11:30 12:40. Younger people with demen1a. Karen East, Head of Care and Quality, Dukeries Healthcare

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "11:30 12:40. Younger people with demen1a. Karen East, Head of Care and Quality, Dukeries Healthcare"

Transcription

1 11:30 12:40 Younger people with demen1a No Brainer: A care pathway for people with alcohol related brain injury Karen East, Head of Care and Quality, Dukeries Healthcare

2 Towards a care pathway for people with Korsakoffs syndrome Karen East RMN, BSc

3 Dukeries Healthcare Based in Nottinghamshire Residential, rehabilitative care for people with alcohol related brain damage/ injury established 2006

4

5 A cluster of syndromes including: Korsakoffs syndrome Wernickes encephalopathy Often erroneously referred to/ treated as: Alcohol dementia

6 First described by Carl Wernicke in 1881 Caused by a lack of thiamine (vitamin B1) Fatal in around 20% of cases 85% of survivors go on to develop Korsakoff syndrome Affects people in their 30 s, 40 s and 50 s as well as older people

7 Most sufferers are chronic alcohol abusers Males tend to drink over a more sustained period Wernickes encephalopathy precedes KS in most cases 85% of those who survive W.E develop KS Affects short term memory, mobility and ability to function on a day to day basis, especially in relation to planning/ executive symptoms Alcohol can be overlooked as the cause due to similarities with dementia symptoms

8 Carers/ families of people with Korsakoffs syndrome Clients own experiences Our own experience Research Best practice

9 Being passed from pillar to post between services before and after diagnosis Lack of information about their illness A perception by health professionals that the illness is self inflicted and therefore not worthy of an empathic approach A general view that recovery is not possible Limited options for care- mostly due to lack of knowledge and lack of funding Spending too much time in hospital waiting for placement ARBI is stigmatised; self inflicted, low priority Double jeopardy: dementia and alcohol dependency

10 Lack of professional responsibility and commissioning of care of people with Korsakoffs syndrome Brain injury team? Elderly care team? Dementia team? Alcohol team? Young physically disabled team? Mental health team? No national guidelines for the management of ARBD

11 Approximately 2% of alcohol abusers develop the syndrome Alzheimers Society % of population of W.A.D In Scotland (2000) 9% of patients in long stay mental health hospitals had K.S In Australia (similar incidence to Scotland) in 2010, 20% of W.A.D population had K.S 25% of the population drink to harmful levels (2011)

12

13 Usually patients are admitted for falling/ RTA/assault/detox in hospital. Develops W/K/S symptoms. Discharge delayed Difficult to manage for staff on a busy medical ward Delays affect clients ability to recover Most stay in hospital between 2 to 6 months whilst placement is sought Average cost of NHS bed for 2 month stay = 30,000

14 25% of delayed discharge patients in an Irish acute general hospital were patients with alcohol related brain disorders the average stay in hospital was 84 days due to the absence of care pathways (Popoola et al 2008)

15 One in four acute male admissions is alcohol related Alcohol costs the NHS up to 3 billion a year (Royal College of Physicians) 8 out of 10 people attending A and E at peak times receive treatment for alcohol related injuries compared to 1 in 6 during normal hours 21% of psychiatric admissions are alcohol related ( CMO 2001)

16 Admitted to hospital July 2011 with collapse Treated for Wernickes Developed K.S August 2011 assessed by our service Very confused, confabulating, incontinent, unable to self care Spent 6 months in hospital Went home with care package as no funding Readmitted to hospital within 2 months

17 Most improvement occurs during the first three months Occular Mobility Cognitive takes longer Apathy on ward Lack of mental and physical stimulation Lack of opportunity to practice ADLs De-skilling Eventual rehabilitation may be longer

18 Patient admitted repeatedly with various injuries, varices, infections, confusion, wandering the streets, drunken states Fluctuating capacity can make it difficult to assess levels of functioning No funding for specialist placements Lack of knowledge about the potential of people with Korsakoffs syndrome

19 Forensic history of gangs and violence Drug abuse and alcohol abuse Developed K.S Constantly in and out of hospital as refusing intervention Often prescribed heavy tranquillisers on wards due to behaviours Agreed to rehabilitation Funding ran out after 6 months Mr S had improved dramatically but not ready for discharge Sent to cheaper care home Began drinking alcohol Continued cycle of repeated admissions to hospital Died 1 year later

20 No rehabilitation CHEAPER in short term No peers to relate to Access to alcohol Very often dementia care Not age appropriate Can result in placement breakdown Limited knowledge of KS Cost (based upon 30 years in care home)= 2 million

21 65 Years old Admitted to hospital for collapse and alcohol withdrawal Developed K.S Placed in elderly care home Improved physically Got bored Increased negative behaviourssafeguarding Admitted to rehab unit

22 Specialist care Short term solution Activities help redevelop cognitive skills Prevents behavioural deterioration Nutritional education Dry environment Cost 35k per year Average stay 1 year

