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SWEMWBS PHQ9 and GAD7 scales for CLMH pilots

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Screenshot from Law, D and Wolpert, M (Eds.) (2014) Guide to Using Outcomes and Feedback tools with Children, Young People and Families

The final version CLMHP tool (18.8.15)

with consent approved by Ipsos MORI and BIS

Using the mental health Outcome tools 

Webinar recording 

 8 July 2015 12.40-13.40 

Using clinical outcome tools - Dos and Don'ts 

Final version: 3 tools 1 sheet combined template with consent signed off by Ipsos MORI and BIS (18.8.2015)

Webinar recording    

 Notes from Catina

We have agreed procedures with Ipsos for you to record on your Monitoring Information Return (MIR) if a learner:

  • Is too distressed to complete the assessment/s (code 'D')
  • Refuses to complete all 3 tools (at baseline or interim or final) code 'R'
  • Refuses to complete one of the tools (on 1 or 2 or 3 assessment occasions)
  • Refuses to complete a single question in a tool (on 1 or 2 or 3 or more occasions)
  • Misses out a question (where we do not know the reason but they have not actually refused to do so) code M

You will find drop-down lists in your MiR workbook to make this quick and easy. If you need to add any notes that will help us to refine the drop-down lists for phase 2 please note them in the appropriate row for the learner's response in column 'AK'.

Other versions of the tools that you may need 

I have attached examples below but before using with learners/in workforce training please always check the IAPT website to make sure you have the latest version/s.

  1. Translations of the IAPT PHQ9 and GAD7 tools are at: http://www.iapt.nhs.uk/equalities/translations/ and of WEMWBS at: http://www2.warwick.ac.uk/fac/med/research/platform/wemwbs/researchers/languages/ (the no. of languages for both is limited. The latter also contains guidance on translating the scale)

  2. The assessment of mental health problems in people who have learning difficulties/disabilities is a fairly specialist and under-developed area of mental health. It is not straightforward. The NHS continues to identify the need to improve diagnosis and treatment, including better understanding, tools and approaches. The Learning Disabilities Positive Practice Guide (2015) will be helpful in thinking about how you make your CLMH offer accessible to people with learning disabilities/difficulties. Essentially you have 2 choices: 

  • Make reasonable adjustments and provide support to learners with learning difficulties/disabilities to use the mainstream tools (there is guidance in the positive practice guide on how best to do this on how best to do this and preserve the reliability and validity of the measures)
  • Use a specific easy read or learning disability tool (versions of PHQ9 and GAD7 and/or LD Core - both attached below)
  • Tools, based on the GAD 7 (Anxiety) and PHQ 9 (Depression) questionnaires  exist. Those used in primary care and guidance for the supporter are available to download on on the Public Health England Reasonable Adjustments Database at: http://www.improvinghealthandlives.org.uk/adjustments/?adjustment=282  The easy read questionnaire combining PHQ9 and GAD7 is attached below . The PHE website says this is still being trialled so you may want to check locally. I have attached the versions that are currently on the website. If you use this tool, you will be able to enter the scores into your MiR workbook, which is set up with a separate worksheet for learning disability/easy read scores so you can record learners' responses.  Please note a group of us have expressed concern about the images in these tools. New materials are being developed by IAPT and due for publication in 2016, so please watch out for them/ask your local partners if they are available
  • Or use the Core learning disability tool. You are supposed to register and access this directly from the Core website - so please do not simply copy the attached example. If you use this tool you will need to ask Ipsos MORI to amend your MiR workbook so that you can capture learners' scores. Tell them you are using the same tool as the ealing pilot and they will know what to do. Email Catherine.Crick@ipsos.com
  • If you use either the tools above, speak with:
    • Ealing pilot , where they are using the Core LD tool and/or
    • Caroline Lees at Barnsley pilot (whose specialist area is Learning Difficulties) as she prefers not to use either of the NHS forms and has herself been providing learning support instead to help learners with learning difficulties to complete the mainstream form (not easy she says).
  •  Easy read WEMWBS - is not in evidence anywhere. We have asked IMROC for  advice. Please do also ask your recovery college how they manage it.
  •  BSL translations: If you need them for your learners, we have CDs of the BSL translations of the PHQ9 and GAD 7 tools. Contact Information about who made and tested them is available at: http://www.iapt.nhs.uk/equalities/british-sign-language-bsl/ Guidance to us (about your project specifically) is that you need to speak with and look at the possibility of working with www.bslhealthyminds.org.uk (but remember this is not about them delivering a clinical/counselling service for you it is about lessons learned and support for what you are doing).
  • We are having SWEMWBS translated into BSL for phase 2  by Manchester University. Watch this space for updates.