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Unmet Needs Pilot Projects - Recommendations for Future Service Design

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Appendix O. Tayside Health Board - Early Intervention in Mental Health

Topics: Mental Health

Background

The intervention offered a direct referral to counsellors in primary care and therefore provided an alternative to mainstream treatment of patients identified as having problems best resolved by counselling.

Funding allocation

The pilot was allocated £172,500

Aim(s)

To increase uptake of counselling services for clients in Depcats 6 and 7 by targeting resources for these clients.

Methodology

The project was a descriptive pilot/ impact assessment. This involved patients from 5 GP practices all living in Depcats 6 and 7 presenting with mental health problems best resolved by counselling.

Primary outcomes were the uptake of counselling sessions with successful uptake defined as attendance at at least 2 sessions.

There were also a number of secondary outcomes. These were the numbers and socio-demographic distribution of: patients contacted; patients who were contacted and offered follow-up services; patients who attended follow-up services and patient views regarding acceptability.

Key results

Main findings for the project were that 77% of clients who were offered the counselling service attended at least 2 counselling sessions. Of those accessing the service, 80% lived in Depcats 6 and 7, with majority of referrals for female clients. Significant clinical outcomes were reported although these were less than those of other more generic counselling services. In addition, self-report satisfaction levels from returned client satisfaction questionnaire were high.

Conclusions

Results showed that uptake increased and the service has provided high levels of satisfaction from clients.

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Page updated: Thursday, November 13, 2008