Alan Cohen and Andre Tylee: incorporating psychological therapies in the treatment of chronic conditions

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Alan Cohen, Andre Tylee

Dr Alan Cohen, Director of Primary Care at West London Mental Health Trust, and Professor Andre Tylee, Professor of Primary Care Mental Health at King’s College London, explain how the IAPT (Improving Access to Psychological Therapies) programme has been helping treat chronic conditions.

Andre Tylee and Alan Cohen: Incorporating psychological therapies in the treatment of chronic conditions


#936 Charles Ellis

I have just listened to the talk given by Alan Cohen and Andre Tylee about long-term conditions and psychological therapies. My background is that I spent my career in NHS management, latterly as the director of strategic planning at a large acute hospital. 15 years ago I developed MS and had to retire five years ago. There are a couple of comments I would like to make about talk given. Firstly from the perspective of the NHS, dealing with integrated care that covers multiple pathways has to be the way forward for both higher quality care and more cost-effective services. Avoiding admissions to acute care by focusing on psychology/mental health services in the community would be achieved by the approach suggested. Although the focus was on heart disease, the issues raised could just as easily refer to neurological conditions. The second point I would like to raise relates to my own experience. Approximately 4 years ago I spent a number of weeks in the rehabilitation unit at the National Hospital for Neurology and Neurosciences. The integrated approach talked about provided the basis of the rehabilitation offered. In my case, it provided not only excellent care but focused on keeping the length of stay to a minimum. This approach has continued since my discharge through the excellence of my GP and my knowledge of the health care system. Through the local MS Society I see many examples where the silo approach causes both poor patient care and expense for the health service- unnecessary and ineffective hospital admissions, fragmented community care etc etc. I really hope the IAPT programme is developed and rolled out across the country.

#41242 Nicholas Murdoch
Research Fellow
University of Portsmouth

Dear Dr Tylee

I have recently joined TRim V Veterans as part of the panel hence my contacting you to say hello.

Recently I have been working together with a colleague in the department on a research proposal for submission to Alcohol Research UK as a bid for potential funding - Pathways to Alcohol Misuse in the Veteran Community.

If you receive this e-mail and be so kind as to forward yours I would attach the proposal for your comment.

Kindest regards


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