West Midlands Older Peoples Mental Health Collaborative

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West Midlands Older Peoples Mental Health
Collaborative

• Susan M Benbow, Paul Kingston,
• Donna Doherty
• Centre for Ageing Mental Health, Staffordshire
  University, Blackheath Lane, Stafford, ST18 0AD,
  UK.
• p.kingston_at_staffs.ac.uk, drsmbenbow_at_aol.com
• d.doherty_at_staffs.ac.uk

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West Midlands OPMH Collaborative Location
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Similarities differences

• Focus on mental health not illness
• Focus across the whole of older peoples mental
  health
• Not solely dementia
• Northern Dementia Services Collaborative
• http//www.dementianorth.org.uk/dsc/
• South East Dementia Collaborative
• http//www.southeast.csip.org.uk/dementia-collabor
  ative.html

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West Midlands OPMH Collaborative

• Funded jointly for 2 years by
• DH
• Staffordshire University
• Launched April 2006
• Personnel
• Donna Doherty, Coordinator from September 2007
  (previously Linda Stanyer)
• Elaine Stanway, Administrator
• Susan Benbow, Clinical Lead
• Paul Kingston, Action Research Lead

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In the beginning - Signing up

• Signed up organisations delivering OPMH services
• Named staff committed to give time energy
• Working with colleagues, users, carers
• Support by organisation managers
• Overall aim
• to improve services to users carers

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Collaborative Aims

• To increase recognition of mental health problems
  in later life, thus aiding earlier diagnosis
  improving care management.
• To help ensure that older peoples mental health
  services work towards person centred care.
• To improve systems to explore patient carer
  experience.
• To improve communication coordination of
  services between agencies.

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Collaborative measures

• Survey of GPs via practice managers
• Carers questionnaire
• Users questionnaire
• Case note audit
• Audit of social services referrals

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Getting off the ground the early work

• Sign up forms
• Successful learning event convened by previous
  team
• Patient journey work
• Carrying out baseline measures
• Applied PDSA methodology
• Activity relevant to aims
• Tailored to each organisation
• Re-audit to demonstrate improvements

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PDSA Plan, Do, Study, Act
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Building on changes
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Mapping the patients journey
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Ongoing Challenges

• Current NHS financial climate
• budgets are tight
• service development expected but
• staff working under considerable pressure
• Large geographical area of West Midlands
• travel time-consuming
• Problems offering support across large area
• Problems convening meetings of project teams.
• Sharing information learning is fundamental.

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Challenges continued..

• How to include the whole range of older peoples
  mental health
• whole spectrum of diagnostic categories
• range of different service models
• How to incorporate mental health promotion
• Avoid concentration solely on mental illness

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Challenges continued..

• Time constraints
• funded for two years
• sign up lengthy complex
• need to consider sustainability ongoing support
• How to use baseline information to assist teams
  in improving services
• How to engage users carers
• At all levels of work
• Accessing their experience

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The teams and the project work

• Various regional teams some that have been
  established from the start and others that have
  recently come on board.
• North Staffs - project work establishing links
  between older adult services and acute health
  services. The project resulted in a programme of
  education across the trusts, the development of a
  toolkit for use in a variety of clinical areas
  and, a publication is in the pipeline. A
  Chairmans award was received for the work which
  is ongoing. South Birmingham Mental Health Trust
  are looking at developing similar work and have
  just signed up!

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The teams and the project work

• Cannock Chase District assistive technology
  work supporting carers and people with Dementia
  to live independently for longer at home. Service
  called Just Checking uses movement sensors in
  the home.
• Alzheimers café opening Cannock December 6th,
  2007 there are three open in the Staffordshire
  locality with another 3 to open.
• Extra care housing potential for development in
  the locality.

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The teams and the project work

• South Staffs Council/Alzheimers Society/CASS
  Dementia Support Worker based in the Community is
  now having a real impact since its launch in late
  September 2007 and Age Concern Stafford and
  District are thinking about establishing a
  similar scheme so have signed up to the
  collaborative to take the work forwards.
• Wolverhampton joint health and social care
  project around the patients journey, work is
  progressing towards a publication and action
  points have been agreed as a result of the
  questionnaires issued and issues raised from the
  patient journey work.
• Stoke City Council will be signing up to take
  forward their Changing Lives work around
  service redesign with older people with mental
  health issues and their carers.

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Where now?

• Conference to showcase the work of the
  collaborative and celebrate what has been
  achieved by all in 2008.
• Publications.
• The WMOPMH Collaborative website and its renewed
  / sustainable development.
• Continued development of In Our Shoes a module
  designed with service users and carers and taught
  by service users and carers running from January
  2008.

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Website

• http//www.staffs.ac.uk/schools/sciences/ihr/camh/
  WMOPMHC/index.php