Derwent Clinic
|[pic] |3rd Annual |
| |EPIC Mental Health |
| |Update Conference |
| | |
| |Engaging as |
| |Partners in Care |
| | |
Thursday 22nd November 2018
9.30am- 4.30pm
(Registration and refreshments from 8.45am)
Principal York Hotel
YO24 1AA
Workshop Synopses and Presenter Biographies
Workshop 1: 11.00am to 12.30pm
|GENDER DYSPHORIA |
|Dr Helen Marie Greener. Consultant in Gender Dysphoria, Northern Region Gender Dysphoria Service. Northumberland, Tyne and Wear NHS Foundation Trust |
|Professor Marios Adamou. Consultant Psychiatrist in Neurodevelopmental Psychiatry (ADHD and ASD), South West Yorkshire Partnership NHS Foundation Trust. |
|Workshop synopsis |
|This workshop will enable delegates to develop an understanding of gender dysphoria. There will be a focus on how to support individuals experiencing gender |
|dysphoria, the challenges they face, the services currently available and what is delivered by those services. A significant proportion of patients with gender|
|dysphoria are found to have high Autistic Spectrum Quotient scores. Marios will explore current thinking in this area. |
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|Biographies |
|Dr Helen Greener is a Consultant in Gender Dysphoria and Clinical Lead at the Northern Region Gender Dysphoria Service, at Northumberland Tyne and Wear NHS |
|Foundation Trust, based in Newcastle. The service is one of England’s seven national clinics for the assessment and treatment of gender dysphoria in adults. |
|She has been a member of NHS England’s Gender Identity Clinical Reference Group for 5 years and is Secretary-General of the British Association of Gender |
|Identity Specialists. She originally trained in Old Age Psychiatry and has a specialist interest in mental capacity. |
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|Email: HelenMarie.Greener@ntw.nhs.uk Telephone: 07917 557501 |
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|Professor Adamou is a Consultant Psychiatrist in neurodevelopmental psychiatry (ADHD and ASD) at South West Yorkshire Partnership NHS Foundation Trust. He is a |
|Visiting Professor at the University of Huddersfield, Board member of the East Ridings Clinical Commissioning Group and Regional Advisor for the Yorkshire and |
|Humber Region. Professor Adamou heads one of the largest services in the country providing assessments and interventions for people with ADHD and ASD. His |
|research focuses mainly on service provision in ADHD and ASD. |
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|He has academic qualifications in a number of disciplines. He completed postgraduate degrees (MSc) in Mental Health Studies, MA (History), LL.M (Medical Law), |
|MBA (Business Administration) and PGCE (Medical Education). He earned a postgraduate diploma in Occupational Medicine (DOccMed) awarded by the Faculty of |
|Occupational Medicine of the Royal College of Physicians. He completed a PhD by research. |
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|He is a Fellow of the Higher Education Academy (FHEA), the Royal Society of Arts (FRSA), the Royal Society of Public Health (FRSPH) and the Society of Biology |
|(FRSB). He is a Chartered Fellow of the Chartered Management Institute (CMgr MCMI) and Chartered Fellow of the Institute of Directors (CDir FIOD). |
|Email: Marios.Adamou@swyt.nhs.uk Telephone: 01924 31649 Twitter: @DrMariosAdamou |
|MANAGING TREATMENT RESISTANT ANXIETY AND DEPRESSION |
|Dr Baxi Sinha. Consultant Psychiatrist (Stockton Access and Affective Disorders), and Associate Clinical Director (Adult Mental Health Teesside) |
|Workshop synopsis |
|This workshop aims to provide delegates with the knowledge and skills necessary to: |
|Recognise and evaluate treatment resistance in management of anxiety and depression (and differentiate from some closely related conditions) |
|Be more confident in using strategies for managing treatment resistance in primary care |
|Know which medications to use, and when |
|Know how to refer to the appropriate service if secondary care intervention is required |
|Biography |
|Dr Baxi Sinha completed his training at Central Institute of Psychiatry (CIP) in India and has been working as a Consultant in the TEWV Trust for about 10 |
|years. His clinical role is in the Stockton Access and Affective Disorders Teams; he is also the Associate Clinical Director of Adult Mental Health in |
|Teesside. He takes an active interest in teaching and training and contributes regularly to post graduate teaching sessions, he is currently the Senior FP & GP|
|Tutor for the TEWV Trust. He has contributed to research and development, published some research papers, has helped on editorial boards of journals, does peer|
|reviews; he was involved as a Principal Investigator in the ADD Study [Antiglucocorticoid augmentation (metyrapone) of antidepressants in Depression (ADD |
