This case study from the King’s Fund (funded by Aetna and the Aetna Foundation) covers one of five UK-based models of care co-ordination. It is about the Sandwell Esteem Team, at the Sandwell Integrated Primary Care Mental Health and Wellbeing Service (known as the Sandwell Wellbeing Hub). This hub provides a holistic primary and community care-based approach to improving social, mental and physical health and wellbeing.
The borough of Sandwell in the West Midlands is a community with high levels of poverty and ill-health (physical and mental), with a population of 309,000. The aim of the Esteem Team is to supply collaborative shared care to a target population of 20.8 per 1000 people. This high-intensity psychiatric liaison service offers services geared to “mental health, alcohol, dementia and wellbeing screening; co-morbidities and effective medicines management; home treatment, and ambulatory pathways from A&E”. (p.11)
The BUDS (Better Understanding of Dementia for Sandwell) service provides specialist support for dementia sufferers and their carers.
Background on the health and social care system in England:
“Clinical commissioning groups commission core services for people with serious and enduring mental health problems, including neurological and psychiatric disorders such as psychosis, bipolar depression, dementia, Parkinson’s and neuro-muscular diseases. More than 90 per cent of these services are provided in secondary care by mental health trusts working in the community”. (p.7)
Thiel, V. Sonola, L. Goodwin, N. [and] Kodner, D.L. (2013). The Esteem Team: co-ordinated care in the Sandwell Integrated Primary Care Mental Health and Wellbeing Service. London: The King’s Fund / Aetna and the Aetna Foundation, August 2013.
[A brief reference to this item features in Dementia and Elderly Care: the Latest Evidence Newsletter (RWNHST), Volume 3 Issue 9, August 2013].