Introducing an integrated care pathway in an acute mental health inpatient unit

2002 ◽  
Vol 5 (6) ◽  
pp. 12-15 ◽  
Author(s):  
Andy Nott
2005 ◽  
Vol 9 (3) ◽  
pp. 101-105
Author(s):  
Robert Grant ◽  
Julie Hall ◽  
Roger Pritlove

This is the second paper of two, which considers the development, use and evaluation of an integrated care pathway (ICP) for acute inpatient mental health care. This paper reports an evaluation that was carried out to measure the impact of an ICP (described in Part 1) on the interventions it was designed to guide. The methodology used was pre- and post-ICP comparison of activities/care recorded in health-care records using delineating measures. Data were gathered from the notes of 23 service-users who had two inpatient stays within a year, one pre-ICP and one post-ICP. The findings suggested an overall improved provision of interventions, although as the ICP progressed the likelihood of receiving interventions fell. Three specific aspects were not affected by the ICP, these were giving information about observation levels to service-users, care planning and medical interventions. These issues are discussed and the conclusion raise implications for further ICP development and implementation.


2005 ◽  
Vol 9 (2) ◽  
pp. 67-73
Author(s):  
Julie Hall ◽  
Robert Grant ◽  
Roger Pritlove

This paper is the first of two which consider the development, use and evaluation of an integrated care pathway (ICP) for acute inpatient mental health care. The care pathway discussed is in use on seven inpatient wards within a UK mental health trust. Pathway development began in January 2003, and after a pilot period the pathway was fully implemented in June 2003. Since that time the pathway has been revised twice and the current version can be viewed at http://www.nimhe-em.org.uk/pages/integrated_care_pathways/index.shtml . This paper describes ICP development and implementation, with extracts from variance reports, compliance audits and concluding with lessons learnt from the process. Paper 2 of the series, which follows, describes an evaluation of the pathway's impact upon securing interventions.


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