Diabetes Care for You (DCFY) is a community diabetes service provided by Sussex Community Foundation Trust (SCFT), commissioned in 2016 to provide care to two Clinical Commissioning Groups (CCGs). It integrates diabetes psychotherapy and emotional support with the patient pathway and the multidisciplinary team (MDT). This includes clinical work with women with sexual dysfunction, contributing to group education for Type 1 (T1) patients and providing psychological information for a new Type 2 (T2) education curriculum. A specific eating disorder pathway was created for T1 (Diabulimia) and T2 patients with Binge Eating Disorder (BED). Psychological assessment is in place for patients requiring insulin pump therapy and the team works with the young adult clinic (YAC) MDT. Two psychological approaches are used: Cognitive Analytic Therapy (CAT), where patients are treated holistically, but focus is on aspects of diabetes management causing distress or harm, and Low Intensity Cognitive Behaviour Therapy (LiCBT), for patients who want to self-care but need support with needle phobia or exercising, for example. Psychotherapy supervision is available to all in the MDT and psychological training is provided.
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