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North East Lincolnshire Care Trust Plus

Acute Mental Health Services. Philosophical question.Do separate Crisis Home Treatment Teams work ?. Acute mental Health Services. Advantages.A defined team.Ticks the box for the Dept of Health.Clinically skilled upEnsures consistency and team cohesivenessLeadership and organisationGatekee

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North East Lincolnshire Care Trust Plus

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    1. North East Lincolnshire Care Trust Plus Acute Mental Health Services

    2. Acute Mental Health Services Philosophical question. Do separate Crisis Home Treatment Teams work ?

    3. Acute mental Health Services Advantages. A defined team. Ticks the box for the Dept of Health. Clinically skilled up Ensures consistency and team cohesiveness Leadership and organisation Gatekeeping

    4. Acute Mental health Services Disadvantages “Rob Peter to pay Paul” Decline of Quality on in-patient units. Community vs In-Patient pressure. Lack of ownership in decision making process. Why home Treatment when In-Patient is easier Target driven Cohesiveness

    5. Acute Mental Health Services What is Acute Mental Health Where should Crisis Teams sit. Where should Home Treatment be delivered from How do we invest in our staff to ensure quality “the battle of the target driven NHS” against the battle for quantity

    6. Acute Mental Health Services Acute Mental Health Services should include:- In-Patient facilities Crisis Services AMPH Team (including 136 Team) Home Treatment A&E Liaison services

    7. Acute Mental Health Services Where should crisis service sit By being part of the acute Mental they take ownership of the service Integrated management Integrated reporting and support service Based within the Acute Units (if there is no crisis they work where the need is greatest/cross cover The skills are therefore not lost

    8. Acute Mental Health Service Where should the Home Treatment Team sit? Within the Acute Units Integrated management team Integrated reporting system All Acute Staff can have a role in Home Treatment Same Consultants (see NWW) Staff go where the need is greatest, this has resulted in one of the quickest turn arounds in bed occupancy and care quality in the uK (see CQC Report) Philosophy of Care = Home Treatment is priority

    9. Acute Mental Health Services How do we invest in Staff to ensure “quality” By integrating the service you return the skills framework so badly damaged by the arrival of Crisis teams All staff take ownership, the desire to bring around more quality home treatment occurs and more appropriate in-patients Staff have a variety of roles and responsibilities Overall ownership and management structure – no separation

    10. Acute Mental Health Services Conclusion Separation has resulted in staffing problems and lack of experience especially upon in-patient units Integration has re-established the balance Quality has returned Staff have a variety and the service user benefits from the continuity Staff go where the need is greatest.

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