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Delivering Tele-mental Health Services in Scotland Dr Stella Anne Clark Clinical Lead for Mental Health Services Tony Mc

Delivering Tele-mental Health Services in Scotland Dr Stella Anne Clark Clinical Lead for Mental Health Services Tony McLaren, National Co-ordinator NHS 24. “Success is a science; if you have the conditions you get the result”. Oscar Wilde. Background Present services

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Delivering Tele-mental Health Services in Scotland Dr Stella Anne Clark Clinical Lead for Mental Health Services Tony Mc

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  1. Delivering Tele-mental Health Services in Scotland Dr Stella Anne Clark Clinical Lead for Mental Health Services Tony McLaren, National Co-ordinator NHS 24

  2. “Success is a science; if you have the conditions you get the result” Oscar Wilde

  3. Background • Present services • Where we aim to be in 2015

  4. NHS 24 Access to unscheduled care Improving Health Improving access to services

  5. the person Webcam

  6. TELECARE Mental Health National Learning11th October 2012 Doreen Watson Joint Improvement Team Action Group - Telecare

  7. Telecare • Almost 44,000 people received a telecare service as a result of TDP, over 4,000 people with dementia diagnosis • Evaluation identified that TDP: • Supported 2500 hospital discharges • Avoided 8700 unplanned admissions • Avoided 3800 care home admissions • Estimated 162,000 people with telecare / community alarm service at March 2011

  8. Telecare Training – NHS Lanarkshire • North Lanarkshire Dementia Demonstrator Site • One of 3 Demonstrator Sites funded by Scottish Government • Improving partnership working and testing opportunities for single system working • Partnership working with NHS Lanarkshire, North and South Lanarkshire Councils, Tynetec, Supra UK and the Joint Improvement Team • Kitting out the OT Department with assistive technology and Telecare equipment • Developing a one day training session with Dementia Champions (equipment, pathways and response to Telecare) • Planning on-going buzz sessions to raise awareness in clinical teams • Support clinical decision making and discharge planning

  9. Telecare Training – NHS Education • Post Diagnostic Support in Dementia • Pilot Programme designed and deliveredby Alzheimer Scotland in Feb/March 2012 on behalf of NHS Education for Scotland and SSSC. • The programme was designed on the basis of recommendations from the Scottish Government funded ‘Facing Dementia Together Project’ in East Renfrewshire and Renfrewshire (2009-11), specifically the ‘5 pillar’ model of post diagnostic support – • Understanding the illness and managing symptoms • Supporting community connections • Peer support • Planning for future care • Planning for future decision-making

  10. Contact Details Doreen WatsonJoint Improvement TeamAction Group - Telecaredkawatson@hotmail.co.uk

  11. Unscheduled care BreathingSpace

  12. Unscheduled care • mental health calls(1-2%) • Suicide thoughts • Anxiety /depression • Dementia? • LD?

  13. Unscheduled Care • Training for staff • Information for service users • Mental health staff

  14. Breathing Space • Free, anonymous, national • Available 6pm-2am Mon – Thurs 6pm Fri until 6am Mon • Funded by Scottish Gov & NHS 24 • Listen, advise, support and signpost • Non-intervention but empowering • Calls average 20 mins • 7000 calls per month Men’s 10k June 2009

  15. Partnerships • BSL Deaf Service • Formal Partnerships -Scottish Huntington's -Princess Royal Trust for Carers -MacMillan Cancer Support -Veterans 1st point -Glasgow’s Helping Heroes -Motherwell FC -RNIB

  16. Breathing Space Website • Launched October 3rd 2005 • 600,000 hits Oct 05 to April 2012 • Circa 9,000 a month • Alternative first stop service • Available 24/7 • BSL contact via website

  17. Improving Access to services • Telephone Guided Self help (tGSH) • Telephone CBT (tCBT) • Video conference clinics

  18. Guided Self Help • Nationally funded • Self referral accepted, GP notified • Trained coaches • Defined model • External and internal supervision • 2-4 sessions per individual

  19. CBT service • provided by telephone • Prof Williams’ materials • Currently available to -7 Health Boards • GP and self referrals • External Evaluation in 2010

  20. Improving access to services • Video conference clinics -Dementia -General Psychiatry -Neuropsychology -Addictions -Psychotherapy for Eating Disorders -Forensic psychiatry clinics in prison

  21. NHS 24 Mental Health Program Improving Access to Information • Web based information • Digital TV

  22. On line and digital TV • NHS Inform website • Digital TV Virgin media-most common provider • Alcohol brief Interventions on line and digital TV

  23. Conditions for success • Political Support • Vision of Clinical Leaders and academics • Opportunity • Telehealth Organisation established • Accessing EU funds • Expected benefits embedded into national strategies and delivery plans

  24. 2015? “Success is a science; if you have the conditions you get the result” Oscar Wilde

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