Joint Hospital, Dumbarton
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Joint Hospital, Dumbarton At present the hospital provides Mental Health Services and Addiction Services to a population of approximately 80,000 people and covers the wide geographical areas of Alexandria, Patient Information Leaflet Dumbarton and Helensburgh. Developments within the hospital have seen the introduction of many services including drug and alcohol, mental health crisis team, out of hours services, dementia day hospital, community and in-patient dementia services to name but a few. The adult CMHT provide services from Riverview Resource Centre. Riverview Resource Centre Community Mental Health Team (Adult) for Dumbarton & Alexandria areas Riverview Resourc Centre Victoria Infirmary Community Mental Health Team (Adult) for the Helensburgh & Lochside areas. CMHT (Adult) Service Aims The aim is to provide a locally based responsive service which delivers high quality community care to adults and their families in their own homes who are experiencing Mental Health problems. They can offer a specialised mental health assessment and various different treatment approaches according to identified need. Treatments available include psychosocial interventions aimed at reducing symptoms and increasing coping skills. The local teams work with a range of local services including: Local Authority, Voluntary Services and Primary Health Care Teams. The Team consists of: Medical Staff Nursing staff . Admin & Clerical Social Workers MHOs SW Assistant Clinical Psychology Occupational Therapist Operational Aspects Flexible referral system Monday to Friday 9.00am-6.00pm Keyworker system/care management MDT assessment/reviews/care planning Discharge Planning/CPA Risk Assessment/management Services Provided Assessment clinics Operate a duty system/crisis services Diagnostics/Care Planning Supportive counselling Brief therapies Cognitive Behavioural Techniques Social Skills training Problem solving techniques Assertiveness/confidence building Independent living skills Anxiety Management Referral to other appropriate services i.e. voluntary agencies Assessment Clinic The local teams run weekly assessment clinics. These are facilitated by nurses, OTs, medical and social work staff. Emergency assessments can still take place outside of these times and will be seen by the duty worker and maybe referred onto the crisis service. Duty System Duty System The system operates from Riverview Resource Centre, Joint Hospital, Dumbarton, presently Mon to Fri, 9am to 6pm. Crisis Service The Crisis Service Take over the duty system when the CMHT stops at 6pm. During CMHT hours of operation the crisis service is accessed by calling the duty system. After 6pm it can be accessed directly by telephone until 8pm and 9am to 5pm at weekends. The Duty and Crisis Service provide same day assessment services to people considered to be at risk due to mental health issues/problems. Out of Hours (West Dumbarton Only) At 8pm to 8am the Out of Hours services operate and can be contacted through NHS24 or your GP. (West Dumbarton Only) Clozapine Clinic The CMHT provides clozapine monitoring / administration services for clients living in the area. Depot Clinics Operate in West Dunbartonshire only and encourage clients to engage with services locally and offer lifestyle advice/support. People who receive deopt medication in the Helensburgh and surrounding peninsula will have a named keyworker who administers their depot either at home or in the clinic. Group Work The CMHT provides a programme of groups, from Riverview Resource Centre, these groups also extend to the Helensburgh area whenever there is a locally identified need. Men’s Groups: have been established in Dumbarton & Helensburgh. The main objective of this group is to provide a social setting and network for men experiencing mental health problems. There is a Hearing Voices Group that takes place in Helensburgh once every two weeks. This is a user lead group however input is provided from a CPN from the CMHT. St. Kessog’s Drop In: operates on a Tuesday morning in Alexandria. It is jointly provided with the CMHT, SAMH and Social Work staff. Ante Natal Education Programme: Members of the CMHT provide input to this Group ran by the midwifery team at the Vale of Leven Hospital and also at the Jeanie deans Unit in Helensburgh. They provide information and education on postnatal depression. RESST group: (Relaxation Exercise Stress management Therapy Tea) The CMHT provide input to this group ran by health visitors in conjunction with the Healthy Living initiative. This group offers support to women living in West Dunbartonshire and suffering from postnatal depression. Primary Care Link Nurse GP surgeries may wish to have a named Primary Care Link