23 HOSPITAL ASSESSMENT/ SPECIALISED SERVICE PRESENTS WITH SYMPTOMS OF WERNICKES 80% DEVELOP K.S DISCHARGE WITH/WITHOUT SUPPORT PACKAGE PRESENTS WITH SYMPTOMS OF KORSAKOFFS LONG TERM CARE (AGE AND CONDITION APPROPRIATE) REHAB LONG TERM CARE USUALLY ELDERLY CARE HOMES Key = Needed = Current

24 1. ARBI is an acquired brain injury engendered through excessive alcohol ingestion. Its management has some similarities to that of other acquired brain injury as well as dementia care. 2. Currently there are no national guidelines for the management of ARBD 3. There is no ownership or commissioning of ARBD 4. Services are available, however these are not capable of addressing the multiple needs of people with ARBD in isolation. 5. Many services do not have the training or expertise to deal with clients who have ARBD 6. Clients require significant psycho-social care (high mortality and morbidity). 7. Therapeutic services are likely to be cost neutral or potentially cost efficient

A developing service. Cheshire and Wirral Partnership NHS Foundation Trust Mersey Care NHS Trust University of Liverpool

A developing service. Cheshire and Wirral Partnership NHS Foundation Trust Mersey Care NHS Trust University of Liverpool A developing service Cheshire and Wirral Partnership NHS Foundation Trust Mersey Care NHS Trust University of Liverpool Vascular disease Trauma Subcortical frontal disorders ARD Brain injury KP Involuntary,

More information

IMPROVING YOUR EXPERIENCE

IMPROVING YOUR EXPERIENCE Comments trom the Aberdeen City Joint Futures Brain Injury Group The Aberdeen City Joint Futures Brain Injury Group is made up of representatives from health (acute services, rehabilitation and community),

More information

SUBSTANCE MISUSE IN OLDER ADULTS

SUBSTANCE MISUSE IN OLDER ADULTS SUBSTANCE MISUSE IN OLDER ADULTS Ageing Population Estimates indicate by 2025 more than 25% of UK s population will be over 60 years old A generation which will have grown up in a period when drug use

More information

Health Professionals who Support People Living with Dementia

Health Professionals who Support People Living with Dementia Clinical Access and Redesign Unit Health Professionals who Support People Living with Dementia (in alphabetical order) Health Professional Description Role in care of people with dementia Dieticians and

More information

FACTSHEET: DUAL DIAGNOSIS

FACTSHEET: DUAL DIAGNOSIS FACTSHEET: DUAL DIAGNOSIS What is dual diagnosis? The term dual diagnosis or dual disorders has in recent years come to be used in the alcohol, drug and mental health fields to describe a particular group

More information

Supported Alcohol Withdrawal Treatment Information

Supported Alcohol Withdrawal Treatment Information Supported Alcohol Withdrawal Treatment Information Alcohol Liaison Service What is Alcohol Withdrawal Syndrome? If you are dependent on alcohol and suddenly stop drinking or you are admitted to hospital

More information

Issues and initiatives in acute care in South Australia A background paper

Issues and initiatives in acute care in South Australia A background paper Issues and initiatives in acute care in South Australia A background paper Margot Strachan Sue Jarrad Alan Nankivell Alzheimer s Australia SA April 2003 Contents Case Studies ------------------------------------------------------------------------

More information

Age-friendly principles and practices

Age-friendly principles and practices Age-friendly principles and practices Managing older people in the health service environment Developed on behalf of the Australian Health Ministers Advisory Council (AHMAC) by the AHMAC Care of Older

More information

Corl Kerry - Referral and Assessment for Residential Treatment (Tier 4) Introduction Types of Tier 4 Services Services provided at Tier 4

Corl Kerry - Referral and Assessment for Residential Treatment (Tier 4) Introduction Types of Tier 4 Services Services provided at Tier 4 Corl Kerry - Referral and Assessment for Residential Treatment (Tier 4) This document seeks to name the criteria that can guide referrals to residential tier 4 facilities (Part A). It provides guidance

More information

GUIDELINES FOR COMMUNITY ALCOHOL DETOXIFICATION IN SHARED CARE

GUIDELINES FOR COMMUNITY ALCOHOL DETOXIFICATION IN SHARED CARE GUIDELINES FOR COMMUNITY ALCOHOL DETOXIFICATION IN SHARED CARE Dr Millicent Chikoore MBBS MRCPsych Dr O Lagundoye MBBS MRCPsych Community based alcohol detoxification is a safe and effective option for

More information

Service delivery interventions

Service delivery interventions Service delivery interventions S A S H A S H E P P E R D D E P A R T M E N T O F P U B L I C H E A L T H, U N I V E R S I T Y O F O X F O R D CO- C O O R D I N A T I N G E D I T O R C O C H R A N E E P

