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The trust’s emergency department psychiatry service in Oxfordshire offers support to people who arrive at A&E departments in Oxford and Banbury.
Technology Assisted Psychiatry (TAP) enables speedier consultation and support for patients thanks to video conferencing between the A&E and psychiatrists.
Over half of older hospital inpatients have co-existing cognitive impairment but the majority do not have a preadmission diagnosis of dementia [1]. Delirium (acute confusional state) is highly prevalent, affecting around one-fifth of acute medical admissions and reaching rates of over 40% in the oldest old [2, 3]. Delirium, perhaps even more than dementia, is associated with high care needs and poor outcomes [4, 5], but is often poorly recognised by staff who are more focussed on physical aspects of illness, or may not be trained in the care of complex older patients [6, 7].. To read the full article, log in using your MPFT NHS OpenAthens details.
The City of Wolverhampton has much higher rates of accident and emergency (emergency department) attendance and hospital admission for alcohol-related harm than in neighbouring health authorities and double the national death rate from alcohol-related liver disease. Recovery Near You, the local addiction service, in partnership with The Royal Wolverhampton NHS Trust, initiated a nurse-led drug and alcohol liaison team to address these health issues. To read the full article, log in using your NHS OpenAthens details.
Psychological Services Vol. 15, Iss. 3, (Aug 2018): 270-278.
Emergency department (ED) clinicians routinely decide the disposition of patients with suicidal ideation, with potential consequences for patient safety, liability, and system costs and resources. An expert consensus panel recently created a 6-item decision support tool for patients with passive or active suicidal ideation.. To read the full article, log in using your NHS OpenAthens details.
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The authors report on a pilot study of an inpatient intervention for suicidal adolescents, As Safe as Possible (ASAP), supported by a smartphone app (BRITE) to reduce suicide attempts following hospital discharge.. Login at top right hand side of page using your MPFT NHS OpenAthens for full text. SSOTP (legacy account)- Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Suicidal self-poisoning is a medical emergency but it is also a psychiatric one. Yet before a psychiatrist can be engaged it is often necessary for a physician or paediatrician to set the scene. Young people who have just taken a massive risk with their lives are in a turmoil of rage, fear, grief and shame. Though some will be keen to talk, others may be harder to reach. ‘The fact that young people who have self-harmed arrive at A&E feeling like ‘rubbish’ may predispose them to perceive staff attitudes and behaviours as hostile and punitive, even when staff do not intend them as such.’1 An attentive and careful medical assessment conveys that the problem is taken seriously by the hospital, for which patients will often in time be grateful.. To read the full article, log in using your NHS OpenAthens details.
We are in the process of developing a standardised treatment and management plan for people with confusion in hospital. (By confusion we mean people with dementia, delirium, or unspecified cognitive impairment.)
We describe the way psychiatric issues are addressed by inpatient medical teams through analysis of discussions of patients with behavioral health concerns and examination of teams’ subsequent consultation practices.
Delirium is an acute clinical emergency that requires prompt clinical intervention. A predisposing factor for delirium is dementia, and delirium may highlight the vulnerability of a patient to developing dementia. However, delirium also occurs during an acute illness in patients diagnosed with dementia; this is classified as delirium superimposed on dementia. This complex interplay of both dementia syndromes and the condition of delirium has been extensively studied. However, delirium continues to be under-recognised in the acute setting, which impacts negatively on patient outcomes.
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This article highlights the vulnerability of people with dementia in the acute hospital setting, where they are more likely to experience clinical incidents such as falls, contract infections and be prescribed neuroleptic drugs. This patient group has a significantly longer length of hospital stay and higher mortality rate following discharge compared with those without dementia.
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Hospitals fail to recognise dementia in a third of patients who have already had the condition diagnosed if they are admitted to hospital for a different reason, a UK study has found.
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Delirium is a common and serious complication of hospitalisation in older adults. It can lead to prolonged hospital stay, institutionalisation, and even death. However, it often remains unrecognised or is not managed adequately. The aim of this study was to evaluate the effects of an educational intervention for nursing staff on three aspects of clinical practice concerning delirium in older hospitalised patients: the frequency and correctness of screening for delirium using the 13-item Delirium Observation Screening score (DOS), and the frequency of geriatric consultations requested for older patients. The a priori expectations were that there would be an increase in all three of these outcomes.
The article offers advice on how nurses and other care providers can support the families and family relationships of a hospitalized dementia patient. It discusses the need for effective, clear communication with family members, especially those acting as informal carers. The author goes on to explain how such communication can increase family involvement in a patient's care and treatment.
