1. IMPROVING GP MANAGEMENT OF DEPRESSION

2. It started with a quiz…

3. Q1. What proportion of GP consultations are said to have a mental health component? A.10% B.30% C.70%

4. Q2. There is an epidemic of depression…  True  False

5. Q3. Anti-depressants are an effective treatment for mild- moderate depression  TRUE  FALSE

6. Q4: A medical diagnosis improves the outcomes for patients?  TRUE  FALSE

7. Q5: What do you find hardest about Mental Health consultations?

8. A global crisis of depression: reality or hype? Professor Chris Dowrick Professor of Primary Medical Care, University of Liverpool Author of Beyond Depression

9. The patient’s view… Joan Ormond

10. Finding solutions – learning from the project Dr Joanne Reeve Academic GP, Liverpool Uni www.bouncebackproject.org.uk

11. The project www.bouncebackproject.org.uk www.amproject.org.u k www.aiw.org.uk www.primarycarehub.org.uk/sage

12. The project www.bouncebackproject.org.uk Phase 1: CONSULTATION MODEL: ORGANISATIONAL MODEL: Phase 2: EVALUATING IMPACT

13. The project www.bouncebackproject.org.uk Phase 1: CONSULTATION MODEL: - - L ens (imbalance) -Narrative -Support modification ORGANISATIONAL MODEL: Phase 2: EVALUATING IMPACT

14. Two consultation styles…  What topics were covered?  What sort of questions were used?  What sort of explanations were offered?  What sort of follow up was planned?  How did the patient respond?

15. Bounceback themes  Personal story/narrative based consultation  Explores resources and demands  Opportunities for change

16. Giving permission: what are other professionals doing? Professor Peter Kinderman Professor of Clinical Psychology, University of Liverpool Author of Prescription for Psychiatry: why we need a whole new approach to mental health and wellbeing

17. Table based Discussion  What appeals about the model?  What problems do you think there will be in practice?  How might we get over those barriers?

18. Questions…

19. Changing practice to improve care Mr Mark Gilman Strategic Recovery Lead, Public Health England

20. Final thoughts

21. Acknowledgements The project is funded by an Innovations award from the National Institute for Health Research (NIHR) The team would like to thank all the practices and patients who are supporting the project. For more info: www.bouncebackproject.org.uk Or contact: Joanne.reeve@liv.ac.uklmc82@liv.ac.uk Jane.watkins@aiw.org.ukpeter.rosbottom@aiw.org.uk