More information

THE BASICS. Community Based Medically Assisted Alcohol Withdrawal. World Health Organisation 2011. The Issues 5/18/2011. RCGP Conference May 2011

THE BASICS. Community Based Medically Assisted Alcohol Withdrawal. World Health Organisation 2011. The Issues 5/18/2011. RCGP Conference May 2011 RCGP Conference May 2011 Community Based Medically Assisted Alcohol Withdrawal THE BASICS An option for consideration World Health Organisation 2011 Alcohol is the world s third largest risk factor for

More information

Health Care Service System in Thailand for Patients with Alcohol Use Disorder

Health Care Service System in Thailand for Patients with Alcohol Use Disorder Health Care Service System in Thailand for Patients with Alcohol Use Disorder Health Care Service System In Thailand Screening for alcohol use disorder and withdrawal syndrome AUDIT MAST CAGE CIWA or AWS

More information

Alcohol Liaison Service. Alcohol Withdrawal. Information

Alcohol Liaison Service. Alcohol Withdrawal. Information Alcohol Liaison Service Alcohol Withdrawal Information Alcohol withdrawal If you are dependent on alcohol and suddenly stop drinking, there are a series of symptoms that you may experience. These include:

More information

Psychological Society of Ireland Division of Neuropsychology

Psychological Society of Ireland Division of Neuropsychology Psychological Society of Ireland Division of Neuropsychology Dr. Brian Waldron Senior Clinical Neuropsychologist Chair- PSI Division of Neuropsychology 27th February 2016 Neurological / Neuropsychological

More information

General Hospital Information

General Hospital Information Inpatient Programs General Hospital Information General Information The Melbourne Clinic is a purpose built psychiatric hospital established in 1975, intially privately owned by a group of psychiatrists

More information

Parkinson s Disease: Factsheet

Parkinson s Disease: Factsheet Parkinson s Disease: Factsheet Tower Hamlets Joint Strategic Needs Assessment 2010-2011 Executive Summary Parkinson s disease (PD) is a progressive neuro-degenerative condition that affects a person s

More information

ALCOHOL CARE PROVISION 2013

ALCOHOL CARE PROVISION 2013 . In 2013 NHS Health Scotland on behalf of the Scottish Government commissioned research by Iconic Consultants. The aim of the research was to assess the availability, demand, utilization and capacity

More information

Substance Abuse in the Elderly

Substance Abuse in the Elderly Substance Abuse in the Elderly Roseann Mulligan DDS, MS Definitions: Abuse: to use wrongly, badly, excessively; to misuse Misuse: to use incorrectly or improperly; to abuse Types of Substances Implicated

More information

Determining Deprivation of Liberty : Risk Matrix (1)

Determining Deprivation of Liberty : Risk Matrix (1) Determining Deprivation of Liberty : Risk Matrix (1) The Matrix Definitions and Considerations of Risk Assessment: Consider the person against the following factors. If the physical location and type of

More information

Treatment of Alcoholism

Treatment of Alcoholism Treatment of Alcoholism Why is it important Prevents further to body by getting people off alcohol. Can prevent death. Helps keep health insurance down. Provides assistance so alcoholics don t t have to

More information

Older people and alcohol Factsheet

Older people and alcohol Factsheet IAS Factsheet Older people and alcohol Updated May 2013 Older people and alcohol Factsheet Institute of Alcohol Studies Alliance House 12 Caxton Street London SW1H 0QS Tel: 020 7222 4001 Email: info@ias.org.uk

More information

Pharmacists improving care in care homes

Pharmacists improving care in care homes The Royal Pharmaceutical Society believes that better utilisation of pharmacists skills in care homes will bring significant benefits to care home residents, care homes providers and the NHS. Introduction

More information

REHABILITATION MEDICINE by PROFESSOR ANTHONY WARD

REHABILITATION MEDICINE by PROFESSOR ANTHONY WARD REHABILITATION MEDICINE by PROFESSOR ANTHONY WARD What is Rehabilitation Medicine? Rehabilitation Medicine (RM) is the medical specialty with rehabilitation as its primary strategy. It provides services

More information

Quality standard Published: 11 June 2015 nice.org.uk/guidance/qs89

Quality standard Published: 11 June 2015 nice.org.uk/guidance/qs89 Pressure ulcers Quality standard Published: 11 June 2015 nice.org.uk/guidance/qs89 NICE 2015. All rights reserved. Contents Introduction... 6 Why this quality standard is needed... 6 How this quality standard

More information

LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR EMPLOYEES OF. FLORIDA INSTITUTE OF TECHNOLOGY (the Sponsoring Organization)

LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR EMPLOYEES OF. FLORIDA INSTITUTE OF TECHNOLOGY (the Sponsoring Organization) UNUM Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211 LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR EMPLOYEES OF FLORIDA INSTITUTE OF TECHNOLOGY (the Sponsoring

