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Case studies
All case studies are examples of positive and innovative practice in mental health and have been subject to a quality assuance process prior to publication - Take the credit and share your care.
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Unique approach to alcohol liaison services in Scotland
Acute Forum Award Winner - commended - 2008 Rates of alcohol related brain damage (ARBD) have risen dramatically from 1996/97 to 2005/06, both in Ayrshire & Arran and Scotland as a whole. In view of this, there is recognition among relevant local services, that there is a need for early intervention and for an identifiable Integrated Care Pathway, ranging from acute intervention to long-term care provision. Within this continuum of care for ARBD patients, the Ayrshire & Arran Alcohol Liaison Service occupies a very critical position. The aims of the Service are to provide specialist consultancy and support to acute services, to develop models of specialist assessment, and to act as a signposting and referring agency. The Service employs the only Alcohol Liaison Nurse in Scotland who is placed within a Psychiatric Liaison Service. This is particularly valuable in cases of early cognitive impairment, where intervention can prevent subsequent development of ARBD assessments. The availability of the Liaison Consultant Psychiatrist enables an immediate (within 24 hours, according to need) assessment while the patient is still a general inpatient. The Service has had considerable impact on the wider health service, significantly raising awareness of alcohol related conditions. Provision of specialist education has enabled staff to better recognise ARBD and its symptoms, with the result that a much greater number of individuals have been given a provisional diagnosis of ARBD.
Date Updated: 05|09|2011

Music as an occupational therapy treatment medium in a continuing care setting – a study
In 2002, the Senior I occupational therapist was responsible for the treatment programme in the Continuing Care unit, that comprised four wards for people who had difficulty settling in the other wards or at other facilities. The patient group had a long-term history of dementia from various causes, e.g. Alzheimer’s, vascular acquired brain damage or Korsakoff’s syndrome. They required at least 60% cognitive assistance in order to function in their environment. They were no longer able to live in the community; even with a high level of input from others. A programme that increased their self-expression was most desirable for these patients. The occupational therapy team ran an established therapeutic programme, based on the best evidence based practice. An occupational therapist in the continuing care unit noted the benefit, to patients with dementia, of a varied programme that included music. She wanted to evaluate an exploratory programme. She began a proposal to do this that involved employing a music therapist implementing and evaluating a music programme over a period of six months.
Date Updated: 28|10|2011

Integrating and Applying Occupational Therapy within a Community Assertive Outreach Team in Fife
Between 1999 and 2004, West Fife clients who were categorised as having complex and enduring mental health needs were supported by a generic community outreach team which followed case management and assertive outreach models of care. These clients had no access to Occupational Therapy services until 2005, and this report recounts the main outcomes of the evaluation of integrating a service to this team. Factors are highlighted which have over time firmly embedded a flexible and responsive resource within this client groups grasp, and recognises the challenges to practice which arose along the way.
Date Updated: 06|04|2011

Living Life to the Full – Can it reach people currently not engaged in the Clinical Services
Living Life to the Full (LLTTF) www.llttf.com is a freely accessibly online life skills resource which aims to empower users by providing information to help cope with problems such as low mood and anxiety. The course is based on the Overcoming Depression & Low Mood: A Five Areas Approach book, a style of Cognitive Behavioural Therapy (CBT), which has been shown to be effective in treating depression. The course is devised using written modules accompanied by audio from a trained CBT therapist. It has It also incorporates abridged “TV modules” to allow a comprehensive learning style. The website also has a very active forum, useful contacts page and allows practitioners to set up supported learning with patients.
Date Updated: 20|10|2011

Choice Base Guided Cognitive Behavioral Therapy (CBT) Self Help Program for Adults in a Primary Care Mental Health Team
We describe the delivery of a choice based Guided CBT Self Help intervention within the structures of an established team using a stepped care approach. The new service was a 6-week supported self help service, providing patients with a choice of paper based or internet versions of CBT based self help materials with either telephone or e-mail support (6 x 10 minute sessions) offered by a practitioner.
Date Updated: 17|10|2011

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