Sharing the Learning from Innovation in Mental Health Practice
Person Centred Approaches: National Perspectives and priorities for from Mental Health Hugh Masters, Nursing Officer (Ment...
<ul><li>NATIONAL INITIATIVES </li></ul><ul><li>NHSS Quality Strategy Rights, Relationships and Recovery: the National Revi...
The Context
Background and Progress <ul><li>Action 1 and 2 RRR </li></ul><ul><li>10 ESCs Learning materials  </li></ul><ul><li>Realisi...
The 10 Essential Shared Capabilities <ul><li>Working in Partnership </li></ul><ul><li>Respecting Diversity </li></ul><ul><...
10 ESCs  and Learning Materials (Scotland) <ul><li>Developed and piloted in England 2004/2005 </li></ul><ul><li>Then exten...
About the ESC learning <ul><li>Closely linked to exploring own practice and services </li></ul><ul><li>Linked to personal ...
NES/SRN Realising Recovery Learning Materials <ul><li>Similar to ESC materials in layout and nature (action focussed) </li...
Progress  <ul><li>Most mental health nurses now trained in ESCs  </li></ul><ul><li>Strongly embedded in pre registration m...
Evaluation Findings -  translation and enactment within Health Boards Case studies Vanguard Some comparatively substantive...
Evaluation Findings-  Participants <ul><li>The majority reported that the training had positive impact on their individual...
BUT Any impact on service users and carers’ experiences and outcomes not known Education and training is just part of the ...
SRN Scottish Recovery Indicator - SRI <ul><li>Meeting basic needs  </li></ul><ul><li>Personalised services and choice  </l...
Discussion points  <ul><li>Could these approaches be useful in other practice areas? </li></ul><ul><li>National v. local a...
Much More Than a Label A User-Led Project About  Personality Disorder Naomi Salisbury – Development Worker [email_address]...
What is the Personality Disorder Project? <ul><li>Much More Than a Label is a service user-led project which aims to promo...
What is the Personality Disorder Project? <ul><li>Began as a six month consultation funded by NHS Lothian to produce a use...
What Have We Done So Far? <ul><li>Building links with service users </li></ul><ul><li>Extensive consultation </li></ul><ul...
Resource <ul><li>Developed following consultation with over 30 service users </li></ul><ul><li>Results of consultation ana...
Summaries
Personal Experiences
User Views
Reflective Materials
Exhibition <ul><li>Part of wider advocacy exhibition in ‘Scottish Mental Health Arts and Film Festival’ 2010 </li></ul>
Film <ul><li>Aims to give a sensory experience of personality disorder – created using audio recordings with service users...
Training <ul><li>Two day course developed with NHS Lothian and Recovery Network </li></ul><ul><li>Covers information about...
Training
Reference Group <ul><li>Made up of people who have experience of personality disorder diagnosis </li></ul><ul><li>Meets re...
Conferences <ul><li>Supported service users to attend and speak at local and national conferences as well as facilitate wo...
What Have We Found Out? <ul><li>Wasn’t too controversial! </li></ul><ul><li>Importance of consultation and Taking Part </l...
What Next? <ul><li>Continue to develop training </li></ul><ul><li>Consult with service users again </li></ul><ul><li>More ...
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Sharing the Learning from Innovation in Mental Health Practice

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Mental health practice has a long history of person‐centred care approaches and recent initiatives and material have further developed this focus. This session will highlight what impact these initiatives have had..

