Our anxiety recovery programmes and team work within IAPT and NICE guidelines under CG113 for Guided Self-Help to provide constantly monitored, high quality anxiety recovery tools, structures and constant qualified support, guidance and reassurance.
Our ‘stay at/back to work’ policy provides anxiety disorder sufferers with a structured and supportive programme to move them back into work and social environments after anxiety recovery.
Our qualified team of ex anxiety sufferers provide reassurance and accessible guidance at all times, ensuring that each and every patient receives precisely what they need in order to make a full recovery.
Children and young people
CYPIAPT – Our programmes have been developed to help people of all ages.
We have developed specific materials and resources for young people and children that can be taught through and implemented directly in schools and other learning establishments.
Our early intervention programme structure means that children and young people can address their anxiety disorders at their onset and be guided to speedy recovery.
Our programmes:
- NICE Guidelines CG113 for Guided Self-Help
- IAPT Guidelines
- BACP registered counsellors
- LAR accredited practitioners
- CBT Practitioners
- Supervised recovery pathways
- Constantly monitored outcomes
- High level, encrypted confidentiality
- Programmes for children and young people
Savings to the NHS
- Reduction in overall CCG costs
- Reduced ambulance call-outs/frequent fliers
- Reduced prescription costs
- Reduced cost to primary care
- Reduced cost to out of hours services
Benefits to the patient
- Immediate, direct access to care
- Immediate access to Self-Help materials
- All materials can be transferred to mobile devices
- 24/7 Telephone support
- 24/7 Email support
- Mobile Applications
- Free Webinars on confidence, stress, diet, posture, etc
- Back to/stay at work ethos and support
Facilitated Self-Help – NICE CG113
Facilitated self-help is a self-administered intervention which makes use of self-help resources.
Our Self-Help and Wellbeing Practitioners facilitate the use of our bespoke self-help material by introducing, monitoring and reviewing the outcome of treatment. It is therefore more than simply giving patients literature to read. Assessment of the patient allows an appropriate selection of materials which is matched to their diagnosis. Our practitioners are trained to choose and implement the materials most appropriate to their needs, to explain the concepts and rationale, as well as motivate patients to engage.
During our programmes, contact with our team is constant. The patient may access all materials and support by telephone or email as little or as often as they wish during their programme membership.
The practitioner‘s interest and the structured interaction increases the likelihood that the patient will engage with programme materials more effectively and that programme compliance will bring fast relief.
Collaboration and communication between the primary care team, commissioners and Linden Recovery facilitates effective implementation of our programmes.
Monitoring of outcomes is essential so that non-responders may be referred to a more intensive level of intervention with our practitioners.
Linden Recovery can be offered to all people irrespective of age, including the elderly
Low intensity interventions, such as facilitated self-help and group CBT, are delivered within IAPT by our practitioners.
High intensity interventions are delivered within IAPT by our qualified CBT practitioners within our programme structure.
Care in the Practice
Primary care practitioners have many skills which can benefit patients who are experiencing psychological distress. Some practitioners may consider expanding their repertoire and learn to become an Anxiety Recovery Practitioner through one of our residential conversion courses or through our NCFE Level 4 qualification. See the BACP’s CPD directory or click here.
For example, appropriately trained practice, district and specialist nurses might consider using Linden Recovery in practice or referring to our programmes for patients who are identified during the annual chronic disease review as experiencing anxiety or depression symptoms. Guided self-help referrals can also be incorporated into GP consultations.
Crucial to the success of any intervention is patient engagement. Some patients, especially the elderly, have been shown to be more likely to engage with their primary care practitioners than a psychologist or psychiatrist and our programmes and the constant supervision provided by experienced anxiety disorder recovery practitioners is both enjoyable and compelling, interesting and fulfilling.
Linden Recovery practitioners are ideally placed to provide the structured follow-up by telephone which has proved to be an essential and effective component of collaborative care models for anxiety and depression.
If required, our practitioners will be able to make use of our consultation rooms or attend your local clinic or hospital to see patients.
Practitioners are a valuable resource and you may wish to invite them to your educational meetings to facilitate training for your primary care team, increase understanding of effective therapeutic options or discuss specific patients of concern.
Our IAPT Team
Our team includes psychologists and counsellors and other qualified anxiety recovery experts.
Practitioners from other disciplines, such as nursing, may undertake training and become qualified to deliver low or high intensity interventions.
‘Low intensity’ practitioners offer step 2 interventions such as guided self-help, CCBT, group CBT and signposting. Each worker will have ongoing supervision from a highly experienced practitioner.
‘High intensity’ practitioners offer step 3 interventions such as one-to-one CBT over a number of sessions. They have regular supervision.
Who to Refer?
Most patients with depression and anxiety disorders seen in primary care are suitable for referral to our programmes.
Patient suitability assessment
The IAPT service is not intended for patients aged under 18 years, who will be referred to alternative services as required.
Patients complete a selection of rating scales at intervals during therapy so that their progress can be monitored and also the effectiveness of the service may be evaluated. Some of the tools used are listed on the right-hand side of the page.
The Quality Outcomes Framework (QOF) requires scores from a self-rating scale such as PHQ-9 to be recorded at the initial diagnosis of depression and at 5-12 week follow-up. By monitoring outcomes, patients who are not improving can be identified and may be offered a different intervention.
PHQ-9: this 9-item rating scale assesses depressive symptoms over the previous 2 weeks. The optimal sensitive and specific threshold score for likely depression is 10 *
GAD-7: this 7-item rating scale assesses anxiety symptoms over the previous 2 weeks. The optimal sensitive and specific threshold score for likely anxiety disorder is 8 *
IAPT Phobia scale: this 3-item scale measures patient avoidance due to anxiety symptoms
Work and social adjustment scale (WSA): this 5-item scale measures the extent to which a patient’s symptoms affects their functional ability
