IMPs

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IMPs Intermediate Mental Physical Health Care
Team
Kashif Munir (Physiotherapy Lead) 12th November
2014
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Background to Service

• Started in 2008
• Influenced by
• Local audit adults older adults with mental
  health problems were staying longer in acute
  hospitals difficulty in accessing rehab
  pathways.
• NSF for Older Adults Standards 3 7

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The Role of the Team

• Short term (Target 8 weeks /- ) rehabilitation
  to clients.
• Support people at home.
• Clients whose physical health rehab is impeded by
  mental health problems or their physical health
  is impeding their mental health recovery.
• Prevent unnecessary admission to an acute setting
  and reduce avoidable use of long-term care.
• We provide a multi-faceted service encompassing
  holistic assessment, community rehab, discharge
  support and prevention of admission where
  possible.

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Acceptance Criteria

• Westminster residents only.
• Medically stable with rehabilitation potential.
• Age Adult 18
• Current mental health condition is affecting
  their physical rehabilitation.
• Physical condition is affecting their mental
  health resulting in challenges in their
  rehabilitation.
• Clients to engage with Mental Health and Physical
  Care Practitioners to enable holistic, goal
  specific, time limited interventions to
  effectively optimise recovery.
• Clients cognitive impairment has deteriorated
  significantly or is resulting in prevention of
  realistic rehabilitation due to complex
  needs/condition.

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Referrals

• Accepted from
• All health and social care professionals
• GP, Hospital discharge team, Reablement team,
  Community rehabilitation team, District nursing,
  Community matron, Social services, Rehabilitation
  unit, CMHT, WMS, Psych Liaison Service, ABT team,
  Inpatient mental health ward, Care navigators and
  Nursing/residential homes.
• Referral
• Accessible via the IMPS webpage
• SAP form
• Basic risk assessment
• For clients currently known to CNWL Trust a
  referral letter is acceptable

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Diagnosis

• F01- F09 Mental disorders due to known
  physiological conditions
• F10 F19 Mental and behavioural disorders due
  to psychoactive substance use
• F20 F29 Schizophrenia, schizotypal,
  delusional, and other non-mood psychotic
  disorders
• F30 F39 Mood affective disorders
• F40 F49 Anxiety, dissociative, stress-related,
  somatoform and other non psychotic mental
  disorders
• F50 F59 Behavioural syndromes associated with
  physiological disturbances and physical factors
• No Mental Health Disorder

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• Average age of clients 75 years
• Patient discharged to GP, CMHT and Social
  inclusion.
• Average cases within the six years of IMPS
• Year 1 13 per month
• Year 2 15 per month
• Year 3 19 per month
• Year 4 21 per month
• Year 5 32 per month
• Year 6 35 per month.

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IMPS Structure
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Treatment/Interventions

• Providing Comprehensive Assessment.
• Providing structured individual care plan that
  involves active therapy, treatment or opportunity
  for recovery.
• A planned outcome of maximising independence and
  typically enabling people to resume or continue
  living at home.
• Cross professional working, intense and frequent
  input with flexible durations to suit and meet
  the needs of each individual.
• Physiotherapy Assessment and Treatment.
• Psychological Therapies
• Psychosocial Interventions
• Environmental Assessment Support
• Review Rehab of ADLs
• Medication Review
• Functional Assessment
• Financial Guidance and Referral
• Family and Carer Support
• Diagnosis
• Facilitate access to community services
• Social Inclusion

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Client feedback
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Future work

• Patient discharged due to dementia
• (CSP Frontline, 2014)
• NHS must treat mental and physical health - stop
  treating patients with mental health as second
  class (DOH, 2013).
• More AHP leadership opportunities and support
  especially in Mental Health Services.

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Locality and Hours

• Vauxhall Bridge Road
• Older Peoples and Healthy Ageing Service Line
• Located with CMHT, HTT, JHTT, ABT, Recovery Team.
  
• Closely working with CMHT, Memory Service, Mental
  Health Inpatient Ward, Liaison Psychiatry
  Service.
• Mon Fri (0830 1630)
• Assessment 3 working days assess if urgent or 10
  working days for non-urgent

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How To Contact

• Telephone [phone]
• Fax [phone]
• Email imps_at_nhs.net
• Webpage http//www.cnwl.nhs.uk/imps.html
• Address 3rd Floor
• 190 Vauxhall Bridge Rd
• London
• SW1V 1DX