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 %
30
25
20
15
10
5
0
2014
2015
Demographic changes
Clients
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)
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)
MCI
8%
4%
No Dementia
10%
14%
Carers Results
No Dementia
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).
Profiles
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
*Summary
Higher 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.
Summary
Positive 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.