ANNUAL REVIEW master Final3a - St Vincent's University Hospital
ANNUAL REVIEW master Final3a - St Vincent's University Hospital ANNUAL REVIEW master Final3a - St Vincent's University Hospital
St. Vincent’s Healthcare Group Limited - Annual Review 2007 Reports Report from the Clinical Director of Psychiatry Elm Mount Psychiatric Unit Elm Mount Unit continued to provide a high standard of psychiatric care during 2007. It was the first full year under the new Mental Health Act. There were 59 patients admitted involuntarily to the unit during the year (7% of total admissions), 16 had their orders revoked within 21 days. There were 36 tribunals held on the unit in relation to admissions and renewal orders, three of which were revoked. The Act had considerable impact on the running of the unit. In addition to the tribunals, all detained patients had independent second opinions from Consultant Psychiatrists and Legal Representation by Solicitors provided by the Mental Health Commission. An Advocate from the Irish Advocacy Network visits the ward on a weekly basis. His priority is to detained patients, but he is available to all patients in Elm Mount and his input is valued by staff and patients alike. In order to maintain the high standards among the staff, the unit was part of the refocusing acute psychiatry initiative in the HSE Dublin Mid Leinster Region. Refocusing is a practice development and change management model sponsored by the Nursing/Midwifery Planning and Development Unit. The aim is to: • Foster effective team work amongst staff • Collaboration with service receivers (patients/carers) • Whole team staff training to share ideas and good practice. • Have clear targets for change • Strong leadership to manage and maintain the changes made. Refocusing began in October 2007 and the positive impact has been noted by staff and patients and we look forward to completing this exciting project. Return to Contents 266
Department of Old Age Psychiatry The increase in clinical activity of the Department of Old Age Psychiatry year on year since the inception of the service followed the same pattern in 2007 with over 845 new referrals seen by the service. There is an ever increasing demand for and increased pressure on the service reflecting the increasing elderly population in our catchment area reaching 34,000 people over 65. The multi-disciplinary team is preparing a plan for the service to be completed in 2008 which will outline a strategy to deal with planned developments for the service. Staff The department welcomed a number of new staff to the unit including Clare Flanagan, Mental Health Nurse in the community, Gaye Robinson, Social Worker, Jennifer Allen, Social Worker, Sinead O’Brien, Senior Occupational Therapist and Desiree Letlhake, Occupational Therapy Assistant. Dr Deirdre Jackson took up post as Senior Registrar in Old Age Psychiatry. Congratulations to Dr Emma Unoh who passed her Membership of the Royal College of Psychiatrists. Service developments and Activities 845 new referrals were seen in 2007, of which 245 (29%) were hospital consults. In addition there were 1460 outpatient visits by doctors and 4170 visits by community mental health nurses. The day hospital continues to play a pivotal role in the assessment and management of patients and provides a very valuable support for patients recently discharged from hospital. There has been greater multidisciplinary team approach to the Healthy Ageing Course following an evaluation in 2007. Jennifer Allen, Social Worker and Sinead O’Brien, Senior Occupational Therapist have been involved in developing the programme with the day hospital staff. The Anxiety Management Group facilitated by the Senior Occupational Therapist and various members of the multidisciplinary team and Active Rehabilitation Group are run alongside the acute day hospital services. A model for a Rapid Response service for nursing home referrals has been developed by the Clinical Psychologists working with the multidisciplinary team. Aspects of the service have been put in place over 2007. These include multi-element needs-based assessments (including newly designed assessment forms) and treatment plans for behavioural and psychological problems in dementia, formulation meetings with staff Return to Contents 267
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Department of Old Age Psychiatry<br />
The increase in clinical activity of the Department of Old Age Psychiatry year on year since the inception of<br />
the service followed the same pattern in 2007 with over 845 new referrals seen by the service. There is an<br />
ever increasing demand for and increased pressure on the service reflecting the increasing elderly<br />
population in our catchment area reaching 34,000 people over 65. The multi-disciplinary team is preparing<br />
a plan for the service to be completed in 2008 which will outline a strategy to deal with planned<br />
developments for the service.<br />
<strong>St</strong>aff<br />
The department welcomed a number of new staff to the unit including Clare Flanagan, Mental Health Nurse<br />
in the community, Gaye Robinson, Social Worker, Jennifer Allen, Social Worker, Sinead O’Brien, Senior<br />
Occupational Therapist and Desiree Letlhake, Occupational Therapy Assistant. Dr Deirdre Jackson took up<br />
post as Senior Registrar in Old Age Psychiatry. Congratulations to Dr Emma Unoh who passed her<br />
Membership of the Royal College of Psychiatrists.<br />
Service developments and Activities<br />
845 new referrals were seen in 2007, of which 245 (29%) were hospital consults. In addition there were<br />
1460 outpatient visits by doctors and 4170 visits by community mental health nurses.<br />
The day hospital continues to play a pivotal role in the assessment and management of patients and provides<br />
a very valuable support for patients recently discharged from hospital. There has been greater multidisciplinary<br />
team approach to the Healthy Ageing Course following an evaluation in 2007. Jennifer Allen,<br />
Social Worker and Sinead O’Brien, Senior Occupational Therapist have been involved in developing the<br />
programme with the day hospital staff. The Anxiety Management Group facilitated by the Senior<br />
Occupational Therapist and various members of the multidisciplinary team and Active Rehabilitation Group<br />
are run alongside the acute day hospital services.<br />
A model for a Rapid Response service for nursing home referrals has been developed by the Clinical<br />
Psychologists working with the multidisciplinary team. Aspects of the service have been put in place over<br />
2007. These include multi-element needs-based assessments (including newly designed assessment forms)<br />
and treatment plans for behavioural and psychological problems in dementia, formulation meetings with staff<br />
Return to Contents<br />
267
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