the cit: community innovations team. cit – an integrated team cit hcc adult services voluntary...
Post on 22-Dec-2015
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The CIT:
Community Innovations
Team
CIT – An Integrated team
CIT & HCC ASD’s “Hampshire Model” 3 Core Themes to The Model:
• Self Directed Support (mainly long-term)• Crisis care & re-ablement (acute)• Prevention & Early Intervention – “PEI” (maintaining well-being, preventing deterioration)• CIT is located in PEI, which is located within
“Wellbeing & Partnerships” within HCC Adult Social Services (ASD).
CIT & The Universal Offer:• Access to quality information & advice• Access to everyday life• Active citizenship• That ‘little bit of help’ to manage own health
& wellbeing
Wellbeing & Partnerships - Vision
• A single network of support - with an early intervention and prevention pathway - for people who require support but who are not in the care system.
• There are a wide range of services currently in existence without which the only option for many older people would be care services
Eligibility• Older people in the Community over the age of 55
years• Struggling to maintain their independence, or• Require some support to lead a fulfilling lifestyle• Who are not in crisis • Not in receipt of statutory support (not FACs eligible)
Increasing independence
CIT involvement
No need
Low need
Moderate need
Substantial need
Critical need
Who Do CIT Work With?
What We Do
Increase Independence
Improve Health and Wellbeing
Early Intervention and Prevention
Reduce Risk
Multi – Disciplinary Team
OT
CDW
SW
CSW
LinkNurse
Occupational Therapist• Wellbeing Assessment• Create support plans with client• Equipment and Adaptations• Anxiety Management• Memory Work• Meaningful Activity• Signposting• Links with Adult Services and Health
Social Worker
• Wellbeing Assessment• Create support plans with client• Housing & Benefits• Grief Work• Social Interaction• Carers• Signposting• Care needs; links with Adult Services
Community Support Worker• Hands On • Turn support plan in to reality• Establish rapport with the client• Build Confidence• Graded support to attend social activities
Council of Voluntary Service (CVS)– Community Action Fareham
– Gosport Voluntary Action• Support for voluntary and community groups• Provision of services: Dial-a-Ride;
Shopmobility; Home-Helps; Gardening; Befriending; Car Schemes
CIT and OT Direct
• Don’t Quite Meet Eligibility Criteria• Unable to Fast Track• ‘Just Not Sure’ Referrals• Memory Difficulties or Anxiety• Socially Isolated and Lonely• Limited Meaningful Activity• Employment and Volunteering
Case Study
69 years old
Low mood
Mobility difficulties
Lives aloneOPMH referral
Bathing
Lonely
Re-housing
Adoption services
Sensory needs
Key Findings
• Socially isolated.• Low in mood.• Concerns re housing
• Couldn’t manage shower or bed transfer
• Mobility difficulties.• Information required on POA.• High risk sensory needs. • Emotional support due to adoption.• High risk of falls.
Support Plan - CSW
• Shower board and bed lever • Pendant alarm/Telecare• Low mood management/liaison with OPMH.• Medication management.• Meaningful activity – books and banter, art classes• Contacted In Touch – Home Improvement Agency • Sensory referral• Adoption services- accessing records• Finance advise- POA.• Falls assessment.• Environmental health support.• First Wessex referral- ongoing support
Fareham and Gosport CIT
• Covers all local authority areas• All GP practices within the council boundaries• Referral from any source, self-referral,
voluntary, relative and via Hants Direct • Client permission & agreement essential
Fareham and Gosport CIT• Average age referral 75• Referral source ,self/adult services and partners in
health• Average support plan provided four or more services
ranging from :-• OT Support, Domestic and support services,
Voluntary services through driving, support with groups and clubs/social interaction, exercise groups
• Referral to statutory services/GP/mental health services
Further Information & Contacts
• [email protected] PEI Manager – South & East Tel: 07590 774265 / 01962 832174 • CIT Fareham: Tel: 01329 514116 Based at Fareham Reach on A32 (Fareham Adult Services Office)• [email protected]: Team Leader Social Worker (F&G)• [email protected] : Occupational Therapist• [email protected] : Community Support Worker• CIT Gosport: 02392 432001 • Based at Gosport Adult Services Office, Stokes Rd, Gosport• [email protected]: Team Leader Social Worker (F&G)• [email protected]: Social Worker• [email protected]: Community Support Worker• [email protected]: Occupational Therapist
Any Questions