Mental Health

Mental Health Learning Report

All of this information was sourced from the slides created by the Vita Health Group and which were presented during a Webinar Open Day on Mental Health and Long-Term Conditions

Mental Health has become a more prevalent topic as awareness has increased. One of the services available to people who are/may be suffering from a mental health illness is called IAPT (Improving Access to Psychological Therapies) IAPT can provide the following evidence based treatments for people with:

  • Depression and anxiety disorders,
  • Comorbid long-term physical health conditions (LTCs)
  • Medically unexplained symptoms (MUS) (when integrated with physical healthcare pathways)

IAPT services are characherised by these key principles:

  • Evidence-based psychological therapies at the appropriate dose
  • Correctly trained and monitored staff
  • Routine checks to monitor outcomes
  • Stepped-care model to deliver services

Long-term conditions (LTC) that can have an affect on mental health can include, but are not limited to:

  • Cancer
  • Chronic obstructive pulmonary disease (COPD)
  • Diabetes Type 1 & 2
  • Chronic Fatigue Syndrome (CFS)
  • Irritable Bowel Syndrome
  • Persistent Pain
  • Long Covid
  • Medically Unexplained Symptoms (MUS)

In 2012, it was reported (Naylor et al. 2012) that:

  • 20% of the population of England (approximately 10.2 million people) have a mental health problem
  • 30% of the population of England (approximately 15.4 million people) have a long-term health condition
  • 46% of the people with a mental health problem have a long-term condition (approximately 4.6 million people)
  • 30% of people with a long-term condition have a mental health problem (approximately 4.6 million people)
  • Self-Management can be improved through the Treatment and Recognition of Depression and Anxiety
  • Tailored CBT packages delivered by CBT-trained respiratory nurses can reduce anxiety in COPD, improving self management and reducing exacerbations and unnecessary admissions (NICE 2009)
  • CBT-based interventions can improve treatment adherence, psychosocial adjustment, coping skills and quality of life for people with co-morbid long-term conditions, as well as reducing use of health care services (Thompson et al 2011) (Spurgeon et al 2005)
  • Including a psychological component in a breathlessness clinic for COPD in Hillingdon Hospital led to 1.17 fewer A&E presentations and 1.93 fewer hospital bed days per person in the six months after intervention (Howard et al 2010). This translated into saving of £837 per person – around four times the upfront cost.

Due to the above mentioned statistics, I can conclude that getting help from the appropriate health care professional and service not only can drastically improve the health of an individual but can also lead to reduced costs and stress on emergency services.

Physical and Mental illnesses co-exist and can influence each other (Vita Health Group)

Environmental factors, subjective experiences and human biologics can cause people to suffer from mental health conditions differently (Vita Health Group)

Cognitive Behavioural Therapy (CBT) can help with increasing the quality.

Vita Health

Vita health are a group support people with various mental health issues such as depression and anxiety. They have linked that 50% of mental health cases are linked to someone with a long term illness such as crohns disease and cancer patients and their families. Unfortunately they can’t help dementia patient, people who suffer with bipolar or drug and alcohol abusers, but there is people they can be referred too.

The current wait time is around 3-20 weeks depending on which department is needed with 7 weeks of therapy via zoom or teams. Derby / Derbyshire only have a few staff who were recruited during the pandemic so will open later for face to face counselling than the other counties they operate in.

What is Vita Health?
Vita health is a group/orginisation that specializes in mental health related issues and physical issues, as the both of these can go hand in hand. An example is someone who has to have a limb amputated, sadly the majority of amputees often get depression after the surgeory due to the huge life impact it has on the person. Vita health sited that 50% of their mental health related cases also struggle with physical issues such as Cancer, obesity and diabetes.

Vita Health Accessibilty
Wait times can be pretty lengthy due to increase of mental health issues over the past 5-10 years. Especialy after the COVID-19 pandemic. The average wait time is anywhere between 3-20 weeks for an appointment. There is a 7 week period of therapy/ counseling. But this can be extended if the therapist feels it is needed.