1. Connecting People, Connecting Support
Transforming the occupational therapy contribution to support people living with dementia in Scotland.
Elaine Hunter, National AHP consultant, Alzheimer
Alison McKean, AHP post diagnostic lead, Alzheimer
@AHPDementia
#AHPConnectingPeople
Let’s Talk about Dementia
#RCOT2018

2. Background
Background

3. Scotland’s dementia strategy
“Our shared vision is of a Scotland where people with dementia and those who care for them have access to timely, skilled and well-coordinated support from a diagnosis to end of life which helps achieve the outcomes that matter to them”
Scottish Government 2017

4. Scotland’s Dementia Strategy
Commitment
“We will support the implementation of the new national AHP Framework Connecting People, Connecting Support.
Scotland’s National Dementia Strategy

5. Evidence for action

6. How to make it happen : 4 ambitions
1. Enhanced access
I am supported to look after my own health and wellbeing & do the things that matter most to me. I feel I get the support I need to keep on with my caring role for as along as I want to do that.
2. Partnership and integration
I feel I am treated as a person by the people doing the work, we develop a relationship that helps us to work well together
3. Skilled AHP workforce
I feel I get the support and resources I need to do my job well
4. Innovation, improvement & research
The right care for me is delivered at the right time
A human rights based approach will be at the heart of person-centred AHP services
AHP’s will deliver services to people living with dementia using the biopsychosocial approach to rehabilitation as outlined in the AHP approach
Dementia is every AHP’s business offering services in dementia-aware environments
AHP’s will adapt & tailor their rehabilitation interventions taking into account the individual and developing needs….ensuring maximum participation…supporting individual ambitions & enacting a risk enablement approach…..

7. An improvement approach in practice
1. Enhanced access
I am supported to look after my own health and wellbeing & do the things that matter most to me. I feel I get the support I need to keep on with my caring role for as along as I want to do that.

8. An Improvement Approach :
A conceptual framework for planned improvement

9. Specialist FEW allied health professionals
DRAFT Effective Decision Making in dementia care when people ask for help from allied health professionals
Specialist FEW allied health professionals
Targeted SOME allied health professionals
Universal ALL allied health professionals
Awareness ALL allied health professionals

10. Enhanced access to occupational therapy in dementia in Scotland
Awareness & Universal
Targeted & Specialist (individual)

12. Edinburgh, Dumfries, Fife & Glasgow
Relational Approaches Meet the improvement team for #WithOTuCAN
@juliebrownOT @elaineahpmh @dorman_lynn @CarrieOTMH @AliAHPDem
@Sammhahp
Edinburgh, Dumfries, Fife & Glasgow

13. Technical Approaches Interactive logic model

14. People Process Platform
Vision :Increase access to occupational therapy information for people living with dementia and their families to help them remain active & independent in their community
to achieve this we need to ensure which requires ideas to ensure this happens
Aim Primary Drivers Secondary Drivers Change idea
Capacity & capability of occupational therapists in use of twitter
Test a team approach to use of the twitter account
By 22nd April 2018 we will have increased the number of people engaging with occupational therapists by sharing their work in dementia, on twitter with over 1,000 followers.
People
Test current learning materials
Active engagement with people living with dementia & their families
Test use of targeted tweets(clear aims/themed)to people living with dementia
Themed & targeted weekly tweets
Test using timetable of tweet themes with the group over the project timelines
Process
Mechanisms to capture quantitative feedback
Test impact of weekly measurement points during 13 week pilot test
Mechanisms to capture qualitative feedback
Test impact of weekly measurement points during 13 week pilot test
Platform
Awareness of the twitter account
Test a brand for twitter account 4 weeks, collecting baseline data
Link to wider AHP social media platforms
Test impact on AHP blog
Governance for use of twitter
Test system to monitor complaints or hack for use of twitter

15. Technical Approaches Change ideas
The change ideas included, does it make a difference if we tweet daily? do we increase our followers if we tweet at weekends? do we have greater engagement if we have themed tweets? By the end of the 4 months, we were tweeting daily, incorporating the themes of the AHP approach (Alzheimer Scotland 2017) to our advice and top tips to living well with dementia

16. Technical Approaches Family of measures
Outcome - how you will track the progress of your improvement aim
Record the number of new followers monthly
Record the number of retweets weekly
Record the number of likes weekly
Process - how you will know how the parts of the system you need to change (to get you to your improvement aim) are performing and the impact of your changes on these.
Record the total number of impressions daily
Survey the project participants on their experience of using twitter in their daily practice
Survey the project participants on the support required to be involved in this project
Balancing - do you need to keep watch in case your action has a unintended impact on other parts of the system or to see if something unrelated to your project is influencing project success?
Count the number of people reading the AHP blog
Capture the time spent by participants on twitter

17. What is the data telling us?
1. I Chart

18. What is the data telling us?
2. Experience of the occupational therapy tweeters
Why this project: before & after “To increase public awareness of what occupational therapy can do for people living with dementia” “To improve my own knowledge & skills around the use of twitter”
“It was great when people living with dementia & carers responded to the tweets to say how useful they found them or with ideas of their own….. “I was apprehensive at first but have really enjoyed my weekly tweets & supporting others in the team with their tweets. I feel I am more confident at tweeting…”

19. What is the data telling us. 3
What is the data telling us? 3. Tweets that received the most impressions
Top tip for mealtimes. Place on the table only what’s needed and ensure good colour contrast. Keep plates and glasses in the line of sight and ensure that the person can see the contents. Let us know what you think about our tweets? #dementia

20. What is the data telling us? 4. Conversations with followers
Really interesting work here on the effectiveness of twitter in connecting with occupational therapists to enhance support of people living with #dementia. Social media as a force for good #dementiacare #dementia
Good and sound advice
“Thanks… great job with this practical suggestions for improving the quality of life for those with #dementia. I am putting them to work with my loved one #livingwithdementia”

21. Improvement in Practice
“The biggest communication problem is we do not listen to understand. We listen to reply” Covey
1. Seek to understand 2. Power of relationships 3. Start small, then make it smaller, then make it smaller again! 4. The importance of measurement 5. Prepare to fail 6. Value of patience & reflection

23. Elaine Hunter, @elaineahpmh Alison McKean, @AliAHPDem
Stay connected
Elaine Alison

24. References
Alzheimer Scotland 2017 Connecting people, connecting support. Transforming the contribution of allied health professionals in dementia in Scotland
Langley GJ Moen RD Nolan KM Nolan TW Norman CL Provost LP The improvement Guide A practical approach to enhancing organizational performance 2nd edition Jossey-Bass
Scottish Government Scotland’s National Dementia Strategy Scottish Government Edinburgh