Transcript Serenity programme - Brief Introduction

The Serenity Programme
A brief introduction ...
What is it, how it works
Steve Cottrell, June 2013
Contacts
SERENE.ME.UK/HELPERS/
SERENE.ME.UK/HELPERS
#SERENITYPROGRAM
#SERENITYPROGRAM
FACEBOOK.COM/SERENITY.PROGRAMME
SERENITY.PROGRAMME
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2
Guided Online Self-help
For Generalised Anxiety Disorder,
(GAD) Phobias and Panic Disorder
What is it?
A unique, theoretically
integrative blended learning
approach to treatment of
stress and anxiety disorders
A blend of face-to-face
contact alongside an
interactive Internet
programme and telephone
support ...
Telephone
Support
Human
Contact
Self
Assessment
Interactive
Programme
Assessment
Begins with a two-hour
semi-structured assessment
Bespoke template-driven
documentation, assessment
using CORE-OM, HADS (or
GAD-7) & PHQ-9
35 Interactive Assessment Tools, Including ...
GAD-7 (Generalised Anxiety)
PHQ-9 (Depression)
WSAS (Work Adjustment)
PEQ (User Satisfaction)
PHQ-15 (Somatisation)
IES-R (Trauma)
PDSS (Panic Disorder)
OCI (OCD)
AUDIT (Alcohol Use)
The Programme
Presented in an attractive
1
• Introduction
2
• Understanding Anxiety
3
• Becoming Different - Goal setting
4
• Behaviour, Emotions, Sensations, Thoughts
5
• Relaxation
6
• Difficult Thoughts
7
• Difficult Feelings
8
• Solving Problems
9
• Staying Well
interactive workbook (in
depth programme) and online
multimedia format (brief
psychoeducational
programme)
Assistive technology for
people with dyslexia, visual
impairment, physical or
reading difficulties
The Programme
Assessment
meeting
Modules
1 and 2
Support call
Module 3
Goal setting
meeting
Module 4
Support call
Module 5
Support call
Module 6
Support call
Module 7
Support call
Module 8
Support call
Module 9
Final meeting
Takes most people at least
three months to complete ...
Workbooks
Password protected
interactive workbooks , users
download & keep to form a
comprehensive client-held record
Use on your PC or print and
complete by hand (average
reading age of 11 years)
With more than 60 tasks and
exercises
Benefits - to the user
Increased choice
Increased confidentiality
Range of options: Internet,
CD, paper, USB drive
Infrequent contact, longer
term approach (CDM model)
Reduced need to travel
Time flexibility - night shift
workers, carers, single parents
User involvement during
design process, CQI
Benefits - to the service
Prevents wasteful ‘admit >
treat> discharge > readmit’ cycle
Equity - services for
agoraphobia, social phobia,
avoidant and fearful, single
mothers, young men, people with
disabilities
No inherent geographical
boundary problems
100% increase in throughput
Benefits - to the Wider Community
Materials shared, reducing
familial transmission of harm
Use of model alone or as
adjunctive treatment - EAP,
CFS, MUS, anxiety in COPD and
MI etc.
Less paper, less travel, less
cost, less waste, less pollution more efficient use of time!
Evaluation
Interview with researcher,
repeated measures (DASS,
CORE-OM, HADS, PHQ-9)
Studies with Beneficiaries
of ‘Want 2 Work’ programme
John Moore’s University
Student Stress Study
Ongoing NHS Study
Awards
Awards from WaMH in PC
WIsH (2006)
RCN (2008)
BJN (2008)
Best Nurse-led Project 2010
In RCN ‘Top 30’ UK Health
Modernisation Projects 2011
(TBA)
The Serenity Programme
Outcome evaluation in BCUHB
Early results ...
Mixed-methods quasi-experimental study - semi-structured interview and
repeated measures using HADS, PHQ-9 and CORE-OM
'... navigation was
easy...' CM, Colwyn Bay
'...really liked the points
of interest, helpful hints,
and breakdown of what
was wrong and how I
could deal with it...' RW,
Colwyn Bay
'...I liked the gentle
approach...' SP, Rhyl
'...programme gives
great insight and
understanding to anxiety
and the reasons why it is
happening...' CR, Rhyl
'...it was good for
changing thought
patterns...' JC, Abergele
'..it’s absolutely super,
I’m really, really very
impressed with it, it’s a
wonderful thing to
have...' AD, Denbigh
'...instantly appealed as
it immediately seemed
to address my
problems...' JT, Rhyl
'...layout was very userfriendly...' CA, Rhyl
'...not loads of medical
jargon, so could
understand what was
being said...' SW, Rhyl
'...it’s good to know
someone else
understands how I
feel...' SW, Rhyl
'...think the programme
is good and should be
rolled out to
others...' HR, Prestatyn
'...the website was
compelling and
encouraging...' KJ, Rhyl
Anxiety scores showed an average reduction of 31% over 3 months
HADS - Anxiety Scores, 3 month interval, p<0.0002
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Client
Normal 0 - 7 | Mild 8 - 10 | Moderate 11 - 14 | Severe 15 - 21
Mean baseline score = 16, SD = 3.48, CI = 1.53 | Mean 3-month score = 11, SD = 3.54, CI = 1.55, t-test (2-tailed) p<0.0002
Depression scores showed an average reduction of 52% over 3 months
HADS - Depression scores, 3 month interval, p<0.0001
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Client
Normal 0 - 7 | Mild 8 - 10 | Moderate 11 - 14 | Severe 15 - 21
Mean baseline score = 10, SD = 4.51, CI = 1.98 | Mean 3-month score = 5, SD = 4.11, CI = 1.80, t-test (2-tailed) p<0.0001
The Serenity Programme
Internet usage data ...
The first seven months
357 visitors stayed for
more than 30 minutes
1,821 visitors stayed for
between 3 & 30 minutes
Thanks for Listening!
Questions?
Thanks for Listening!
Questions?