Turning Point IAPT model - Rightsteps®

Rightsteps® is Turning Point’s customised Improving Access to Psychological Therapies (IAPT) delivery model: an outcome-focused service delivering integrated talking therapies to give total support including advice on employment and skills, debt, housing and relationships.

Turning Point Rightsteps does exactly what it is designed to do: it improves and increases access to psychological therapies, getting people the help they need fast. Our services provide an early intervention service which offers a cost-effective alternative to medication, preventing people from needing more intensive services later on.

The service user’s recovery from mental ill-health is at the centre of the RightSteps model. RightSteps will draw on the unique strengths of each service user to enable them to use their available resources to initiate and sustain recovery from mental health issues.

Enhancing local provision

Rightsteps is a flexible model, designed to be delivered in close collaboration with Mental and Community Health Trusts, support agencies, voluntary organisations and service users to ensure a bespoke, holistic care package designed to give total support.

To enhance our wraparound approach, a number of our services sub-contract local voluntary sector organisations to deliver a range of services within the ‘Talking Therapies’ umbrella. By placing IAPT provision at the heart of community-based services we ensure that Rightsteps offers added-value to mental health provision, focused on the recovery of individual service users rather than the diagnosis of a mental health condition.

We have the clinical expertise to deliver any combination of Steps 1, 2, 3, of the IAPT pathway through a range of talking therapies, forums and community settings.

We also offer out of hours support which complements existing provision.

We ensure people receive the support they need quickly by ensuring each individual receives a 360˚ assessment, sending each individual a DVD or paper copy of self help materials after the assessment outlining education on relaxation and exercise, information on anti-depressants (if required), local and national contact numbers for further support and an introduction to talking therapies techniques. When an individual is assessed to need support Rightsteps is not commissioned to deliver, individuals are signposted to other local mental health or advice services.

Choice

Rightsteps is a highly flexible service responsive to the individual demand of each service user. Throughout each stage of the process, service users can exercise self-determination in treatment options and there is an emphasis on both early, preventative care and seamless transition with other wraparound services. Service users choose whether the service meets their needs, their screening and assessment times, treatment options, range of self help methodologies and Step 3 delivery mechanisms (including groups and one to one) and ultimately their recovery goals.

Outcome focused recovery

Rightsteps delivers a range of outcomes, based on local priorities, including;

Seamless transitions between services

Employment support

Bespoke interventions for specified client groups in line with local priorities, for example older people and those with severe mental health conditions

Reduced waiting times, reduced costs, more people in treatment and on their recovery journey

Less people in benefits and sick pay
Effective collaborative commissioning
Clear pathways and ownership into and out of the service
Effective expert treatment by our Wellbeing Practitioners (low intensity) and High Intensity workers

Who is Rightsteps for?

Turning Point Rightsteps supports people from 16 years old with no upper age limit who are registered, resident or homeless within a defined catchment area. We support people suffering from at least one of the following conditions, presenting as a sole or co-morbid diagnosis:

Depression (including that relating to antenatal and postnatal mental health) Mild, Moderate or Severe Depression (without psychotic symptoms)

Anxiety including Panic Disorder, Acrophobias, Social Phobia, Generalised Anxiety Disorder or Post Traumatic Stress Disorder

Obsessive Compulsive Disorder including Body Dysmorphic Disorder

Lower level, early interventions not only prevent expensive specialist input but also prevent further deterioration in an individual’s mental well-being.

Some of our services accept self referral and all are moving towards this as we recognise self referral is a way to reach groups of individuals who do not usually access mental health services. All of services accept referrals from local GPs.

Service user comment on Rightsteps Wakefield:

"The service changed and saved my life! I can't thank the service enough for the treatment I got. It is lifelong and I think the knowledge I can self refer back to the service is comforting. I have claimed my life back. The service does not need improving, I can't believe how quickly I was seen and at a time suitable for me. Thank you".

Further information

If you are a commissioner and would like to know more about Rightsteps please contact us on rightsteps@turning-point.co.uk or fill in our online enquiry form for commissioners (opens in new window).

You can also download our Rightsteps product sheet (opens in new window) pdf (758KB) for further information.

Watch a video explaining IAPT services (takes you to an external website)

Watch a video for GPs and people working in PCTs on IAPT provision (takes you to an external website)

Watch a video for people working in Job Centre PLUS on IAPT (takes you to an external website)