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Ballarat Health Services in partnership with Alzheimer’s Australia and consumers developed the DCHP program that reduces harm using a:
— validated screening tool >65 yrs
— nine key communication strategies for all who engage with the patient
— bedside Cognitive Impairment Identifier to alert staff as to their responsibilities to the patient
Hospital stays can have significant negative effects for people with dementia. This article explores methods of improving dementia care in general hospital wards. Taking its starting point as the importance of person-centred care, it explores ways of improving the ward environment, meaningful activities, personal history work, involving carers, and identifying and treating delirium. Practical strategies are suggested in each of these areas.
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For a person with dementia a hospital stay is often confusing and frightening. Not knowing where you are, nothing familiar to hold on, lost & alone.
For the nurse, a patient with dementia means extra workload in a schedule that is already packed.
What to do and where to find the time?
This data collection reports on the number and proportion of patients aged 75 and over admitted as an emergency for more than 72 hours who have been identified as potentially having dementia, who are appropriately assessed and, where appropriate, referred on to specialist services in England.
This service is the first of its kind in the UK and has been co-produced by mental health specialists and clinicians from across the North Cumbria Health and Care System with input from patients and their carers.
Patients with cognitive impairment can experience poorer outcomes after surgery if they do not receive care tailored to their needs when waking up in a recovery room. Hospitals tend to be noisy, busy and brightly lit environments where patients meet many different members of staff, and so are poorly suited to people with dementia.
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The Healthcare Safety Investigation Branch (HSIB) was made aware of a woman experiencing a mental health crisis who, having presented to her general practitioner, ambulance service and the emergency department of her local hospital, subsequently took her own life.
The initial investigation reviewed the care pathway of the woman spanning the two years before her death. The full investigation will explore the systemic safety issues highlighted around the assessment and care of adult mental health patients who present at emergency departments.
Efficient response to health care needs when clinical resources are limited is a critical issue in health care delivery. Technologies such as telemedicine hold promise to support adaptive service delivery models to address these issues. The authors explore how a simple, low-tech approach to telemedicine paired with an on-demand staffing model to create a virtual pool of consultants may improve capacity and flexibility for providing inpatient consultation-liaison psychiatric services.. Login at top right hand side of page using your SSSFT NHS OpenAthens for full text. SSOTP- Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
screening for cognitive impairment in Emergency Department (ED) requires short, reliable tools.. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Identification of psychotic symptoms in non-specialist settings is key to initiating timely pathways to care. A systematic review of 30 observational studies of pathways to care of first-episode psychosis showed that first contact was more usually through a physician than through emergency services. This article is aimed at generalists, primary care physicians, and hospital doctors, who play a critical role and who require a low threshold for referral for specialist assessment, sometimes before diagnosis is certain.
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A general practitioner may support four to eight patients with psychotic disorder and see one new presentation each year. Other non-specialist doctors will encounter patients presenting to an emergency department or complicating comorbid illness.
Psychosis often emerges for the first time in adolescence and young adulthood. In around four out of five patients symptoms remit, but most experience relapses and further difficulties. The first two to five years of psychosis are considered a critical period for intervening to improve long term outcome.567 The non-specialist plays a key role in early identification.
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The facility is located alongside the acute hospital’s A&E department and will support up to four people at a time. The unit will provide a short term safe therapeutic environment where people in crisis can be assessed and then referred on to the appropriate service, or be discharged into the community. The unit will be accessible for people 24 hours a day and will provide an alternative pathway for people requiring urgent mental health on-going assessment and suffering with mental health difficulties in crisis. Staff will support people to develop coping strategies to help manage their mental health in the futu
aring for patients with dementia emerging from general anaesthesia in the recovery room can be very challenging. Sedation is sometimes necessary in order to nurse patients effectively and avoid any negative consequences of poor post-anaesthetic care. No local or national guidelines could be found to suggest best nursing practice in this situation. Three small-scale innovations were introduced into the recovery room in one hospital as part of a quality improvement project to give alternatives to chemical restraint.
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Liaison and diversion services are concerned with ensuring that individuals with mental health problems and related vulnerabilities who come into contact with the criminal justice system receive appropriate support and treatment. In the past 15 years there have been significant changes in policy, legislation and the broader landscape in community, custodial and hospital settings which have shaped these services. The Bradley Report, published in 2009, represents an important landmark in this field....To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Caroline Struthers explores a realist review of dementia-friendly interventions to improve the care of people living with dementia admitted to hospitals.
