The Humber Memory Assessment Service

Dr Chris Rewston (Clin.Psych) and Gemma Forshaw

Aims of this presentation• To discuss the demographics of people who use

Humber Memory Clinic.

• What difficulties and needs do people enter MC’s with.

• What, if any, impact has improved screening/awareness at primary care had on MC client group demographics.

Identifier %

Demographic changesClients 2014 (n=417) 2015 (n=416)

Age (years) 80 (53-95) 82 (52-101)

Onset (years) 3.0 (0.3-15) 2.3 (0.3-12)

ACR-III 61 (0-94) 62 (18-89)

Client Anxiety 5 (0-19) 3 (0-20)

Client Depression 4 (0-17) 2 (0-16)

Carers Results

Carer Anxiety 6 (0-20) 5 (0-25)

Carer Depression 4 (0-17) 3 (0-18)

Relatives Stress Scale 16 (0-57) 14 (0-49)

No Dementia

MCI 8% 4%

No Dementia 10% 14%

Analysis of demographics• Negligible correlation between person’s cognitive status

and their affect. (r=0.120, n=319, p=0.033).

• Negligible correlation between onset and depression or anxiety at assessment(r=0.0117, p=0.04).

• Moderate effect when caring for males : carer more likely to be anxious and/or depressed and/or stress. (t=2.124, p=.034) (t3.407, p=.001); (t=2.743,p=.006).

• Males tending to present with higher cognitive scores in clinic (t=2.251, p=.025).

Interventions • Individual Psychoeducation• Social Stimulation• Cognitive Rehabilitation• Assertive Engagement• Case Management• Post Diagnostic Support• Cognitive Stimulation Therapy (CST)• Individual Cognitive Stimulation Therapy (iCST)• Carer Psychotherapy Support/CBT Carer• Life Story Work• Strategies for Relatives (START)• Dementia Advisors (Alzheimer's Society).

PSI Profile Code 2014

%

2015

%

A* 3 1

B* 4 3

C* 3 3

D* 6 12

E 7 1

F 9 2

G 22 25

H** 46 52*SummaryHigher complexity indicated cases (A, B, C, D) = of those formulated 16% (2014) 19% (2015).

**H profile (Lowest intensity of need/support) make up 46% (2014) and 52% (2015) of those formulated.

Profiles

SummaryPositive changes:•Good evidence of earlier detection. •Increase in GP initiated referrals (4th to 1st). •Drop in the number of people with dementia presenting with comorbid anxiety/depression (improved public awareness/ consultations?). •Increase of assessing profiles previously reluctant to engage with services.

Areas for possible attention:•Carer challenged profiles remain largely unchanged. •Males with memory difficulties linked to more carer need.•Males tend to present with high cognitive status.