Nurse attached to their practice. Their role is to provide the local GPs and the PHCT with a named person who can be contacted to discuss referrals or provide up to date information regarding local mental health services. Cairnmhor Resource Centre Community Mental Health Team – (Older Adults) Cairnmhor Resource The Community Mental Health Team for Older Adults Centre is a service for adults (aged 65yrs +) diagnosed with a mental illness including Dementia, based at Dumbarton Joint Hospital and services are provided from Cairnmhor Resource Centre. The service covers the three main geographical areas of Dumbarton, Alexandria, Helensburgh and Lochside. The CMHT operates Monday to Friday, 9am to 5pm and operates an open referral /keyworker system and is the main single point of access to the local mental health older adults services. Most clinical contact is provided in the patient’s own home. Where appropriate any group work is carried out in local community premises. There have been well- received initiatives along the way and feedback from partners in care has always been very positive. Services Aims To provide advice, support and education to patients, carers and others while providing assessment of care needs and co-ordinating plans of care to people within their own community. Operational Aspects Open Referral system Keyworker system MDT reviews/multi professional assessment Risk assessment Discharge Planning Services Provided Comprehensive person centred approach to assessment Assessment of carers needs Liaison role to co-ordinate plans of care Advice, education and support to other professionals/agencies Provide emotional support to clients and carers Provide practical advice to clients and carers on day to day aspects of daily living (e.g. reality orientation, behavioural interventions, occupational activities, validation therapy, reminiscence, environmental modification (as per SIGN Guidelines). Duty System The system operates from Cairnmhor Resource Centre, Joint Hospital, Dumbarton, presently Mon to Fri, 9am to 5pm. The Crisis Service Take over the duty system when the CMHT stops at 5pm. During CMHT hours of operation the crisis service is accessed by calling the duty system. After 6pm it can be accessed directly by telephone until 8pm and 9am to 5pm at weekends. The Duty and Crisis Service provide same day assessment services to people considered to be at risk due to mental health issues/problems. Out of Hours (West Dumbarton Only) At 8pm to 8am the Out of Hours services operate and can be contacted through NHS24 or your GP. (West Dumbarton Only) Community Staff (Link) Nurse The Link Nurse, provides an input into Local Care Homes, they provide awareness/advice support for staff working in the Vale Of Leven Hospital wards for care of the older person. A Link Nurse provides specific input to the Helensburgh area combining Liaison work with Care Homes as well as seeing client’s in their own home. Staff regularly carry out joint visits and assessments with Social Work, often being initiated by the Single Shared Assessment for accessing social/community support services. Early Onset Focus Group for People with Dementia. The nursing/OT staff along with Alzheimers Scotland and the local clinical audit/effectiveness personnel set up a pilot Early Onset Dementia Support Group. The pilot was able to determine that this was something that would be better maintained and sustained in the future through a multidi-agency approach. The focus groups should have a dual function to serve as a forum for patients and their carers to provide feedback about their services/care and for this feedback to be used to improve local services. Carer Education/Local Alzheimers Scotland Action on Dementia Project. Team members provide information for the Alzheimers Scotland Carers Education Programme information on the service and what it is able to provide. Dementia Care Mapping The Local authority have trained three Local Authority Staff and the team are planning to send the OT for training. Across both health and local Authority there should then be a large enough pool of staff to allow for more regular mapping. This will have a particular benefit for local authority care settings in providing evidence of Quality of Care and for the Care Commission. There is now a pool of 9-10 mappers across health and local authority in WDC. To date this has allowed three sessions of mapping in local authority day care and residential establishments. The primary purpose of the joint mapping was to look at training issues that may be determinded through DCM and the underpinning principles of person centered care. Helensburgh Carers Drop In Initiative Along with Alzheimers Scotland Carers Support Worker and members in the CMHTD, this Drop-In Initiative was established in the