The intensive community liaison service offers prompt comprehensive assessment and interventions for older people living in the community and in care homes.
Intensive community liaison team are based at:
Woodside Resource Centre
Middlesbrough, TS4 3EB
Tel number: 01642 368900
Fax number: 01642 516543
About the service
The intensive community liaison service offers prompt comprehensive assessment and interventions for individuals living in the community and in care homes.
The team, which operates 365 days a year from 8.00am to 8.00pm, provides a service to:
- People aged 65 and over with mental health problems
- People under 65 years if the service determines their needs would be best met by mental health services for older people instead of adult services, such as young onset dementia in later stages.
Interventions are designed to support people with acute mental health difficulties and behaviours that challenge. This includes support for carers and families, with the aim of reducing or avoiding a breakdown in the care.
What the service will provide
The intensive community liaison team will undertake a comprehensive mental assessment within 24 hours. Intensive support can be provided within two hours where needed.
At the point of referral a decision will be made as to how quickly the patient requires assessment.
The assessment uses a range of methods to understand aspects of the patient's mental health, psychological needs, physical and social needs. The process also considers the person's spiritual/religious and cultural needs, and preferences in an ethnic context to create a fully personalised assessment.
On completion of the assessment, the service fully engages and involves the person in their care planning process and provides them (and their carer) with a copy of their care plan.
There is an emphasis on preventing carer breakdown and supporting individuals to remain in their own homes, where hospital or respite care would normally be the only option.
Treatments and interventions
Within the treatment process a range of psychological, medical, social, functional, emotional, physical and educational interventions are provided.
The team provides a range of person-centred interventions in the community or care home for up to a maximum of six weeks, which includes:
- Psychological formulation to understand people's difficulties and to devise intervention plans
- Psychologically informed therapeutic interventions eg cognitive behavioural therapy
- Environmental modifications
- Risk reduction strategies
- Support for people in a carer role eg family members
- Advice on managing challenging behaviours
- Training sessions with care home staff
- Advice/education to the patient and/or their carers
- Prescribing, administering and monitoring of medication within NICE guidelines.
The intensive community liaison team includes:
- Service manager
- Advance nurse practitioners
- Community psychiatric nurses
- Occupational therapists
- Community support workers
- Administrative staff.
How to access the service
Referrals to the service are accepted from:
- Care homes (Tees wide)
- Primary care services
- Community mental health teams
- Inpatient services (mental health and acute liaison)
- Social services for assistance with placement.