IMPs – Intermediate Mental & Physical Health Care Team

Kashif Munir

(Physiotherapy Lead)

12th November 2014

Background to Service

Started in 2008

Influenced by:

– Local audit – adults & older adults with mental health problems were staying longer in acute hospitals & difficulty in accessing rehab pathways.

– NSF for Older Adults: Standards 3 & 7

The Role of the Team

Short term (Target 8 weeks +/- ) rehabilitation to clients.

Support people at home.

Clients whose physical health rehab is impeded by mental health problems or their physical health is impeding their mental health recovery.

Prevent unnecessary admission to an acute setting and reduce avoidable use of long-term care.

We provide a multi-faceted service encompassing; holistic assessment, community rehab, discharge support and prevention of admission where possible.

Acceptance Criteria

Westminster residents only.

Medically stable with rehabilitation potential.

Age: Adult 18 +

Current mental health condition is affecting their physical rehabilitation.

Physical condition is affecting their mental health resulting in challenges in their rehabilitation.

Clients to engage with Mental Health and Physical Care Practitioners to enable holistic, goal specific, time limited interventions to effectively optimise recovery.

Clients cognitive impairment has deteriorated significantly or is resulting in prevention of realistic rehabilitation due to complex needs/condition.

Accepted from:

– All health and social care professionals

– GP, Hospital discharge team, Reablement team, Community rehabilitation team, District nursing, Community matron, Social services, Rehabilitation unit, CMHT, WMS, Psych Liaison Service, ABT team, Inpatient mental health ward, Care navigators and Nursing/residential homes.

Referral:

– Accessible via the IMPS webpage

– SAP form

– Basic risk assessment

– For clients currently known to CNWL Trust a referral letter is acceptable

Referrals

Diagnosis

F01- F09: Mental disorders due to known physiological conditions

F10 – F19: Mental and behavioural disorders due to psychoactive substance use

F20 – F29: Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders

F30 – F39: Mood [affective] disorders

F40 – F49: Anxiety, dissociative, stress-related, somatoform and other non psychotic mental disorders

F50 – F59: Behavioural syndromes associated with physiological disturbances and physical factors

No Mental Health Disorder

Average age of clients: 75 years

Patient discharged to: GP, CMHT and Social inclusion.

Average cases within the six years of IMPS:

Year 1 – 13 per month

Year 2 – 15 per month

Year 3 – 19 per month

Year 4 – 21 per month

Year 5 – 32 per month

Year 6 – 35 per month.

IMPS Structure

Treatment/Interventions Providing Comprehensive Assessment.

Providing structured individual care plan that involves active therapy, treatment or opportunity for recovery.

A planned outcome of maximising independence and typically enabling people to resume or continue living at home.

Cross professional working, intense and frequent input with flexible durations to suit and meet the needs of each individual.

Physiotherapy Assessment and Treatment.

Psychological Therapies

Psychosocial Interventions

Environmental Assessment & Support

Review & Rehab of ADL’s

Medication Review

Functional Assessment

Financial Guidance and Referral

Family and Carer Support

Diagnosis

Facilitate access to community services

Social Inclusion

Client feedback

Future work

“Patient discharged due to dementia”

(CSP Frontline, 2014)

NHS must treat mental and physical health - stop treating patients with mental health as second class

(DOH, 2013).

More AHP leadership opportunities and support especially in Mental Health Services.

Locality and Hours

Vauxhall Bridge Road

Older People’s and Healthy Ageing Service Line

Located with CMHT, HTT, JHTT, ABT, Recovery Team.

Closely working with CMHT, Memory Service, Mental Health Inpatient Ward, Liaison Psychiatry Service.

Mon – Fri (0830 – 1630)

Assessment 3 working days assess if urgent or 10 working days for non-urgent

How To Contact

Telephone: 02078544151

Fax: 020 79318087

Email: imps@nhs.net

Webpage: http://www.cnwl.nhs.uk/imps.html

Address: 3rd Floor

190 Vauxhall Bridge Rd

London

SW1V 1DX