1. Frequent attendees meet Ed Ross Warwick Joan Pollard

2. Redirections Board approach : education first

3. Meet Ed https://vimeo.com/dfptv/review/ 94150862/06d1c120a7https://vimeo.com/dfptv/review/ 94150862/06d1c120a7

4. So far Launched in April –Roadshow in shopping centre –2 page spread in all local papers –2 page insert into Dumfries Visitor Magazine –Twitter, Facebook, Website

5. Plans for the next few months Leaflets/ posters/ bus shelters Libraries/Schools/ Queen of the South Webmedia approach for all TV screens in waiting areas Competition in Schools in October Broadcast Magazine – all households.

6. FREQUENT ATTENDANCE – A PSYCHOLOGICAL APPROACH Dr Ross Warwick, Clinical Psychologist

7. Some principles... All behaviour happens for a reason, it serves a purpose Attendance at A&E happens for a reason This may not be the intended purpose of the service There will be certain needs fulfilled through attending Understanding the needs may help to inform treatment decisions

8. Project aims: Improve understanding of reasons why people frequently or inappropriately attend Reduce unnecessary assessments, interventions and admissions Improve consistency of management Methods...

9. Based on James et al (2006)

10. Working group Emergency Department medics Emergency Department nursing Adult Psychiatry Child and Adolescent Mental Health Psychiatric crisis team (CATS) Drug and Alcohol Service Social Work Clinical Psychology (Convenor and Chair)

12. Plans After 12 months, develop generic guidelines Outcomes –Case studies – frequency of attendance and changes to management –Measuring staff response including tolerance of the new approach and attitudes to people who frequently attend