Frequent attendees meet Ed

Ross Warwick Joan Pollard

Redirections• Board approach : education first

Meet Ed• https://vimeo.com/dfptv/rev

iew/94150862/06d1c120a7

So far• Launched in April

– Roadshow in shopping centre– 2 page spread in all local papers– 2 page insert into Dumfries Visitor

Magazine– Twitter, Facebook, Website

Plans for the next few months• Leaflets/ posters/ bus shelters• Libraries/Schools/ Queen of the

South• Webmedia approach for all TV

screens in waiting areas• Competition in Schools in October• Broadcast Magazine – all

households.

FREQUENT ATTENDANCE – A PSYCHOLOGICAL APPROACH

Dr Ross Warwick, Clinical Psychologist

Some principles...• All behaviour happens for a reason,

it serves a purpose• Attendance at A&E happens for a

reason • This may not be the intended

purpose of the service• There will be certain needs fulfilled

through attending• Understanding the needs may help

to inform treatment decisions

Project aims:• Improve understanding of reasons

why people frequently or inappropriately attend

• Reduce unnecessary assessments, interventions and admissions

• Improve consistency of management

Methods...

Based on James et al (2006)

Working groupEmergency Department medicsEmergency Department nursingAdult PsychiatryChild and Adolescent Mental HealthPsychiatric crisis team (CATS)Drug and Alcohol ServiceSocial WorkClinical Psychology (Convenor and Chair)

Plans• After 12 months, develop generic

guidelines• Outcomes

– Case studies – frequency of attendance and changes to management

– Measuring staff response including tolerance of the new approach and attitudes to people who frequently attend