Stepped Care Service Presenting Problem Intervention Organisation First order treatments: Cognitive Behavioural Therapy (CBT) TalkingSpace Plus Depression: Persistent subthreshold (individual and group), depressive symptoms or mild to Interpersonal Therapy moderate depression that have not responded to a Step 2 intervention Second order treatments: or initial presentation of moderate to Behavioural Couples Therapy, Short TalkingSpace Plus severe depression, excluding Bipolar term Dynamic Interpersonal Affective Disorder. Therapy (DIT), Counselling. Suicide/other risk - minimal Relapse prevention: Mindfulness TalkingSpace Plus Based Cognitive Therapy(MCBT) Anxiety Disorders GAD- with marked functional impairment or that has not CBT (Individual or Group) TalkingSpace Plus responded to a Step 2 intervention Panic disorder – moderate to severe or that has not responded to a Step 2 CBT (Individual or Group) TalkingSpace Plus intervention Specific Phobia CBT (Individual or Group) TalkingSpace Plus Health Anxiety CBT (Individual or Group) TalkingSpace Plus IAPT NICE Step 3 approved OCD (excluding hoarding) - with Primary Care Psychological moderate to severe impairment or Based CBT (Individual or Group) TalkingSpace Plus Therapies that has not responded to step 2 intervention Social Anxiety - moderate to severe CBT (Individual) TalkingSpace Plus Body Dysmorphic Disorder CBT (Individual) TalkingSpace Plus Trauma Focused CBT or Eye Post Traumatic Stress Disorder Movement Desensitization and TalkingSpace Plus (PTSD) (Single event trauma) Reprocessing (EMDR) Long Term Conditions/Persistent Physical Problems and Depression/ Anxiety: Cardiac, Diabetes, COPD Specific problem amenable to a NICE TalkingSpace Plus CBT (Individual) approved Psychological therapy; LTC • Suicide / other risk – minimal; • None or brief previous psychological therapy Adjustment Reaction – Mild to Moderate to specific life events, TalkingSpace Plus which has not responded to active monitoring e.g. loss All Disorders (as above) Employment support services TalkingSpace Plus TalkingSpace Plus Tel: 01865 901222 Fax No: 01865 261717 Email: Website:
Stepped Care Service Presenting Problem Intervention Organisation Step 3 Primary Care Based IAPT NICE approved Psychological Therapies Depression: Persistent subthreshold depressive symptoms or mild to moderate depression that have not responded to a Step 2 intervention or initial presentation of moderate to severe depression, excluding Bipolar Affective Disorder. Suicide/other risk - minimal First order treatments: Cognitive Behavioural Therapy (CBT) (individual and group), Interpersonal Therapy TalkingSpace Plus Second order treatments: Behavioural Couples Therapy, Short term Dynamic Interpersonal Therapy (DIT), Counselling. TalkingSpace Plus Relapse prevention: Mindfulness Based Cognitive Therapy(MCBT) TalkingSpace Plus Anxiety Disorders GAD- with marked functional impairment or that has not responded to a Step 2 intervention CBT (Individual or Group) TalkingSpace Plus Panic disorder – moderate to severe or that has not responded to a Step 2 intervention CBT (Individual or Group) TalkingSpace Plus Specific Phobia CBT (Individual or Group) TalkingSpace Plus Health Anxiety CBT (Individual or Group) TalkingSpace Plus OCD (excluding hoarding) - with moderate to severe impairment or that has not responded to step 2 intervention CBT (Individual or Group) TalkingSpace Plus Social Anxiety - moderate to severe CBT (Individual) TalkingSpace Plus Body Dysmorphic Disorder CBT (Individual) TalkingSpace Plus Post Traumatic Stress Disorder (PTSD) (Single event trauma) Trauma Focused CBT or Eye Movement Desensitization and Reprocessing (EMDR) TalkingSpace Plus Long Term Conditions/Persistent Physical Problems and Depression/ Anxiety: Cardiac, Diabetes, COPD Specific problem amenable to a NICE approved Psychological therapy; • Suicide / other risk – minimal; • None or brief previous psychological therapy CBT (Individual) TalkingSpace Plus LTC Adjustment Reaction – Mild to Moderate to specific life events, which has not responded to active monitoring e.g. loss TalkingSpace Plus All Disorders (as above) Employment support services TalkingSpace Plus TalkingSpace Plus Tel: 01865 901222 Fax No: 01865 261717 Email: Website:
TalkingSpace-Plus-Referral-Criteria-Web-Version-Aug-16.docx