|Study)] and has also helped in the LABILE trial (Lamotrigine And Borderline personality disorder: Investigating Long-term Effectiveness trial). His areas of |
|special interests include treatment of depression, and Personality Disorders and its co-morbidities. |
|Email: baxi.sinha@ Telephone: 01642 368636 / 368600 |
|PERINATAL MENTAL HEALTH |
|Dr Natalie Smith. Consultant in Perinatal Psychiatry. Tees Perinatal Mental Health Team. |
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|Workshop Synopsis |
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|This workshop recognises the importance of perinatal mental health and the challenges for GPs, and includes information and advice on postpartum disorders and |
|prescribing during pregnancy and breast feeding. There will be some brief information on the Perinatal Psychiatry Service delivered by TEWV. |
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|Biography |
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|Appointed as general adult consultant in TEWV in 2012, Natalie has had a special interest in perinatal psychiatry for many years. She developed the perinatal |
|service in Teesside, initially as a non-commissioned service and now as part of a commissioned team across Tees. Natalie hopes to support the Trust in |
|developing perinatal services across other areas of TEWV also. |
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|Email: natalie.smith13@ Telephone: 01642 368303 |
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|UNDERSTANDING AND MANAGING TRAUMA |
|Dr Rachael Hall. Consultant Psychiatrist (Inpatients). Lanchester Road Hospital, Durham. |
|Workshop synopsis |
|This workshop will cover: |
|an overview of why trauma is relevant, how it is defined, and the related facts and figures |
|the physiology of trauma and how it affects the brain |
|clinical presentations such as PTSD, complex PTSD and dissociation |
|management principles and trauma informed care |
|interactive case examples |
|top tips for GPs and their teams |
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|Biography |
|Dr Hall is an inpatient consultant psychiatrist based at Lanchester Road Hospital in Durham. She graduated from the Hull York Medical School in 2008 and |
|completed her foundation programme training at James Cook University Hospital in Middlesbrough. She went on to complete the majority of her core and higher |
|training in psychiatry in TEWV. She achieved her CCT in General Adult Psychiatry with an endorsement in Liaison Psychiatry in July 2016. |
|Dr Hall has a keen interest in quality improvement and the development of acute mental health services, improving the physical health care of people with severe|
|mental illness, and medical education. As she settles into her new role she hopes to build on existing partnerships between local inpatient/crisis services and |
|primary care and third sector organisations. |
|Email: rachael.hall6@ Telephone: 01642 837398 Twitter: @RDoyleHall |
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|Workshop 2: 13.30pm to 2.45pm |
|BEHAVIOURAL ACTIVATION FOR THE TREATMENT OF DEPRESSION |
|Professor David Ekers. Nurse Consultant and Honorary Visiting Professor. Tees Esk & Wear Valleys NHS Trust / University of York (Mental Health and Addictions |
|Research Group) |
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|Workshop synopsis |
|This workshop will provide delegates with a solid overview of the use of behavioural activation for the treatment of depression. In summary, it will cover the |
|following: |
|Theoretical background and the latest research findings in behavioural activation |
|Delivery of behavioural activation for depression across TEWV and beyond |
|An introduction to the relevant techniques that can be used by GPs and practice nurses |
|Secondary care services available, who they are for, and how to refer |
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|Biography |
|Professor David Ekers is a Nurse Consultant at TEWV NHS FT and Honorary Visiting Professor at the Mental Health and Addictions Research Group (MHARG) at The |
|University of York. He has led or collaborated in a range of studies exploring the utility of behavioural activation (BA) across a range of health settings. He |
|is the Chief Investigator on the Community Pharmacy Mood Intervention Study exploring BA focussed health promotion to adults with sub threshold depression and |
|long term physical health problems and a 6 year NIHR Programme Grant, Multi-Morbidity in Older Adults (MODS). He is an international collaborator on the |
|Australian BAN-Dep Study. |
|David is the North East North Cumbria Mental Health Speciality Lead for the Clinical Research Network, a committee member for NICE and the NIHR HTA funding |
|panel. David is a strong advocate for nursing research, the potential nurses hold to lead large, innovative and pragmatic research studies. |
