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The role of PWPs in enhancing NHS Talking
Therapies’ focus on treatment and its outcomes

Psychological Wellbeing Practitioner Conference – 24th September 2024 10am-3pm

This conference for Psychological Wellbeing Practitioners working in Talking Therapies services is brought
to you by Bespoke Mental Health in collaboration with NHS National PWP Leads Network

The event will be equivalent to 3.3/4hrs of CPD.

Presenters
Topic
Time
Pam Myles-Hooton, Bespoke Mental Health
Welcome and Introduction
10.00-10.05
Dr Adrian Whittington, National Clinical Lead for Psychological Professions, NHS England
Keynote address: Expanding and developing NHS Talking Therapies for anxiety and depression over the next five years: What the new focus means for PWPs
10.05-11.00
Break
11.00-11.15
Dr Adrian Whittington, Faithful Odusote, Prof. Allán Laville, Janat Hategeka, Harry Douglas, chaired by Prof. Roz Shafran
Panel Discussion: How can we improve recovery rates for under-served populations?
11.15-12.00
Break
12.00-12.45
Harry Douglas
Skills Class 1: Working with clients with ADHD
12.45–13.45
Break
13.45-14.00
Faithful Odusote
Skills Class 2: PTSD v Trauma: Understanding and Assessment at Step 2
14.00–15.00

About the Presenters

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Professor Roz Shafran, Director, Bespoke Mental Health and Chair of Translational Psychology, UCL Great Ormond Street Institute of Child Health. Her clinical research interests include increasing access to evidencebased brief and low intensity interventions in children with chronic illness. She has written over 350 research publications and 6 books, most recently on low intensity treatments for children and young people.

Pam Myles-Hooton, Director, Bespoke Mental Health. She worked in the NHS for over 20 years and has over 20 years experience in developing and delivering LICBT and HICBT training programmes. She is the author/co-author of several educational texts, academic publications, and self-help books, and has contributed to national guidance and curricula. Pam sits on the BPS course accreditation committee for psychological wellbeing practitioners.

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Harry Douglas is a Psychological Wellbeing Practitioner working for Everyturn where he is also the National Neurodiversity Champion for his service, working closely with neurodiversity services to provide LICBT intervention and groups to clients in adapted environments and with adapted treatments to suit their needs and increase accessibility. He is also involved in training clinical staff around Neurodiversity and appropriate adaptations to further help people access Talking Therapies support.

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Janat Hategeka, Clinical Lead at Our roots CIC. Janat is a HICBT BABCP accredited Practitioner passionate about promoting destigmatization within black and ethnic communities around mental health. Manages/oversees PWPs, triage service and supervisees HICBT trainees. She recently qualified as an EMDR Practitioner.

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Adrian Whittington is National Clinical Lead for the Psychological Professions at NHS England. In this role Adrian provides professional leadership across the national NHS teams aimed at maximising the impact of the psychological professions for the public, to deliver NHS policy.

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Faithful Odusote is an experienced Psychological Wellbeing Practitioner (PWP) with a dedication to promoting mental health equity and improving the wellbeing of individuals from racially minoritised backgrounds. Her journey in the field of mental health has been defined by a commitment to addressing disparities, enhancing access to evidence-based therapies, and ensuring culturally competent support for both clients and therapists. She also has a passion in dispelling myths surrounding PWPs and advocating for their pivotal role in the mental health care system.

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Professor Allán Laville is Professor of Equity in Psychology and Dean for Diversity and Inclusion at the University of Reading. Allán is an Advance HE National Teaching Fellow and an Associate Fellow of the British Psychological Society (BPS). In 2019, Allán won the Reading Students’ Union Award for Diverse and Inclusive Teaching Excellence and in 2020, he was awarded a University Teaching Fellowship. Allán was a finalist in the BPS and Oxford University Press Higher Education Psychology Teacher of the Year 2020 and 2022 competitions.

This conference is being recorded and will be
available on-demand

Further Information

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Keynote Address 10:00-11:00

 

What next for Psychological Wellbeing Practitioners?

 

Keynote Speaker:

Dr Adrian Whittington, National Clinical Lead for Psychological Professions, NHS England

 

Chair:

Professor Roz Shafran, Director, Bespoke Mental Health and Professor of Translational Psychology, UCL Great Ormond Street Institute of Child Health

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Panel Discussion: 11.15-12.00

How can high volume work be satisfying and manageable?

