A nurse-led mental health service for people with multiple sclerosis |
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Authors: | Askey-Jones Sally Silber Eli Shaw Pauline Gray Richard David Anthony S |
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Affiliation: | Florence Nightingale School of Nursing & Midwifery, Room 1.17, James Clerk Maxwell Building, London, United Kingdom. sally.askey-jones@kcl.ac.uk |
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Abstract: | BackgroundMental health problems are under recognised and under treated in people with multiple sclerosis (MS).MethodA nurse-led project linking MS and mental health services was evaluated. Data on all referrals and management from 2006 to 2008 were collected prospectively.Results127 referrals were received. 82% had depression, 53% had anxiety (45% both). 42% were offered case management; 52% received Cognitive Behaviour Therapy (CBT), 55% required initiation or alteration of psychiatric medications and 19% were referred to secondary care; 16% had made suicidal plans. Significant improvements in depression at 6 months occurred, but not anxiety or fatigue.Clinical implicationsThis service provides a model of mental health provision for patients with long term neurological conditions, in particular MS. |
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