Clinical Services Camden & Islington NHS FT |
length of stay is three to four days, compared with significantly longer in an inpatient setting. Patients respond well to the crisis house, commenting on the warm friendly environment and speed with which they are able to recover from a crisis and return home. The Daleham Gardens Recovery Centre is also
home to one of C&I’s crisis teams. We created the second crisis team in the UK in 1999, and have led service evaluation research into the model of crisis and home treatment teams. Our innovation has led to a reduction in inpatient admissions, and has enabled us to treat 97% of our patients in the community. Our service users find it a safe alternative to hospital and find it a more homely environment which they prefer.
Case Study: High needs accommodation Finding accommodation for patients when they leave hospital can be difficult, especially for patients with high needs such as those with a forensic history and challenging behaviours. Private sector housing providers are often unwilling to take these patients as the risk associated with them is too high for them to manage safely. C&I and One Housing Group, a leading social
housing provider in London, partnered to develop 15 units of high needs supported housing within the Kings Cross development in Central London. This collaboration brings together the housing and support capabilities of One Housing Group and the specialist clinical skills of C&I to deliver a high quality and cost effective service. The service has been very successful in providing a supportive environment close to patient’s families, with patients reducing their need for medication, increasing participation in the community and moving to more independent living more quickly.
Case Study: Multi-agency approach to tackling gangs Young people with behavioural issues who enter into gang culture are challenging to engage. The violent
Patients and staff celebrating the opening of the Rivers Crisis House, C&I’s third crisis house
nature of gangs makes it a risky environment for staff and patients. C&I has developed a multi-agency approach designed to tackle gang activity. The approach engages with young people in the context of their antisocial peer group in an authentically youth-led way, while also working with the services and authorities around them that impact their likelihood to change. The project is multi-agency, with police, local authority, employment and local mental health services. Feedback from local stakeholders is very positive, and police say there has been a reduction in gang-related crime in the area.
Evidence based services Providing an evidence base for services is a fundamental part of C&I’s approach to service development. We have a strategic alliance with the division of psychiatry in University College London and support clinical academics, drawn from medical, nursing and social care backgrounds, who are leading mental health research both nationally and internationally. During 2014 we hosted 48 studies and our staff published 116 articles in peer reviewed journals. We are also among the first mental health trusts in England to develop nursing research capacity successfully with a joint deputy director of nursing post in research and development. This staff member leads programme grants as well as recruiting nurses to take part in a range of programmes to build their skills, while at the same time growing C&I’s research and innovation capacity.
Working with international partners to develop mental health services Over the last 20 years C&I has been actively involved in the development of mental health services. Our research provides the evidence base for many services which have been rolled out nationally within the UK. This includes research into community based psychotic and non-psychotic services including crisis teams, early intervention services, assertive outreach, and, more recently, developments in primary care mental health, traumatic stress and services for ageing populations. Our subject matter experts are actively engaged
in research and developing new mental health services and our focus is on working with providers in other markets to perform healthcare systems audits, develop and pilot new services, conduct joint research projects, and deliver education and training.
Further information Karl Heidel Head of Communications & Engagement Tel: 0203 317 7083
communications@candi.nhs.uk David Plummer Associate Director of Business Development
david.plummer@
candi.nhs.uk Tel: 0203 317 7139
50 Global Opportunity Healthcare 2015 | Issue 01
global-opportunity.co.uk
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Camden & Islington NHS FT
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