 

Panellists:

Lizzie Gray, PWP Team Lead, Sussex Partnership NHS Foundation Trust, Co-chair for the National PWP Leads Network and PPN South East PWP Subnetwork

 

Tania Ignatius, Step 2 Lead, NHS Warrington Talking Therapies, Mental Health Matters

 

Taf Kunorubwe, Mindfulness in Reading, Berkshire

 

Liz Ruth, Assistant Professor and PWP course leader, University of Bradford; Chair of the Low Intensity Special Interest Group

 

Dr Adrian Whittington, National Clinical Lead for Psychological Professions, NHS England

 

 

Chair:

Prof. Roz Shafran, Director, Bespoke Mental Health and Professor of Translational Psychology, UCL Great Ormond Street Institute of Child Health

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Skills Class 1: 12.45-13.45

Working with clients with ADHD
     
Name of presenter and affiliation


Harry Douglas, Psychological Wellbeing Practitioner and Neurodiversity Champion

Introduction

ADHD is a neurodevelopmental condition thought to affect 2.3-3.5% of the world’s adult population (Asherson et al., 2022), and much like many other forms of neurodiversity, it’s subject to a lack of understanding and stereotype that can act as a barrier to people with ADHD trying to access mental health support. Research has shown that up to 90% of people with ADHD may experience co-morbid mental health difficulties (Nutt et al., 2006), ranging from common difficulties such as anxiety and depression, to more complex disorders like OCD and social anxiety. Additionally, research has shown links between diagnoses of ADHD and higher rates of suicide attempts (James et al., 2004), demonstrating the need for timely and appropriate support for people with ADHD and comorbid mental health conditions to support in improving their quality of life. While NICE guidelines suggest that CBT is an appropriate treatment for people with ADHD with comorbid mental health conditions (NICE, 2019), research indicates that their outcomes are often poorer than their neurotypical counterparts (Amati et al., 2017), highlighting the need for adaptations to manage this disparity and improve treatment outcomes for this client group.

Content

This discussion will:

  • Provide an overview of ADHD, including prevalence, stats and assessment

  • Consider barriers to treatment for clients with ADHD

  • Cover general and specific adaptations to use with LICBT treatments


Learning objectives

You will learn:

  • How to recognise and discuss ADHD with clients

  • How to identify barriers to your work with clients with ADHD

  • How to adapt your treatment interventions for clients with ADHD


Training modalities

Didactic content, polls, Q&A

Key References

Asherson, P., Leaver, L., Adamou, M., Arif, M., Askey, G., Butler, M., Cubbin, S., Newlove-Delgado, T., Kustow, J., Lanham-Cook, J., Findlay, J., Maxwell, J., Mason, P., Read, H., van Rensburg, K., Müller-Sedgwick, U., Sedgwick-Müller, J., & Skirrow, C. (2022). Mainstreaming adult ADHD into primary care in the UK: Guidance, practice, and best practice recommendations. BMC Psychiatry, 22(1). https://doi.org/10.1186/s12888-022-04290-7 


Nutt, D. J., Fone, K., Asherson, P., Bramble, D., Hill, P., Matthews, K., Morris, K. A., Santosh, P., Sonuga-Barke, E., Taylor, E., Weiss, M., & Young, S. (2006). Evidence-based guidelines for management of attention-deficit/hyperactivity disorder in adolescents in transition to adult services and in adults: recommendations from the British Association for Psychopharmacology. Journal of Psychopharmacology, 21(1), 10–41. https://doi.org/10.1177/0269881106073219 


James, A., Lai, F. H., & Dahl, C. (2004). Attention deficit hyperactivity disorder and suicide: A review of possible associations. Acta Psychiatrica Scandinavica, 110(6), 408–415. https://doi.org/10.1111/j.1600-0447.2004.00384.x 


Faraone, S. V., Asherson, P., Banaschewski, T., Biederman, J., Buitelaar, J. K., Ramos-Quiroga, J. A., Rohde, L. A., Sonuga-Barke, E. J., Tannock, R., & Franke, B. (2015). Attention-deficit/hyperactivity disorder. Nature Reviews Disease Primers, 1(1). https://doi.org/10.1038/nrdp.2015.20 


