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Jitender Sareen MD, Tanya Sala MD, Jacquelyne Wong MA, Debbie Whitney PhD, Jolene Kinley PhD Jitender Sareen, MD Jacquelyne Wong, MA Debbie Whitney, PhD Jolene Kinley, PhD Natalie Meyer – tireless admin support Improve access to CBT in the region CBT is evidence-based treatment Long wait-times, if available at all Usual mode of delivery is individual and/ or small group format Large guided self-help class format is a novel method of delivery Enhance capacity for delivering CBT classes at HSC and other regional sites. Adapt the format and content of the classes for delivery to vulnerable groups with limited access to services. Train peer leaders to deliver classes. Create a toolkit for future use by sites implementing CBT classes. Measure outcomes as well as client and family member satisfaction in a rigorous manner. Create an online course version of the classes for those clients who are unable to attend in person. 1. 2. 3. 4. Cognitive Therapy Behavior Therapy Healthy Living, Sleep Assertiveness/Anger, ProblemSolving Mindfulness exercise every session A. Old service delivery model 12-18 months Referral Screening Visit Group Therapy B. New service delivery model 3-6 months Referral Screening Visit Education Classes Self-help strategies encouraged Group Therapy Patients attend a minimum of 4 education classes in order to be eligible for group therapy. 4-session classes running for 2 years Mood and Anxiety symptoms >300 patients treated After completing 4 classes: Depression groups Anxiety groups Obsessive Compulsive Disorder groups Occupational Stress Injury Clinic (OSI) Crisis Response Centre (CRC) Interlake May 25 – Facilitator training Plan for two additional training days in 2016 Potential additional sites: ADAM MDAM Victoria Hospital Grace Hospital Shared Care Symptom measures: Patient Health Questionnaire-9 Item (PHQ-9) Generalized Anxiety Disorder-7 Item (GAD-7) DSM-5 Cross-Cutting Symptom Measure – Adult Clinical Global Impression Scale (CGI-I) World Health Organization Disability Assessment Schedule 2.0 (WHODAS) Patient Satisfaction Measures: Session Rating Scale Evaluation of CBT Education Class Initial CBT screening appointment Each Class CBT groups: First group Every 4th group Final group Toolkit: Reduce administrative burden CBT fidelity Consistency Online Course: Increase access in rural and remote areas Increase access for patients with conflicting time commitments – work, school, child-care, etc. Anxiety Disorders Association of Manitoba Mood Disorders Association of Manitoba Crisis Response Centre St. Boniface Hospital Mental Health Program Clinical Health Psychology Program Victoria Hospital Mental Health Program Child and Adolescent Mental Health Program Interlake-Eastern Regional Health Authority Grace Hospital Psychiatric Ambulatory Program Veterans Affairs Operational Stress Injuries clinic