More information

Working with young people who have mental health and substance use issues. Samar Zakaria

Working with young people who have mental health and substance use issues. Samar Zakaria Working with young people who have mental health and substance use issues. Samar Zakaria Main points Challenges faced while treating young adults in a dual diagnosis rehab unit Define dual diagnosis in

More information

GREATER MANCHESTER HEALTH AND SOCIAL CARE DEVOLUTION STRATEGIC PARTNERSHIP BOARD

GREATER MANCHESTER HEALTH AND SOCIAL CARE DEVOLUTION STRATEGIC PARTNERSHIP BOARD GREATER MANCHESTER HEALTH AND SOCIAL CARE DEVOLUTION STRATEGIC PARTNERSHIP BOARD 5 Date: 29 January 2016 Subject: Dementia United A 5 year improvement programme for dementia in Greater Manchester Report

More information

Addressing the complex needs of people with cancer and co-existing dementia

Addressing the complex needs of people with cancer and co-existing dementia Addressing the complex needs of people with cancer and co-existing dementia Lorraine Burgess Dementia Clinical Nurse Specialist Christie Hospital NHS Foundation Trust RCN Older People s Conference, March

More information

Indicatori e standard

Indicatori e standard La qualità in medicina d'urgenza: chi valuta cosa? Indicatori e standard Domenico Colimberti Framework for Quality and Safety in the Emergency Department 2012 http://www.ifem.cc Colimbertti 2014 2 Colimbertti

More information

Clinical outcomes in mental health rehabilitation services

Clinical outcomes in mental health rehabilitation services Clinical outcomes in mental health rehabilitation services Dr Helen Killaspy Reader in Rehabilitation Psychiatry, UCL Chair, Faculty of Rehabilitation and Social Psychiatry, RCPsych Outcomes, process and

More information

Primary Nursing & Nursing Clinical Review

Primary Nursing & Nursing Clinical Review Primary Nursing & Nursing Clinical Review Incorporating HONOS and Risk Assessments to assist in care planning & guiding clinical practice for nursing staff. WMPU Prepared by Nino Di Pasquale, RPN4, CNE

More information

Guidance for commissioners: service provision for Section 136 of the Mental Health Act 1983

Guidance for commissioners: service provision for Section 136 of the Mental Health Act 1983 Guidance for commissioners: service provision for Section 136 of the Mental Health Act 1983 Position Statement PS2/2013 April 2013 London Approved by the multi-agency Mental Health Act group chaired by

More information

Your local specialist mental health services

Your local specialist mental health services Your local specialist mental health services Primary Care Liaison Service B&NES Primary Care Mental Health Liaison service is a short-term support service to help people with mental health difficulties

More information

drug treatment in england: the road to recovery

drug treatment in england: the road to recovery The use of illegal drugs in England is declining; people who need help to overcome drug dependency are getting it quicker; and more are completing their treatment and recovering drug treatment in ENGlaND:

More information

JACKSON NATIONAL LIFE INSURANCE COMPANY (the Policyholder)

JACKSON NATIONAL LIFE INSURANCE COMPANY (the Policyholder) UNUM Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211 LONG TERM CARE INSURANCE SUMMARY OF COVERAGE FOR THE EMPLOYEES OF JACKSON NATIONAL LIFE INSURANCE COMPANY

More information

Improving the Rehabilitation and Recovery Service Model in Leeds

Improving the Rehabilitation and Recovery Service Model in Leeds Improving the Rehabilitation and Recovery Service Model in Leeds Presenters: Emma Brown (Care Coordinator) James Byrne (Recovery Worker Leeds Mind) Nigel Whelan (Care Coordinator) Introduction Provide

More information

Working Together for Better Mental Health

Working Together for Better Mental Health Working Together for Better Mental Health One in five Australian adults experience some form of mental illness each year. It can affect people of all ages and from all walks of life. The causes may be

More information

Review of Residential Drug Detoxification and Rehabilitation Services in Scotland.

Review of Residential Drug Detoxification and Rehabilitation Services in Scotland. Review of Residential Drug Detoxification and Rehabilitation Services in Scotland. Background A review of the availability, decision-making process, use and cost of existing residential detoxification

More information

Presenting evidence on local health services for people with a neurological condition

Presenting evidence on local health services for people with a neurological condition Presentation to the Royal College of Physicians Working Group, by members of the Neurological Alliance Presenting evidence on local health services for people with a neurological condition Amanda Cole

More information

Top Ten Priorities for Stroke Services Research A summary of an analysis of Research for the National Stroke Strategy

Top Ten Priorities for Stroke Services Research A summary of an analysis of Research for the National Stroke Strategy The Stroke Strategy confirmed that the Department would commission a short analysis of research evidence in relation to the strategy and the top ten research areas identified in it. We said that we would

More information

PARTNERING WITH YOUR DOCTOR:

