Exercise Therapists
Exercise Therapists are trained to deliver brief advice on physical activity and are also trained gym instructors. They can support the patient to become and remain active.
Working within adult mental health, in-patient services for Cumbria, Northumberland, Tyne and Wear (CNTW) NHS Foundation Trust, the Exercise Therapy Service provide physical activity opportunities for all and a structured exercise programme for those who have a physical or mental health need and/or specific exercise related goals.
Either physical activity plan or structured exercise classes
Gym induction
Gym programme review/ progression
Care plan update
Exercise Therapists are trained to deliver brief advice on physical activity and are also trained gym instructors. They can support the patient to become and remain active.
The website has a number of helpful resources regarding behaviour change.
Brief conversations about physical activity, nutrition, smoking.
MECC training was introduced via the AWOYM strategy and MECC trainers from PHE attended the trust to deliver trainer the trainer session – over 70 staff completed the train the trainer training).
You could use the Moving Medicine Depression 1 minute conversation
Motivational interviewing was used during the assessment stage. This was completed by qualified exercise professionals to engage clients and establish their own motivations for change.
You could use the Moving Medicine Depression more minutes conversation to support this.
Motivational training was delivered as in-house training by the trust. You can also access motivation interviewing training via the Moving Medicine Active Conversations online course
We are an evidence based service therefore for any physical health conditions qualified staff use ACSM guidelines for principles for exercise prescription.
Frequency.
Intensity.
Time.
Type
The monthly gym challenges are delivered by the exercise therapy team and supported by the MDT. We usually devise a challenge based on Trust or national health campaigns or sports events.
During the first lockdown in March we teamed up with Sunderland foundation of light and completed the 30 day fitness challenge . The team produced daily videos of the challenge exercises to support staff and patient involvement. The videos were posted on the Trust YouTube channel.
More recently we have devised a Mile a day your way for during the latest lockdown and promoted use of the trust health walks.
During national sports week which incorporated national fitness day we set a timetable of different activities for staff and patients to participate in.
We have developed strong links with Sunderland Foundation of Light (associated to Sunderland AFC). The Foundation of Light was set up in 2001 with the purpose of changing local lives through the power of football. Now more than 15 years later, they have grown to become one of the most pioneering organisations within their field, winning multiple awards for our ground-breaking work.
The ‘Your health’ sessions, happen twice a week; 1x football group and 1x multi-sport group (various activities from basketball, badminton, soft ball/cricket, volley ball etc). We have also worked together to register a 7 a-side team which takes part in a monthly inclusion league organised by Durham F.A called Beacon F.C. (they reached second round of people F.A cup last year). The foundation also run a number of other sessions including, family learning, health promotions, employability.
Walking Groups – all staff are walk leader qualified – we use local walking/cycling routes and monthly go further afield and visit local parks/coast or nature reserves for our walk and talk sessions.
Information leaflets are available on the trust internet and AWOYM website. They provide a map of the route, useful tips, guidance to achieve the correct walking pace and links to local walking groups in the area.
Picture above is from ST Georges park gym one of our 3 department gym facilities. This is the largest of the facilities but all have similar a standard of exercise equipment
– Exercise and/or health goals are discussed during health screening process, if appropriate a gym induction is completed with our qualified exercise therapist who will prescribed exercise intervention related to agreed goals. Following completion of a gym induction patients are supervised in the gym by our exercise therapy assistants. Gym programmes are reviewed every 2-3weeks by our qualified any progression are agreed and documented.
– Prior to COVID gym sessions were open session for patients to attend – exercise therapy staff would also attend each ward to round up patients for the sessions Gym sessions would be programmed at least daily (sometimes twice day depending what other sessions are planned).
In this section you will find some of the outcomes from the pathway.
In 2019, we supported over 4500 hours of physical activity opportunities for our service users and had over 13700 attendances in the department activities.
In 2020 this increased to supporting over 6200 hours of physical activity opportunities and had 14862 attendances in the department activities.
100% of all in-patient admissions offered exercise therapy as an intervention for their physical and mental health.
Qualitative data was collected from this pathway, including patient and staff feedback and quotes;
“I enjoy my fitness programme and regularly attend sessions and reviews so that my weight and BP can be checked. Using the gym gives me drive and insight into my personal health”
“If it wasn’t for the gym my experience in hospital would have been a lot worse.”
“Keeps you focused on positive activities and I get the feel good factor after exercise”
Mental health exercise therapy pathway patient feedback
“Exercise therapy is an extremely valuable service and a big part of our patients day to day activities”
“Metabolic syndrome, diabetes and general chronic ill health are major consequences of obesity. It is beyond debate that our patients have increased rates of obesity due to a variety of factors related to their lifestyles and our treatments for their illnesses. It is crucial that we help or patients to reduce their risks, the exercise therapy teams are key to achieving this.”
“I wholeheartedly support the work that the exercise therapy teams do and in my view it is crucial that they continue to do so if we are to meet our vision of being a leader in the delivery of high quality care and a champion for those we serve.”
Mental health exercise therapy pathway staff feedback
Improving the Physical Activity of Mental Health inpatients in Cumbria
Results
Physical health – The data was been taken at random from progress reviews of 36 service users, who were regularly engaging with the service as prescribed during their initial assessment
Results | |
Systolic BP | 50% of participants showed a decrease |
Diastolic BP | 61% of participants showed as decrease |
Resting HR | 50% of participants lowered resting HR |
BMI | 39% of participants lowered their BMI |
Activity levels | 56% of participants significantly increased the activity levels. |
Set and review team goals and objectives on a regular basis.
Provide an evidence-based service based on up to date research, guidelines and health campaigns/strategies