|Email: david.ekers@ Telephone: 0191 3740068 Twitter: @DavidEkers |
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|EATING DISORDERS: WHAT A GP NEEDS TO KNOW |
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|Nicola Birkin. Specialist Practitioner in Eating Disorders, South West Community Mental Health Team |
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|Workshop synopsis |
|The workshop will support you to be confident in: |
|understanding who may be at risk of developing an eating disorder and what places them at risk |
|how to recognise a patient with an eating disorder within general practice |
|how to engage a patient with an eating disorder, key tips and what not to say |
|what might help carers/families cope |
|what physical investigations are useful and how to interpret them |
|when to refer, and what help should be available |
|what community teams deliver and what specialist teams deliver |
|what interventions/treatments are valuable |
|how to recognise an emergency |
|when to use the MHA |
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|Biography |
|Nicola Birkin – biography to follow |
|Email: nicola.birkin@ Telephone: Tel: 01904 736100 |
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|ADULT ADHD FOR GPs |
|Maria Mazfari. Associate Nurse Consultant Adult ADHD. |
|Tina Profitt. Clinical Nurse Specialist Adult ADHD. |
|Specialist Adult ADHD Service in the North East of England, based in Stockton-On-Tees. |
|Workshop synopsis |
|Using presentation and group discussion, clinical management and resources will be explored, this workshop will provide information for GPs around: |
|what adult ADHD is |
|assessment, diagnosis, and management of ADHD |
|NICE guidance for ADHD in adults. |
|tips and resources on how to support patients, carers and families within the general practice |
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|Biographies |
|Maria Mazfari is a Registered Nurse in Mental Health (RN/MH) she has a Diploma in Mental Health Nursing, a BSc Hons Degree in Mental Health Nursing, an MSc |
|Specialist Field Nursing Degree and is a Non-Medical Prescriber. |
|Maria is an Associate Nurse Consultant within a Specialist Adult ADHD Service. Previous roles have involved; Staff Nurse on a psychiatric acute admissions ward,|
|Community Psychiatric Nurse within a Community Mental Health Team, Intensive Home Treatment Worker, Crisis Resolution Team Caseworker (10 years) and Clinical |
|Nurse Specialist within an Adult ADHD service (6 years). |
|Email: maria.mazfari@ Telephone: 01642 368355 |
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|Tina Profitt is a Registered Nurse in Mental Health (RMN). She is a Clinical Nurse Specialist within a Specialist Adult ADHD Service in the North East of |
|England, based in Stockton-On-Tees. Previous roles have involved; Staff Nurse on Psychiatric Acute Admissions Wards and Day Unit running Clozaril/Lithium |
|Clinics and managing the ECT suite at Winterton Hospital (10 years). Community Psychiatric Nurse in a CMHT (10 years) Community Psychiatric Nurse in Eating |
|Disorders and Older Peoples Services (8 years) and Clinical Nurse Specialist within Adult ADHD service (5 years). “I consider myself to be a bread and butter |
|nurse and not a specialist as my title states; I enjoy working with people, I find them an endless source of fascination and sometimes frustration but mostly, |
|generally, a pleasure”. |
|Email: tina.profitt@ Telephone: 01642 368355 |
|A GPs GUIDE TO MANAGING CHALLENGING BEHAVIOUR IN THOSE WITH LEARNING DISABILITIES |
|Dr Neelakandan Murugesan. Psychiatrist and Clinical Director in Adult Learning Disability Services, Durham and Darlington. |
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|Workshop synopsis |
|This workshop will cover: |
|What GPs can do practically when patients with learning disabilities present with challenging behaviour |
|How to support and manage them within primary care, with an emphasis on STOMP - Stopping Over Medication of People with a learning disability, autism, or |
|both. |
|It is estimated that on an average day in England between 30,000 and 35,000 people with a learning disability, autism or both are taking prescribed |
|psychotropic medication. Long-term use of these medicines puts people at unnecessary risk of a wide range of side effects including weight gain, organ |
|failure and even premature death. Psychotropic medication should only be prescribed for managing behaviour which challenges when it is used in combination |
|with psychology or other therapies. Psychotropic medication is often prescribed for people with a learning disability, autism or both with serious mental |
|illness such as psychosis or bipolar disorder. STOMP also aims to ensure that medication used in this way are also reviewed and monitored appropriately. |
