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Dr Sinead O'Brien's talk on "Home Based Crisis Team: initial steps towards recovery in the community" at the conference "Home Based Recovery and Wellness in Mental Health" - jointly hosted by University College Cork and the Centre for Recovery and Social Inclusion, Cork on the 9th June 2010. Part 1 of 3 segments
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Home Based Crisis Team: Home Based Crisis Team: initial steps towards recovery initial steps towards recovery
in the communityin the community
Dr. Sinead O’Brien.Dr. Sinead O’Brien.
Consultant Psychiatrist, Consultant Psychiatrist,
Home Based Crisis Team.Home Based Crisis Team.
North Lee Mental Health Services.North Lee Mental Health Services.
Today.....
Vision for Change
City North Sector
Development of HBCT-City North.
Audit of case-load
Future Directions
A Vision for Change
Person centred
Recovery orientated
Holistic – all aspects of mental health: biological (e.g. medication), psychological (e.g. “talking therapies”) and social (e.g. housing, employment, education/training).
A Vision for Change
Community-based – provide services in communities where people live, reduce hospital admissions, more home-based treatments and outreach services.
Multi-disciplinary
Population Based
Mission StatementMission Statement
To provide a home-based crisis To provide a home-based crisis assessment and multi-disciplinary assessment and multi-disciplinary treatment and intervention service for treatment and intervention service for individuals presenting with acute individuals presenting with acute psychiatric illness in City North sector. psychiatric illness in City North sector. We endeavour to respect each We endeavour to respect each individual’s rights and values.individual’s rights and values.
Cork City North Sector
Population: 53,000
2 Sector Multidisciplinary Teams.
CNW: Dr Ruth Collins CNE: Dr Nataraj Gojanur
[Previous speakers that morning ...]
Kevin Heffernan Programme Specialist (West Midlands Regional Development Centre, UK)
Martin Rogan Assistant National Director, Mental Health, HSE
Cork City North Sector.
Sector includes: Knocknaheeny Gurranabraher Fairhill Blackpool Mayfield The Glen.
RAPID
“Revitalising Areas through Planning, Investment and Development”.
RAPID aims to......
Increase the investment made by Government departments and state agencies in the 46 communities;
Improve the delivery of public services through integration and coordination
Enhance the opportunities for communities to participate in the strategic improvement of their areas.
Rapid Areas in Cork
Knocknaheeny/Hollyhill/Churchfield
Blackpool /The Glen/Mayfield
Fairhill/Gurranabraher/Farranree Togher/Mahon
Priorities of RAPID....
family support, physical environment, health, community safety, education, employment training and youth support.
The Haase and Pratschke Index
uses 3 dimensions of affluence/disadvantage to comprise their index.
‘Demographic Profile’, ‘Social Class Composition’ ‘Labour Market Situation’
“Extremely disadvantaged”
Farranferris, Knocknaheeny, Fair Hill B
9% of National ED rating
HBCT
Set up in 2007
Funding for 1 additional Consultant
CD and Heads of Discipline examined need within North Lee MHS
North Lee MHS
Majority (>50%) of ALL admissions to Acute Unit were from City North Sectors
HBCT
1 Consultant Psychiatrist 1 Registrar 2 CMHN 1 social worker 0.6 Occupational Therapist 1 Psychologist Clerical Support
Evolution of HBCT...April 2009
1 Consultant Psychiatrist 1 Registrar 2 CMHN 0.6 social worker 0.6 Occupational Therapist Clerical Support
My Vision...
SB
Evidence Based Practice
My Vision...
SB
Evidence Based Practice
Optimising Physical & Psychological Health
My Vision...
SB
Evidence Based Practice
Optimising Physical & Psychological Health
Intensive Case Management
My Vision...
SB
Evidence Based Practice
Optimising Physical & Psychological Health
Intensive Case Management
Health Economics
My Vision...
SB
Evidence Based Practice
Optimising Physical & Psychological Health
Intensive Case Management
Health Economics
EthicsAutonomyBeneficenceNon-MaleficenceJustice
My Vision...
SB
Evidence Based Practice
Optimising Physical & Psychological Health
Intensive Case Management
Research
Health Economics
EthicsAutonomyBeneficenceNon-MaleficenceJustice
My Vision...
SB
Evidence Based Practice
Audit
Optimising Physical & Psychological Health
Intensive Case Management
Research
Health Economics
EthicsAutonomyBeneficenceNon-MaleficenceJustice
Evidence Based Practice
... continued in part 2 ....
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