PARTNERING WITH YOUR DOCTOR: PARTNERING WITH YOUR DOCTOR: A Guide for Persons with Memory Problems and Their Care Partners Alzheimer s Association Table of Contents PARTNERING WITH YOUR DOCTOR: When is Memory Loss a Problem? 2 What

More information

DEPRESSION CARE PROCESS STEP EXPECTATIONS RATIONALE

DEPRESSION CARE PROCESS STEP EXPECTATIONS RATIONALE 1 DEPRESSION CARE PROCESS STEP EXPECTATIONS RATIONALE ASSESSMENT/PROBLEM RECOGNITION 1. Did the staff and physician seek and document risk factors for depression and any history of depression? 2. Did staff

More information

Chapter 13 Continence

Chapter 13 Continence Chapter 13 Continence 13.1 Key audiences Primary care trusts: NHS trusts: commissioners of services for older people directors of public health directors of community nursing GPs. Nursing homes: medical

More information

MENTAL HEALTH & SUBSTANCE USE

MENTAL HEALTH & SUBSTANCE USE MENTAL HEALTH & SUBSTANCE USE Essential Information for Social Workers A BASW Pocket Guide Supported by: Bedford and Luton Purpose of the guide This guide seeks to support Social Workers in their practice

More information

NHS Swindon and Swindon Borough Council. Executive Summary: Adult Alcohol Needs Assessment

NHS Swindon and Swindon Borough Council. Executive Summary: Adult Alcohol Needs Assessment NHS Swindon and Swindon Borough Council Executive Summary: Adult Alcohol Needs Assessment Aim and scope The aim of this needs assessment is to identify, through analysis and the involvement of key stakeholders,

More information

Irish Heart Foundation Stroke Manifesto One in five people in Ireland will have a stroke at some time in their life. Until recently, many believed

Irish Heart Foundation Stroke Manifesto One in five people in Ireland will have a stroke at some time in their life. Until recently, many believed Irish Heart Foundation Stroke Manifesto One in five people in Ireland will have a stroke at some time in their life. Until recently, many believed stroke was a disease for which little or nothing could

More information

Rehabilitation and high support services

Rehabilitation and high support services Rehabilitation and high support services REHABILITATION AND RECOVERY UNIT Introduction Pennine Care NHS Foundation Trust is a leading provider of mental health and community services predominantly for

More information

Attachment A Minnesota DHS Community Service/Community Services Development

Attachment A Minnesota DHS Community Service/Community Services Development Attachment A Minnesota DHS Community Service/Community Services Development Applicant Organization: First Plan of Minnesota Project Title: Implementing a Functional Daily Living Skills Assessment to Predict

More information

Alcohol Disorders in Older Adults: Common but Unrecognised. Amanda Quealy Chief Executive Officer The Hobart Clinic Association

Alcohol Disorders in Older Adults: Common but Unrecognised. Amanda Quealy Chief Executive Officer The Hobart Clinic Association Alcohol Disorders in Older Adults: Common but Unrecognised Amanda Quealy Chief Executive Officer The Hobart Clinic Association The Hobart Clinic Association Not-for-profit private Mental Health Service

More information

Dual Diagnosis in Addiction & Mental Health. users, family & friends

Dual Diagnosis in Addiction & Mental Health. users, family & friends Dual Diagnosis in Addiction & Mental Health An introduction for Service users, family & friends You walk down the street and collapse. The hospital diagnoses a broken leg which is treated and fixed Yet

More information

New York State Office of Alcoholism & Substance Abuse Services Addiction Services for Prevention, Treatment, Recovery

New York State Office of Alcoholism & Substance Abuse Services Addiction Services for Prevention, Treatment, Recovery New York State Office of Alcoholism & Substance Abuse Services Addiction Services for Prevention, Treatment, Recovery USING THE 48 HOUR OBSERVATION BED USING THE 48 HOUR OBSERVATION BED Detoxification

More information

NHS outcomes framework and CCG outcomes indicators: Data availability table

NHS outcomes framework and CCG outcomes indicators: Data availability table NHS outcomes framework and CCG outcomes indicators: Data availability table December 2012 NHS OF objectives Preventing people from dying prematurely DOMAIN 1: preventing people from dying prematurely Potential

More information

HOPE HELP HEALING. A Place of Hope, Help and Healing Since 1910

HOPE HELP HEALING. A Place of Hope, Help and Healing Since 1910 HOPE HELP HEALING A Place of Hope, Help and Healing Since 1910 For more than a century, Carrier Clinic has opened its hearts and its doors as a trusted, sought-after place of hope, help and healing for

More information

HOPE HELP HEALING. A Place of Hope, Help and Healing Since 1910

HOPE HELP HEALING. A Place of Hope, Help and Healing Since 1910 HOPE HELP HEALING A Place of Hope, Help and Healing Since 1910 For more than a century, Carrier Clinic has opened its hearts and its doors as a trusted, sought-after place of hope, help and healing for

More information

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Schizophrenia: core interventions in the treatment and management of schizophrenia in primary and secondary care (update) 1.1

More information

Building on a century of compassionate care, shaping the future of behavioral health.

