Crisis and liaison psychiatry 2 2 DRAFT WORK IN PROGRESS Dr - - PowerPoint PPT Presentation

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Crisis and liaison psychiatry 2 2 DRAFT WORK IN PROGRESS Dr - - PowerPoint PPT Presentation

Nov 23, 2022 35 likes •275 views

1 1 DRAFT WORK IN PROGRESS Crisis and liaison psychiatry 2 2 DRAFT WORK IN PROGRESS Dr Fareedoon Ahmed Consultant Psychiatrist KMPT Mental health crisis Who will help Where can I go This person is unwell There is

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SLIDE 1

DRAFT WORK IN PROGRESS

1

1

Crisis and liaison psychiatry

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SLIDE 2

DRAFT WORK IN PROGRESS

2

2

Dr Fareedoon Ahmed Consultant Psychiatrist KMPT

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SLIDE 3

Mental health crisis

  • Who will help
  • Where can I go
  • This person is unwell
  • There is something wrong
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SLIDE 4

Reasons for referral

20 40 60 80 100 120 140 160 180

Anxiety Mood disorder Psychosis Substance Organic Self Harm Suicidal idea

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SLIDE 5

What is Liaison Psychiatry

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SLIDE 6

Psychiatric complications of medical illness Co-morbid physical and severe mental health conditions Psychological responses to physical illness Physical manifestation

  • f

psychological distress

Who has mental health needs in a hospital?

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SLIDE 7

What can we do

Bio-Psycho-Social Assessment Formulation and care plan Advice on risk

  • f vulnerability

Advice on mental capacity Psychological intervention Identify triggers to symptoms and behaviours Make a diagnosis

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SLIDE 8

Where do we operate

Acute wards Emergency Department Community

Education and Training

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SLIDE 9

Hospitals in Kent

PEMBURY

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SLIDE 10

Hospital beds

100 200 300 400 500 600 700

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SLIDE 11

Hours of activity

12 hours (8am – 8pm) 15 hours (8am – 11pm) 24 hours Maidstone Dartford Medway Pembury Ashford Margate

15 hours 24 hours 12 hours

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SLIDE 12

Activity levels (2016)

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SLIDE 13

Increasing demand

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SLIDE 14

Other services

  • Psychodermatology clinic in KCH
  • Teaching and training
  • Student nurses
  • Medical trainees
  • Secondment opportunities
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SLIDE 15

Teaching

Who Training is For Topic Teaching Staff A&E Registered Nurses Older adult & family liaison Adam & Nicola A&E Band 6 The role of the Liaison Psychiatry Team @ DVH Nicola & Louise A&E Healthcare Assistants The role of the Liaison Psychiatry Team @ DVH & Brief Overview About Mental Illness Alex & Nonto A&E Registered Nurses Suicide and Self Harm Nicola & Will A&E sisters Mental Health Act Rodney A&E Registered Nurses Management of Behaviours Hans & Mark Dunnett A&E Registered Nurses Psychosis Rodney & Hans A&E Registered Nurses Personality Disorders Brenda & Alex A&E Healthcare Assistants Management of Behaviours Hans & Mark Dunnett A&E Registered Nurses Risk Assessment Alex & Rodney

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SLIDE 16

Service user feedback

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SLIDE 17

Feedback examples

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SLIDE 18

Feedback examples

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SLIDE 19

Looking forward

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SLIDE 20

Benefits

  • Reduced admissions
  • Shorter lengths of stay

and re-admissions

  • Improved discharge

planning

  • Better experience
  • Collaborative working
  • Cost-saving
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SLIDE 21
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SLIDE 22

HEALTHCARE PROFESSIONALS WHO TOOK A SURVEY SAID...

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SLIDE 23

Aims and aspirations

  • Expansion to Core24 and beyond
  • National CQUIN
  • Evidence Based Treatment Pathway
  • PLAN registration
  • Quality improvement
  • Integrated care LTC clinics
  • Follow-up clinics
  • MUS service
  • Responding to NCEPOD recommendations
  • Mental health coding in ED
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SLIDE 24

Recap

Parity of access

  • Skilled high quality

service

Treat-as-one

  • Collaborative

working

  • Mind-body

24 hour service

  • Cost-saving
  • Improves

experience