Mental Health Crisis in the Emergency Department - PsychED

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Russell Bradford
6 years ago
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1 Mental Health Crisis in the Emergency Department - PsychED Dr Megan Fisher ST4 Child and Adolescent Psychiatry Trainee Fellow in Medical Education at Maudsley Simulation Remember to tweet about your favourite parts of today s course

2 Objectives Course Course evaluation Sustainability of course Obstacles we ve overcome

3 Why simulation? To provide a framework that is as close to real life as possible. Allows some clinical teaching To explore some of the core issues of Non-Technical Skills (NTS). To provide an environment for learning which is confidential and non-judgemental Learn from each other within the debriefs

4 Interprofessional courses at Maudsley sim Mental Health Crisis in the Emergency Department Mental Health Crisis in the Emergency Department Home and Community Settings Managing Behaviour that Challenges in Dementia Emergency Department Perinatal Mental Perinatal Health Mental Health Mental Health Psychiatry Community Community Assessment Skills Simulation Working Workshop at Children with the Mental- Families & Young and Physical Networks People Interface Simulation Workshop at Acute Hospital Children the Mental- & Young Physical Inpatient People Interface Anticipating Behaviour Anticipating that Behaviour Challenges that (ABC) Challenges (ABC) Older Adult Assessmen Mental t & Health Mental Inpatient State Making the Challenging Clinical Decision Duty Senior Nurse Training Emergency Response Team Emergency (ETS) Response In Situ Team (ETS) In Situ

5 PsychED Mental Health Crisis in the Emergency Department

6 All staff should have the right skills and training to respond to mental health crises appropriately Mental Health Crisis Care Concordat Improving outcomes for people experiencing mental health crisis

7 Course Overview Half-day interprofessional course 8-11 participants Stick to professional roles Three 15 minute scenarios followed by 45 minute debrief ED and psychiatry expert support with technical transition One patient s journey through the Emergency Department: 1) Triage 2) Majors 3) Awaiting medical bed

8 Aims & Objectives Improve collaborative working across different specialties and professions when managing patients with physical and psychiatric comorbidity Encourage reflection on the barriers to effective management of medical problems in patients presenting with psychological or behavioural difficulties Increase confidence and knowledge in the appropriate management of patients who refuse treatment and the use of the Mental Capacity Act and other legal frameworks.

9 Evaluation and outcomes Quantitative- statistically significant increase in knowledge and confidence and change in attitudes. Qualitative- increased confidence in clinical skills, interprofessional collaboration and learning, advantage of simulation as a teaching method, reflection on patient s experience.

10 Obstacles and how we overcame these. 13 courses around Kent, Surrey and Sussex Funding Recruitment Variability in boundaries of ED and psychiatry Sustainability and roll out plans

11 Thank you! Contact:

Sandwell Secondary Mental Health Service Re-design consultation

Sandwell Secondary Mental Health Service Re-design consultation Service Re-design consultation 2 nd December 2013 28 th February 2014 GP Appointment with Service User Primary Care Step 1: Sandwell GP s will make a referral into BCPFT s Secondary Care Mental Health