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methodology, a multidisciplinary team developed and tested a toolkit, resource guide and stepped protocol. Patients with scores 5 received intervention and were rescreened in 3 months. Results Over 24 months,1093 screenings were performed on 663 unique patients with 47% scoring 5. From those scoring 5, 77% received intervention demonstrating process reliability (figures 2 and 3). Staff concerns were addressed using a stepped protocol (figure ) allowing patients identified with higher anxiety to be managed easily in clinic flow. Needing intervention were 248 patients who scored above 10 (moderate anxiety), but only 16 required emergency protocol activation (score 20). In addition, 66% of intervened patients with initial screening scores 5 reported decreased or unchanged anxiety at rescreening (figure ). Conclusions Attenuating anxiety is critically important. Higher levels of mental health care are associated with increased costs and have minimal availability. Results indicated most rescreened patients demonstrated unchanged or improved anxiety levels after intervention. The greatest improvement was seen in patients with the highest levels of anxiety. This successful implementation

Author

Thomas O’Grady; Michelle Pendill; Clemens Steinbock

Publisher

British Medical Journal Publishing Group

Published

2022

Language

EN