|How to refer to appropriate secondary care services. |
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|Biography |
|Dr Neelakandan Murugesan is a Consultant Psychiatrist and Clinical Director in Adult Learning Disability services within Durham and Darlington. |
|Email: neelakandan.murugesan@ Tel: 0191 4415834 |
Workshop 3: 3.15pm to 4.30pm
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|A POSITIVE APPROACH TO OLDER PEOPLE’S CARE FOR GPs: A TASTER OF AN INNOVATIVE EDUCATION PROGRAMME FOR THOS SUPPORTING PEOPLE LIVING WITH DEMENTIA |
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|Susannah Thwaites. Clinical Specialist Occupational Therapist. |
|Amy Smith. Clinical Lead Occupational Therapist |
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|Workshop synopsis |
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|This workshop aims to provide GPs and other practice staff who have direct contact with dementia patients with practical knowledge and skills to actively engage |
|with these individuals, ensuring they receive the best quality care possible, and enhancing their quality of life. It will also cover working with other family |
|members and caregivers, as well as care homes and care home staff, to deliver care on a variety of levels. |
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|Teepa Snow has developed the Positive Approach to Care™ concept to support people living with dementia by equipping both formal and informal carers with specific |
|skills aimed at increasing understanding of what it is like to live with dementia. Her approach is focused on care delivery, rather than theories. This session |
|will include the ‘Positive Approach to Care™: A taster of an innovative education programme for those supporting people living with dementia.’ |
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|Biographies |
|Susannah Thwaites is a Clinical Specialist Occupational Therapist with Tees, Esk & Wear Valleys NHS Foundation Trust, who works within the Care Home Liaison |
|team. She works predominantly with people living with dementia who are in the later stages of dementia and are presenting with behaviours that care home staff |
|are experiencing as challenging. Susannah has been an occupational therapist for 25 years and has worked with people living with dementia in a variety of settings|
|and has been an accredited Positive Approach to Care™ (PAC™) trainer since 2015. |
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|Email: susannah.thwaites@ Telephone: 01388 645300 |
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|Amy Smith is the Clinical Lead Occupational Therapist for mental health services for older people in Durham and Darlington. She works regularly with clients with |
|functional and organic conditions (early through to late in the condition) within their own home and care homes. |
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|In January 2017 Amy began working at Newcastle University as part of their Developing an intervention for people with dementia with fall-related injuries (DIFRID)|
|study. Amy has been an accredited Positive Approach to Care™ (PAC™) trainer since 2017 delivering training to family members of people with dementia and staff |
|within TEWV. |
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|Email: amy.smith16@ Telephone: 0191 5549000 Twitter: @AmySmithOT |
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|MANAGING ANXIETY, DEPRESSION AND SELF-HARM IN TEENAGERS |
|Dr Anthea Prosser. Consultant Child and Adolescent Psychiatrist. CAMHS York & Selby. |
|Sarah Forrester. CAMHS Practitioner, CAMHS York & Selby. |
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|Workshop synopsis |
|This interactive workshop will provide: |
|A brief reminder of diagnostic criteria for depression and anxiety disorders in children and adolescents |
|How to assess risk and when to refer young people with emotional disorders and self-harm. |
|An update on risk factors, prevalence and prognosis. |
|An overview of up to date assessment and treatment both in the primary care setting as well as specialist CAMHS |
|The workshop will include some interactive Children and Young People’s IAPT based case examples. |
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|Biographies |
|Dr Anthea Prosser is a Consultant Child and Adolescent Psychiatrist working for York and Selby CAMHS, she is the lead psychiatrist for the service and has many |
|years’ experience of working with young people with depression, anxiety and other mood disorders, she regularly delivers training on CAMHS risk assessment and |
|CAMHS assessments of mood disorders to junior doctors, Hull and York Medical School students as well as being the lead for CPA and risk training in CAMHS. |
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|Email: a.prosser@ Telephone: 01904 294200 |
