TPT - Telephone Psychological Therapy - uses guided self-help audio scripts to deliver immediately accessible personalised CBT. (#2077)

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Idea Description

Supplementary Information

Innovation 'Elevator Pitch':

TPT is a new delivery platform for CBT offering easily accessible pre-recorded therapy sessions using a customised interactive phone system. Patients call TPT free - anytime, anywhere. Healthcare providers reduce treatment costs & cut waiting lists

Overview of Innovation:

TPT is a personalised, guided self-help psychological therapy delivered over the telephone in a range of pre-recorded modules for the treatment of mild to moderate anxiety-based mental health problems. It uses modern telephone technology to achieve vastly reduced costs with no waiting lists and is designed for use in NHS primary or secondary care settings.

Easy to prescribe, easy to use
TPT is available 'on prescription' to patients from their GP or other healthcare provider. The therapy can then be regularly accessed by the service-user making a simple free telephone call. An interactive, intelligent computer controlled telephone system using voice recordings of therapeutic scripts and questionnaires will then guide the service-user through a psycho-education, treatment and recovery programme that is responsive to the patient's individual presentation and circumstances. Patients will typically complete the programme in 8 to 12 weeks.
Instant access
Psycho-education, guidance and structured self-help for managing their condition are available to service-users wherever they are and at all times of the day and night. This immediacy of access is of particular benefit to patients with conditions that require help managing situational responses to emotional and environmental triggers or developing and maintaining impulse control strategies.

Choice of treatment modules for different presentations
A range of TPT modules is available for the treatment of different mild to moderate anxiety-based mental health problems such as generalised anxiety disorder, OCD and agoraphobia. Although each module is written with the specific presentation in mind there is a broad commonality of structure. A typical TPT module will have some of the following elements delivered by spoken scripts and using targeted questionnaires:

Introduction to anxiety and its effects
Description of the symptoms and causes
Psycho educational quizzes and self assessment measures
A range of anxiety management strategies
Instant-access session for managing acute symptoms
Cognitive techniques for overcoming negative thinking
Text messages which are sent to service-users to give feedback, reinforcement and reminders
Tailored sessions to inform and support friends and family

For a quick introduction to TPT, its operation and its benefits visit our 3 minute video at: https://vimeo.com/145905041

Stage of Development:

Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)

Benefit to NHS:

Lower costs

TPT costs are 80% less than the cost of a course of therapy by a psychological wellbeing practitioner
No need for staff training or regular patient supervision by a therapist
No extra capital investment
Secondary prevention reduces need for further treatment
Reduction in demand for consultations by 'revolving door' patients

Instant access

Presenting service-users can leave the consulting room with a prescription giving immediate access to a suitable treatment offered in the 'language of their thoughts'.
Ease of use – familiar telephone dial in system for patients to access the session they require.
Help is available 24/7 whenever the patient needs support

Cuts waiting lists

High-level IAPT and secondary care services are freed up for more seriously ill service-users

Reduced dependency

Opportunity to reduce risk and cost of service-user dependency on prescription drugs

Reduced benefits bill

Patients can get back to work without deteriorating on a waiting list for other treatments

Fully translatable for the BAME community:

TPT modules can be translated once and used by many, reducing the cost for conventional translators

Meeting the Government agenda
In the face of growing numbers of people with common mental health problems and in an environment of increasing costs and reduced budgets the Government is directing commissioners to look for new ways of improving accessibility to treatment. TPT falls in line with many of these objectives, such as:

Cost reductions in the NHS
Increased patient choice
Flexible delivery of services
Access by minority groups
Use of new technology
Innovation programmes

Quality Assurance
The Cognitive Behavioural Therapy delivered by TPT is well researched, evidence-based, and commonly practiced in the NHS. The therapy scripts have been peer reviewed. The technology of the delivery platform has been exhaustively tested to ensure reliable operation in the face of intensive and unpredictable use.

Performance metrics
Standard reports showing patient outcome and experience measures are available from the database which manages TPT. Healthcare providers can monitor their consumption of TPT licences. Cornard Healthcare is happy to work with clients on their reporting requirements in the light of user experience.

