The East Lancashire Clinic model is a consultancy-based approach to supporting care home staff to assess and respond to reactive behaviours of people with dementia and reduce the need to refer into secondary mental health services. The clinics are person centred and solution focused, aiming to promote recognition of unmet needs and early interventions implemented by staff. The pilot was able to resolve most cases and reduce referral rates into secondary care services. Through working collaboratively, it empowers staff to improve the care of all their residents, improves relationship with secondary care services and has potential to offer efficiency savings.
Care Quality Commission. (2017). The state of care in mental health services: 2014 to 2017. Newcastle upon Tyne, England: Author.
2.
Cohen-MansfieldJ.Dakheel-AliM.MarxM. S.TheinK.RegierN. G. (2015). Which unmet needs contribute to behavior problems in persons with advanced dementia?Psychiatry Research, 228(1), 59–64.
ErvinK.CrossM.KoschelA. (2014). Barriers to managing behavioural and psychological symptoms of dementia: Staff perceptions. Collegian, 21(3), 201–207. DOI: 10.1016/j.colegn.2013.04.002
5.
JamesI. A. (2011). Understanding behaviour in dementia that challenges: A guide to assessment and treatment. London, England: Jessica Kingsley Publishers.
6.
KitwoodT. (1997). Dementia reconsidered: The person comes first. London, England: Open University Press.
7.
MaidmentI. D.ShawR. L.KillickK.DameryS.HiltonA.WilcockJ., … SeareN. (2016). Improving the management of behaviour that challenges associated with dementia in care homes: Protocol for pharmacy–health psychology intervention feasibility study. BMJ Open, 6(3), e010279.
8.
National Institute for Health and Care Excellence. (2018). Dementia: Assessment, management and support for people living with dementia and their carers. Retrieved from http://nice.org.uk/guidance/ng97
9.
PrinceM.KnappM.GuerchetM.McCroneP.PrinaM.Comas-HerreraA., … SalimkumarD. (2014). Dementia UK (2nd ed.). London, England: Alzheimer’s Society. Retrieved from www.alzheimers.org.uk/dementiauk
10.
RapaportP.LivingstonG.HamiltonO.TurnerR.StringerA.RobertsonS.CooperC. (2018). How do care home staff understand, manage and respond to agitation in people with dementia? A qualitative study. BMJ Open, 8(6), e022260. DOI: 10.1136/bmjopen-2018-022260
