Home-Based Crisis Team (Dr Sinead O'Brien - part 1 of 3)

Home Based Crisis Team: Home Based Crisis Team: initial steps towards recovery initial steps towards recovery

in the communityin the community

Dr. Sinead O’Brien.Dr. Sinead O’Brien.

Consultant Psychiatrist, Consultant Psychiatrist,

Home Based Crisis Team.Home Based Crisis Team.

North Lee Mental Health Services.North Lee Mental Health Services.

Today.....

Vision for Change

City North Sector

Development of HBCT-City North.

Audit of case-load

Future Directions

A Vision for Change

Person centred

Recovery orientated

Holistic – all aspects of mental health: biological (e.g. medication), psychological (e.g. “talking therapies”) and social (e.g. housing, employment, education/training).

A Vision for Change

Community-based – provide services in communities where people live, reduce hospital admissions, more home-based treatments and outreach services.

Multi-disciplinary

Population Based

Mission StatementMission Statement

To provide a home-based crisis To provide a home-based crisis assessment and multi-disciplinary assessment and multi-disciplinary treatment and intervention service for treatment and intervention service for individuals presenting with acute individuals presenting with acute psychiatric illness in City North sector. psychiatric illness in City North sector. We endeavour to respect each We endeavour to respect each individual’s rights and values.individual’s rights and values.

Cork City North Sector

Population: 53,000

2 Sector Multidisciplinary Teams.

CNW: Dr Ruth Collins CNE: Dr Nataraj Gojanur

[Previous speakers that morning ...]

Kevin Heffernan Programme Specialist (West Midlands Regional Development Centre, UK)

Martin Rogan Assistant National Director, Mental Health, HSE

Cork City North Sector.

Sector includes: Knocknaheeny Gurranabraher Fairhill Blackpool Mayfield The Glen.

RAPID

“Revitalising Areas through Planning, Investment and Development”.

RAPID aims to......

Increase the investment made by Government departments and state agencies in the 46 communities;

Improve the delivery of public services through integration and coordination

Enhance the opportunities for communities to participate in the strategic improvement of their areas.

Rapid Areas in Cork

Knocknaheeny/Hollyhill/Churchfield

Blackpool /The Glen/Mayfield

Fairhill/Gurranabraher/Farranree Togher/Mahon

Priorities of RAPID....

family support, physical environment, health, community safety, education, employment training and youth support.

The Haase and Pratschke Index

uses 3 dimensions of affluence/disadvantage to comprise their index.

‘Demographic Profile’, ‘Social Class Composition’ ‘Labour Market Situation’

“Extremely disadvantaged”

Farranferris, Knocknaheeny, Fair Hill B

9% of National ED rating

HBCT

Set up in 2007

Funding for 1 additional Consultant

CD and Heads of Discipline examined need within North Lee MHS

North Lee MHS

Majority (>50%) of ALL admissions to Acute Unit were from City North Sectors

HBCT

1 Consultant Psychiatrist 1 Registrar 2 CMHN 1 social worker 0.6 Occupational Therapist 1 Psychologist Clerical Support

Evolution of HBCT...April 2009

1 Consultant Psychiatrist 1 Registrar 2 CMHN 0.6 social worker 0.6 Occupational Therapist Clerical Support

My Vision...

SB

Evidence Based Practice

My Vision...

SB


Optimising Physical & Psychological Health

My Vision...

SB



Intensive Case Management

My Vision...

SB




Health Economics

My Vision...

SB




Health Economics

EthicsAutonomyBeneficenceNon-MaleficenceJustice

My Vision...

SB




Research

Health Economics


My Vision...

SB


Audit



Research

Health Economics



... continued in part 2 ....

Home-Based Crisis Team (Dr Sinead O'Brien - part 1 of 3)

Health & Medicine

Transcript of Home-Based Crisis Team (Dr Sinead O'Brien - part 1 of 3)