Little is known about the hospitalisation rate of adults with severe/profound intellectual disability (PID) presenting at emergency services or about the appropriateness of hospital admissions in this population. Examining the possible differences in the patterns of hospitalisation between people with PID and those without intellectual disability (ID) may shed light on aspects of health and illness in these patients and may in turn make it possible to differentiate more clearly between mild-moderate ID and PID. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Open access. Older people with dementia admitted to hospital for acute illness have higher mortality and longer hospital stays compared to those without dementia. Cognitive impairment (CI) is common in older people, and they may also be at increased risk of poor outcomes.
The study examined the immediate effect of crisis interventions on the emotional state of acutely suicidal soldiers and clinician decision making. Login at top right hand side of page using your SSSFT NHS OpenAthens for full text.
QTc prolongation creates an electrophysiological environment that confers an increased risk for development of ventricular arrhythmias, in particular torsades de pointes (TdP), a form of polymorphic ventricular tachycardia. This may result in syncope or sudden cardiac death.1–5 In addition, prolonged QTc at admission has been associated with worse outcomes independent of malignant ventricular rhythms.6 Numerous studies have demonstrated a high prevalence of QTc prolongation among patients admitted to the hospital in a wide variety of settings including the intensive care unit and acute psychiatric units. To read the full article, log in using your NHS OpenAthens details.
This study evaluated whether emergency department (ED) patient presentations for problems related to mental and substance use disorders could be validly monitored by a syndromic surveillance system that uses chief complaints to identify mental disorders. Login at top right hand side of page using your SSSFT NHS OpenAthens for full text.
This study estimated the expected cost-effectiveness and population impact of outpatient interventions to reduce suicide risk among patients presenting to general hospital emergency departments (EDs), compared with usual care. Several such interventions have been found efficacious, but none is yet widespread, and the cost-effectiveness of population-based implementation is unknown. Login at top right hand side of page using your SSSFT NHS OpenAthens for full text.
Research, aimed at improving the continuity of care after hospital discharge following attempted suicide focuses on the effectiveness of the interventions. Little attention has been paid to patients who immediately decline guidance to advised post-discharge care. We aimed to identify differences between accepters and decliners of guidance to care (GtC) in relation to the characteristics of patients who presented at the emergency department (ED) of an urban hospital in the Netherlands after attempted suicide.
Three interventions designed for follow up of patients who are identified with suicide risk in hospital emergency departments save lives and are cost effective relative to usual care. A study led by researchers at the National Institute of Mental Health (NIMH) modelled the use of the approaches in emergency departments and found that all three interventions compare favorably with a standard benchmark of cost-effectiveness used in evaluating healthcare costs.
The aim of this study is to conduct a systematic review and meta-analysis to provide a precise estimate of the prevalence of depression or depressive symptoms among outpatients in different clinical specialties.
Open access. To evaluate the impact of an expansion of liaison psychiatry services (LPS) on patient management, outcomes and treatment costs for emergency department (ED) attendances for self-harm.
The involvement of relatives is seen as an important element of treatment in crisis resolution and in home treatment teams. The aim of the study was to investigate the effects of involving relatives in treatment during a crisis situation. To read the full article, log in using your SSSFT NHS OpenAthens details.
The attitudes toward suicide of emergency nurses may affect the care provided. However, the factors associated with these attitudes remain unclear. To read the full article, log in using your SSSFT NHS OpenAthens details.
The research is the first large population-based study (link is external) to prove that people with confusion caused by dementia or delirium, have inferior treatment outcomes, when compared with the rest of the population.
Nottinghamshire Healthcare has recently launched a Child and Adolescent Mental Health Services (CAMHS) Liaison Service to help prevent avoidable admissions to hospital. The service will initially run as a pilot for six months and will then be reviewed.
The role of the new team is to ensure under 18s are not admitted to hospital unnecessarily following self-harm, overdose, or thoughts of suicide. They are instead treated in the community, wherever possible.
The team will assess patients in A&E and where possible they will create a safe discharge plan with pre-arranged follow up from the team or from another CAMHS worker. The liaison nurses work closely with paediatric colleagues, community CAMHS teams, Social Care and other agencies as appropriate to ensure young people’s needs are met safely.
Communication aids folders containing the BSL alphabet, Makaton signs and a range of charts and pictures, have been distributed to every ward and department at Imperial College Healthcare NHS Trust.