Building on a century of compassionate care, shaping the future of behavioral health. Carrier Clinic has earned The Joint Commission s Gold Seal of Approval. Building on a century of compassionate care, shaping the future of behavioral health. For more than a century, Carrier Clinic has

More information

DRUG and ALCOHOL ABUSE

DRUG and ALCOHOL ABUSE M12 DRUG and ALCOHOL ABUSE EMS personnel must be aware that alcohol and drug ingestion can mask the symptoms of injury or illness. In addition, many injuries and illnesses can present as suspected alcohol

More information

Early Intervention in Psychosis (EIP) Information for Carers, Families and Friends

Early Intervention in Psychosis (EIP) Information for Carers, Families and Friends Early Intervention in Psychosis (EIP) Information for Carers, Families and Friends Welcome to the Early Intervention Service We understand that having involvement with mental health services can be a confusing

More information

Mental Health Services

Mental Health Services Mental Health Services At Maitland Private Hospital our team of professionals are committed to providing comprehensive assessment, treatment and support of people experiencing mental health issues. Located

More information

The Mental Capacity Act 2005 (MCA) Anne McGarry Lead Nurse for Mental Capacity and Specialist Safeguarding Adults

The Mental Capacity Act 2005 (MCA) Anne McGarry Lead Nurse for Mental Capacity and Specialist Safeguarding Adults The Mental Capacity Act 2005 (MCA) Anne McGarry Lead Nurse for Mental Capacity and Specialist Safeguarding Adults Background and Policy Context Two million people in the UK are estimated to lack capacity

More information

Community, Schools, Cyberspace and Peers. Community Mental Health Centers (Managing Risks and Challenges) (Initial Identification)

Community, Schools, Cyberspace and Peers. Community Mental Health Centers (Managing Risks and Challenges) (Initial Identification) Community Mental Health Centers (Managing Risks and Challenges) Inpatient Hospitalization (New Hampshire Hospital) (Assessment, Treatment Planning/Discharge) Community, Schools, Cyberspace and Peers (Initial

More information

Alcohol Use Disorders Information for Patients and Carers

Alcohol Use Disorders Information for Patients and Carers Alcohol Liaison Service Alcohol Use Disorders Information for Patients and Carers Information Drinking too much alcohol greatly increases your risk of serious health problems. Many different health problems

More information

Clinical Nurse Specialist and Advanced Nurse Practitioner Roles in Intellectual Disability Nursing

Clinical Nurse Specialist and Advanced Nurse Practitioner Roles in Intellectual Disability Nursing Clinical Nurse Specialist and Advanced Nurse Practitioner Roles in Intellectual Disability Nursing POSITION PAPER 2 NOVEMBER 2006 POSITION PAPER 2 Clinical Nurse Specialist and Advanced Nurse Practitioner

More information

The diagnosis of dementia for people living in care homes. Frequently Asked Questions by GPs

The diagnosis of dementia for people living in care homes. Frequently Asked Questions by GPs The diagnosis of dementia for people living in care homes Frequently Asked Questions by GPs A discussion document jointly prepared by Maggie Keeble, GP with special interest in palliative care and older

More information

Rarer causes of dementia

Rarer causes of dementia PBO 930022142 NPO 049-191 Rarer causes of dementia Alzheimer s disease is the most common cause of dementia, but there are many rarer diseases and syndromes that can lead to dementia. This information

More information

Update on New Coordination of Care and Transition of Care Coding

Update on New Coordination of Care and Transition of Care Coding Update on New Coordination of Care and Transition of Care Coding Michele Olivier ACP Colorado Chapter February 5, 2015 (303) 801-0123 Agenda Introduction Chronic Care Management Coding Advanced Care Planning

More information

Homelessness and mental health in a northern English Steel City (Sheffield)

Homelessness and mental health in a northern English Steel City (Sheffield) Homelessness and mental health in a northern English Steel City (Sheffield) Integrated Services and Housing: OECD Conference Centre, Paris 8 th and 9 th November, 2012 Professor Tim Kendall Director of

More information

Milton Keynes Drug and Alcohol Strategy 2014-17

Milton Keynes Drug and Alcohol Strategy 2014-17 Health and Wellbeing Board Milton Keynes Drug and Alcohol Strategy 2014-17 www.milton-keynes.gov.uk 2 Contents Foreword 4 Introduction 5 National context 6 Local context 7 Values and principles 9 Priorities

More information

Behavioral Health Psychological/Neuropsychological Testing Guidelines

Behavioral Health Psychological/Neuropsychological Testing Guidelines Behavioral Health Psychological/Neuropsychological Testing Guidelines Psychological testing (procedural code 96101) and Neuropsychological Testing (procedural code 96118) involve the culturally and linguistically

