Salisbury Foundation Trust

FOI_5367

Internal Reference Number: FOI_5367

Date Request Received: 25/10/2019 09:32:48

Date Request Replied To: 25/11/2019 14:11:45

This response was sent via: By Email

Request Summary: Dementia Therapies

Request Category: Media

 
Question Number 1:
Are patients with dementia able to access any of the following therapies (i.e. from dementia services, memory services, memory clinics or mental health services within the Trust)?
a. Group cognitive stimulation therapy
b. Group reminiscence therapy
c. Cognitive rehabilitation or occupation therapy
d. Multi-sensory stimulation
e. Cognitive training
 
Answer To Question 1:
a) Group cognitive stimulation therapy:
We do not offer formal therapy by a trained therapist. However, Engage do use volunteers on a regular basis to provide cognitive stimulation activities for patients who are able to engage in them:
Patients taken off ward to restaurant/garden to enjoy drink/change of scene/conversation/companionship: Volunteers often initiate group discussion based on an item taken along, i.e. Autumn leaves, or a word puzzle that can be shared. Very popular with patients and enables us to provide social and cognitive stimulation, as well as peer support for patients.

Elevate – also provide cognitive stimulation on a regular basis to selected wards, by using music, singing, creative reminiscence poetry, dance and storytelling to patients on those wards – 1-2 hrs per week per ward.

On Spire ward OT’s and therapy assistants provide cognitive stimulation through the use of the magic table on the ward, memory café. We are not sure if OT’s on other wards do anything similar (although they do not have the same resources as Spire ward).

b) Group reminiscence therapy:
Again no formal therapy is delivered but both Elevate and Engage, as well as OT’s on Spire do do the following:
Patients enjoying a drink in Springs (and at the bedside 1:1) are encouraged to reminisce about special times/events in their lives as we acknowledge such conversations are more usually more meaningful and enjoyable to patients, particularly those who are feeling confused about their current predicament or have dementia. Aim is also to help patients gain a sense of self-identity and reassurance.

Reminiscence covered by poetry and singing with Elevate, and by use of the memory café on Spire by OT’s.

c) Cognitive rehabilitation or Occupational therapy:

The above input as described provides some cognitive rehabilitation. As before no formal therapy carried out by trained cognitive therapists. OT’s present on all wards and are actively involved in the rehabilitation of patients with and without cognitive issues. Engage have added:

Research conducted by Engage some years ago indicated that our service enhances the psychological and emotional well being of older adults in hospital, by reducing anxiety and lowering levels of depression. Our research also indicate that we contribute to the general rehabilitation and recovery of patients and that Engage is a contributing factor to reduced length in hospital (although we acknowledge this finding is complex and linked to many other factors).

d) Multi-sensory stimulation:
As well as all above, we supply knitted “fiddle muffs” to patients with confusion, and on Spire ward again use Magic table, and have puzzles etc available for use. Engage and Elevate provide their input as described and Engage have added:
- Some volunteers are trained to use the 'Magic Table' and engage in the use of this with patients. Volunteers have opportunity to use music, artwork, pictures, puzzles and games with patients, both individually and in groups. Reading newspapers/books either with or to patients
e) Cognitive Training:
Again no formal input here (as we do not have the resources) but the combination of active rehabilitation (on all wards) plus input from Elevate and Engage will provide informal cognitive training.

Availability:
Engage:
We cover all general hospital wards incl the spinal unit.
The service operates Monday to Friday and we have volunteers in between 9.30-12.30/1pm and 1pm-4pm. Volunteers are in every morning. Coverage during the afternoon is being worked on and we hope 12 new recruits will mean we can state that we have volunteers in all day, every day.

Elevate:

The schedule has music, singing, creative reminiscence, poetry, dance and storytelling sessions on Tuesday, Wednesday, Th
 
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