Upload
others
View
1
Download
0
Embed Size (px)
Citation preview
The Dudley and Walsall PathwaySustainability & Transformation Network 17.4.18
Dr Rose Jones – Consultant Psychiatrist
Susanne Tracey – Specialist Nurse
Jonathon Davis – Specialist Nurse
Background
• In 2009 Consultant Dr Renju Joseph felt there was a gap in service provision for patients with Autism and ADHD. He was supported by Jacky O’Sullivan (Clinical Development Director) and together they wrote several business cases that were taken to the Trust and their host CCGs. Eventually the Trust supported the establishment of the service ‘at risk’.
• Challenges included convincing colleagues, managers and commissioners about the importance of this service and getting support from GP’s around prescribing.
Progress
• We currently have over 20 commissioners involved all accessing care on a spot purchase basis
• The service has so far won 2 awards: – Best Mental Health Support Services Centre – West
Midlands in the 2017 – Social Care Awards DWMHT staff awards – Front line
team of the year 2017
• The service is a wonderful example of clinicians and mangers working together to achieve something great
Who we are
• Consultants
– 1 x Full Time (+ 1 x 1 session per week)
• Specialist Nurses
– 1 x Prescriber, 1 x soon to be prescriber
• Full time secretary
• 2 x very helpful receptionists
• Numerous students and specialist interest trainees
Who we see
• Those who require a diagnosis of ASD
• Those who require a diagnosis of ADHD and want treatment
• Those who already have a diagnosis of ADHD and require medication optimising or monitoring
• ADHD CAMHS transitions
What we offer
• ASD
– One assessment with Consultant (1-2 hours as needed)
– One DISCO assessment (informant history) with Specialist Nurse, where possible
What we offer
• ADHD
– Initial Assessment with Specialist Nurse/Consultant (1 hour)
– DIVA Assessment with Specialist Nurse (1 hour)
– Up to 5 follow-up sessions to stabilise medication regime
– Yearly review
What we don’t do
• ASD
– Management
• ADHD
– Crisis Response / Urgent appointments
12 Week Audit - ADHD
• METHOD: Data was accessed via Clinician’s diaries and OASIS (electronic patient information system) to look for outcomes.
• RESULTS:
• Total 129 appointments
• New diagnosis of ADHD: 11
• Previous Diagnosis of ADHD 21
• Follow- up: 97
Current Case Load
• 207
• Growing by around 5-10 per week
Next Steps
• More admin
• Occupational Therapist
• Groups
Difficulties
• How do we quantify the impact of our treatment?
• What is the exit plan?
• How do we resist becoming a ‘Community Mental Health Team for those with ADHD’?
• Crisis Management
*
*Mainstream Schools
*Poor Concentration
*Disruptive behaviour
*Poor academic
performance
*Truancy
*Suspension
*Exclusion
*Wrong crowd
*Alcohol misuse
*Drug use
*Petty crime
*Risk taking
Unemployment
Crime
Substance Addiction
Mental Health Problems
Lack of family
support
Homelessness
Sexual exploitation
2 years Custodial
Sentence
Addiction ServicesMental Health
Services
Physical Health Probation
Housing/ BenefitsEducation
Adult Neurodevelopmental
Service
Thank you