More information

American Society of Addiction Medicine

American Society of Addiction Medicine American Society of Addiction Medicine Public Policy Statement on Treatment for Alcohol and Other Drug Addiction 1 I. General Definitions of Addiction Treatment Addiction Treatment is the use of any planned,

More information

SPECIFICATION FOR THE LOCAL COMMISSIONED SERVICE FOR THE MANAGEMENT ALCOHOL MISUSE

SPECIFICATION FOR THE LOCAL COMMISSIONED SERVICE FOR THE MANAGEMENT ALCOHOL MISUSE SPECIFICATION FOR THE LOCAL COMMISSIONED SERVICE FOR THE MANAGEMENT OF ALCOHOL MISUSE Date: March 2015 1 1. Introduction Alcohol misuse is a major public health problem in Camden with high rates of hospital

More information

Evaluations. Viewer Call-In. www.t2b2.org. Phone: 800-452-0662 Fax: 518-426-0696. Geriatric Mental Health. Thanks to our Sponsors: Guest Speaker

Evaluations. Viewer Call-In. www.t2b2.org. Phone: 800-452-0662 Fax: 518-426-0696. Geriatric Mental Health. Thanks to our Sponsors: Guest Speaker Geriatric Mental Health June 1, 7 Guest Speaker Michael B. Friedman, LMSW Chairperson Geriatric Mental Health Alliance of New York Thanks to our Sponsors: School of Public Health, University at Albany

More information

Specialist mental health service components

Specialist mental health service components Specialist mental health service components The specialist public mental health system consists of clinical services and psychiatric disability rehabilitation and support services (PDRSS). Clinical mental

More information

Dual Diagnosis Dr. Ian Paylor Senior Lecturer in Applied Social Science Lancaster University

Dual Diagnosis Dr. Ian Paylor Senior Lecturer in Applied Social Science Lancaster University Dual Diagnosis Dr. Ian Paylor Senior Lecturer in Applied Social Science Lancaster University Dual diagnosis has become a critical issue for both drug and mental health services. The complexity of problems

More information

Seniors Health Services

Seniors Health Services Leading the way in care for seniors Seniors Health Services Capital Health offers a variety of services to support seniors in communities across the region. The following list highlights programs and services

More information

Alzheimer s Impact on the American People and the Economy

Alzheimer s Impact on the American People and the Economy www.alz.org Public Policy Office 202 393 7737 p 1212 New York Avenue, NW 866 865 0270 f Suite 800 Washington, DC 20005-6105 Testimony of Harry Johns, President and CEO of the Alzheimer s Association Fiscal

More information

. Alcohol Focus Scotland. Response to Tackling poverty, Inequality and deprivation in Scotland

. Alcohol Focus Scotland. Response to Tackling poverty, Inequality and deprivation in Scotland . Alcohol Focus Scotland. Response to Tackling poverty, Inequality and deprivation in Scotland Introduction Problem drinking and social groupings. Alcohol prob.lems affect people from all social groups.

More information

North Bay Regional Health Centre

North Bay Regional Health Centre Addictions and Mental Health Division Programs Central Intake Referral Form The Central Intake Referral Form is used in the District of Nipissing by the North Bay Regional Health Centre s Addictions and

More information

Improving Our Services for Older People in Cardiff and the Vale of Glamorgan. The Development of Clinical Gerontology Services

Improving Our Services for Older People in Cardiff and the Vale of Glamorgan. The Development of Clinical Gerontology Services Improving Our Services for Older People in Cardiff and the Vale of Glamorgan The Development of Clinical Gerontology Services What s this document about? Cardiff and Vale University Health Board (UHB)

More information

Appendix D. Behavioral Health Partnership. Adolescent/Adult Substance Abuse Guidelines

Appendix D. Behavioral Health Partnership. Adolescent/Adult Substance Abuse Guidelines Appendix D Behavioral Health Partnership Adolescent/Adult Substance Abuse Guidelines Handbook for Providers 92 ASAM CRITERIA The CT BHP utilizes the ASAM PPC-2R criteria for rendering decisions regarding

More information

Epilepsy Scotland Consultation Response. Scottish Ambulance Service Our Future Strategy Discussion with Partners. Submitted September 2009

Epilepsy Scotland Consultation Response. Scottish Ambulance Service Our Future Strategy Discussion with Partners. Submitted September 2009 Epilepsy Scotland Consultation Response Scottish Ambulance Service Our Future Strategy Discussion with Partners Submitted September 2009 Section 1: Accessing the right help in an emergency How can we work

More information

Substance misuse and behavioural addictions

Substance misuse and behavioural addictions Substance misuse and behavioural addictions Information about our services for primary healthcare professionals PROVIDING QUALITY INSPIRING INNOVATION DELIVERING VALUE Our substance misuse and behavioural

