Spinal Injuries Unit Annual Report Appendix 3 - National Services ...

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assessment, treatment and rehabilitation of newly injured patients.other duties as assigned by the Team Lead OTfieldwork educatorOccupational Therapy Assistance x 0.5 WTE is responsible for carrying out assigned patient treatment under the direction of a qualified member ofstaff various clerical, administration and other duties as assignedAll team members provide training for professional under-graduate and postgraduate trainingto students from various health care professions<strong>Appendix</strong> 3.3Clinical PsychologyThe Psychology Department at QENSIU aim is to provide assessment, support, consultationand intervention to patients, their families and staff so as to support the rehabilitation of thosewith a spinal cord injury.Tasks of the DepartmentFirstly psychology can assist in determining to what degree a patient understands theirdiagnosis and prognosis and thereby assist goal planning and rehabilitation. Secondlycomprehensive and timely assessment will assist in the early identification of problems thatlimit rehabilitation and allow targeted intervention and support. The range of problems aremany; adjustment, coping or skills deficits, motivation, anxiety, depression, serious pre-existingmental illness, drug and alcohol problems, or cognitive difficulties or social and relationshipissues. Thirdly while the department’s focus is primarily on the individual intervention andeducation with family and consultation with staff are important components of the psychologycare that is offered at QENSIU. Fourthly the process of adjustment continues into thecommunity over a period of years. The department is available for consultation with treatingclinicians in the community and to provide brief psychological intervention in cases of urgentneed.StaffingStaffing is currently one full time Clinical Psychologist. In the year a Glasgow University thirdyear doctoral clinical psychology trainee has been attached to the unit.Achievements and Developments 2009-2010Team WorkingThe provision of psychology has continued to play a valuable part at QENSIU and strongworking relationships with inter-disciplinary staff have been maintained. A pleasingachievement has been the successful integration of psychology trainees into the unit and tobalance their training within other areas of neurosciences.Teaching and Training13
Lectures to para-medical, medical staff and teaching of students have been ongoing. Links andspeaking to outside groups has grown with lectures to other psychology departments in thecity. Participation in hospital journal clubs and conferences continues.Audit/ResearchAs part of good clinical practice and to support the profile of psychology within QENSIU auditand research continues. Three audit projects have either been led by or contributed to bypsychology in the last year. These included demonstration of patient satisfaction andcompliance with standards related to goal planning and audit and resultant practice change inreferral practices to social work. The project initiated with Mr. Allan, Director, (history andoutcome of those who sustained SCI by suicide) culminated in a journal submission andhopeful publication.Clinical Research LinksThe outpatient service continues as do external consultation and teaching which is now wellintegrated into the current psychology case load. A number of useful discussions haveoccurred about possible research projects with the local training programme and psychology’sinput into the formal research programmes at the unit grows.Clinical ActivityThe department has continued to see every new spinal injured patient. Intact, readmissions orurgent out-patients have been reviewed at medical staff’s request.Table 1: Patients Seen – 31 st of March 2009- 1 st of April 2010New ContactsReturn Appts.New SCI Inpatients 102 319Neurologically Intact Patients 6 38Readmissions 7 19Outpatient 15 34Other Clinical Activity: Consultation, advice to staff, incidental patient/family contact, briefpatient review and participation in goal planning meetings occur regularly and constitutes partof core clinical activity and is not counted in the above figures.DEVELOPMENT GOALS FOR 2010-2011For the current teaching and professional development activities to continue.Completion of a second audit cycle (and development into a paper) of the units practiceon referral to social work.Continuing to develop contact and consultation to community teams.Make more explicit research links with local Universities and further develop thepsychology research in QENSIU.14
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