Recovery in Dementia

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Recovery in Dementia
Sally Hickman Head of Social Care June 2009
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Recovery in Dementia anHPFT Perspective

• Younger people with dementia
• Early intervention, support and advice
• Community initiatives
• Extra Care Housing
• Residential Care
• Inpatients
• Work with Carers

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Younger People with Dementia

• Recovery is not just about what services do to
  or for people. Recovery is what people
  experience for themselves (NIMHE)
• Focus on
• Formation of relationships
• Social inclusion and meaningful activities
• Personal identity and value
• Inclusion of family and other supporters as
  partners in recovery
• Challenging discrimination and stigma
• Wellness not ill health

NHS
Hertfordshire Partnership NHS Trust
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• he just loves the Wednesday group, he is lit
  up and there are bits of the old Bob, which
  makes me so happy
• I am teetering on the brink of coping, the Team
  is a lifeline
• Without this support I would go under

NHS
Hertfordshire Partnership NHS Trust
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Early Intervention

• Partnership with voluntary sector
• Links with enhanced primary mental health
  services
• Recruitment and training of volunteers
• Support to individuals on 11 basis
• Support to carers
• Advice and guidance

NHS
Hertfordshire Partnership NHS Trust
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Community Initiatives

• Hospital discharge Red Cross
• Advocacy support Age Concern
• Alzheimer's cafés - Tring
• Glaxo
• Specialist home care Goldsborough
• Transformation of memory clinics

NHS
Hertfordshire Partnership NHS Trust
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Seamless Day Care/Day Hospital East Herts

• Hub spoke model
• Choice
• Focus on wellbeing
• Activities based

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Intensive Outreach Team

• Focus on relationships trust
• Visits can be several times daily
• Aim to minimise risk and improve quality of life
• Persistence
• Medication monitoring
• Support to carers
• Input average 1 2 months

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Extra Care Housing Schemes

• Specialist Mary Benfield House
• Swanfield Court
• Swanfield Court - Choice
• Control
• Social inclusion
• Dignity
• Activities
• Independence

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Residential Care
11
Inpatient Care

• Logandene Project
• Partnership with service users and carers
• Person centred
• Focus on health, wellness and strengths not
  pathology and illness
• Recovery specialist workers
• Activity co-ordinators
• Improved nutrition and choice of meals
• Access to garden
• Social inclusion

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Support to Carers
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Frameworks that Support Recovery

• University links and training
• Individual budgets and direct payments
• Challenging age discrimination and stigma
• Dignity and respect