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Intensive Community Treatment Program Presenter: Martin Syzmanski Hospital : Barwon Health Community & Mental Health Key contact : Lyne O’Reilly, Clinical Coordinator, Aged Psychiatry Services. 03 52267410. KEY PROBLEM.
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Intensive Community Treatment ProgramPresenter: Martin SyzmanskiHospital:Barwon Health Community & Mental HealthKey contact: Lyne O’Reilly,Clinical Coordinator, Aged Psychiatry Services. 03 52267410
KEY PROBLEM • The Barwon Region is short of beds for aged persons experiencing a mental disorder. • There should be 4 acute aged psychiatry beds per 10,000 people over 65 years of age making Barwon Health very deficient in this area. • Prior to this program there was no alternative for aged persons experiencing a mental disorder other than admission to the Acute Unit which housed persons of all ages; is unsuitable and poorly equipped to meet the needs of an aged person.
AIM OF THIS PROJECT • To provide a substitute for acute aged care beds which offers alternate treatment options as a proactive means of providing care to clients within the least restrictive environment. • When admission is warranted to encourage safe early discharge of clients where possible. • The program is Imbedded within the Aged Psychiatry with two ICTP Specific EFT’s; one Division 3 Nurse and one Division 2 Nurse. • The patient is admitted into and discharged from the program whilst continuing to be a case managed patient of the service
KEY CHANGES IMPLEMENTED • Previous Program was funded for three bed substitutions the ICTP is funded for seven. • Continuous Case Manager Contact with assistance from Case Manager Support Staff • On Call Component with out of hours back up support • Creative use of brokerage • Daily data entry enabling clear accurate evaluation of the program
OUTCOMES SO FAR • A total of 290 patients have been admitted to the ICTP during the period of three years since July 2004 • The average patient daily number is 18.9 over three years • The least number of patients on the program was 1 • The most number of patients on the program was 11 • 27 patients were admitted to the Acute Unit directly from the program as it was considered to unsafe to continue in the community • 61 patients were discharged much earlier than they would have been had it not been for the ability to place them on the ICTP
PROJECT EVALUATION • Ensure data integrity and continuous data collection • Satisfaction Surveys from stakeholders