Realising Potential Early Interventions and Dementia

1
Realising PotentialEarly Interventions
and Dementia

• Claire Morgan
• Occupational Therapist
• Older Peoples Mental Health Service
• NHS Lothian

2
Background

• Dementia HEAT target
• Focus on early interventions
• Completed module at Dementia Services Development
  Centre
• Previous day hospital re-design, change focus to
  new day services
• Links to post diagnostic group

3
Realising Potential

• Recommendation 1 Facilitate early intervention
  and timely access
• Recommendation 6 Enhance evidence based
  accessible therapeutic activities
• Recommendation 7 Deliver psychological
  interventions
• Supported self management
• Improved partnership working

4
Scottish Dementia Strategy

• Particular focus on early interventions
• Reshape current model of dementia care
• 63.5 people with dementia live at home
• Quality post diagnostic support
• Live well with dementia
• Tackle stigma

5
Memory skills group

• To teach people with memory problems a range of
  strategies to cope with the impact that cognitive
  impairment has on their daily living skills

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Overview of group

• Referral criteria
• Six week closed group
• Community venue
• Family member invited to first/last session
• Peer support
• Home visits prior and following group
• Five groups have now ran 26 members

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Outcome measures

• HoNOS 65
• Quality of Life Alzheimer's Disease Scale
• Model of Human Occupation Screening Tool
• Self rating questionnaire
• Group members experiences

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Evaluation

• Need identified to continue group
• Good attendance rate
• Peer support
• Feeling you are not the only one
• Opportunities to put strategies into practice
• Self management
• Clients able to access community resources
• Increased confidence

9
A sense of belongingLothians strategy 2011-2016

• Focus on older people as priority during first
  two years
• Living well despite mental health problem
• Make more services available in communities
• Ensure people get help as early as possible

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Future OT developments for early interventions

• Efficient service redesign for older peoples
  mental health services CHP and REAS
• Community mental health service OTs integral
  part
• Priority for service
• Memory skills group to run regularly throughout
  next year

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• Pilot new early intervention groups
• - Healthy Lifestyles
• - Making your home dementia friendly
• - Creative
• Joint working with other agencies
• Pilot evidence based TAP (Tailored Activity
  Programmes)

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Having attended memory skills, the
encouragement I have gained from it means that I
can face memory loss with much less fear.