Transcript Intermediate Mental and Physical Health Care Team (IMPs).

IMPs – Intermediate Mental &
Physical Health Care Team
Kashif Munir
(Physiotherapy Lead)
12th November 2014
Background to Service
 Started in 2008
 Influenced by:
– Local audit – adults & older adults with mental health problems
were staying longer in acute hospitals & difficulty in accessing
rehab pathways.
– NSF for Older Adults: Standards 3 & 7
The Role of the Team
 Short term (Target 8 weeks +/- ) rehabilitation to clients.
 Support people at home.
 Clients whose physical health rehab is impeded by mental health
problems or their physical health is impeding their mental health
recovery.
 Prevent unnecessary admission to an acute setting and reduce
avoidable use of long-term care.
 We provide a multi-faceted service encompassing; holistic
assessment, community rehab, discharge support and prevention
of admission where possible.
Acceptance Criteria
 Westminster residents only.
 Medically stable with rehabilitation potential.
 Age: Adult 18 +
 Current mental health condition is affecting their physical
rehabilitation.
 Physical condition is affecting their mental health resulting in
challenges in their rehabilitation.
 Clients to engage with Mental Health and Physical Care
Practitioners to enable holistic, goal specific, time limited
interventions to effectively optimise recovery.
 Clients cognitive impairment has deteriorated significantly or is
resulting in prevention of realistic rehabilitation due to complex
needs/condition.
Referrals
 Accepted from:
– All health and social care professionals
– GP, Hospital discharge team, Reablement team, Community
rehabilitation team, District nursing, Community matron, Social
services, Rehabilitation unit, CMHT, WMS, Psych Liaison
Service, ABT team, Inpatient mental health ward, Care
navigators and Nursing/residential homes.
 Referral:
– Accessible via the IMPS webpage
– SAP form
– Basic risk assessment
– For clients currently known to CNWL Trust a referral letter is
acceptable
Diagnosis
 F01- F09: Mental disorders due to known physiological conditions
 F10 – F19: Mental and behavioural disorders due to psychoactive
substance use
 F20 – F29: Schizophrenia, schizotypal, delusional, and other nonmood psychotic disorders
 F30 – F39: Mood [affective] disorders
 F40 – F49: Anxiety, dissociative, stress-related, somatoform and
other non psychotic mental disorders
 F50 – F59: Behavioural syndromes associated with physiological
disturbances and physical factors
 No Mental Health Disorder
 Average age of clients: 75 years
 Patient discharged to: GP, CMHT and Social inclusion.
 Average cases within the six years of IMPS:
 Year 1 – 13 per month
 Year 2 – 15 per month
 Year 3 – 19 per month
 Year 4 – 21 per month
 Year 5 – 32 per month
 Year 6 – 35 per month.
IMPS Structure
Service Manager
Administrator
Mental Health
Physiotherapy
Clinical Nurse Specialist
Physiotherapy Lead
Psychiatric Cover
Senior Occupational
Therapist
Psychology
Rehab. Assistant
Occupational
RMN
Senior Physiotherapist
Associate
Mental Health
Senior Physiotherapist
Practitioner
Physiotherapist
Therapist
Rehab. Assistant
Clinical Psychologist
Treatment/Interventions

Providing Comprehensive Assessment.

Providing structured individual care plan that involves active therapy, treatment or opportunity
for recovery.

A planned outcome of maximising independence and typically enabling people to resume or
continue living at home.

Cross professional working, intense and frequent input with flexible durations to suit and meet
the needs of each individual.

Physiotherapy Assessment and Treatment.

Psychological Therapies

Psychosocial Interventions

Environmental Assessment & Support

Review & Rehab of ADL’s

Medication Review

Functional Assessment

Financial Guidance and Referral

Family and Carer Support

Diagnosis

Facilitate access to community services

Social Inclusion
Client feedback
Future work
 “Patient discharged due to dementia”
(CSP Frontline, 2014)
 NHS must treat mental and physical health - stop
treating patients with mental health as second class
(DOH, 2013).
 More AHP leadership opportunities and support
especially in Mental Health Services.
Locality and Hours
 Vauxhall Bridge Road
 Older People’s and Healthy Ageing Service Line
 Located with CMHT, HTT, JHTT, ABT, Recovery Team.
 Closely working with CMHT, Memory Service, Mental Health
Inpatient Ward, Liaison Psychiatry Service.
 Mon – Fri (0830 – 1630)
 Assessment 3 working days assess if urgent or 10 working days
for non-urgent
How To Contact
 Telephone: 02078544151
 Fax:
020 79318087
 Email:
[email protected]
 Webpage:
http://www.cnwl.nhs.uk/imps.html
 Address:
3rd Floor
190 Vauxhall Bridge Rd
London
SW1V 1DX