A nurse-led mental health service for people with multiple sclerosis

Abstract 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 r...

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Bibliographic Details
Published in:Journal of psychosomatic research 2012-06, Vol.72 (6), p.463-465
Main Authors: Askey-Jones, Sally, Silber, Eli, Shaw, Pauline, Gray, Richard, David, Anthony S
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Anti-Anxiety Agents - therapeutic use
Antidepressive Agents - therapeutic use
Anxiety
Anxiety - diagnosis
Anxiety - therapy
Anxiety-Depression
Cognitive behaviour therapy
Cognitive Therapy - methods
Depression
Depression - diagnosis
Depression - therapy
Female
Humans
Male
Mental health services
Mental Health Services - organization & administration
Middle Aged
Multiple sclerosis
Multiple Sclerosis - nursing
Multiple Sclerosis - psychology
Multiple Sclerosis - therapy
Nurse led services
Psychiatric Nursing - methods
Psychiatry
Referrals
Suicidal Ideation
Young Adult
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Summary:Abstract 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.
ISSN:0022-3999
1879-1360
DOI:10.1016/j.jpsychores.2012.01.020