Care Bundles CAPA Forum 19 April 2018

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Presentation transcript:

Care Bundles CAPA Forum 19 April 2018 Dr Karin Stam, MICAMHS Bay of Plenty

A Secondary Mental Health Service needs clear and transparent Care Bundles According to the most up to date Clinical Guidelines and/or Evidence-Based or Best Practice Vision/Mission

DEFINITION A Care Bundle is a set of interventions that when used together significantly improve the outcomes of the clients and whanau / family we support

Care Bundles = Journey of Client through MICAMHS Combination of referral pathway, diagnostic clarification and treatment interventions Issue/Disorder related

Written in a clear and straightforward way, they should be quick and easy as a point of reference New employees; Good Guidance Time-efficient to have general consensus from which you can deviate with the right arguments  (often 80% consensus anyway) Quality of Care

Before you can create a Care Bundle you must collate information of local resources. A Team approach to creating Care Bundles helps the whole Team to understand them and to own them Do we need a clinical pathway for…? Additional training needed? --- > Create awareness of gaps

Websites for Clinical Guidelines NICE Guidelines RANZCP Ministry of Health

The aim is to ensure everyone receives the best care based on evidence or logic 100% of the time

ADHD

ISSUES/DISORDERS --- > 15 Care Bundles in MICAMHS Bay of Plenty 1. Tic Disorder 2. Autism Spectrum Disorder Anxiety Disorders (incl. OCD, PTSD and Selective Mutism) AOD issues (incl. Sorted referral pathway) 5. Eating Disorders 6. Intellectual Disability 7. Mood Disorders 8. Transgender ODD/CD (incl. IYSS referral pathway) (Emerging) Personality Disorders 11. Perinatal and Infant Mental Health Issues CHILD and MOTHER 12. Physical Comorbidity (incl. Health and Wellness Coach referral pathway) 13. Psychosis /Early Intervention 14. Somatoform Disorders 15. ADHD -Medical Review Pathway for existing ADHD -Pathway for new ADHD diagnosis

Personality Disorder Attachment Disorder

PIMHS

Psychosis/Early Intervention

Conduct Disorder/ODD

IYSS Incredible Years Specialist Service

Selective Mutism

Physical Comorbidity

SUGGESTIONS?