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Community therapies team (South Kirklees)
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About the service
The South Kirklees community therapies team provides assessment and treatment to people who do not have a diagnosis of psychotic illness but have or are likely to have mental health conditions where there is a significant degree of complexity and disability. Typically this includes people who suffer from depression, anxiety disorders, personality disorders and eating disorders.
Joint assessments, appointments, reviews and home visits take place with members of the team and doctors.
Service users can access a range of medical, nursing, psychological, occupational and social interventions, and staff work in partnership with other teams to deliver the best possible care.
Why would someone choose the service?
- Service users can expect an individualised assessment and care package.
- Service users can expect their care to be delivered by the appropriate qualified members of the team
- Service users and carers can expect to be listened to and treated with dignity and respect.
- The team will communicate clearly and deliver what we say we will in a timely fashion.
- Service users and carers can expect to be heard when they have a problem with the service and to have those concerns discussed and acted upon.
- Service users have access to the Trust’s customer services team if required as well as telephone access to an ‘out of hours’ service (Kirklees single point of access) in times of crisis
- The South Kirklees community therapies team offers workshops to look at how to manage mood.
- The team is able to refer service users to other services who may be able to help further.
- The team will be working with the Kirklees Recovery College, enabling service users to access other educational opportunities to enhance their self-management skills.
Staff you may meet
- Administrative staff provide essential support to doctors, nurses and other healthcare professionals. This can be in a variety of different settings, with administrators working as a receptionist in a clinic or a clerk on a ward. They may also be working closely with a consultant as a medical secretary.
- There are many people who work behind the scenes to keep services running and you may meet them in hospital or community settings. They include porters, cleaners, plumbers, electricians, decorators receptionists and secretaries who all work to make sure healthcare settings are kept clean, tidy and safe.
- Nurses who choose to specialise in the mental health branch of nursing work with GPs, psychiatrists, psychologists, and others, to help care for patients. Increasingly, care is given in the community, with mental health nurses visiting patients and their families at home, in residential centres, in prisons or in specialist clinics or units.
- Occupational therapy is the assessment and treatment of physical and psychiatric conditions using specific, purposeful activity to prevent disability and promote independent function in all aspects of daily life.
- The NHS employs a wide range of clinical staff, it wouldn’t be possible to list them all on this website! All our clinical staff are skilled, dedicated professionals who adhere to high standards of training and work-place practice.
- Social workers help, support and protect people who are facing difficulties in their lives. They help people to take positive steps to overcome problems and improve their lives. This could involve assessing and reviewing a service user’s situation, building relationships with service users and their families and agreeing what practical support someone needs.
Why a professional should choose the service
- Care Programme Approach: Over 90% of service users have care plans reviewed at least annually.
- Service users who are discharged from hospital are contacted for a follow-up review within 7 days.
- Over 80% of service users referred to the team are assessed within 14 days.
- 100% of staff have annual Information Governance training.
- 100% of staff have annual Fire training.
- A multidisciplinary team approach to enable a range of mental health issues to be addressed appropriately and timely with a qualified worker.
- Effective working relationships with other professionals internally and externally to provide a seamless service to service users.
- The South Kirklees community therapies team is participating in the ‘Leading to Quality’ project concentrating on enabling staff to deliver a high-quality mental health service to individuals.
- Annual staff appraisals to ensure mandatory and core training is adhered to and staff are equipped with the necessary skills and knowledge to deliver a high-quality service.
- Regular and ongoing high praise for the support and learning opportunities available to student nurses who are on placement with the team.
Support offered
- Assessment
- A care plan/care package produced in partnership between service user and staff
- Construction and coordination of multi-agency packages of care (several organisations working together to provide the best and most appropriate care)
- Outcome-based interventions
- Evaluation and review
- Risk assessment and management
- Monitoring of medication concordance (service user and staff making a shared decision on medication) and impact of treatment on symptoms
- Motivational interviewing (a type of counselling)
- Safeguarding
- Interventions informed by mental health legislation
- Assessment and access to Self-Directed Support (personalised packages of care).
- Involving and supporting carers
- Support to access community facilities
- Nursing Interventions
- Social work interventions including Mental Health Act Assessments where necessary.
- Group work – team members contribute to dialectic behaviour therapy groups (therapy used to help people change behaviours) and mood management workshops
- Occupational therapists based in the team provide occupational therapy assessment and intervention
- Acting as Appropriate Adult (a responsible person aged over 18) for people on the team’s caseload who are being interviewed by the police
- Referrals are made to other parts of the service and other organisations during the episode of care and at discharge
- Writing reports for Mental Health Act appeal hearings and tribunals
Outcomes
- Recovery
- Enabling individuals to maximise their potential
- Ability to self-care
- Discharge back into the community as soon as possible when safe to do so
- Improved engagement with community services
- Clarification of diagnosis
- Optimisation of treatment (ensuring the service user gets the right treatment at the right time)
- Improved physical health
- Improved functional capacity (ability to complete tasks)
- Relapse prevention
- Self-management skills
- Limit the impact of a condition on other people and services such as family/carers/children
Referrals accepted from:
A & E, Carers/family, CMHTs, Consultants, Drug/alcohol agencies, GP staff, GPs, Health visitors, Hospital staff, Housing associations, Local authority staff, Midwives, Other NHS services, Other Trust services, Patients(self-referral), Police, Single Point of Access team, Voluntary services
Referral criteria:
- The service accepts referrals from Trust services and other external teams.
- The service works with adults who have (or are likely to have) a diagnosis of a non-psychotic mental health disorder.
- Conditions which exist alongside the non-psychotic mental health disorder, such as substance misuse, acquired brain injury and learning disability (LD) are acceptable providing they are not the primary (main) condition.
- People who have Autistic Spectrum Conditions (ASC) will be accepted providing there is no primary diagnosis of learning disability.
- All perinatal women (women in the period immediately before or after birth), including those with moderate symptoms, will be seen by the service.