The folder also includes a hospital passport template and an essential ‘reasonable adjustments’ chart, and will support communicating with patients with specific learning / communication disabilities.
We’ve just heard that SSOTP will not be renewing their agreement with SSSFT LKS for library services for this financial year. Because of this we will be reviewing our Be Aware bulletins. Sadly we won’t be accepting any new sign-ups from SSOTP staff and will be withdrawing some of the physical healthcare bulletins that we…
In 2016 Children’s, Women’s, Diagnostic and Division at UHNM made a significant change in their practice by employing a Clinical Lead Nurse in Mental Health, this post was designed to create and sustain significant changes to mental health care within an acute hospital with a specific aim on improving Child and Adolescent mental health and Perinatal mental health.
Allyson Rigby, one of our Emergency Department Senior Healthcare Assistants at Lancashire Teaching Hospitals, has introduced new wristbands to make it clear which patients have dementia.
Open access. Letter. Thomas McCabe describes a case of delirium apparently precipitated by flying.1 This is not unusual. Most liaison psychiatrists, especially old age liaison psychiatrists, will have seen several such cases and many of them after shorter flights. I reviewed the evidence for this in 2002 and 2012 and presented some ideas about how to proceed.2,3...............
Open access. This article presents a 12-month case series to determine the fraction of ward referrals of adults of working age who needed a liaison psychiatrist in a busy tertiary referral teaching hospital.
Nurses working in police custody settings may be called on to assess a detainee’s fitness to be interviewed by police, for example where the person is thought to have a mental disorder or vulnerability. This article outlines the role of the custody nurse in the fitness-to-interview assessment.
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By accepting the grant, Humber has agreed to:
Provide a 24/7 mental health liaison service to Hull and East Yorkshire Hospitals NHS Trust (HEY), which runs the Infirmary;
Provide a one-hour response time to emergency referrals and a 24-hour response to named acute wards;
Ensure the service meets recommended staffing levels for liaison services.
The Cohen-Mansfield Agitation Inventory (CMAI; (Cohen-Mansfield and Kerin, 1986)) is a well-known tool for assessing agitated behaviours in people with dementia who reside in long-term care. No studies have evaluated the psychometric qualities and factor structure of the CMAI in acute general hospitals, a setting where people with demand may become agitated. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Two services at Leeds and York Partnership NHS Foundation Trust are being nationally showcased as examples of how to provide high quality care for people with medically unexplained symptoms (MUS).
The Leeds Liaison Psychiatry Service and the Yorkshire Centre for Psychological Medicine are featured as case studies in national guidance for commissioners that examines what good services look like.
Using my clinical academic knowledge and understanding of dementia, with the library team provided the underpinning research based framework; we were able to highlight skills and understanding to enhance care, and support patients and staff in a more person centred approach.
dementia 3Our dementia volunteers all receive dementia care as part of their corporate training, and attend additional presentations about meal time support. There are opportunities to attend further sessions such as Sage and Thyme and Dignity Awareness. Evidence of their visits and input is recorded to capture the difference it is making and to be able to report back to Carers and Patients’ Experience (CAPE) board.
Aim: To reduce the incidence of self-harming behaviour and improve well-being and experience of care for individuals who present regularly to the emergency department in one hospital following self-harm, by providing outpatient care.
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In results published April 29, 2017 in JAMA Psychiatry , the largest ED-based suicide intervention trial ever conducted in the United States examined how screening in emergency departments, followed by safety planning guidance and periodic phone check-ins led to a 30 percent decrease in suicide attempts over the 52 weeks of follow-up, compared to standard emergency department care.
There is good evidence to suggest that certain outpatient psychological treatments, and particularly cognitive behavioural therapy (CBT), are effective in reducing repetition of self-harm and, to a lesser extent, suicide.4 Because of resourcing limitations, however, patients often face delays of up to several weeks before their first appointment; even in countries with well-resourced psychiatric services.5 Yet almost half of all patients who repeat self-harm will do so in this period.6 Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
A service that offers extra support to people arriving at A&E overnight with mental health problems has been launched in Stockport.
The Stockport Early Management Team operates from 9pm-9am, supporting those who go to Stepping Hill Hospital for help due to self-harm, thoughts of suicide, or other mental health issues.
The service, which is nurse therapist-led, provides an alternative route to prevent people waiting in A&E or being admitted to hospital. It provides patients with a thorough assessment of their mental health needs and short-term psychological support.
