Admission Reduction Pilot Epping CMHT

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Admission Reduction Pilot Epping CMHT
Ita Stokes Fiona Atkinson Stephanie Rea
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Rationale

• Large amount of admissions from
  residential/nursing homes
• Clients settle quickly on admission
• Team contacted when situation in crisis

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Resources

• Same care pathway for referrals
• CPN identified
• Divert resources from CMHT
• Redirected to homes
• Advertised and promoted
• Improved links with GPs/Homes
• Pilot launched

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What did we do?

• Building on existing relationships
• Rapid Response
• Reassurance

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Reason for Referral to Link Nurse
Jun Dec 2010
Jan Jun 2011
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Interventions

• Initial Holistic Assessment
• Implementation of Behavioural Charts
• - Strategies to manage behaviour
• Medication Review
• Placement Review
• Advice Discharge

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Outcomes

• Very positive impact on use of hospital
  beds/large decrease
• Results evaluated show 88 admission avoidance
• 98 through behavioural management
• Teaching management techniques
• Small percentage with medication
• Homes/GPs report positively on response
• Homes more comfortable in seeking help at an
  early stage.

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Lessons learnt

• Clients need to be referred quicker
• Direct and timely interventions prevent
  admissions
• Outreaching to homes and GPs reduces admissions
• Education and understanding dementia management
  reduces admissions
• No reduction in CMHT capacity as resources were
  redirected

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Thank you!