1. www.beyondblue.org.au NewAccess An innovative early intervention service for people with mild to moderate depression or anxiety

2. www.beyondblue.org.au 1.NewAccess Overview 2.Results 3.How it works 4.Service detail 5.Client experience 6.Workforce 7.Risk management 8.Metrics

3. www.beyondblue.org.au N EWACCESS OVERVIEW Early intervention for people aged 18 and over with mild to moderate depression and/or anxiety who are not accessing other mental health services Consists of up to six free sessions of Low-intensity Cognitive Behavioural Therapy (a treatment course) and a follow up contact at four weeks Is evidence based - o Adapted from the UK's successful Improving Access to Psychological Therapies (IAPT) program o Piloted and evaluated in the Australian context

4. www.beyondblue.org.au N EWACCESS OVERVIEW Creates jobs using a new, specifically trained workforce of 'coaches' Reduces strain on 'upstream services' Integrates into the stepped care service system Technologically friendly - blends electronic delivery with face-to-face and telephone delivery, providing greater reach for clients from rural and remote communities Measurable service with clearly visible recovery outcomes

5. www.beyondblue.org.au E VALUATION R ESULTS (O CTOBER 2013 – 31 J ULY 2015) Referrals2704 Male39% (Target 40%) Female61% Retention Rate88% Completion of treatment72% Recovery Rate67.5% (Target 50-55%) Economic AnalysisCost benefit ratio 1.5

6. HOW DOES IT WORK?

7. www.beyondblue.org.au NON-STIGMATIZING ENTRY POINTS Self referral Friend, co-worker, family, community GP, employer, employment service, allied health With consent of the individual referral appointments can be made by others Appointments can be made over the phone, via email, or directly on-line

8. www.beyondblue.org.au H OW DO WE ATTRACT REFERRALS AND MEET THE UNMET NEED ? Sidestepping stigma through Self referral and non-medical pathway access Confidential without need to go through intermediary referral Language Marketing strategies Delivery mode

9. WHAT HAPPENS IN THE SERVICE?

10. www.beyondblue.org.au Inquiry Individual self refers or is referred by family, friend, community, health professional, employer Inquiry can be made via phone, email or directly online NewAccess intake officer undertakes initial screening and books first appointment Assessment The NewAccess Coach undertakes (typically) a face to face 60 minute session with the individual A series of clinical tools are administered A problem statement determined Action plans and homework established Next appointment made Subsequent sessions Face to face or typically phone sessions for 30 minutes Reflection, clarification, outcome measures (Clinical tools), risk strategy implementation, guidance, revision Next appointment made Up to 6 sessions are offered End of Coaching Follow up Clinical results move below threshold Individual able Reflection, Review & Relapse prevention Clients not improving or presenting with risk at any stage of their treatment are stepped up to more intense care 4 week and 6 month follow up

11. www.beyondblue.org.au THE INTERVENTION : LOW INTENSITY CBT (LiCBT) Cognitive and behavioural therapies are both forms of psychotherapy (a psychological approach to treatment) and are based on scientific principles that help people change they way they think, feel and behave. Behavioural therapy seeks to change learned responses to particular circumstance that are harmful and unhelpful behaviours such as avoidance and withdrawal Cognitive therapy looks at how people think about situations, symptoms events in their lives and develop beliefs about themselves, others and the world. These ways of thinking (harmful, unhelpful or ‘false’ ideas and thoughts) are seen as triggers for mental and physical health problems. Cognitive behaviour therapy challenges these ways of thinking to produce more helpful and realistic thought patterns.

12. www.beyondblue.org.au STRATEGIES & RESOURCES Psycho education Exposure therapy Worry management Behavioural experiments Cognitive restructuring Goal setting Problem solving Relapse prevention

13. NewAccess WORKFORCE 13

14. www.beyondblue.org.au NewAccess COACHES Specially trained workforce Intensive 6 weeks training in low intensity Cognitive Behaviour Therapy (LiCBT) delivered by training provider Ongoing training and clinical supervision Coaches able to see first clients at week 7 Previous health qualifications had no bearing on recovery rates achieved by the current workforce – 50% of NewAccess coaches do not have previous health qualifications.

15. ©Beyond Blue Ltd | Pagewww.beyondblue.org.au RISK MANAGEMENT Risk within the program is managed through six key channels: 1.The workforce 2.Assessment 3.Stepping Up 4.Service Infrastructure 5.Clinical Supervision 6.Reaching the right clients 15

16. www.beyondblue.org.au M ETRICS AND M EASUREMENT : C LINICAL TOOLS  Generalised Anxiety Scale – GAD7 (Anxiety)  Patient Health Questionnaire – PHQ9 (Depression)  Work and Social Adjustment Scale – WSAS (Used to assess change in social functioning for people with depression, anxiety or phobic disorders)  Kessler 10 (K10) – Australian tool measuring levels of psychological distress

17. www.beyondblue.org.au QUESTIONS