IPT Scotland HOW WE GOT WHERE WE ARE TODAY Where we are The population of Scotland is 5.295 million (2011). Scotland is part of the UK but has had its own Parliament since 1999. The Scottish people will vote for or against full independence in a referendum in 2014. Our landscape Scotland has a diverse landscape across the ten National Health Service (NHS) boards that cover the whole country. Most of the population live in the central belt containing Edinburgh the capital city and Glasgow its larger neighbour. Scotland has more than its fair share of dramatic scenery, communication challenges, deprivation, and health inequalities. Edinburgh Most of us are based here. Lorna Champion Consultant Clinical Psychologist NHS Lothian Katherine Cheshire Head of Psychology NHS Fife Patricia Graham Head of Psychology for Adult Mental Health NHS Lothian Prof. Matthias Schwannaur Head of Clinical Psychology Training University of Edinburgh Other key members of our group We’d also like to thank Our National Health Service The NHS in Scotland is devolved and managed by the Scottish Government. The recent massive increase in funding for psychological therapies in the UK through the Increasing Access to Psychological Therapies (IAPT) programme only applies to England (blue area on map) and does not apply to the NHS in Scotland. Timeline 1996 • A grant was obtained from Chief Scientist Office (pre devolution) for RCT comparing IPT and CBT in Primary Care • Therapists went to train at Clarke Institute in Toronto Canada 1999 • First IPT Training Course in Edinburgh • The course attracted an international audience right from the beginning • IPT training of mental health professionals across Scotland expanded 2001 • IPT UK formed linking all those interested in IPT training in the UK. • Beginning of the development of training standards and guidelines for what was required to become a practitioner and supervisor in IPT in the NHS in the UK. Timeline 2008 2009 2009 • Increasing Access to Psychological Therapies (IAPT) Initiative in England turned its attention to IPT as an alternative to CBT in its massive rollout of psychological therapies training and delivery for England. • The Scottish IPT group formerly IPT Edinburgh decided to form IPT Scotland so we could meet the needs of the Scottish population and develop our own training pathway and procedures for maintaining standards. • Competency Framework developed for IPT to help standardise training along same lines as had been developed for CBT and for generic psychological therapy supervision standards. NHS in Scotland bought into the development of competency frameworks so we were involved in the development of the framework and committed to using it for our training. Timeline 2009 2009 2009 • IPT Scotland created a training committee to oversee training standards and consider training needs for Scotland. The first network meeting took place in January 2009 all those interested or involved in IPT from all 10 health boards were invited to the meeting in Edinburgh. A CPD programme was planned with meetings twice a year. • Although a lot of staff had done introductory training in IPT there was a shortage of trained supervisors. The reliance on peer supervision was no longer regarded as adequate. We wanted to stay in line with advances in standards in IPT UK and ISIPT. • IPT Scotland in collaboration with the University of Edinburgh obtained a grant from the Scottish Government to expand IPT training and development in Scotland. Timeline 2009 2010 • Focus was on expanding the number of supervisors across the 10 Scottish health boards. A plan was devised to assess competence and accredit experienced IPT therapists in Scotland who wanted to become supervisors • A clear training pathway for IPT was developed with supporting training material based on the competency frameworks. The aim was for each board to have at least one trained IPT supervisor. • Our IPT Supervision Handbook was produced along with new materials to guide the supervision process 2011 based on the competency frameworks. The majority of IPT supervisors (23) from across Scotland attended the first IPT Supervision Training Course ( 2 days) in Edinburgh. Increase in number of practitioners Number of practitioners 2009 v 2013 30 25 20 15 10 5 0 2009 2013 Increase in number of supervisors Number of supervisors 2009 v 2013 10 9 8 7 6 5 4 3 2 1 0 2009 2013 Further developments 2010 • Introductory Training Course offered in Aberdeen for first time with help from Liz Prince who had offered training courses in Highland and had first dedicated IPT post in Scotland. 2011 • Expansion to include training for Older Adults. Gregg Hinrichsen and Kathleen Clougherty provide training course for older adult practitioners from across Scotland funded by the Scottish Government , NHS Education for Scotland (NES) 2011 • Introductory Training offered in Glasgow supported by NES Further developments 2012 2012 2012 • IPT introductory training is provided to trainees on Doctorate in Clinical Psychology at the University of Edinburgh. This has been expanded to include Glasgow University D.Clin. Psych. in 2013 thus covering whole of Scotland. • IPT for Adolescence training offered by the University of Edinburgh as part of an M.Sc. and P.G. Cert. in Psychological therapies run by Prof. Matthias Schwannauer • IPT Scotland becomes a registered Charity in Scotland. Further developments IPT Scotland now has a new website where we aim to advertise training and future events: www.ipt-scotland.co.uk Each Health Board has a named representative and is given a page on our website. We have IPT trained staff working in a range of speciality areas including: Child and adolescent mental health Older adults Eating Disorders Perinatal mental health Physical health Bi polar disorder Each specialty area has a named representative from IPT Scotland and a page on the website. Our aim is to provide information CPD and support to all specialties via our website and regular meetings Further developments In 2011 IPT Scotland amended the IPT training pathway requiring that 4 cases had to be completed to a satisfactory standard with expert supervision and written up using standard format to obtain Practitioner Status. (Kept us in line with IPT UK IAPT developments) Further developments To obtain Supervisor Status a further two cases were required to be completed in expert supervision these six cases must cover all the four focus areas in IPT. A Portfolio of all completed cases written up using standard format in line with supervision hand book need to be submitted to the training committee along with record of supervision experience and training. All submissions assessed by two members of the IPT Scotland training committee. The aim is that all IPT supervisors will attend the two day supervisors training course, use standardised training materials for supervision and the Supervisors Handbook. Obtain supervision of supervision on their first two supervised cases with joint rating of recording of sessions. Further developments Dr Patricia Graham Head of Psychology for Adult Mental Health in NHS Lothian is also involved in developing IPT in the following additional areas: IPT for Acute Crisis (IPT:AC) with Charlotte LeMaigre Brief IPT (IPT:B Scotland) with Charlotte LeMaigre IPT for the treatment of ‘low tariff’ female offenders (IPT-LTO)(this new project has just begun following a recent grant awarded for two years) Dr Suzie Black, Dr Debra Bowyer, Dr Lorna Champion Further developments Matthias Schwannauer in collaboration with Cathy Richards in NHS Lothian is further involved in developing IPT-A as sustainable service model within Child and Adolescent Mental Health, supported by a network of CAMHS based supervisors and practitioners. In collaboration with Dr Emily Taylor and Dr Fiona Duffy we are also developing a clinical trial basis for IPT-A in comparison to CBT for children and young people and mentalisation based treatments for adolescents.