Professional Documents
Culture Documents
Sloan Mind Over Mood in Primary Care
Sloan Mind Over Mood in Primary Care
Why Depression
• Most common reason for referral to Mental
Health Program – accounts for 37.8% of
referrals (3155 /8349 in 2007)
• Anxiety Disorders second at 14%
• Combined total for both is 51.8 %
• Depression also co morbid with many
chronic medical illnesses e.g. diabetes,
COPD, coronary artery disease
1
5/25/2009
Started Talking
September 2005
The total identified is number of hours for EACH counsellor. Almost all of the groups have
two facilitators at each session.
Cognitive Cognitive
Women’s Stress Women’s Stress Generalized
Behaviour Behaviour
Name of Group Management Management Anxiety
Therapy for Therapy for
Level 1 Level 2 Disorder Group
Depression Insomnia
Number of
8 x 2.5 hrs each 6 x 2.5 hrs each 7 x 2.5 hrs each 14 x 2.5 hrs each 8 x 2.5 hrs each
Sessions
Prep Time 8 6 10 18 8
Evaluation /
4 4 4 6 4
Paperwork
Total Hours 32 25 32 59 56
These numbers are estimates only and may need adjustment as facilitators log in their actual hours in groups.
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5/25/2009
Future Plans
• Linked to the Depression Initiative
• Stanford self management groups
• Perhaps modules based on level of depression
and/or topics e.g. activation,
reframing, returning to the workplace etc.
• Increasing accessibility by offering evening or
Saturday groups at a variety of locations
• Peer co- leaders?
• I.T. - how it can be utilized to enhance the
delivery of group
3
5/25/2009
From Mind Over Mood by Dennis Greenberger and Christine A. Padesky. © 1995 The Guilford Press.
Time to Strategies to
Action plan Possible problems Progress
begin overcome problems
Decide on group format, meet Now Difficulty getting time Set aside time in Meetings were
with peers for support to review materials advance in schedule held; format was
and to meet to do literature review chosen
and to meet with peers
Talk to supervisor / manager Supervisor may not Make appointment Presentations were
re: groups, service be in favour of group with supervisor in made to supervisor
advantages, funding needed programs. Funding advance and present / manager; group
may be limited information re: groups was accepted as
concisely, with written effective means of
information to leave service; budget
with supervisor. was proposed and
Emphasis could be on approved
number of folks who
could receive service
and possibly decrease
caseload numbers or
decrease length of
service needed in
individual
appointments.
Emphasis also could
be made re: minimal
funding required.
From Mind Over Mood by Dennis Greenberger and Christine A. Padesky. © 1995 The Guilford Press.
Sample content information from Hamilton FHT.
Strategies to
Action plan Time to begin Possible problems Progress
overcome problems
Talk to doctor(s) / mental Mental health Persevere with Ongoing need to remind
health counsellors / nurses, counsellors and other promoting group other professionals: Mental
nurse practitioners / allied referral sources may programs; use variety of Health Counsellors are
health professionals in be uncertain about a means to communicate main source of referrals
practices: to educate re: referral _ is the client Referral sources made and often the most reliable
group program, appropriate appropriate for this aware to call group re: preliminary screening
referrals, screening process group or another one? coordinator with criteria
May also need more questions or to discuss A variety of means to
specific information to a case communicate re: group
encourage client or schedule is utilized:
reduce anxiety newsletter, intranet
calendar of events,
announcements at monthly
meeting, flyers, emails
Choose start date, screening Could have small Start first group with Set a minimum number of
process and date, advertise numbers of referrals to minimum numbers – get folks for group and ran
and remind referral sources start with a program going to groups with that number –
show success with did not cancel groups for
program low numbers; reminded
mental health counsellors
few weeks prior to start of
group re: need for referrals
From Mind Over Mood by Dennis Greenberger and Christine A. Padesky. © 1995 The Guilford Press.
Sample content information from Hamilton FHT.
4
5/25/2009
Strategies to
Action plan Time to begin Possible problems Progress
overcome problems
Contact potential attendees Some referred folks may Follow up with folks and Phoned referrals if no
Do screenings no show for screenings referral sources re: first show for screenings and
week attendance; consider or first group meeting;
allowing someone to start phoned referral source re:
in week two – not after that no show for screening or if
inappropriate referral;
send feedback form to
referral source if referred
person drops out of group
Start group Some folks may no show Groups were run and
for start of group; some continue to be run twice
referrals may need to per year; training of other
start after first session mental health counsellors
to run the group format
used is allowing for more
groups to be available in a
variety of time / day.
Feedback forms
completed and sent to
referral sources re: each
attendee for each group –
so referral sources have
feedback re: person
attended and progress
towards meeting goals.
From Mind Over Mood by Dennis Greenberger and Christine A. Padesky. © 1995 The Guilford Press.
Sample content information from Hamilton FHT.