Home' Southern Health News : Southern Health News - December 2014 Contents Morphett Vale
resident Karen Wright
the FMC ED until
receiving support from
Care Team Case
Worker Kate Bell.
BY KYLA GOODFELLOW
For Morphett Vale resident Karen
Wright, the Flinders Medical Centre
Emergency Department (ED) had
become an all too familiar last resort
for medical and emotional help.
Karen, 41, lives with an intellectual disability
and has long struggled to manage her Type
2 Diabetes, asthma, depression and anxiety.
Her situation was compounded in July this
year with the death of her mother and
primary carer. Living alone and receiving no
formal support, Karen was rushed to the ED
by ambulance almost every month.
It was during a hospital visit in September
that the Community Complex Care Team
(CCCT) – an initiative of the Southern
Adelaide Local Health Network (SALHN) –
identified Karen and swung into action. She
was assessed as suffering from severe social
isolation and unable to cope with the day-to-
day running of her life.
The CCCT supports people who are at risk of
avoidable hospital admissions due to chronic
health conditions or combined health and
social needs. The team focuses their support
on individuals who have had three or more
avoidable ED visits or unplanned hospital
admissions in the past 12 months.
Since the service began in August 2013,
unnecessary hospital presentations for clients
enrolled in the program have reduced by 60
per cent at FMC and Noarlunga Hospital.
Karen is among more than 460 patients who
have been supported by the service so far.
Over the past three months, CCCT Case
Worker Kate Bell has worked intensively
with Karen to develop a consistent network
of support, including structured social
activities, more supportive accommodation,
assistance with shopping and cleaning
through Domiciliary Care, re-engagement
with her GP and the development of a
practical health care strategy.
Karen has not presented to the ED since
these strategies have been in place. For this
she is grateful.
“Without the Complex Care Team I would
have been in a mess,” Karen said.
CCCT program lead, Heather Vogelzang,
said the service aimed to prevent multiple
hospital presentations among people who
could be seen more appropriately in the
“It’s important that they don’t see the ED as
a stop gap to meet their needs,” she said.
“What I think the CCCT provides is a really
positive opportunity for people to go out
into the community knowing that they can
have their needs met in the community.”
The success of the CCCT program was
recognised at the SA Health Awards last
month, winning the award for Innovation in
Out of Hospital Strategies and Care.
BY SARAH KOLAR
Margaret Tobin Centre’s Psychiatric
Intensive Care Unit (PICU) has seen a
54 per cent reduction over a 12 month
period in incidents of seclusion and
restraint among its complex mental
The centre, which is collocated with Flinders
Medical Centre, has reduced the episodes of
restraint and seclusion in the eight-bed PICU from
444 in 2012/13 to 203 in 2013/14.
Staff who work in the unit recently received
recognition for their efforts at the 2014 SA Health
Awards, winning the category for Improving
Clinical Service Coordinator Dulcey Kayes said
the award reinforced the team’s work to reduce
harm and provide a therapeutic environment
where patients feel supported in their recovery.
“We want patients to feel like an integral and
major part of their multi-disciplinary care plan
and any treatment and nursing care that takes
place with them, including their families and any
carers,” Dulcey said.
“Incidents of restraint and seclusion can be
traumatic for consumers and staff, so the reduction
in restraint and seclusion has led to improvement
in the everyday lives of consumers and staff due to
the number of potentially traumatic experiences on
the ward being reduced.”
Restraint and seclusion is used when all other
strategies to de-escalate a situation have been
attempted and the consumer is still posing a risk
to themselves or others.
In an effort to reduce the number and duration
of episodes of restraint and seclusion, the unit set
up a Restraint and Seclusion Reduction Program,
which includes a review panel that meets
fortnightly to assess all incidents of restraint and
seclusion. The review panel discusses ways to
improve practice and identify early intervention
strategies which could have been considered or
trialled to prevent further restraint.
The program also includes shared activities, stress
management, sensory modulation and relaxation
activities, which are run by nursing, social work,
psychology and occupational therapy staff.
Dulcey said the program had been beneficial
for staff, allowing them to spend less time
undertaking behavioural management activities
and more time building therapeutic relationships
SOUTHERN HEALTH NEWS / DECEMBER 2014 / 5
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