1. Clinical Psychology in InS:PIRE Dr Rebecca Crawford – Consultant Clinical Psychologist Plastic Surgery & Burns Greater Glasgow & Clyde

2. Background Why? “Being alive is not enough”
Abundance of literature illustrating the physical, psychological and social problems which survivors of critical care face following ICU discharge
Less known about impact on family

3. Background
Aim?
Improve well being in ICU survivors & relatives
60% significant physical & psychological problems long after discharge
NICE Guideline 83 – Rehabilitation after Critical Illness (2009)
support & rehabilitation post discharge

4. Clinical Psychology Groups
Where to start?
Literature
Themes
Purpose
Psycho-education
Discussion

5. Clinical Psychology Groups
Content & Format?
Common Responses Post ICU
Anxiety, depression, PTSD, etc.
Signs & symptoms
Ways to cope & self-help
Accessing psychological support
Discussion based

6. Clinical Psychology Groups
2 Groups – Patients & Family
Resources
Written information
Self-help booklets
Websites
Disclaimer – What is it not?
Evaluation & Outcomes

7. Outcome Measures - Patients
Hospital Anxiety and Depression Scale (HADS)
Insomnia Severity Index (ISI)
Impact of Events Scale- Revised (IES-R)
EQ-5D
Pre, 6 months & 12 months
Interview at 6 months

8. Outcome Measures - Family
Hospital Anxiety and Depression Scale (HADS)
Insomnia Severity Index (ISI)
Impact of Events Scale- Revised (IES-R)
Carer Strain Index (CSI)
Pre, 6 months & 12 months

9. Moving Forward Recommendations? Active ingredients
Wider remit for Clinical Psychology
Patients
Families
Staff
Clinical Psychology in ICU

10. Thank you Any Questions?