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Sharing the Learning from Innovation in Mental Health Practice

  1. 1. Sharing the Learning from Innovation in Mental Health Practice
  2. 2. Person Centred Approaches: National Perspectives and priorities for from Mental Health Hugh Masters, Nursing Officer (Mental Health and Learning Disabilities, Scottish Government Educational approaches – what have we done and what have we learned Susanne Forrest, Programme Director, NHS Education Scotland Much More Than a Label: A User-Led Project About Personality Disorder Naomi Salisbury – Development Worker
  3. 3. <ul><li>NATIONAL INITIATIVES </li></ul><ul><li>NHSS Quality Strategy Rights, Relationships and Recovery: the National Review of Mental Health Nursing Recovery approaches Peer Support </li></ul><ul><li>A CURRENT PRIORITY </li></ul><ul><li>Promoting Best Care For Older People And People With Dementia </li></ul><ul><li>General Hospitals </li></ul><ul><li>Mental Health Services </li></ul>
  4. 4. The Context
  5. 5. Background and Progress <ul><li>Action 1 and 2 RRR </li></ul><ul><li>10 ESCs Learning materials </li></ul><ul><li>Realising Recovery Learning Materials </li></ul><ul><li>2 Phase training for trainers </li></ul><ul><li>Local dissemination of training </li></ul><ul><li>Regional Coordinators </li></ul><ul><li>Evaluation 2008-2010 </li></ul><ul><li>Scottish Recovery Indicator </li></ul>
  6. 6. The 10 Essential Shared Capabilities <ul><li>Working in Partnership </li></ul><ul><li>Respecting Diversity </li></ul><ul><li>Practicing Ethically </li></ul><ul><li>Challenging inequality </li></ul><ul><li>Promoting recovery </li></ul><ul><li>Identifying people’s needs </li></ul><ul><li>and strengths </li></ul><ul><li>Providing service user centred care. </li></ul><ul><li>Making a Difference. </li></ul><ul><li>Promoting safety and positive </li></ul><ul><li>risk taking </li></ul><ul><li>Personal development and learning </li></ul><ul><li>Common sense </li></ul><ul><li>Hardly ‘rocket science’ </li></ul><ul><li>We do all of this this already </li></ul><ul><li>Incredibly complex – tensions between the ESCs </li></ul><ul><li>Practitioners often challenged to achieve this sort of working in services </li></ul><ul><li>Would service users and carers agree that they experience this already? </li></ul>
  7. 7. 10 ESCs and Learning Materials (Scotland) <ul><li>Developed and piloted in England 2004/2005 </li></ul><ul><li>Then extensively revised for Scotland </li></ul><ul><li>Launched April 2007 </li></ul><ul><li>Revised version in 2011 </li></ul><ul><ul><li>Introduction </li></ul></ul><ul><ul><li>The 10 ESC </li></ul></ul><ul><ul><li>Values based practice </li></ul></ul><ul><ul><li>Involving service users and carers </li></ul></ul><ul><ul><li>Equality and diversity – respecting difference </li></ul></ul><ul><ul><li>Developing socially inclusive practice </li></ul></ul>
  8. 8. About the ESC learning <ul><li>Closely linked to exploring own practice and services </li></ul><ul><li>Linked to personal and practice/service development- action focused </li></ul><ul><li>Whole team learning – multi professional/agency </li></ul><ul><li>Service users and carers involved as learners and as trainers/facilitators </li></ul><ul><li>Used as part of supervision (group or individual) </li></ul><ul><li>Used to look at ‘real’ issues in practice </li></ul><ul><li>Essential Building Blocks for recovery focussed practice </li></ul>
  9. 9. NES/SRN Realising Recovery Learning Materials <ul><li>Similar to ESC materials in layout and nature (action focussed) </li></ul><ul><li>Driven by body of knowledge established by SRN over the years (narrative research) </li></ul><ul><li>Introduction </li></ul><ul><li>Using self to promote recovery focussed relationships </li></ul><ul><li>Person centred support and planning </li></ul><ul><li>Enabling self direction </li></ul><ul><li>Risk and risk taking </li></ul><ul><li>Connecting with communities </li></ul>
  10. 10. Progress <ul><li>Most mental health nurses now trained in ESCs </li></ul><ul><li>Strongly embedded in pre registration mental health nursing (and other programmes) </li></ul><ul><li>New mental health resource 2011 </li></ul><ul><li>Two new further learning resources planned </li></ul>
  11. 11. Evaluation Findings - translation and enactment within Health Boards Case studies Vanguard Some comparatively substantive positive evidence of impact in terms of peoples’ self-reported thinking and some examples of practice development Mid range Some positive evidence of impact, mostly in terms of peoples’ self-reported thinking. Limited enactment Very little evidence of impact
