Development of a Community Recovery Service Progress Report

1
Development of a Community Recovery Service
Progress Report
2
Summary of Agreed Proposals

• Localised, modern Community Recovery Service
  based on the principles of Social Inclusion and
  as defined by best practice (NIMHE)
• Choice of local medication monitoring service
  (clozaril)
• Revised weekday drop-in times
• Weekend drop-in service at the times when they
  are used
• Continued carer support group

3
Summary of Agreed Proposals (continued)

• Maximising service user access to a range of
  community activities and employment
• Ceasing multiple assessments and ensuring one
  over-arching care plan with clear lines of
  clinical accountability

4
Progress to Date

• TORCH service users asked preference of times for
  weekend drop-ins
• TORCH service users asked preference for service
  user or staff led drop-in
• Ex-TORCH service user leading development of
  website for service users concerning the recovery
  model www.recovery-dorset.org.uk
• Carers support group continues (attendees
  requested meetings be less frequent, so now
  bi-monthly except August and December)

5
Progress to Date (cont.)

• Weekend and Day time Drop-in times
• Agreed week day drop-in 9am to 5.30pm
• Revised weekend drop-in times 12pm 4pm, based
  on service user preference
• Staff led drop-in services based on service user
  preference
• Service users, carers staff to be advised of
  new drop-in times from April 2006

6
Progress to Date (cont.)

• Clozaril monitoring
• 16 additional staff trained

• 1 West Bournemouth
• 3 Poole CMHTs
• 1 Dorset Forensic Team
• 2 Nightingale House
• 2 St Anns

• 1 North Bournemouth
• 1 Wimborne District
• 1 Christchurch
• 2 Purbeck
• 3 East Bournemouth
• 1 Early Intervention Service

• Clinics at Hahnemann House, Turbary Park, Kings
  Park Hospital, Nightingale House
• New Clinics in Christchurch and Wimborne
• Home Clinics in Purbeck
• Further Clinic to be established in Poole

7
Progress to Date (cont.)

• Locality Community Recovery Service Teams
• Allocation of resources by local population or on
  past activity (ie service user attendance)
  inconclusive following consultation
• Propose to split by ratio of number of service
  users under CMHTs by locality
• Staff expressing preference for locality teams
  and working in shadow form in-house until
  locality based

8
(No Transcript)
9
Progress to Date (cont.)

• Training in Recovery Model (12 Guiding
  Principles)
• The user of services will direct the recovery
  process, making service user direction essential
  throughout the process.
• The Mental Health System will remain aware of its
  inbuilt tendency to promote service user
  dependency.
• Users of the service will be assisted to recover
  more quickly by having-
• Hope encouraged, enhanced and/or maintained
• Life roles with respect to work and meaningful
  activities defined
• Spiritually considered
• Culture understood
• Educational needs of the individual and
  families/significant others identified
• Socialisation needs identified
• Support to achieve their goals

10
Progress to Date (cont.)

• Individual differences will be considered and
  valued across the lifespan
• Psychological, emotional, spiritual, physical and
  social needs will be considered to make recovery
  from mental illness most effective.
• Recovery will embrace an integrated approach to
  treatment and care that includes
  medical/biological, psychological, social and
  values based approaches.
• Recovery of users of services will be influenced
  by Team members initial and continuing emphasis
  on hope, and on their ability to develop trusting
  relationships.
• Team members will operate from a strengths/assets
  model.

11
Progress to Date (cont.)

• Users of services with the support of Team
  members will develop individual recovery
  management/wellness recovery action plans, which
  will focus on wellness, the treatments and
  supports which will facilitate recovery, and the
  resources that will support the recovery process.
• Involvement of family, partner and friends may
  enhance the recovery process. The user of the
  service will define whom they wish to involve.
• Mental Health Services are most effective when
  delivery is in the context of the service users
  locality and culture.
• Community involvement as defined by the service
  user is central to the recovery process.

12
Progress to Date (cont.)

• Policies
• Community Recovery Service Operational Policy
• Clozaril Monitoring and Follow-up Protocol
• Weekend Drop-in Service Operational Policy
• Social Inclusion Guidance for CMHTs

13
Progress to Date (cont.)

• Evaluation Measures
• Number of service users accessing
• mainstream community groups
• voluntary work
• further education
• supported/sheltered employment
• paid employment -
• receiving local clozaril monitoring
• readmissions

14
Implementation

• Detailed Plan
• Group to monitor / oversee progress to be
  established proposed membership
• Revised drop-in times from April 2007

15
Implementation (cont.)

• Shadow Locality Teams being established
• New referrals
• Meet agreed criteria
• Allocated to locality CRS Team
• Packages of care to be delivered in local
  community in line with CRS model
• One over-arching ICPA care plan
• One set of integrated notes and further care
  reviews integrated

16
Implementation (cont.)

• Existing service users
• To complete 12 week programme as per existing
  policy
• Care reviews to take place at end of 12 weeks to
  agree
• Move on from TORCH / CRS (if appropriate)
• Identify future needs/goals specific
  interventions in line with CRS
• To agree revised package of care with service
  user, carer, care coordinator
• Integrate into ICPA care plan

17
Communication

• Trust website
• www.dorsethealthcare.nhs.uk
• Service user lead website
• www.recovery-dorset.org.uk
• East Dorset Mental Health Carers Forum website
  www.edmhcf.org.uk
• Monthly update to service users meetings
• Hard copies of progress reports action plans
  available
• Develop new Community Recover Service Leaflet