Expanding Type 1 Kidz Project and introducing simple telehealth
by Investing in Children
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Investing in Children (IiC) believes every child and young person should have a say in all matters affecting them which should bring positive changes. In 2001 IiC started to work with children and young people with type 1 diabetes in County Durham and Darlington to discuss the care that they received. It became apparent that the children, young people and parents IiC worked with appreciated the support they got from each other – and monthly support group Type 1 Kidz was started in October 2012. With more funding, two further Type 1 Kidz groups were created across four paediatric services. Simple telehealth text messaging was introduced and there has been continuous dialogue leading to changes within services.
"This is a fantastic project which has clearly achieved a lot in 18 months. It is a true multidisciplinary effort, with young people driving the agenda and a multidisciplinary team of health professionals and youth workers making it happen. They are all working together, supporting peer learning to ensure there is factually correct information available."
Integrated group psychotherapy for adults living with diabetes
by Betsi Cadwaladr University Health Board
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In 2013, a weekly psychotherapy group was developed for diabetes patients for whom self-management was very challenging. Some were reluctant to engage at all, and those discharged were repeatedly referred back to begin the cycle of usual care. A group was developed with supervision of the lead psychotherapist for personality disorders and led by the dietitian as therapist in the group. The diabetes dietitian has supervision from the lead psychotherapist in the personality disorder service. The DSN also works ‘on the boundary’, maintaining appropriate communication while ensuring patient safety. To date 14 patients have been active in the group, reporting very positive outcomes and acceptability.
"This is an innovative solution driven by the vulnerable service users it supports, by defining objectives and supporting each other to achieve them. Judges were impressed with the governance arrangements, the innovation and the evaluation, which looks at process as well as looking at qualitative themes. "