National Improving Access to Psychological Therapies (IAPT) programme which aims to increase access to NICE recommended interventions for common mental health problems. The team works as part of an integrated primary care mental health service working in partnership with Central and North West London Foundation NHS Trust, Depression Alliance and The Reader Organisation. Using a stepped approach to care, the integrated service provides patients with the least intensive intervention at the right time for their needs. In addition to our NHS service, we also provide two Royal Borough of Kensington and Chelsea funded services - a Carers Counselling Service as part of the local carers' strategy and from April 2012 a Stroke Counselling Service for people with stroke. We offer a number of approaches based around National Institute of Clinical Excellence (NICE) guidance and national policy including: Step 0/1 Depression Alliance provides facilitated member-led support and activity groups, including timebanking The Reader Organisation provides a number of Book Break reading groups around the borough and supports the provision of a range of self-help books in the libraries Step 2 CLCH provides a range of guided self-help interventions including: guided self help supported signposting such as helping people access other services Step 3a CLCH provides brief counselling (6-8 sessions) including with an Arabic and Somali speaking counsellor Step 3b CLCH provides Cognitive Behavioural Therapy (6-12 sessions) Step 3c CNWL provides a team of Primary Care Liaison Nurses offering intermediate care Step 4 CNWL provides a Psychology Team offering specialist psychology assessment and treatment In addition to our NHS service, we also provide two Kensington and Chelsea funded services - a Carers Counselling Service as part of the local carers' strategy and a Brief Therapy service for people with stroke. Where do we provide our psychological therapies service? Our psychological health team work from two designated Hubs at Gertrude Street in Chelsea and St Charles Centre for Health and Wellbeing. In addition, our step 3 clinicians also work in a number of the health centres and GP practices across Kensington and Chelsea. What can you expect from our psychological therapies service? All our interventions provide patients with "talking therapy": a space to talk about and explore thoughts, feelings and behaviours with a trained therapist. Those interventions that are CBT based (step 2 and step 3b) are structured and goal orientated, they rely on motivation from the individual to carry out work as part of the therapy, such as reading, activity logs/worksheets. Other interventions may be more reflective and exploratory, a space to understand how different events in a person's life interrelate. Who do our psychological therapy teams work with? We work collaboratively with GPs, mental health services, hospitals, social services, advice agencies and voluntary sector organisations such as Depression Alliance, Book Break and Health Trainers. Our work involves much signposting to other support and organisations within the local community and we have a dedicated online resource database that we use to support this. Who works in our psychological therapies team? Our psychological health team includes the following specialists: counsellors psychotherapists cognitive behavioural therapists psychological wellbeing practitioners How do you access our psychological therapies service? People can self refer (please call 020 8962 4748) or be referred by any health or social care professional or by their GP. They must be over 18 and registered with a GP in Kensington and Chelsea or in the Queens Park and Paddington area. The integrated PCMHT offers a single point of access for referrals to all parts of the integrated service. For our Kensington and Chelsea services, the carers counselling service and brief therapy for stroke service there is an open referral system, including self-referral. Our psychological therapies team works in the borough of: Kensington and Chelsea Referrers This information is for GPs and other healthcare professionals who refer patients to our psychological therapies team. Referral criteria for our psychological therapies service Our psychological therapies service sees people with who have common mental health problems such as depression and anxiety who are over the age of 18 and registered with a GP in Kensington and Chelsea. The service is part of an integrated primary care mental health service that has shared referral criteria, a single referral form and a single point of access Download our primary mental health service referral criteria. What referral information does our psychological therapies service need? reason for referral essential patient demographic information patient name date of birth address NHS number telephone contact number GP details any relevant notes and conditions - particularly previous psychological and psychiatric history, past/current risk, current medication. recently completed PHQ9 & GAD7 questionnaires (part of the referral form) How do you refer to our psychological therapies service? Our main service is GP referral only via the primary care mental health team referral form. There is a single point of access for the processing of all referrals which come into the two main service hubs. We are currently working with our commissioners to consider opening up to a wider/self referral process in the future. Our carers counselling service and brief therapy for stroke service - these elements of the service have a completely open referral route via the North Hub at St Charles Centre for Health and Wellbeing. Primary Care Psychological Health (PCPH) - North Hub P: 020 8962 4748 F: 020 8962 4606 E: firstname.lastname@example.org Or write to: Primary Care Psychological Therapy Health St Charles Centre for Health and Wellbeing Exmoor Street London W10 6DZ Primary Care Psychological Health (PCPH) - South Hub P: 020 7349 2400 F: 020 7352 1952 E: email@example.com Or write to: Primary Care Psychological Therapy Health 15 Gertrude Street London SW10 0JN Waiting times for our psychological therapies service Our first contact with clients is a telephone call for a 20-minute triage to talk more about the referral; this usually occurs within three working days of receipt of the referral We are able to offer a first appointment to some of our interventions within a week of referral Our average waiting time to first appointment across all treatments is 17 days. Core hours for our psychological therapies service Our psychological health service currently operates mainly 9.00 to 17.00, Monday to Friday opening hours with a few late evening appointments arranged at our Hubs and in some GP practices. We anticipate increasing our opening hours with the development of the integrated service to be able to offer 8am-7pm, Monday - Friday opening hours in the near future. We will update this page once this arrangement is in place. Monday - 09.00 to 17.00 Tuesday - 09.00 to 19.00 Wednesday - 09.00 to 19.00 (North Hub only) Thursday - 09.00 to 19.00 Friday - 09.00 to 17.00 Saturday - Closed Sunday - Closed Bank holidays - Closed Discharge criteria for our psychological therapies service Patients are discharged once they have completed treatment through the total number of sessions agreed with the therapist at the start of therapy. On average across all the interventions we provide this is after about 6-10 sessions of therapy. NICE recommendation is that therapy is offered on a weekly basis where possible, however we endeavour to accommodate as much patient choice in appointments as we can (although this may sometimes increase waiting times to first appointment). We ask that patients always contact the service if they are unable to attend an appointment so that we can plan to re-use the slot effectively. If a patient DNAs (i.e. fails to attend without any contact) two consecutive appointments they will be discharged in their absence. We are not able to offer therapy to someone who is seeing a therapist in another service as this may have detrimental effects on both pieces of therapeutic work. We advise all patients that a period of consolidation after therapy can be very beneficial and therefore we do not encourage referral back to the service for at least 6 months following discharge. Management contacts for our psychological therapies service Referrers can contact our service manager with any queries they have about our primary care psychological health service. Mark McDonagh Service Manager, Primary Care Psychological Health Kensington and Chelsea P: 020 8962 4748 E: firstname.lastname@example.org Patient stories "I first accessed the service a year ago. I had depression and problems with my work and with my wife. At the end of cognitive behavavioural therapy (CBT) I realised my anxieties had gone. "I had good CBT sessions which I definitely benefiited from. I see within a year that I have no anxiety and am a happy person and most of my depression has gone". Click here to read the full transcript of this patient's story.