| South Australia Divisions of General
Practice |
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Resources/activities |
Program links |
| Southern Division |
Discharge Planning
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Coordinated Care Trial |
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- Division has an established mental health program and
a mental health officer
- Division identified 2 GPs with a high mental health case
load and established GP psych-liaison with Morier Ward (Psych
unit) at Noarlunga Health Service
- Now developed into discharge case conferences when the
patients of these GPs are discharged from Morier Ward
- Division has provided advice on which EPC numbers to
use
- This model is now standing on its own
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Mental health
Community linkages
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GPs are being called for a multidisciplinary
discharge planning meeting from the Cardiac Surgical Ward at
Flinders Medical Centre on a regular basis. |
Hospitals |
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Case conferencing and care planning
have been added to the standard model of discharge planning
for patients from the Orthopaedic Ward at Flinders Medical Centre.
A lot of the background development for this was due to the
NDHP3 project. |
Hospitals |
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Mental Health Services |
Mental health
Allied health |
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The Division lobbied MHS's to modify
their procedures to include GPs contribution in care planning
by faxing the care plan. A trial with 15 GPs quelled initial
fears with allied health workers and the model is now working. |
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Supported Residential Facilities |
Residential Aged Care Facilities
Mental health
Community linkages |
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Victor Harbour has 5 Supported Residential
Facilities - hostels. Since many residents have mental health
problems this has been a problem when new arrivals need care
from local services. A case management plan has been developed
between GPs, Glenside Hospital, local hospital and community
mental health so discharge notes are sent down for each person
discharged from Glenside to the SRFs. A care planning meeting
is held, with the GP funded to attend this at the local hospital.
Location of case notes, care plan etc is now determined in advance
of an emergency. |
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The Division is conducting an Innovations
project: a randomized controlled trial in residential care facilities
with emphasis on managing challenging behaviours and performing
medication reviews. Case conferencing is the key tool in this
project. |
Medication reviews
Randomised controlled trial
Mental health
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Contact: sdgp@health.on.net
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Urban Division
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keywords: Coordinated Care Trial, Mental health, Community
linkages, Hospitals, Mental health, Allied health, Residential
Aged Care Facilities, Mental health, Medication reviews, Randomised
controlled trial, Mental health, Urban Division, Community
linkages
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