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Psychological care after stroke

This resource is being developed by the Stroke Improvement Programme to support improvements to identify strategies to meet the range of psychological needs of stroke survivors and carers.

A steering group comprising those with a particular interest or expertise in improving services to meet psychological needs of stroke survivors and their carers has been established. The group will soon produce:

  • Workforce competencies in line with the Stroke Specific Educational Framework for those screening, referring or managing individuals with psychological needs
  • A broad health economic assessment of the impact of psychological services for stroke

New resource

Health economic analysis of clinical psychology led care after stroke
Spending £69,000 on a clinical psychologist to support a multi-disciplinary team, to implement a stepped care approach to psychological care, for a stroke population of 500 people, can be nearly cost neutral to the NHS over 2 years and save the health and social care economy around £39,000 in the same period.

A publication discussing the economic model, and a spreadsheet with associated guidance to enable calculations about the costs and benefits of local service to be made is now available.

Inger's story

Accelerating stroke improvement measure

ASI 6: Timely access to psychological support
Proportion of patients who have received psychological support for mood, behaviour or cognitive disturbance by six months after stroke.

National standards for psychological therapy after stroke
A summary of what national organisations say about psychological therapy after stroke.

Psychological support: State of knowledge
This paper produced in November 2010, outlines and summarises the research evidence that exists on emotional, behavioural and cognitive problems after stroke. The paper was written by Ian Kneebone and Nadina Lincoln, with comments from the psychology steering group.

More information

Implementing psychological care - learning from seven national projects

Pathways for psychological care after stroke

How to set up a befriending service


Screening and assessment

The stepped approach

Commissioning and making the business case for Psychological care

Other resources and research evidence
Other useful resources and research evidence for improving access to psychological therapy after stroke.

These pages are continuously evolving as services develop. If you would like to share improvements in psychological care after stroke which you have been involved in please contact Sarah Gillham.

Case studies for psychological support after stroke

Accelerating Stroke Improvement


Psychological care after stroke publication

View presentations from the event Improving the provision of psychological care after stroke; making a difference in your service held Thursday 10 November 2011.

Practical principles for improving psychological care after stroke

Patient stories

Short films sharing the views of four people with stroke and aphasia about their experiences of the psychological care they received and their thoughts on an optimal stroke service:

Thanks to Connect- the communication disability network for enabling these films to be made

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