In Central and North West London NHS Foundation Trust we have been working over the past six months to embed outcome measurement in routine practice through the Psychological Medicine Clinical Network. Eight of our liaison mental health departments meet regularly to share ideas and learn from each other’s successes and failures. From this we’re identifying the factors needed to support effective use of the FROM-LP, and the benefits this kind of information can bring both to our patients and our services.
Cumbrian born Brian Evans has joined the team at University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT) in a brand new role to add further experience to the Nursing division and improve services for local people with learning difficulties.
As UHMBT’s Clinical Nurse Specialist for Learning Disabilities, new recruit Brian Evans will be focusing on enhancing the care and experience for patients with learning disabilities.
I wanted to implement the use of primary coloured Zimmer frames and equipment as part of a falls preventive initiative within an acute environment. This was based on evidence focused research, observation, clinical and academic knowledge and understanding of the importance of colour perception by reviewing the impact it made on patients safety and wellbeing. Initially it was intended for patients with dementia but is also beneficial for other vulnerable patient such visually impaired .A variety of Models and Frameworks were used to illustrate significant elements of the process and development based on the CQC 5 Domains Safe Caring responsive Effective Well- led.
The topic of suicide is difficult to research and consequently much of the evidence is of low quality. In a recent qualitative study, general practitioners in the UK reported that they found it difficult to identify who was “really” suicidal, to effectively assess risk, and to manage patients at risk of suicide. To read the full article, log in using your NHS OpenAthens details
This article discusses the implementation of the Rapid Assessment, Interface and Discharge (RAID) model of psychiatric liaison and its potential for acute hospitals. Login using your SSSFT NHS OpenAthens details for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you requesting.
This article discusses the implementation of the Rapid Assessment, Interface and Discharge (RAID) model of psychiatric liaison and its potential for acute hospitals
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Consultant liaison psychiatrist Alex Thomson and colleagues James Hughes and Genevieve Holt, from CNWL discuss how a focus on outcomes allows its staff and patients to work together to improve services.
Our alcohol liaison team comprises four clinical nurse specialists who provide a seven day service across two hospitals.2015-02-20_54e760b68cf97_Alcoholliaisonteam.JPG
The team has successfully reduced the rate of increase in alcohol related hospital emergency admissions, reduced the length of stay in hospital for alcohol related issues, and improved access and engagement with primary care and community specialist substance misuse services.
Open access. We aimed to audit the documentation of decision-making capacity (DMC) assessments by our liaison psychiatry service against the legal criteria set out in the Mental Capacity Act 2005. We audited 3 months split over a 2-year period occurring before, during and after an educational intervention to staff.
‘Treat as One’, a report from the National Confidential Enquiry into Patient Outcome and Death (NCEPOD)outlines the findings of a recent review of the mental health care provided to patients who are receiving treatment for physical health problems in UK general hospitals.
Psychiatric comorbidities are common in somatically ill patients. There is a lack of data that can provide clear insights into substantial comparative advantages of different Consultation/Liaison Psychiatry (CLP) services. The Consultation versus Liaison Psychiatry-Study collected and analyzed data of 890 primarily somatically ill hospital inpatients presenting with psychiatric symptoms in a prospective observational study design. One group was treated via a liaison-model (LM) with regular consultation hours, the other via an on-demand-model (ODM) with individually requested consultations.
Little information is available regarding the visits made by persons with profound intellectual disability (PID) to general hospital emergency departments (ED). This study aims to know whether persons with PID who attend ED are given the same type of diagnoses as people with no such disability. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
What constitutes good crisis care remains largely unknown, or at least unevidenced. Crisis resolution and home treatment teams (CRTs) are ubiquitous, but somewhat nebulous in terms of care provision (the varying names and often poorly differentiated specifications of crisis resolution teams, crisis resolutions and home treatment teams, and home treatment teams give a sense of the issue). In the UK, the Royal College of Psychiatrists has established the Home Treatment Accreditation Scheme—the word “crisis” is strikingly absent. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Crisis resolution and home treatment teams (CRTs) offer an alternative to hospital admission for patients undergoing mental health crises in the UK. Few studies have been done to examine predictors of relapse and readmission after contact with CRTs. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
[In acute hospital] Four fabulous, transportable rooms, a potting shed, two vintage tea rooms and a sweet shop, are filled with authentic furniture and memorabilia from previous eras. These provide a calm, therapeutic and nostalgic environment away from the busy acute ward settings, which is really beneficial in improving the persons well being, and self esteem
Open access. Letter. Aitken et al suggest that it was the bringing together of the alienists (asylum doctors) and academics that ‘enabled’ liaison psychiatry to be recognised as a subspecialty by the newly founded Royal College of Psychiatrists.1 However, I would argue that change in the practice of psychiatry prior to that date was much more determined by the Report of the Royal Commission on the Law Relating to Mental Illness and Mental Deficiency2 that led to the 1957 Mental Health Act...............
