A nurse-led mental health service for people with multiple sclerosis
Askey-Jones, S., Silber, E., Shaw, P., Gray, R. and David, A. (2012) A nurse-led mental health service for people with multiple sclerosis. Journal of Psychosomatic Research, 72 (6). pp. 463-465. ISSN 0022-3999
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Publisher's URL: http://dx.doi.org/10.1016/j.jpsychores.2012.01.020
Background: Mental health problems are under recognised and under treated in people with multiple sclerosis (MS). Method: A nurse-led project linking MS and mental health services was evaluated. Data on all referrals and management from 2006 to 2008 were collected prospectively. Results: 127 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 implications: This service provides a model of mental health provision for patients with long term neurological conditions, in particular MS.