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

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

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

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

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

Academy of Consultation-Liaison Psychiatry Virtual Forum: Consultation-Liaison Psychiatry in the

Neurocognitive Screening Judith Restrepo, MD Attending in Consultation-Liaison Psychiatry

Improving Care in Crisis: Should I (or my Patient) Go to the ER? Leslie S Zun, MD, MBA, FAAEM

AILA Liaison AILA National Liaison What Do We Do? The Liaison Department works with AILA

Two Views 1 It's been proven now that the crisis is not a Greek crisis. The crisis is a

Integration of Care for the Patient in Crisis: Community Engagement, Re-Engagement &amp;

Annual Parishes Liaison Event 2014 The Communities Strategy and Understanding Vulnerability of

Who we are. . What we do. The Crisis Response Network, Inc (CRN) operates a 24/7 crisis

Supporter Liaison Officer UEFA CL&amp;FFP Regulations: Art. 35 - Supporter Liaison Officer 1. The

CRISIS? WHAT CRISIS? How to avoid making a drama out of a crisis by Chris Green We can all spot

HUB Psychiatry Assessment and Treatment of ADHD Prepared by:

Ethical Issues in Child and Adolescent Psychiatry Avi Kriechman, M.D. UNM Department of

BRADLEY LIAISON COMMITTEE PRESENTATION 29 November 2018 ENVIRONMENTAL UPDATE (from Liaison

BRADLEY LIAISON COMMITTEE PRESENTATION 2 September 2019 ENVIRONMENTAL UPDATE (from Liaison

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Is there a Psychopathic Early Career Path? Holly Andrews Worcester Business School Contents

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Supporter Liaison Officer UEFA CL&FFP Regulations: Art. 35 - Supporter Liaison Officer 1. The