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Workshop 2

Working in Low Intensity CBT with long-term conditions and medically unexplained symptoms

Marie Boardman and Philippa Horn, Midlands Partnership NHS Foundation Trust and Elizabeth Boaden, University of Central Lancashire

This workshop will be in three parts. The first part will provide an introduction to working with LTCs and MUS. Marie will highlight best practice for improving assessment and decision making for patients who present with LTC or MUS and discuss how to enhance assessments to include impact of LTC/MUS on patient’s mental health and vis versa. This will

  • increase participants understanding of the importance of accurate assessment and information gathering in relation to LTC/MUS.
  • Increase understanding of relationship of mental wellbeing and physical health.
  • and improve assessments and decision making for patients who present with LTC/MUS and how this leads to improved outcomes for the patients.

In the second part of the workshop Philippa will explore the rationale and process for delivering a 5 session Long Covid Online group. She will explain how the group was established, the importance of liaising with physical health colleagues and the benefits and lessons learned from group working.

In the third part of the workshop Elizabeth will help delegates understand the specific language difficulties experienced by individuals who have had a stroke, identify the barriers to communication and utilise appropriate methods to facilitate individuals to understand conversation and express themselves. The learning objectives will be to:

  • understand what constitutes effective communication
  • understand why and how breakdowns in communication occur
  • have a basic knowledge of and be able to utilise communication strategies to allow for more effective communication with people who have post-stroke communication difficulties

Marie Boardman is an accredited practitioner with the BABCP and a Step 2 Development Co-ordinator and as a Clinical Educator with Staffordshire University on the PWP Apprenticeship Programme. She works for Staffordshire and Stoke on Trent Wellbeing Service (IAPT) where she has been instrumental in developing community engagement initiatives, supporting champion roles and the long-term conditions pathway for the service. Marie established the West Midlands Senior PWP Forum and links with the Midlands Clinical Network to represent the PWP workforce.

Philippa Horn is a Senior PWP with the Staffordshire and Stoke on Trent Wellbeing Service which is part of the Midlands Partnership NHS Foundation Trust.

Elizabeth Boaden is a Speech and Language Therapist, working with stroke patients for over 30 years. She is a Senior Research Fellow at the University of Central Lancashire in acquired post-stroke communication and swallowing difficulties. Liz is a lecturer on a MSc Speech and Language Therapy course and has presented at national and international conferences. Liz has several publications and has an active research portfolio, specialising on Improving Global Health by developing innovative solutions in Low to Middle Income Countries.

Key References

Emma-Joy Holland, Catherine Elizabeth Lightbody, Elizabeth Boaden, Caroline Leigh Watkins, Fidelity to a motivational interviewing intervention for those with post-stroke aphasia: A small scale feasibility study, Topics in Stroke Rehabilitation, pp. 1-7. ISSN 1074-93572017

Communication post-stroke https://www.stroke.org.uk/resources/communication-problems-after-stroke

Simmons-Mackie, N. 2009. Thinking Beyond Language: Intervention for Severe Aphasia. Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders (1) https://doi.org/10.1044/nnsld19.1.15

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