Introducing IMPARTS: Integrating Mental & Physical healthcare: Research Training & Services

Introducing IMPARTS: Integrating Mental & Physical healthcare: Research Training & Services

Join the IMPARTS mailing list

Subscribe at:

//mailman.kcl.ac.uk/mailman/listinfo/mentalphysicalhealthcareinterface

Email the group:

mentalphysicalhealthinterface@kcl.ac.uk

For more information on IMPARTS: Lauren.Rayner@kcl.ac.uk

IMPARTS Project Overview

Aim: To improve the mental healthcare of patients presenting in physical healthcare settings

Objectives:

1. To map mental health-related services provided by KHP’s acute trusts

2. To design and deliver training on mental health issues to non-specialists

3. To develop informatics to improve detection and management common mental disorders in medical settings

1) Mapping Project

2) Masters module in Psychological Medicine

To be offered by KCL’s Advanced Nursing Masters courses from 2013

One week taught course with web-based interaction:

3) IMPARTS informatics screening system

To use informatics systems to screen medical patients for CMD and other symptoms whilst they wait for their outpatient appointment, making the results immediately available to the clinician prior to consultation, and flagging up any issues that should be addressed.

IMPARTS informatics system

Improve detection & management of symptom distress

Inform clinical decision-making

& promotes timely

interventionTrack change over time

Routine collection of

patient-reported outcomes Research databaseEvidence

generation

CLINICAL PRACTICE RESEARCH

Transformation of future care

POLICY

Identifying need & informing resource

allocation

Mental health

services in

general hospital

s

Mental health

training for

non- speciali

sts

Page 9Rheumatology pilot

Objectives

1. To determine whether informatics screening is feasible in a busy clinic

setting

2. To determine whether informatics screening is acceptable to patients and staff

3. To determine the rate of common mental disorder in a rheumatology clinic setting

Page 10Procedure:

http://217.154.233.99/teleomedic2/resource/KCH/SCREENINGDEMO

Feasibility

Challenges

Referral pathway

Bespoke self-help portfolios for specific LTCs

Rheumatology

Orthopaedics

The IMPARTS package

Research opportunities

IMPARTS screening

data

EPR clinical &

demographic data

IMPARTS pseudonomysed

Research Database

• Patterns of mental disorder, symptoms, disability & health behaviour

• Associations between symptoms, function, QoL & demographic & clinical variables

• Predictors of good and poor outcomes

• Comparative effectiveness studies

• Pathways through care RESEARCHER

Recruitment into trials

• We are seeking ethical approval to prospectively request consent for contact via the IMPARTS screening interface

“Would you be happy for a researcher to contact you if your responses suggest that you might be suitable for a research

project currently taking place at the hospital?”

• It would then be possible to deanonymise patient records to allow researchers to contact potential trial participants –when explicit consent has been given

Long-term view:

Prof Matthew HotopfProject Lead

Email: Matthew.Hotopf@kcl.ac.uk

Dr Lauren RaynerProject Coordinator

Email: Lauren.Rayner@kcl.ac.uk