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Rapid Access to Psychiatric Care

Rapid Access to Psychiatric Care. Creating a “Safety Net” for High Risk Patients while decreasing Emergency Department Visits and Inpatient Admissions Oakville Trafalgar Memorial Hospital- Halton Healthcare Services. HOME. NEXT. Project Objective & Plan:. Objective :

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Rapid Access to Psychiatric Care

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  1. Rapid Access to Psychiatric Care Creating a “Safety Net” for High Risk Patients while decreasing Emergency Department Visits and Inpatient Admissions Oakville Trafalgar Memorial Hospital- Halton Healthcare Services HOME NEXT

  2. Project Objective & Plan: • Objective: • Provide patients with rapid access to Mental Health and Concurrent Disorder Services, minimizing patients decompensation, unnecessary ED visits and inpatient admission. • Plan: • Provide access to Psychiatric care within 7-days • Allow access to Concurrent Disorder Services within 2-4 days. • Create a Concurrent Disorder Clinician role on inpatient psychiatry. • Develop plan within existing budget! BACK HOME NEXT

  3. Mental Health Urgent Care Clinic • Patients are seen, on average, within 7-days of their ED visit or inpatient discharge and provided up to 3 sessions to bridge them to appropriate services. • Outcome: • During their involvement with the UCC, out of 346 patients served in year 1, only 3% attended the ED and 4% were admitted. • There was a 69% decrease in ED visits when examining the 346 patients 3-months pre and post UCC involvement. • From 2008-09 to 2009-10 the program saw a decrease in early repeat ED visits for Mental Health by 1.2% and for Addictions by 1.9%. 3-mos Pre Post ED Visits 2-YEAR ED COMPARATOR BACK HOME NEXT

  4. Bridges To Recovery Group • Developed an open ended group to allow for rapid access to Concurrent Disorders treatment. • The group is intended to (1) bridge clients to more intensive services and / or (2) to enhance current treatment received. Outcome: • Significant decrease over a 12-month period for ED visits and inpatient admission during the time patients are engaged in the program. • Positive patient satisfaction results as they are now services by one team for Concurrent Disorders. Strongly Agree Agree Undecided Disagree Strongly Disagree BACK HOME NEXT

  5. Outcome: Decrease in ED Visits &Inpatient Admissions 51% 51% 51% 92% 64% 15% 33% 37% BACK HOME NEXT

  6. Concurrent Disorders Clinician on Inpatient Unit • Revamped 1 nursing position to create a Concurrent Disorder (CD) Clinician role to work along the interdisciplinary team on both the adult and child/ adolescent mental health inpatient units. • Goal: to engage patient in CD treatment at the time of their admission, considering the high relapse nature of the illness and enhance the opportunities to motivate patients in following treatment. • Developed CD Psychoeducational groups, which are delivered twice a week on the inpatient unit with other allied health staff. BACK HOME NEXT

  7. Outcome: Topic was relevant to patient needs Information discussed was understandable Enough time to discuss Facilitator was knowledgable Patient Satisfaction Survey • Positive patient • satisfaction results • from the 346 • patients who have • attend groups. • A random sample • of 21 participants shows • a decrease of ED visits • by 62% and a decrease • of admissions by 86%, • 3-month post discharge. 3 Month post discharge for ED Visits / Inpatients Readmits BACK HOME NEXT

  8. Project Participants Bridges to Recovery Group • Angela Everest, OT, Jennifer Opper, RN, Tammy Lawless, MSW Concurrent Disorders Clinician • Jennifer Folwer, RN, Erica Howard OTA Shannan Fortier Mental Health Urgent Care Clinic • Dr. Jane Gilbert, Adult Psychiatrist For Further Information, please contact Vivian Demian, Program Director for Mental Health Oakville Trafalgar Memorial Hospital (905) 845-2571 ext 5640 - vdemian@haltonhealthcare.on.ca BACK HOME

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