Emergency and urgent MH liaison targets. You can request a copy of this article by replying to this email. Please be clear which article you are requesting.
North Cumbria University Hospitals Trust has launched a scheme which will ensure carers can be with dementia patients outside of visiting hours to help improve their wellbeing.
The ‘Carer’s Pass’, which is being launched from November 2016, is part of the national John’s Campaign, which was set up to encourage carer involvement for people with Dementia while they are in hospital. The campaign was set up the family by Dr John Gerrard, who was diagnosed with Alzheimer’s, and felt that that the lack of people he knew to tend and comfort him contributed to this deterioration.
The Carer’s Pass gives carers the opportunity to remain with the person they care for if they wish outside of visiting hours. Carer’s with a Carer’s Pass will be a key part of a team with the health professionals on the ward. Staff will liaise with the carer to ensure a staff member takes over full responsibility for the person they care for if they want to leave, including agreeing break time.
Whilst making every effort to address physical health issues, the social isolation that [elderly] patients were experiencing was potentially causing or exacerbating mental health issues.
The idea of ‘Adopt a Grandparent’ was to identify a workforce of volunteers who could spend a short time each week simply talking to some of the more socially isolated patients.
The additional benefit of this scheme is that it also serves to break down barriers between the clinical and non-clinical sides of a large NHS organisation and enables the more office-based staff to become engaged in the core business of the hospital, patient care.
Trish Holliday, Ward Manager for the Surgical Inpatient Unit, and her team on Ward 6 at Westmorland General Hospital at University Hospitals of Morecambe Bay NHS Foundation Trust, have designed memory boxes to improve engagement between Trust staff and patient with dementia.
The empty boxes are given to relatives to fill with items belonging to the patient such as photos, aromas, toys and letters.
This helps to make families feel involved.
Their mission was to ensure mental health patients receive care at the right time, in the right place, in the right way.
Why? Too many patients with Mental Health problems were waiting longer than four hours in the ED department at FGH to receive appropriate assessment and support.
Our aim is to evaluate if and how neuropsychiatric symptoms (NPS) of dementia influence the management and disposition of older adults who present to emergency care settings. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
For patients with mental disorders who are being treated in a primary care setting, low- to moderate-quality evidence suggests consultation liaison with a mental health specialist is better than standard care. Studies comparing the two approaches show that consultation liaison improves mental health more than standard care for up to three months; and satisfaction and adherence for up to 12 months. Of note, most patients in the trials were women suffering from depression or dysthymia, so these findings may not be generalizable to males or patients who have a mental disorder other than depression.
The ‘Improving services for people with mental health needs who present to A&E’ CQUIN and the ‘Transitions out of Children and Young People’s (CYP) Mental Health Services’ CQUIN (Commissioning for Quality and Innovation) aim to incentivise providers to work with partners to improve patient care by delivering services more efficiently and effectively.
People with mental ill health are three times more likely to present to A&E than the general population so the former CQUIN will allow mental health and acute trusts over the next two years to access funding aimed in year one at improving support for the top 0.25% or 150 to 200 people per A&E, who use it most frequently through improved recognition and coding of mental health needs and proactive care planning.
Year two focus will be on reducing overall number of attendances at A&E by people with mental health needs as improved community-based mental health services come online.
The Shrewsbury and Telford Hospital NHS Trust (SaTH) launched the Living Well With Dementia Hospital Appeal at its Family Fun Day and Annual General Meeting (AGM) on Saturday (3 September 2016).
The three year appeal aims to raise money to provide a number of benefits for patients to improve ward and outpatient departments so that they are dementia friendly.
With the recognition that people often have both physical and mental health needs, the direction of travel in health policy in the UK is towards “integrated care” (NHS 5 year forward view (PDF)).
This seems like a logical solution to the problems just highlighted, but in terms of implementation we don’t really know what integrated care should look like and whether new models and ways of working would be more effective in reducing health inequalities than the status quo. Therefore a rapid review was undertaken to inform our understanding of Integrated Care (Rodgers et al, 2016)