  12. 12. Evaluation Findings- Participants <ul><li>The majority reported that the training had positive impact on their individual practice </li></ul><ul><li>Many respondents gave examples of team developments related to the training e.g. use of the 10 ESCs as a framework for clinical supervision; improvements in service user involvement; care planning based on users’ own perceived needs and strengths; and development of positive risk taking </li></ul><ul><li>The main aspects that respondents wished to take forward after the training were: developing individual practice; developing related educational activities within the team; ensuring a person- centred approach </li></ul>
  13. 13. BUT Any impact on service users and carers’ experiences and outcomes not known Education and training is just part of the picture
  14. 14. SRN Scottish Recovery Indicator - SRI <ul><li>Meeting basic needs </li></ul><ul><li>Personalised services and choice </li></ul><ul><li>Strengths based approach </li></ul><ul><li>Comprehensive service </li></ul><ul><li>Service user involvement/participation </li></ul><ul><li>Social inclusion and community integration </li></ul><ul><li>Advance planning </li></ul><ul><li>Recovery focus </li></ul>
  15. 15. Discussion points <ul><li>Could these approaches be useful in other practice areas? </li></ul><ul><li>National v. local approaches? </li></ul><ul><li>Demonstrating the outcomes and impact of person centred initiatives? </li></ul>
  16. 16. Much More Than a Label A User-Led Project About Personality Disorder Naomi Salisbury – Development Worker [email_address] 0131 538 7177
  17. 17. What is the Personality Disorder Project? <ul><li>Much More Than a Label is a service user-led project which aims to promote better understanding and support for people who have lived experience of personality disorder diagnosis </li></ul>
  18. 18. What is the Personality Disorder Project? <ul><li>Began as a six month consultation funded by NHS Lothian to produce a user-led resource for staff </li></ul><ul><li>Has expanded into an ongoing collective advocacy project spanning resources, training, the arts and more </li></ul><ul><li>Over 50 people who have been given a diagnosis of personality disorder have been involved from across Lothian </li></ul>
  19. 19. What Have We Done So Far? <ul><li>Building links with service users </li></ul><ul><li>Extensive consultation </li></ul><ul><li>Developing a variety of resources to give service users a voice </li></ul><ul><li>Feeding user views into local planning and strategy groups </li></ul><ul><li>Supporting service users to come to events to give their views </li></ul><ul><li>Input and involvement in other advocacy projects </li></ul>
  20. 20. Resource <ul><li>Developed following consultation with over 30 service users </li></ul><ul><li>Results of consultation analysed, divided into categories and written up to form a resource for staff written by service users </li></ul><ul><li>Uses quotes, illustrations and poetry to convey different views and experiences </li></ul>
  21. 21. Summaries
  22. 22. Personal Experiences
  23. 23. User Views
  24. 24. Reflective Materials
  25. 25. Exhibition <ul><li>Part of wider advocacy exhibition in ‘Scottish Mental Health Arts and Film Festival’ 2010 </li></ul>
  26. 26. Film <ul><li>Aims to give a sensory experience of personality disorder – created using audio recordings with service users and stop animation images </li></ul>
  27. 27. Training <ul><li>Two day course developed with NHS Lothian and Recovery Network </li></ul><ul><li>Covers information about the diagnosis, service user and staff experiences and skills development </li></ul><ul><li>Trainer pool being developed including service users and staff </li></ul>
  28. 28. Training
  29. 29. Reference Group <ul><li>Made up of people who have experience of personality disorder diagnosis </li></ul><ul><li>Meets regularly to discuss progress of the project and plan further work </li></ul>
  30. 30. Conferences <ul><li>Supported service users to attend and speak at local and national conferences as well as facilitate workshops and display artwork </li></ul>
  31. 31. What Have We Found Out? <ul><li>Wasn’t too controversial! </li></ul><ul><li>Importance of consultation and Taking Part </li></ul><ul><li>Service User Views of Diagnosis and Treatment </li></ul><ul><li>Negative perceptions of diagnosis </li></ul><ul><li>People want to know the diagnosis </li></ul><ul><li>Issues around communication and consistency can undermine everything </li></ul><ul><li>Service users and staff do actually want the same things </li></ul><ul><li>Need for staff support and training </li></ul>
  32. 32. What Next? <ul><li>Continue to develop training </li></ul><ul><li>Consult with service users again </li></ul><ul><li>More arts/festival work </li></ul><ul><li>Developing information for service users by service users </li></ul><ul><li>How to involve people more remotely/virtually </li></ul>

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