critical components of crisis resolution/home treatment - pt 1- kevin heffernan
DESCRIPTION
Kevin Heffernan's presentation to the CRSI/ UCC conference on "Home Based Recovery and Wellness in Mental Health" - jointly hosted by University College Cork and the Centre for Recovery and Social Inclusion, Cork on the 9th June 2010. Part 1 of 2 segmentsTRANSCRIPT
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H o m e T r e a t m e n t E x p e r i e n c e
C h o i c e & A l t e r n a t i v e
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Kevin Heffernan
Nurse
11 years leading HT developments in Birmingham
Consultant for the World Health Organisation
National Institute Mental Health England (Regional Implementation … 5.5 million population …. 39 Home Treatment Teams, 27 Assertive Outreach Teams)
Research fellow Birmingham City University
West Midlands Strategic Health Authority (Service Development)
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Community teams in BirminghamCaseload size and distribution in a
locality of 150,000 population
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Distribution of Cases
CMHT’s20 staff
Rehab & recovery15 staff
Assertive Outreach12 staff
*************************************************************************************************
600 Cases
Days Years
Intensity of support & Length of stay in the service
**********************************************************************
370 Cases
123 cases
**********************************************
***********************
Seri
ou
s M
en
tal Il
lness
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Distribution of Cases
CMHT’s20 staff
Rehab & recovery15 staff
Assertive Outreach12 staff
*************************************************************************************************
600 Cases
Days Years
Intensity of support & Length of stay in the service
**********************************************************************
370 Cases
123 cases
**********************************************
***********************
Seri
ou
s M
en
tal Il
lness
Home Treatment
14 staff20 cases
**********************************************************************************************
***************************************************************************
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Characters represent
CRISIS
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Characters represent
CRISISDanger/risk and Adversity
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Characters represent
CRISISDanger/risk and Adversity
Opportunity forPersonal Growth
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Fidelity principles
• Gatekeeper to all potential admissions
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Fidelity principles
• Gatekeeper to all potential admissions
• Operating a corporate caseload (utilising MDT skill mix)
![Page 11: Critical components of crisis resolution/home treatment - Pt 1- Kevin Heffernan](https://reader035.vdocuments.us/reader035/viewer/2022081602/5562c67cd8b42a595e8b55c8/html5/thumbnails/11.jpg)
Fidelity principles
• Gatekeeper to all potential admissions
• Operating a corporate caseload (utilising MDT skill mix) • Rapid Response (1-4 hour variable)
![Page 12: Critical components of crisis resolution/home treatment - Pt 1- Kevin Heffernan](https://reader035.vdocuments.us/reader035/viewer/2022081602/5562c67cd8b42a595e8b55c8/html5/thumbnails/12.jpg)
Fidelity principles
• Gatekeeper to all potential admissions
• Operating a corporate caseload (utilising MDT skill mix) • Rapid Response (1-4 hour variable)
• 24 hour/7 day availability
![Page 13: Critical components of crisis resolution/home treatment - Pt 1- Kevin Heffernan](https://reader035.vdocuments.us/reader035/viewer/2022081602/5562c67cd8b42a595e8b55c8/html5/thumbnails/13.jpg)
Fidelity principles
• Gatekeeper to all potential admissions
• Operating a corporate caseload (utilising MDT skill mix)
• Rapid Response (1-4 hour variable)
• 24 hour/7 day availability
• Flexible visiting (duration/frequency/Intensity)
![Page 14: Critical components of crisis resolution/home treatment - Pt 1- Kevin Heffernan](https://reader035.vdocuments.us/reader035/viewer/2022081602/5562c67cd8b42a595e8b55c8/html5/thumbnails/14.jpg)
Fidelity principles
• Gatekeeper to all potential admissions
• Operating a corporate caseload (utilising MDT skill mix)
• Rapid Response (1-4 hour variable)
• 24 hour/7 day availability
• Flexible visiting (duration/frequency/Intensity)
• Clearly targeted Caseloads (acute)
![Page 15: Critical components of crisis resolution/home treatment - Pt 1- Kevin Heffernan](https://reader035.vdocuments.us/reader035/viewer/2022081602/5562c67cd8b42a595e8b55c8/html5/thumbnails/15.jpg)
Fidelity principles
• Gatekeeper to all potential admissions
• Operating a corporate caseload (utilising MDT skill mix)
• Rapid Response (1-4 hour variable)
• 24 hour/7 day availability
• Flexible visiting (duration/frequency/Intensity)
• Clearly targeted Caseloads (acute)
• Time limited (average length of stay)
![Page 16: Critical components of crisis resolution/home treatment - Pt 1- Kevin Heffernan](https://reader035.vdocuments.us/reader035/viewer/2022081602/5562c67cd8b42a595e8b55c8/html5/thumbnails/16.jpg)
Fidelity principles
• Gatekeeper to all potential admissions
• Operating a corporate caseload (utilising MDT skill mix) • Rapid Response (1-4 hour variable)
• 24 hour/7 day availability
• Flexible visiting (duration/frequency/Intensity)
• Clearly targeted Caseloads (acute)
• Time limited (average length of stay)
• Fully Integrated (not operating in isolation, whole system responsibility)
![Page 17: Critical components of crisis resolution/home treatment - Pt 1- Kevin Heffernan](https://reader035.vdocuments.us/reader035/viewer/2022081602/5562c67cd8b42a595e8b55c8/html5/thumbnails/17.jpg)
• Comprehensive Assessment
Fidelity principles
![Page 18: Critical components of crisis resolution/home treatment - Pt 1- Kevin Heffernan](https://reader035.vdocuments.us/reader035/viewer/2022081602/5562c67cd8b42a595e8b55c8/html5/thumbnails/18.jpg)
• Comprehensive Assessment
• Address social issues (in vivo)
Fidelity principles
![Page 19: Critical components of crisis resolution/home treatment - Pt 1- Kevin Heffernan](https://reader035.vdocuments.us/reader035/viewer/2022081602/5562c67cd8b42a595e8b55c8/html5/thumbnails/19.jpg)
• Comprehensive Assessment
• Address social issues (in vivo)
• Medical staff involved/available
Fidelity principles
![Page 20: Critical components of crisis resolution/home treatment - Pt 1- Kevin Heffernan](https://reader035.vdocuments.us/reader035/viewer/2022081602/5562c67cd8b42a595e8b55c8/html5/thumbnails/20.jpg)
• Comprehensive Assessment
• Address social issues (in vivo)
• Medical staff involved/available
• Mobile
• Practical problem solving approach
• Supervision and administration of medication
Fidelity principles
![Page 21: Critical components of crisis resolution/home treatment - Pt 1- Kevin Heffernan](https://reader035.vdocuments.us/reader035/viewer/2022081602/5562c67cd8b42a595e8b55c8/html5/thumbnails/21.jpg)
• Comprehensive Assessment
• Address social issues (in vivo)
• Medical staff involved/available
• Mobile
• Practical problem solving approach
• Supervision and administration of medication
• Advice, support for Carers
Fidelity principles
![Page 22: Critical components of crisis resolution/home treatment - Pt 1- Kevin Heffernan](https://reader035.vdocuments.us/reader035/viewer/2022081602/5562c67cd8b42a595e8b55c8/html5/thumbnails/22.jpg)
• Comprehensive Assessment
• Address social issues (in vivo)
• Medical staff involved/available
• Mobile
• Practical problem solving approach
• Supervision and administration of medication
• Advice, support for Carers
• Early Discharge (not becoming discharge team)
• Effective communication and planning
...continued in part 2
Fidelity principles