Dementia Workstream

1
Dementia Workstream

• Dr Susan Conaghan
• Programme Director Psychology Psychological
  Interventions in Dementia

2
Overview

• Policy Background
• Aims of Dementia Workstream
• Psychology Psychological Interventions
• Staffing
• Educational Training Priorities

3
Policy Overview

• Charter of Rights for People with Dementia and
  their Carers in Scotland, 2009
• Scotlands Dementia Strategy, 2010
• Standards of Care for Dementia in Scotland, June
  2011
• Promoting Excellence, June 2011
• Dementia Standards Service Impact Checklist,
  August 2011
• Healthcare Improvement Scotland, Health
  Environment Inspectorate Team charged with
  evaluating acute general hospitals against the
  Dementia Standards

4
Promoting Excellence Framework for all health
and social services staff working with people
with dementia, their families and carers

• 4 Levels of Knowledge Skills
• Dementia Informed Practice baseline KS
  required by all staff working in health and
  social care settings including the persons own
  home
• Dementia Skilled Practice KS required by all
  staff that have direct and/or substantial contact
  with PwD, their families and carers
• Enhanced Dementia Practice KS required by
  staff with more regular and intense contact with
  PwD, provide specific interventions and/or direct
  or manage care services
• Expertise in Dementia Practice KS required by
  staff, who by virtue of their role and practice
  setting, play an expert specialist role in the
  care, treatment and support of PwD

5
Promoting Excellence

• 4 Stages of the Dementia Journey
• Keeping well, prevention and finding out its
  dementia
• Living well with dementia
• Living well with increasing help and support
• End of life and dying well
• Based on Standards of Care for Dementia in
  Scotland and Rights enshrined within this
• Incorporates Quality of Life Outcome Indicators

6
Dementia Workstream - Aims

• Support the development of a standardised
  approach to dementia education, embedded in all
  undergraduate and postgraduate education
• Developing Targeted educational responses to
  support workforce development at the Informed and
  Skilled Practice Levels
• Developing Learning materials for staff working
  at the Skilled Practice Level
• Revise and develop vocational qualifications to
  reflect the Promoting Excellence Framework
• Increase Access to evidence-based Psychological
  Interventions and Therapies for People with
  Dementia, families and carers
• Increase Access to evidence-based Psychological
  Interventions and Therapies for Stress and
  Distress in Dementia

7
Dementia Workstream - Aims

1. Workforce Development to improve the care,
   treatment and outcomes for PwD admitted or at
   risk of admission to acute general care settings
2. Creating Infrastructure Development/Leadership
   for Change in Social Services to support
   implementation of Promoting Excellence
3. Improve workforce capability in palliative and
   end of life care for PwD
4. Evaluating the impact of training in
   Post-Diagnostic Support
5. Develop deliver post-diagnostic support
   training in partnership with Alzheimers Scotland
6. Improving knowledge sharing across health and
   social service workforce

8
Psychological Interventions in Dementia

• Staffing
• Programme Director
• 2 Part-time Educational Project Managers
• Priorities by March 2012
• Online educational resource psychological
  aspects of dementia
• Online training to improve skills in use of
  evidence-based assessment tools
• Online resources to support carers in their role
  and in responding to stress/distress in dementia
• Training to Alzheimers Scotland Support Workers
• Training Materials to initiate Training for
  Trainers in Evidence-based non-pharmacological
  interventions to stress and distress in dementia

9
Psychological Interventions in Dementia

• By March 2013
• Delivery of Training for Trainers workshops
  cross-sector dissemination of an evidence-based
  model of non-pharmacological interventions to
  stress and distress in dementia
• Development and Delivery of a programme of Low
  High Intensity Psychological Interventions in the
  context of dementia
• Psychological Interventions for co-morbid mental
  health issues and carer distress
• Specialist Neuropsychological Assessment Training
• Cognitive Stimulation Therapy group and
  individual
• Cognitive Rehabilitation

10
Psychological Interventions in Dementia

• Work with PTTCs and other health and social care
  colleagues to address gaps identified using
  Dementia Standards Checklist
• Develop and deliver appropriate educational and
  learning opportunities
• Access and develop networks to facilitate sharing
  of information, knowledge and skills
• Contact Information
• Dr Susan Conaghan
• Programme Director Psychology Psychological
  Interventions in Dementia
• Susan.Conaghan_at_nes.scot.nhs.uk