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|Sarah Forrester leads the emotional pathway for York CAMHS Teams, she is an experienced CAMHS Practitioner who has undertaken the CYIAPT CBT programme for CAMHS. |
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|Email: sarah.forrester1@ Telephone: 01904 615300 |
|PERSONALITY DISORDER: WHAT A GP NEEDS TO KNOW |
|Jane Bradley. Advanced Practitioner / CAT Practitioner, Tees Personality Disorders Service |
|Dr Lindsay Jones. Consultant Clinical Psychologist / Lead for Personality and Relational Disorders, North Yorkshire Adult Mental Health. |
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|Workshop synopsis |
|This workshop aims to equip GPs to feel as confident as possible in their understanding, knowledge and care within their practice setting of working with patients|
|with personality disorder/difficulties. The session will: |
|Increase awareness and understanding of Personality Disorder |
|Outline the causes of this disorder including attachment difficulties |
|Make 10 minute appointments therapeutic |
|Help GPs manage chaotic interactions that can be created in the surgery |
|Help GPs build therapeutic relationships with their patients with personality disorder/difficulties |
|Update GPs on where services are up to in their work with clients with personality disorder/difficulties |
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|Biographies |
|Jane is an Advanced Practitioner and works in the Tees Personality Disorder Service for Tees, Esk & Wear Valleys NHS Foundation Trust where she has worked for the|
|past 7 years. Jane is an accredited Cognitive Analytic Therapy (CAT) Practitioner and an accredited Mentalisation Based Therapy (MBT) Practitioner, both of which|
|are relational models of psychological therapies. Whilst Jane continues to do some 1.1 clinical work, the focus of the Personality Disorder Service is to offer |
|consultation, supervision, teaching and training for staff working with clients who struggle with personality disorder/difficulties. Jane’s particular area of |
|interest is helping staff to develop their understanding of the difficult dynamics that clinicians and services can be pulled into when working with this client |
|group and how making sense of this using CAT & MBT can improve our working relationships and thus outcomes. |
|Email: jane.bradley5@ Telephone: 01642 368711 |
|Dr Lindsay Jones is a Consultant Applied Psychologist and currently works as Lead for Personality and Relational Services for North Yorkshire Adult Mental Health |
|Services (Tees, Esk and Wear Valleys NHS Trust). She is also an accredited Cognitive Analytic Therapy (CAT) practitioner and supervisor. She has a longstanding |
|interest in trauma, personality disorder and gender sensitive approaches. She has presented at conferences and published articles in the areas of Cognitive |
|Analytic Therapy, personality disorder and working with women. |
|Email: lindsay.jones1@ Telephone: 07917 557501 |
|ADULT AUTISM – WHAT A GP NEEDS TO KNOW |
|Dr Conor Davidson. Consultant Psychiatrist. TEWV Autism Clinical Lead, NE CMHT, York. |
|Workshop synopsis |
|Autism is more common than you might think, affecting 1 in 100 people. (For a practice list size of 3000 patients this means a possible 30+ patients with |
|autism.) It persists through the lifespan, and in adulthood is associated with a range of adverse mental and physical health outcomes. A recent well-publicised |
|study found that people with autism have on average 16 fewer years life expectancy than the general population. The issue of health in autism is gaining national|
|prominence and will without doubt be an increasingly important part of general practice in the future. |
|This workshop will provide you with key facts about autism, its impact on individuals, and learn about common mental and physical health co-morbidities in autism |
|and how to effectively manage them. |
|A useful source of information for GPs is provided by the National Autistic Society here: .uk/professionals/health-workers/gp-info.aspx |
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|Biography |
|Dr Conor Davidson is a CMHT consultant psychiatrist based in York. He has an interest in autism spectrum disorders, in particular comorbidity of autism and |
|psychiatric disorders. In the past Conor has worked in the Sheffield Asperger service, and he is now part of the Leeds Autism Diagnostic Service. He has |
|published several papers on autism including on Asperger syndrome and First Episode Psychosis. In April 2017, Conor was appointed trust wide autism lead for |
|Tees, Esk and Wear Valley Foundation Trust. Unfortunately for him, Conor is a lifelong Leeds United supporter. |
|Email: conor.davidson@ Telephone: 01904 556718 Twitter: @conor_davidson |
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