Mental Health Care Pathways Local Examples of Pathway Development, Joint Working & Adherence East Midlands Mental Health Commissioning Network Amanda Kemp (Deputy Director NHT) Claire Holmes (Interim Lead PbR & Pathways) 9 th October 2013. Care Pathway Development. Care Pathway Development.
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Local Examples of Pathway Development, Joint Working & Adherence
East Midlands Mental Health Commissioning Network
Amanda Kemp (Deputy Director NHT)
Claire Holmes (Interim Lead PbR & Pathways)
9th October 2013
5-8 very severe & complex
10 First Episode
11-13 Ongoing or recurrent
14-15 Psychotic crisis
16-17 Very severe engagement
Level of Need
Case Vignette Cluster 5
Ms X, 47 years old
Ms X has been referred to the Crisis team following an assessment on a medical ward after she took an overdose of her insulin.
She has a 4 week history of increased suicidal thoughts which came to a head yesterday when she took an overdose of her insulin. Luckily, her daughter came round to her house and found her and called an ambulance.
Ms X reports significant low mood, poor sleep, increased anxiety, increased alcohol intake, can’t identify any protective factors and showing evidence of self-neglect.
Two recent major life events, grandchild was stillborn and last week had the funeral. Also sister who she was close too had a recent stroke and is not expected to leave hospital. Also 2 years ago her husband of 18 years left her and still feels a lot of anger around this. Now lives alone.
Ms X had also had a recent medical admission following poor diet intake and admitted she hadn’t taken diabetic medication properly for 4 days prior to that admission.
Over the last 4 weeks she has been having increased thoughts of self-harm including walking into traffic, taking an overdose and has easy access to means via her insulin medication. Since the two major life events Ms X admits she struggles to see any hope for the future or mood getting better and not sure how much longer she will be able to cope if things don’t get better.
Cluster 11: Ongoing or recurrent psychosis (low need)
2.1 Pathways & Outcomes
1. Cluster caseloads (% Clustered)
2. Adherence to cluster review periods
1. Cluster Caseloads (client numbers)
2. Adherence to Care Transition Protocols