Brief History of the Chronic Disease Self-management Course
nKate Lorig – Stanford Model (1970’s)
nChallenging Arthritis (1994)
nExpanded in voluntary sector
nStanford  (Generic) Model put forward as an example of good practice
n1998 – White Paper ‘Saving lives: Our Healthier Nation’ proposes introducing the programme in NHS
n2000-Commitment to introduce Expert Patients Programme made in the NHS Plan
nApril 2002-staff with long-term conditions employed
nPilot period runs from 2002-2004
nAim is to have courses running in all PCTs by 2004
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The Chronic Disease Self-Management Course (CDSMC) was developed at Stanford University Patient Education Research Centre.
UK: British Liver Trust; MS Society; National Endometriosis Society; Diabetes UK; Haemophilia Society; Manic depression fellowship.
Several assumptions underlie the programme:
•People with chronic conditions have similar concerns and problems
•People with chronic conditions must deal not only with their disease(s), but also with the impact these have on their lives and emotions
•Lay people with chronic conditions, when given a detailed manual, can teach the CDSMC as effectively, if not more effectively than health professionals
•The process or way the CDSMC is taught is as important, if not more important than the subject matter