All change: a stroke inpatient service’s experience of a new clinical neuropsychology delivery model
Adults presenting to stroke services are frequently faced with the challenge of adjusting to a different life following a stroke. Difficulties often include cognitive impairments, such as memory deficits, attention and language difficulties, and mood disturbances such as anxiety and depression. It h...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2019-01-01
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| Series: | BMJ Open Quality |
| Online Access: | https://bmjopenquality.bmj.com/content/8/1/e000184.full |
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| author | Ndidi T Boakye Richard Scott Aisling Parsons Shai Betteridge Melody A Smith Gill Cluckie |
| author_facet | Ndidi T Boakye Richard Scott Aisling Parsons Shai Betteridge Melody A Smith Gill Cluckie |
| author_sort | Ndidi T Boakye |
| collection | DOAJ |
| description | Adults presenting to stroke services are frequently faced with the challenge of adjusting to a different life following a stroke. Difficulties often include cognitive impairments, such as memory deficits, attention and language difficulties, and mood disturbances such as anxiety and depression. It has been highlighted that psychological care for this group is just as important as physical rehabilitation. Psychological expertise may therefore be required for the multitude of problems that occur after a stroke. UK National guidelines recommend routine assessment and management of mood and cognition after stroke. The aim of this study was to evaluate a new stroke clinical neuropsychology service developed by the Department of Neuropsychology and Clinical Health Psychology, in order to meet the needs of stroke survivors and their families referred into a large acute hospital. This involved using a different skill mix of staff across one post delivering a service in an acute inpatient stroke unit. This model was evaluated and results revealed that the model delivered increased patient access to neuropsychological support, an expansion in provision of clinical work, along with positive multidisciplinary team feedback. This finding is key as where resources are limited, clinical services may benefit from adopting a ‘skill mix’ model to meet the varying needs of their patients in a timely manner. This model serves to raise the value of psychology to medical services. |
| format | Article |
| id | doaj-art-65fac737e34a431db295d268f3b04a6c |
| institution | OA Journals |
| issn | 2399-6641 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Quality |
| spelling | doaj-art-65fac737e34a431db295d268f3b04a6c2025-08-20T02:27:56ZengBMJ Publishing GroupBMJ Open Quality2399-66412019-01-018110.1136/bmjoq-2017-000184All change: a stroke inpatient service’s experience of a new clinical neuropsychology delivery modelNdidi T Boakye0Richard Scott1Aisling Parsons2Shai Betteridge3Melody A Smith4Gill Cluckie51 Department of Neuropsychology and Clinical Health, St George’s University Hospitals, London, UK1 Department of Neuropsychology and Clinical Health, St George’s University Hospitals, London, UK1 Department of Neuropsychology and Clinical Health, St George’s University Hospitals, London, UK1 Department of Neuropsychology and Clinical Health, St George’s University Hospitals, London, UK1 Department of Neuropsychology and Clinical Health, St George’s University Hospitals, London, UK2 Stroke Service, Department of Neurosciences, St George’s University Hospitals, London, UKAdults presenting to stroke services are frequently faced with the challenge of adjusting to a different life following a stroke. Difficulties often include cognitive impairments, such as memory deficits, attention and language difficulties, and mood disturbances such as anxiety and depression. It has been highlighted that psychological care for this group is just as important as physical rehabilitation. Psychological expertise may therefore be required for the multitude of problems that occur after a stroke. UK National guidelines recommend routine assessment and management of mood and cognition after stroke. The aim of this study was to evaluate a new stroke clinical neuropsychology service developed by the Department of Neuropsychology and Clinical Health Psychology, in order to meet the needs of stroke survivors and their families referred into a large acute hospital. This involved using a different skill mix of staff across one post delivering a service in an acute inpatient stroke unit. This model was evaluated and results revealed that the model delivered increased patient access to neuropsychological support, an expansion in provision of clinical work, along with positive multidisciplinary team feedback. This finding is key as where resources are limited, clinical services may benefit from adopting a ‘skill mix’ model to meet the varying needs of their patients in a timely manner. This model serves to raise the value of psychology to medical services.https://bmjopenquality.bmj.com/content/8/1/e000184.full |
| spellingShingle | Ndidi T Boakye Richard Scott Aisling Parsons Shai Betteridge Melody A Smith Gill Cluckie All change: a stroke inpatient service’s experience of a new clinical neuropsychology delivery model BMJ Open Quality |
| title | All change: a stroke inpatient service’s experience of a new clinical neuropsychology delivery model |
| title_full | All change: a stroke inpatient service’s experience of a new clinical neuropsychology delivery model |
| title_fullStr | All change: a stroke inpatient service’s experience of a new clinical neuropsychology delivery model |
| title_full_unstemmed | All change: a stroke inpatient service’s experience of a new clinical neuropsychology delivery model |
| title_short | All change: a stroke inpatient service’s experience of a new clinical neuropsychology delivery model |
| title_sort | all change a stroke inpatient service s experience of a new clinical neuropsychology delivery model |
| url | https://bmjopenquality.bmj.com/content/8/1/e000184.full |
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