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Admission Reduction Pilot Epping CMHT

The Epping CMHT pilot study aimed to reduce hospital admissions from residential and nursing homes. By implementing a structured response team and building on existing relationships with GPs and care homes, we established a holistic approach to client assessments and behavioral management. The initiative showed remarkable results, achieving 88% admission avoidance through timely interventions and education. Positive feedback from homes and GPs underscored the effectiveness of early intervention and improved support strategies. Our findings highlight the importance of quick referrals and proactive outreach in dementia care.

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Admission Reduction Pilot Epping CMHT

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  1. Admission Reduction Pilot Epping CMHT Ita Stokes Fiona Atkinson Stephanie Rea

  2. Rationale • Large amount of admissions from residential/nursing homes • Clients settle quickly on admission • Team contacted when situation in crisis

  3. Resources • Same care pathway for referrals • CPN identified • Divert resources from CMHT • Redirected to homes • Advertised and promoted • Improved links with GPs/Homes • Pilot launched

  4. What did we do? • Building on existing relationships • Rapid Response • Reassurance

  5. Reason for Referral to Link Nurse Jun – Dec 2010 Jan – Jun 2011

  6. Interventions • Initial Holistic Assessment • Implementation of Behavioural Charts - Strategies to manage behaviour • Medication Review • Placement Review • Advice & Discharge

  7. Outcomes • Very positive impact on use of hospital beds/large decrease • Results evaluated show 88% admission avoidance • 98% through behavioural management • Teaching management techniques • Small percentage with medication • Homes/GPs report positively on response • Homes more comfortable in seeking help at an early stage.

  8. Lessons learnt • Clients need to be referred quicker • Direct and timely interventions prevent admissions • Outreaching to homes and GPs reduces admissions • Education and understanding dementia management reduces admissions • No reduction in CMHT capacity as resources were redirected

  9. Thank you!

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