More information

Rehabilitation after critical illness

Rehabilitation after critical illness Quick reference guide Issue date: March 2009 Rehabilitation after critical illness NICE clinical guideline 83 Developed by the Centre for Clinical Practice at NICE Patient-centred care This is a quick

More information

Specialist Rehabilitation and Community Services. Your Pathway: a better future

Specialist Rehabilitation and Community Services. Your Pathway: a better future Specialist Rehabilitation and Community Services Your Pathway: a better future About Us Active Pathways is an established provider of Mental Health services in the North West of England. We offer a range

More information

Alcohol related brain damage: knowledge and attitudes of frontline care staff

Alcohol related brain damage: knowledge and attitudes of frontline care staff Alcohol related brain damage: knowledge and attitudes of frontline care staff Louise McCabe Research Fellow Department of Applied Social Science University of Stirling February 2005 Contents Introduction

More information

Depression in Older Persons

Depression in Older Persons Depression in Older Persons How common is depression in later life? Depression affects more than 6.5 million of the 35 million Americans aged 65 or older. Most people in this stage of life with depression

More information

Binge drinking increases risk of dementia

Binge drinking increases risk of dementia 1 Key words Fill the gaps in the sentences using these key words from the text. dementia condition binge drinking epidemic diagnosis brain damage liver priority cope with reduce 7. If you give something,

More information

specialist care AND Providing person-centred care packages for adults with challenging or complex needs

specialist care AND Providing person-centred care packages for adults with challenging or complex needs specialist care AND rehabilitation SERVICES Providing person-centred care packages for adults with challenging or complex needs Nursing Care Residential Care Semi Independent Living Supported Living Domiciliary

More information

opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380

opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 ed #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 effects of alcohol in the brain 100 Top 30 698 heroin addiction 100

More information

The Ida Kayne Transitional Care Unit

The Ida Kayne Transitional Care Unit The Ida Kayne Transitional Care Unit Short-Term Rehabilitative Care for Seniors The Ida Kayne Transitional Care Unit (TCU) at the Los Angeles Jewish Home is designed to help seniors successfully transition

More information

RN Care Manager Assessment: The 4 Domains

RN Care Manager Assessment: The 4 Domains RN Care Manager Assessment: The 4 Domains Access to Care Experience with Provider(s) Getting Needed Services Coordination of Care Medical Home / Services Risk Medical Neighborhood Social Support Home Environment

More information

Alcohol. Problems with drinking alcohol

Alcohol. Problems with drinking alcohol Alcohol Alcoholism is a word which many people use to mean alcohol dependence (alcohol addiction). Some people are problem drinkers without being dependent on alcohol. If you are alcohol- dependent then

More information

Proposal to co-locate current two-site model to a hub and spoke model based at Woking Community Hospital

Proposal to co-locate current two-site model to a hub and spoke model based at Woking Community Hospital ANNEX 1 ITEM 7a Specialist Community Neurological Rehabilitation. Proposal to co-locate current two-site model to a hub and spoke model based at Woking Community Hospital Specialist (level 2) Neurological

More information

Lewy body dementia Referral for a Diagnosis

Lewy body dementia Referral for a Diagnosis THE Lewy Body society The more people who know, the fewer people who suffer Lewy body dementia Referral for a Diagnosis Lewy Body Dementias REFERRAL FOR A DIAGNOSIS In the UK people with all forms of dementia

More information

Joint Future THE GRAMPIAN BRAIN INJURY STRATEGY.

Joint Future THE GRAMPIAN BRAIN INJURY STRATEGY. Joint Future THE GRAMPIAN BRAIN INJURY STRATEGY. 2004-2010 1 Contents. 1. Foreword : Our Vision p.3 2. Executive Summary p.4 3. Some background. p.5 4. Definitions and numbers. p.6 5. Involving users and

More information

Disabled Facilities Grant Funding via Better Care Funds An Opportunity to Improve Outcomes

Disabled Facilities Grant Funding via Better Care Funds An Opportunity to Improve Outcomes Integration Briefing 1 Disabled Facilities Grant Funding via Better Care Funds An Opportunity to Improve Outcomes Purpose For whom Where To explain the changes to the provision of national government funding

More information

APPENDIX 3 SERVICES LINKED WITH DUAL DIAGNOSIS TEAM

APPENDIX 3 SERVICES LINKED WITH DUAL DIAGNOSIS TEAM APPENDIX 3 SERVICES LINKED WITH DUAL DIAGNOSIS TEAM Community Mental Health Teams (CMHTs)- five teams operate across RBKC offering assessment and care management services to people with severe and enduring

More information

About drugs. Psychoactive drugs. Drugs are substances that change a person s physical or mental state.

About drugs. Psychoactive drugs. Drugs are substances that change a person s physical or mental state. 1 About drugs Drugs are substances that change a person s physical or mental state. The vast majority of drugs are used to treat medical conditions, both physical and mental. Some, however, are used outside

More information