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What do We Want From Memory Clinics?

What do We Want From Memory Clinics?. Dr. Kate Ross, Consultant Clinical Psychologist South Staffordshire and Shropshire Healthcare Foundation NHS Trust. Functions. Medical Rule out the obscure Diagnosis Prescribing Health Promotion Needs of people considering assessment

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What do We Want From Memory Clinics?

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  1. What do We Want From Memory Clinics? Dr. Kate Ross, Consultant Clinical Psychologist South Staffordshire and Shropshire Healthcare Foundation NHS Trust Dr. Kate Ross & Dr. Sam Templeman 2009

  2. Functions • Medical • Rule out the obscure • Diagnosis • Prescribing • Health Promotion • Needs of people considering assessment • Consent and capacity • Information and Education • Vascular management • Is diagnosis good for everyone? • Access to community groups and social services as appropriate • Intervention • Cognitive Stimulation Therapy • Advice on cognitive strategies • Emotional and Relationship counselling • Access to behavioural management strategies before crises develop Dr. Kate Ross & Dr. Sam Templeman 2009

  3. Our Experience • The Primary Care Model • Active recruitment of people at risk • Consistency of input especially from local health visitor • People are supported throughout the course of their disease • Familiarity with local community and local resources • Contextual appreciation of the person and their family • The Secondary Care Model • Availability of specialist assessment as part of diagnostic process • Access to specialist therapy and advice • Provision of specialist interventions • A network of staff who can be provided with specialist training, supervision groups etc Dr. Kate Ross & Dr. Sam Templeman 2009

  4. Need for Continuity • Piloted a follow-up within the secondary mental health service at 18m post-diagnosis • N=98 (out of a possible 158, only 19 declined), average age = 80 • Approx 2/3 raised relationship issues as the main thing they wanted to discuss • Approx 1/3 were experiencing difficulties that warranted referral that had not been picked up elsewhere • Qualitative Telephone Survey, N=17 • Service was highly valued – talking through issues with someone who understands, the feeling of a need to know, receiving support and advice • Carers would have liked the input sooner • Carers would like a point of contact that they could call at any time Dr. Kate Ross & Dr. Sam Templeman 2009

  5. Best of Both? Integrated Primary/Secondary Care pathways • Local primary care specialists provide continuity within GP surgeries supported by supervision and training from secondary care and able to access fast track referral • Secondary care specialists out-reaching into primary care to provide locally functions that do not require a hospital environment Dr. Kate Ross & Dr. Sam Templeman 2009

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