Delivering Tele-mental Health Services in Scotland

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• Delivering Tele-mental Health Services in
  Scotland
• Dr Stella Anne Clark
• Clinical Lead for Mental Health Services
• Tony McLaren, National Co-ordinator
• NHS 24

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• Success is a science if you have the
  conditions you get the result

Oscar Wilde
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• Background
• Present services
• Where we aim to be in 2015

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NHS 24

• Access to unscheduled care
• Improving Health
• Improving access to services

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the person
Webcam
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TELECARE Mental Health National Learning11th
October 2012
Doreen Watson Joint Improvement Team Action
Group - Telecare
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Telecare

• Almost 44,000 people received a telecare service
  as a result of TDP, over 4,000 people with
  dementia diagnosis
• Evaluation identified that TDP
• Supported 2500 hospital discharges
• Avoided 8700 unplanned admissions
• Avoided 3800 care home admissions
• Estimated 162,000 people with telecare /
  community alarm service at March 2011

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Telecare Training NHS Lanarkshire

• North Lanarkshire Dementia Demonstrator Site
• One of 3 Demonstrator Sites funded by Scottish
  Government
• Improving partnership working and testing
  opportunities for single system working
• Partnership working with NHS Lanarkshire, North
  and South Lanarkshire Councils, Tynetec, Supra UK
  and the Joint Improvement Team
• Kitting out the OT Department with assistive
  technology and Telecare equipment
• Developing a one day training session with
  Dementia Champions (equipment, pathways and
  response to Telecare)
• Planning on-going buzz sessions to raise
  awareness in clinical teams
• Support clinical decision making and discharge
  planning

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Telecare Training NHS Education

• Post Diagnostic Support in Dementia
• Pilot Programme designed and delivered by
  Alzheimer Scotland in Feb/March 2012 on behalf of
  NHS Education for Scotland and SSSC.
• The programme was designed on the basis of
  recommendations from the Scottish Government
  funded Facing Dementia Together Project in East
  Renfrewshire and Renfrewshire (2009-11),
  specifically the 5 pillar model of post
  diagnostic support
• Understanding the illness and managing symptoms
• Supporting community connections
• Peer support
• Planning for future care
• Planning for future decision-making

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Contact Details

• Doreen WatsonJoint Improvement TeamAction Group
  - Telecaredkawatson_at_hotmail.co.uk

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Unscheduled care
Breathing Space
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Unscheduled care

• mental health calls(1-2)
• Suicide thoughts
• Anxiety /depression
• Dementia?
• LD?

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Unscheduled Care

• Training for staff
• Information for service users
• Mental health staff

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Breathing Space

• Free, anonymous, national
• Available 6pm-2am Mon Thurs 6pm Fri until 6am
  Mon
• Funded by Scottish Gov NHS 24
• Listen, advise, support and signpost
• Non-intervention but empowering
• Calls average 20 mins
• 7000 calls per month

Mens 10k June 2009
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Partnerships

• BSL Deaf Service
• Formal Partnerships
• -Scottish Huntington's -Princess Royal Trust
  for Carers -MacMillan Cancer
  Support -Veterans 1st point -Glasgows
  Helping Heroes -Motherwell FC -RNIB

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• Breathing Space Website
• Launched October 3rd 2005
• 600,000 hits Oct 05 to April 2012
• Circa 9,000 a month
• Alternative first stop service
• Available 24/7
• BSL contact via website

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Improving Access to services

• Telephone Guided Self help (tGSH)
• Telephone CBT (tCBT)
• Video conference clinics

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Guided Self Help

• Nationally funded
• Self referral accepted, GP notified
• Trained coaches
• Defined model
• External and internal supervision
• 2-4 sessions per individual

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CBT service

• provided by telephone
• Prof Williams materials
• Currently available to -7 Health Boards
• GP and self referrals
• External Evaluation in 2010

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Improving access to services

• Video conference clinics -Dementia -General
  Psychiatry -Neuropsychology -Addictions -Psych
  otherapy for Eating Disorders -Forensic
  psychiatry clinics in prison

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NHS 24 Mental Health Program

• Improving Access to Information
• Web based information
• Digital TV

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On line and digital TV

• NHS Inform website
• Digital TV Virgin media-most common provider
• Alcohol brief Interventions on line and digital
  TV

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Conditions for success

• Political Support
• Vision of Clinical Leaders and academics
• Opportunity
• Telehealth Organisation established
• Accessing EU funds
• Expected benefits embedded into national
  strategies and delivery plans

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2015?

• Success is a science if you have the
  conditions you get the result

Oscar Wilde