1. Care Bundles CAPA Forum 19 April 2018
Dr Karin Stam, MICAMHS Bay of Plenty

2. A Secondary Mental Health Service needs clear and transparent Care Bundles
According to the most up to date Clinical Guidelines and/or Evidence-Based or Best Practice
Vision/Mission

3. DEFINITION
A Care Bundle is a set of interventions that when used together significantly improve the outcomes of the clients and whanau / family we support

4. Care Bundles = Journey of Client through MICAMHS
Combination of referral pathway, diagnostic clarification and treatment interventions
Issue/Disorder related

5. Written in a clear and straightforward way, they should be quick and easy as a point of reference
New employees; Good Guidance
Time-efficient to have general consensus from which you can deviate with the right arguments  (often 80% consensus anyway)
Quality of Care

6. Before you can create a Care Bundle you must collate information of local resources.
A Team approach to creating Care Bundles helps the whole Team to understand them and to own them
Do we need a clinical pathway for…?
Additional training needed? --- > Create awareness of gaps

7. Websites for Clinical Guidelines
NICE Guidelines
RANZCP
Ministry of Health

8. The aim is to ensure everyone receives the best care based on evidence or logic 100% of the time

9. ADHD

11. ISSUES/DISORDERS --- > 15 Care Bundles in MICAMHS Bay of Plenty
1. Tic Disorder
2. Autism Spectrum Disorder
Anxiety Disorders (incl. OCD, PTSD and Selective Mutism)
AOD issues (incl. Sorted referral pathway)
5. Eating Disorders
6. Intellectual Disability
7. Mood Disorders
8. Transgender
ODD/CD (incl. IYSS referral pathway)
(Emerging) Personality Disorders
11. Perinatal and Infant Mental Health Issues CHILD and MOTHER
12. Physical Comorbidity (incl. Health and Wellness Coach referral pathway)
13. Psychosis /Early Intervention
14. Somatoform Disorders
15. ADHD
-Medical Review Pathway for existing ADHD
-Pathway for new ADHD diagnosis

22. Personality Disorder
Attachment Disorder

25. PIMHS

28. Psychosis/Early Intervention

30. Conduct Disorder/ODD

31. IYSS
Incredible Years Specialist Service

32. Selective Mutism

33. Physical Comorbidity

34. SUGGESTIONS?