National Institute for Health and Care Excellence. (2019). Overview: Attention deficit hyperactivity disorder: Diagnosis and management: Guidance. NICE. https://www.nice.org.uk/guidance/ng87 


Amati, F., Banks, C., Greenfield, G., & Green, J. (2017). Predictors of outcomes for patients with common mental health disorders receiving psychological therapies in community settings: A systematic review. Journal of Public Health, 40(3). https://doi.org/10.1093/pubmed/fdx168 

About the presenter:

Harry is a Psychological Wellbeing Practitioner. He is also the National Neurodiversity Champion for his service, working closely with neurodiversity services to provide LICBT intervention and groups to clients in adapted environments and with adapted treatments to suit their needs and increase accessibility. He is also involved in training clinical staff around Neurodiversity and appropriate adaptations to further help people access IAPT support.

Who should attend?

This webinar is most suitable for practitioners delivering low intensity CBT interventions for patients in primary care presenting with depression and anxiety.

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Skills Class 2: 14:00-15.00

PTSD v Trauma: Understanding and Assessment at Step 2

Name of presenter and affiliation

Faithful Odusote, Trainee CBT Therapist Hammersmith and Fulham Talking Therapies

 

Introduction


The first step of treating mental health difficulties according to NICE guidelines is correctly identifying it. Step 2 practitioners often complete the initial assessment and given time constraints; it can be challenging to identify an individuals’ presenting problem with certainty. Therefore, it is imperative to have essential questions and knowledge around mental health difficulties and this holds especially true for PTSD. Given the nature of traumas, it can be difficult to identify when PTSD is the primary presenting problem when there is comorbidity.

Content

Whilst the majority of assessments are completed at Step 2, the TT manual is very clear on how important it is to correctly identify PTSD and ensure they are put forward for evidence based high intensity interventions. Therefore, this one-hour skills class will focus on identifying PTSD and what separates it from other anxiety disorders and how to know when an individual has not met the threshold for PTSD but may still be impacted from past trauma(s).

Learning objectives


At the end of this skills class, attendees will be able to:

  • Understand the key symptoms/features to look out for within PTSD

  • Have an overview of PTSD

  • Helpful questions to identify PTSD as the primary problem

  • Utilising relevant ADSMs and interpreting scores

Training modalities


The presenter will have didactic content, Q&A and polls.

Key References


Hepgul, N., King, S., Amarasinghe, M., Breen, G., Grant, N., Grey, N., ... & Cleare, A. J. (2016). Clinical characteristics of patients assessed within an Improving Access to Psychological Therapies (IAPT) service: results from a naturalistic cohort study (Predicting Outcome Following Psychological Therapy; PROMPT). BMC psychiatry, 16, 1-10.

Leach, J., Greenberg, N., & Megnin-Viggars, O. (2019). Key learning points: NICE post-traumatic stress disorder. Guidelines in Practice

National Collaborating Centre for Mental Health. (2024). NHS talking therapies for anxiety and depression manual.

Shubina, I. (2015). Cognitive-behavioral therapy of patients with ptsd: literature review. Procedia-Social and Behavioral Sciences, 165, 208-216.

Thomlinson, R., Muncer, S., & Dent, H. (2017). Comorbidity between PTSD and anxiety and depression: implications for IAPT services. Archives of Depression and Anxiety, 3(1), 14-17.

About the presenter


I am an experienced Psychological Wellbeing Practitioner (PWP) and trainee CBT therapist, with a dedication to promoting mental health equity and improving the well-being of individuals from racially minoritised backgrounds. My journey in the field of mental health has been defined by a commitment to addressing disparities, enhancing access to evidence-based therapies, and ensuring culturally competent support for both clients and therapists. Evidenced by being a symposium speaker at the Southern Health Conference and BABCP Conference. I also have a passion in dispelling myths surrounding PWPs and advocating for their pivotal role in the mental health care system. PWPs are crucial in ensuring that evidence-based therapies reach those who need them most, and I am determined to place PWPs on the pedestal they rightfully deserve.

Who should attend?


This skills class designed for practitioners delivering LICBT, including PWPs, CYPs, EMHPs and mental health practitioners. Additionally, practitioners that assess or triage.

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