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This talk. What is a ‘typical pathway into complex needs. What do we mean by complex needs. What are the needs Psychosis illnesses Subst misuse ( SM) Neuro-cognitive impairment Personality difficulties Physical ill health Social exclusion Forensic profile.

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What do we mean by complex needs
What do we mean by complex needs

What are the needs

  • Psychosis illnesses

  • Subst misuse ( SM)

  • Neuro-cognitive impairment

  • Personality difficulties

  • Physical ill health

  • Social exclusion

  • Forensic profile


Community Psychiatric Nurses

Engaging patients

Substance misuse experts

Physical health experts

Nurse prescribers

Negotiators

Psychiatrists

Holistic assessment

Physical health

Medication Choice & information

Risk management & risk sharing

Audit & evaluation

Social workers

Family & carer work

Children liaison

Commuity resource negotiation

Legislation

Psychologists

CBT psychosis

Hearing voices group

Family inclusive practice

Family therapy

Psychological formulation

Knowledge of assessment tools

Mindfulness

Personality formulation

Occupational therapist,

MIND Social inclusion & SRT support

Music therapists

Group work

Crisis response

Housing team

Benefits advisers

Police, Probation, ASBO units

Carers

Self management experts

Experts by experience

User consultants

Pharmacists

MIND

Parenting skills sessions

Art therapists

Employment specialists

Sports activity co-ordinators

Children and families

Core team

Sessional inputs from local partners


What complex substance misuse in mh clients
What complex substance misuse in MH clients

  • IN-PATIENT Alcohol misuse (36%), cannabis (34%), cocaine –powder (14%), amphetamines (11%), crack –cocaine (7%)

  • CHMT – Alcohol misuse (25%), cannabis (23%), cocaine –powder (6%), amphetamines (5%), crack –cocaine (4%)

  • PRIMARY CARE Alcohol misuse (19%), cannabis (11%), cocaine –powder (3%), crack –cocaine (3%), amphetamines & heroin (2%)

  • Alcohol -Alcohol misuse (100%), cannabis (37%), cocaine –powder (20%), amphetamines (5%), crack –cocaine (7%).

  • Drugs – Alcohol misuse (66%, Crack-cocaine, heroin & Cannabis (all 78%), Methadone (69%), cocaine powder (53%)











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