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

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 something wrong
Reasons for referral 180 160 Anxiety 140 Mood disorder 120 100 Psychosis 80 60 Substance 40 Organic 20 0 Self Harm Suicidal idea
What is Liaison Psychiatry
Psychiatric complications of medical illness Who has mental Physical Co-morbid health manifestation physical and of severe mental psychological health needs in a distress conditions hospital? Psychological responses to physical illness
Formulation and care plan Make a Advice on risk diagnosis of vulnerability What can Bio-Psycho-Social we do Assessment Identify Advice on triggers to mental symptoms and capacity behaviours Psychological intervention
Where do we operate Emergency Community Acute wards Department Education and Training
Hospitals in Kent PEMBURY
Hospital beds 700 600 500 400 300 200 100 0
Hours of activity 15 hours 24 hours 12 hours 12 hours (8am – 8pm) 15 hours (8am – 11pm) 24 hours Maidstone Dartford Medway Pembury Ashford Margate
Activity levels (2016)
Increasing demand
Other services • Psychodermatology clinic in KCH • Teaching and training • Student nurses • Medical trainees • Secondment opportunities
Teaching Who Training is For Topic Teaching Staff A&E Registered Older adult & family liaison Adam & Nicola Nurses The role of the Liaison Psychiatry Team @ A&E Band 6 Nicola & Louise DVH The role of the Liaison Psychiatry Team @ A&E Healthcare DVH & Brief Overview About Mental Alex & Nonto Assistants Illness A&E Registered Suicide and Self Harm Nicola & Will Nurses A&E sisters Mental Health Act Rodney A&E Registered Hans & Mark Management of Behaviours Nurses Dunnett A&E Registered Psychosis Rodney & Hans Nurses A&E Registered Personality Disorders Brenda & Alex Nurses A&E Healthcare Hans & Mark Management of Behaviours Assistants Dunnett A&E Registered Risk Assessment Alex & Rodney Nurses
Service user feedback
Feedback examples
Feedback examples
Looking forward
Benefits • Reduced admissions • Shorter lengths of stay and re-admissions • Improved discharge planning • Better experience • Collaborative working • Cost-saving
HEALTHCARE PROFESSIONALS WHO TOOK A SURVEY SAID...
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
Recap Parity of access Treat-as-one 24 hour service • Skilled high quality • Collaborative • Cost-saving service working • Improves • Mind-body experience

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