Presentation on theme: "IMPs – Intermediate Mental & Physical Health Care Team"— Presentation transcript:
1 IMPs – Intermediate Mental & Physical Health Care Team Kashif Munir(Physiotherapy Lead)12th November 2014
2 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
3 The Role of the TeamShort 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.
4 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.
5 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 webpageSAP formBasic risk assessmentFor clients currently known to CNWL Trust a referral letter is acceptable
6 DiagnosisF01- F09: Mental disorders due to known physiological conditionsF10 – F19: Mental and behavioural disorders due to psychoactive substance useF20 – F29: Schizophrenia, schizotypal, delusional, and other non-mood psychotic disordersF30 – F39: Mood [affective] disordersF40 – F49: Anxiety, dissociative, stress-related, somatoform and other non psychotic mental disordersF50 – F59: Behavioural syndromes associated with physiological disturbances and physical factorsNo Mental Health Disorder
7 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 monthYear 2 – 15 per monthYear 3 – 19 per monthYear 4 – 21 per monthYear 5 – 32 per monthYear 6 – 35 per month.
9 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 TherapiesPsychosocial InterventionsEnvironmental Assessment & SupportReview & Rehab of ADL’sMedication ReviewFunctional AssessmentFinancial Guidance and ReferralFamily and Carer SupportDiagnosisFacilitate access to community servicesSocial Inclusion
13 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.
14 Locality and Hours Vauxhall Bridge Road Older People’s and Healthy Ageing Service LineLocated 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
15 How To Contact Telephone: 02078544151 Fax: 020 79318087 Webpage:Address: 3rd Floor190 Vauxhall Bridge RdLondonSW1V 1DX