community integration of mental health team dr.lorcan martin, consultant psychiatrist
TRANSCRIPT
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COMMUNITY INTEGRATIONCOMMUNITY INTEGRATIONOFOF
MENTAL HEALTH TEAMMENTAL HEALTH TEAM
Dr.Lorcan Martin, Consultant Psychiatrist
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INTRODUCTIONINTRODUCTION
• Despite progress in treatment of Mental illness, stigma remains
• Marked lack of access to clear, reliable information
• Multi-faceted approach needed• 4 specific areas initially identified in
sector covered by Athlone Community Mental Health Team (pop ≈ 30,000; urban/rural)
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PROBLEMS IDENTIFIEDPROBLEMS IDENTIFIED
Lack of Knowledge & Awareness
Difficulty Accessing & Reluctance to Attend
Equity for Deaf Persons
Lack of Service User Involvement
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SOLUTIONSSOLUTIONS
Mental Health Awareness Programme
Difficulty Accessing & Reluctance to Attend
Equity for Deaf Persons
Lack of Service User Involvement
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SOLUTIONSSOLUTIONS
Mental Health Awareness Programme
Primary Care Consultation Liaison Service
Equity for Deaf Persons
Lack of Service User Involvement
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SOLUTIONSSOLUTIONS
Mental Health Awareness Programme
Primary Care Consultation Liaison Service
MHS for Deaf Service Users
Lack of Service User Involvement
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SOLUTIONSSOLUTIONS
Mental Health Awareness Programme
Primary Care Consultation Liaison Service
MHS for Deaf Service Users
Consultative Group
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MH AWARENESS MH AWARENESS PROGRAMMEPROGRAMME
• 2-year programme• Held in local hotel• Advertised in local media• Format
– Short presentation– Q & A session– Discussion– Refreshments
• Topics varied - not just disorders
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PRIMARY CARE CONSULTATION PRIMARY CARE CONSULTATION LIAISON SERVICELIAISON SERVICE
• Weekly sessions by Consultant Psychiatrist & CMHN in 2 Primary Care Setting
• Clients/appointments set by GP
• Full access to Mental Health Team
• Wide range of psychopathology seen
• Clients seen and discharged faster
• Waiting lists reduced
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MHS FOR DEAF SERVICE MHS FOR DEAF SERVICE USERSUSERS
• Partnership with National Association for Deaf People (NAD)
• 5 members of Team trained in Sign Language & Deaf Community culture
• MH Awareness Programme with NAD
• Clients now seen without interpreter• Joint care with Social Worker from
NAD
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CONSULTATIVE GROUPCONSULTATIVE GROUP
• Continuous group in partnership with MHT
• Members represent varied age/gender/Dx
• Training given to Chairperson/Secretary• MHT member not present at meetings• Chairperson represents group at
Management meetings• Various issues addressed• Peer support group• Client survey
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OTHER INITIATIVESOTHER INITIATIVES
• MH Awareness programme and staff training in local College
• Development of programme for clients suffering from Eating Disorders
• Development of various training and employment programmes
• Community events, eg fashion show, music evenings
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CONCLUSIONCONCLUSION
• More than 2 years required to remove stigma and fully integrate MHS into community
• However, first steps taken and results seen– Consistent and widespread support for
Awareness Programme– Local media support– Greater community involvement in MH
related activities– Liaison with other agencies much improved