1. Libby Jamieson (R.M.N.) MENTAL HEALTH PRACTITIONER P.C.M.H.T.

2. CLINICAL AREA  Population approx 88,000 people  High numbers of refugees / asylum seekers  High unemployment  High incidence of crime  High incidence of drug / alcohol misuse

3. Mental Health problems account for up to one third of all GP consultations and as poverty has a significant negative impact on mental health, demand for services in North Glasgow is higher than in many other area of the city. ( North Glasgow Primary Care Mental Health Service Audit 2005 ) Mental Health problems account for up to one third of all GP consultations and as poverty has a significant negative impact on mental health, demand for services in North Glasgow is higher than in many other area of the city. ( North Glasgow Primary Care Mental Health Service Audit 2005 )

4. “psychological therapies for mild to moderate mental health problems”  Stress  Anxiety  Low mood  Bereavement  Adjustment disorders

5. HOW DO WE DO WHAT WE DO ?  Assessment  Supportive counselling  Cognitive Behavioural Therapy - C.B.T.  Solution focused therapy  Living Life to the Full - group  Good Stress - group  Partners in the North

6. Rating scales  HAD - Hospital Anxiety and Depression Rating scale  Beck Depression Inventory  Beck Anxiety Inventory  C.O.R.E - clinical outcomes in routine evaluation  Invitations - “hearing the patient “

7. Mental health = physical health What is it we want to change in our patients ? Why ? What does it mean for them ? Consequences for us ? for them ? Cycle of change - long term

8. CYCLE OF CHANGE preparation action maintainence Pre- contemplation contemplation

9. STIGMA  Gender  Age  Language we use  Labels  media

10. GP PCMHTsCMHT IN - PATIENT