Download Community Services Presentation - ACT Health

A Healthy Cooking Skills Session for
Recovering Alcohol and Drug Patients: Does
it work?
Joint Community Care Nutrition Services and Withdrawal Service
Quality Improvement Project
March 2011 to June 2014
This presentation will cover:
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What were the stages of the project?
What were project’s aims?
Have we achieved what we set out to do?
Unexpected outcomes and lessons learnt
Where to now?
What were the stages of the project?
Withdrawal Service Request
Request for staff education on nutrition and a manual to run healthy
cooking sessions.
CC Nutrition Manager accepted the request as nutrition interventions
for AOD and MH consumers was a priority.
Planning and Implementation of Quality Improvement Project
Staff Education on nutritional management of conditions and running
nutritional education sessions. Development of facilitators guide for
healthy cooking sessions.
Co-facilitation of sessions by dietitians to support nurses.
Project Evaluation and Dissemination of Findings
Withdrawal Service Nurses collected patient post session surveys.
Survey analysis and reporting coordinated by CC Nutrition.
Why was working with AOD and
MH clients a team priority?
 The Nutrition team had just received funding as
part of the Healthy Communities Initiative.
 Alcohol and other Drug (AOD) clients have a
poorer nutritional status than the general
population1.
 Many AOD clients have a mental illness. People
with a mental illness are dying up to 32 years
earlier than the rest of the population due to
preventable physical health and lifestyle related
issues2.
 The nutrition team does not have the capacity to
provide weekly nutrition education sessions to
Withdrawal Service patients.
1.
2.
Neale et al., 2011
National Mental Health Commission, 2012.
What were the project’s aims?
 To develop, deliver and evaluate an evidence
based nutrition training program for Withdrawal
Service Nursing Staff.
 To develop interactive Nutrition Education and
Healthy Cooking Sessions for staff to deliver to
Withdrawal Service Patients.
 To train Nursing Staff to deliver the Nutrition
Education Sessions.
 To evaluate the effectiveness of Nutrition Education
Sessions.
What is a nutrition and healthy
cooking session?
What is a nutrition and healthy
cooking session?
Have we achieved what
we set out to do?
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Withdrawal Service Nurses received regular
training by a dietitian on:
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Nutritional needs of their AOD patients
Conducting nutrition education sessions in the form
of Healthy Cooking Sessions.
Withdrawal Service Nurses were supported
with:
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A facilitator’s manual for Conducting Healthy Cooking
Sessions
Co-facilitating some sessions
Data entry and analysis of patient surveys for
evaluation of the Healthy Cooking Sessions
Evaluation of Healthy Cooking
Sessions
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1ACT
299 patients attended healthy cooking
sessions between August 2012 and
February 2014
60% male; 40% female.
Low fruit intake: 0.9 serves per day
(1.8 serves for ACT population1)
Low vegetable intake: 1.9 serves per day
(2.6 serves per day for ACT population1)
Health, Chief Health Officer’s Report 2012, ACT Government,
Canberra.
Evaluation of Healthy Cooking
Sessions (continued)
Evaluation of Healthy Cooking
Sessions (continued)
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Confidence levels for preparing and cooking new
foods were unchanged in people with low
confidence levels prior to the session.
 74% of participants intended to use the information
provided positively in their everyday life.
“Eat more fruit and vege”
“I can cook fried rice now.”
“I will have less soft drink.”
“To help myself and my family to eat healthier meals.”
“Better shopping, recipes, more home cooking.”
Unexpected outcomes and
lessons learnt
 Favourable mention during accreditation in 2012 as an example of
two services working well together
 Allied Health Grant to analyse data and complete extra components
of the project
 Presentation for CHARM
 Poster presentation for the Dietitians Association of Australia
Conference
 The Nutrition team has recently delivered 5 nutrition in-services to
Mental Health and Alcohol and Drug Service teams
 Clear aims and objectives from the start
Where to now?
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Withdrawal Service Nutrition Education and Healthy
Cooking Sessions have been continuing without
CCP support since 30th June 2014.
Patients continue to receive a Nutrition Information
Package which includes recipes and resources to
use at home.
Patients are informed about organisations such as
the Australian Red Cross, Karralika and The
Rainbow who run regular healthy eating education
programs for people with substance use issues and
mental illness in the community.
The Withdrawal Service is considering a 6 month
follow up with patients to look at longer term project
outcomes.
Acknowledgements
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Withdrawal Service Patients
Jo Taylor and her Withdrawal Service Nursing Team
Funding from the Healthy Communities Initiative
Inner North Canberra
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This is a joint Australian and Territory Government initiative
under the National Partnership Agreement on Preventive
Health.
Allied Health Advisor’s Office in ACT Health for an
Allied Health Research Support Grant