Benefit to WM population:

Prevention of Mental Health Problems
We believe that TPT can address the needs identified under the ‘Prevention of Mental Health Problems’ campaign. It is a simple, easy-to-use delivery platform which gives patients with mild to moderate mental health problems instant access to CBT and gives healthcare providers a cost-effective and flexible treatment option.
TPT is designed to teach people coping strategies for mild to moderate mental health problems. This, in turn, will improve the lives of the friends and family who are supporting them.
Using TPT in a primary care setting such as the Sandwell Model will reduce the burden on GPs and, by improving access to cost-effective treatment, will improve the mental health of the population. With only a few mouse-clicks during a consultation, GPs and other healthcare professionals log in online, prescribe a unit of TPT and print a simple two-page user-guide for the patient to take away.
The modular nature of TPT means it can be tailored to the needs of the population across the West Midlands, thus reducing the number of people directly and indirectly affected by mental health problems. Cornard Healthcare can work with healthcare providers and with commissioners to develop modules to best address the specific needs of the region.
The confidentiality of the TPT delivery platform for CBT and its ready translatability make it specially well suited to the diverse multi-ethnic and multi-cultural population groups in the West Midlands where language barriers and the stigma associated with mental health problems can prevent patients from accessing the services they need.
Patient data protection
There is no personal data stored within the system as all patients are only referenced via their unique ID number.
Delivery Costs
The cost to the prescribing healthcare organisation is in two parts:

The prescribing licence for the organisation
A service-user licence for each 12 week course of treatment. These are pre-purchased in blocks by healthcare organisations.

Cornard Healthcare is happy to discuss favourable terms for early-adoption sites.
Patient Cost - None
TPT is free at the point of use. There is no cost to the patient as this covered by the service-user licence, so those on low income or benefits do not need to use valuable mobile credit or incur large telephone bills.

Current and planned activity:

Cornard Healthcare is currently working with MIND in Suffolk who are using the TPT system to help their clients. The pilot study has already shown the system to be easily accepted and used by patients, popular with clinicians and reliable in use.

Required activity:

Procurement / Adoption of TPT across the West Midlands Trusts within both primary and secondary care settings
Feedback from clinicians and patients on how to develop the service to best suit the needs of patients and providers

What is the intellectual property status of your innovation?:

IP held and owned by Cornard Healthcare Limited.

Return on Investment (£ Value):

Very high

Return on Investment (Timescale):

0-6 mon

Ease of scalability:

Simple

Comments2

Comments

Submitted by

Lucy Chatwin on 26 August, 2016 - 16:28.

I was wondering if there is an opportunity to use this as a tool for employers through occupational health at all and whether you had considered this market too?

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Submitted by

Alan Conochie on 26 August, 2016 - 17:51.

Thank you, Lucy, for your comment. Yes, TPT is highly suitable for use in a workplace wellbeing or occupational health environment. We have had contact with some companies working in this area but, although appearing enthusiastic about its potential, none of them has so far taken up TPT.

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Created by

Alan Conochie

Managing Director

On 21/07/2016 - 15:50

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	Prevention of Mental Ill Health How do we prevent the development of mental health problems and get help earlier for people starting to suffer poor mental wellbeing? See Additional Info ‘Prevention of Mental Illness’ is an aim that would have seemed remarkably aspirational even five years ago. However, in recent years there have been clear convergences from neurological, public health, economic and social psychiatry research that all demonstrate common causal and risk factors for mental illness. There are many practical questions that need to be considered and in order to go someway to providing answers the WMAHSN has completed this ‘prevention of mental illness’ review and developed an outline strategic plan - Prevention of Mental Illness – ‘Getting it Right First Time’ In addition we are working with a number of partners, including Birmingham's Mental Health System Strategy Board who Commissioned WMAHSN to develop a Prevention Strategy for the City. While this focuses on Birmingham & Solihull, we are looking for innovations that can improve the lives of people across the region and beyond. We are particularly looking for innovations that: Support young people to have the coping skills they need to withstand episodes of low mental wellbeing, such as that related to exam stress or family disputes; Increase employment, education and training opportunities, as we know that they are important in promoting mental wellbeing; Support more looked after children and ex-offenders to be in work, either paid or unpaid, or training; and Tackle all types of domestic abuse and violence, as these are major causes of mental health problems, which affect whole families and future generations. Raise awareness and understanding of mental health among the wider population, including: How to spot when somebody is struggling with their mental health When & how to offer advice, and when and how to signpost people to professional help Breaking down barriers between different services and sectors (such as health care, social care, education, housing and the justice system) Examples of activity we want to develop include: Describing the effect that poor adult mental health and behaviour has on children and families; Being much better at understanding the change from childhood to adulthood, and the consequences for some, on their mental health; Understanding the effects of isolation on wellbeing and how we can improve this, especially for older people; and Commissioning, or buying, and providing mental health services which meet agreed outcomes. Providing tools to help individuals and carers maintain their mental health and wellbeing. We intend to measure success by: Fewer children affected by their parents’ poor mental health; Fewer people aged 0-25 being admitted to emergency departments for deliberate self-harm; Fewer suicides; Improved school surveys, relating to mental wellbeing; Fewer repeat violent episodes; and Fewer children and young people reporting that they are frequently bullied. Campaign Owner Neil Mortimer See more files: An agreed purpose for improved mental health in Birmingham.pdf This campaign is now completely closed. You can view the status of all Innovations and the results of their evaluation & review.
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