scholarly journals Survey to evaluate care of complex clients in residential setting

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S216-S216
Author(s):  
Rosa Sadraei ◽  
Puru Pathy ◽  
Michael Collins
Keyword(s):  
Mental Health ◽  
Single Point ◽  
Residential Setting ◽  
Care Providers ◽  
Care Coordinator ◽  
National Service Framework ◽  
Intervention Service ◽  
Care Coordinators ◽  
Generic Service ◽  
Early Intervention In Psychosis

AimsDelivering a new efficient assessment and shorter term secondary mental Health intervention service for individual sectorsBackgroundIn November 2015, there was a transition to services with the focus on delivering more efficient service to clientsPreviously we had been a combined sector Service. This transition, a reduction in resources and a move away from delivering care Through specialist mental health teams created from the national service framework - such as Assertive outreach, early intervention in psychosis and community rehabilitation - to a more Streamlined generic service, catering for these differing groups of people using a “Pathways Model” approachResultAcross the two sectors we had 47 clients on CPA Pathway living in 24 hour residential Settings who all had a current care coordinator.These 47 clients represented the workload currently of 2.8 FTE Band 6 care coordinators.There were at Origin, 13 Residential/Nursing/Secure 24 Hour care providers, where clients were residing.However of these 90% of residents lived in one of 5 settings, 3 settings in Ashfield and 2 in Mansfield.Over 50% of individuals residing did not have existing connections with Mansfield or Ashfield before being placed into the area.18 Clients (%38) were under section of the mental health act and 1client (%2) was on a life-Licence from criminal justice.ConclusionTransfer of CPA Care Coordination ProtocolTo send paper referral to our Single Point of Access Meeting at the listed address at the earliest point relocation/placement is confirmed.Formal handover meeting for care will be coordinated, not sooner than 3 months after the placement commences. It will be expected that services currently involved in provision of service continue to hold care responsibility in the interim period.As we move to a paperless environment, provision of electronic documentation such has previous CPA documents, Risk assessments, social circumstance reports & Discharge summaries, would be greatly appreciated

scholarly journals The devil is in the detail: lessons for multi-disciplinary care teams from alocal evaluation of coordinated care

2002 ◽  
Vol 25 (2) ◽  
pp. 87 ◽  
Author(s):  
Elizabeth Shannon
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Local Analysis ◽  
Health Providers ◽  
Care Providers ◽  
Coordinated Care ◽  
Care Coordinator ◽  
Wide Range ◽  
Care Coordinators ◽  
Gp Care

The national evaluation report on the first round of Coordinated Care Trials focused on relationships of care coordination from two main perspectives: that of the General Practitioner (GP) as care coordinator; and the GP perception of non-GP care coordinators. As the majority of the Tasmanian care coordinators came from a nursing background and dealt with a wide range of health care providers, in addition to GPs, a more complex local analysis was required. It was found that relations between care coordinators and other health providers varied considerably by profession andnew strategies were required to ameliorate the resulting conflict. This aspect of the local evaluation provides useful lessons for analysing and avoiding some sources of conflict in the formation and functioning of multi-disciplinary health care teams.

Early intervention in psychosis service and psychiatric admissions

2008 ◽  
Vol 32 (11) ◽  
pp. 413-416 ◽  
Author(s):  
Guy Dodgson ◽  
Kathleen Crebbin ◽  
Caroline Pickering ◽  
Emma Mitford ◽  
Alison Brabban ◽  
...  
Keyword(s):  
Mental Health ◽  
Early Intervention ◽  
Mental Health Policy ◽  
Treatment As Usual ◽  
Psychiatric Admissions ◽  
Intervention Service ◽  
Before And After ◽  
Bed Days ◽  
Early Intervention In Psychosis ◽  
Engagement With Services

Aims and MethodTo investigate the effects of a standard National Health Service early intervention in psychosis service on bed days and engagement with services. We conducted a naturalistic before-and-after study comparing outcomes of individuals who received treatment from the service (n=75) with outcomes of individuals who presented to mental health services before the early intervention service was established and received treatment as usual (n=114).ResultsPeople treated by the early intervention in psychosis service had significantly fewer admissions (P < 0.001), readmissions (P < 0.001), total bed days (P < 0.01) and better engagement with services (P < 0.05).Clinical ImplicationsAn early intervention in psychosis service compliant with current British mental health policy led to reduced use of psychiatric bed days confirming recent findings elsewhere. This leads to major financial savings, easily justifying the initial cost of investment in the service.

The Bridge Program: A Model for Delivering Mental Health Services to Asian Americans through Primary Care

2005 ◽  
Vol 3 (1) ◽  
pp. 13-29 ◽  
Author(s):  
Hongtu Chen ◽  
Elizabeth Kramer ◽  
Teddy Chen ◽  
Jianping Chen ◽  
Henry Chung
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Services ◽  
Health Services ◽  
Asian Americans ◽  
Mental Health Professionals ◽  
Primary Care Providers ◽  
Care Providers ◽  
Bridge Program ◽  
Community Awareness

Compared to all other racial and ethnic groups, Asian Americans have the lowest utilization of mental health services. Contributing factors include extremely low community awareness about mental health, a lack of culturally competent Asian American mental health professionals, and severe stigma associated with mental illness. This manuscript describes an innovative program that bridges the gap between primary care and mental health services. The Bridge Program, cited in the supplement to the Surgeon’s General’s Report on Mental Health: Culture, Race, and Ethnicity as a model for delivery of mental health services through primary care; (2) to improve capacity by enhancing the skills of primary care providers to identify and treat mental disorders commonly seen in primary care; and (3) to raise community awareness by providing health education on mental health and illness. Results are presented and the potential for replication is addressed.

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