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Facilitating Service User Involvement. in an Assessment & Treatment Unit. Parkside Lodge is a 12 bedded acute admission service providing highest quality MDT care to people with a LD, specialist focus psychiatry of learning disability.
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Facilitating Service User Involvement in an Assessment & Treatment Unit
Parkside Lodge is a 12 bedded acute admission service providing highest quality MDT care to people with a LD, specialist focus psychiatry of learning disability. • The inpatient service operates a locked door policy and service users are admitted under sections of the Mental Health Act. • Pre-requisite of service is to provide specialist or intensive inpatient assessment and treatment
What Does It Mean? “I can tell you what I want” - Inpatient at Parkside Lodge, Sept 2008
“Learning Disability Nursing is a person centred profession with the primary aim of supporting the well being and social inclusion of people with learning disabilities through improving or maintaining physical and mental health” Good Practice in Learning Disability Nursing DOH (Dec 2007)
PRACTICEInpatient 1 Self Advocacy Focus Discharge Planning • Wrote his own weekly MDT report • Wrote his own leave programme weekly following MDT / outcomes • Wrote his own discharge planning with nursing staff
Treatment Plan4 week timetable to support programme as agreed at professionals Meeting 10 October 2008
WeeklyMDT Report WeeklyMDT Report
PRACTICEInpatient 2 Self Advocacy Focus Clinical Assessment & Core Pathway Planning • Wrote in a daily diary • Met with nursing clinicians and discussed content • Actioned planned what she wanted to happen next • Wrote up own report for MDT
PRACTICEInpatient 3 Recovery & Rehabilitation Re-lapse Prevention • Weekly activity planning • Social skill development • Self esteem / confidence building • Exposure to interactions with others outside hospital settings
PRACTICEInpatient 4 Self Advocacy Focus Future Planning • CPA involvement / participation • Service user involvement representative • Service user CPA focus group representative • Developed his own website
Person Centred ApproachSecuring future placement • Where would I like to live? I would like to stay in Leeds. I would like to remain living in Leeds city itself • What kind of place would I like to live in? Ideally I would like to live in a flat. I would also like to live in a residential home with other people. • Who would I like to live with? I don’t mind living with other people. I would like to live with people my own age. I don’t mind living with men or women.
Person Centred ApproachSecuring future placement • What kind of support would I need? I would like staff support every day. I would like to know that people would be checking on me daily and giving me support in my daily living. I would like help in managing my medication and to help complete my daily chores. I would need help to do my shopping and manage my finance. I would also like help in accessing and maintaining day services. • Where would I NOT like to live. I do not want to live in Wakefield. Other places I do not want to move to are; Scotland, London, Birmingham and Chester • Any Other Considerations I don’t want to live too far away from my father who lives in Leeds.
PRACTICEInpatient 5 Treatment Pathway Involvement and Discharge Planning • Self recording of progress of own treatment plan • Use of individualised language components to promote communication • Utilisation of interests / hobbies to promote involvement in identifying and planning future placement
Patient 5 Patient 5’s move from hospital to her new home
Patient 5’s new home must allow her to do the activities she likes to do. Staff at patient 5’s new home can help her do her morning routine and follow her timetable like she has here at Parkside Lodge What activities does she like to do? WASHING UP WRITING BATH JIGSAW CLEANING SHOPPING READ MATHS WALKS Staff at her home will also be able to look at new activities and different places to visit. Patient 5 likes to write lists of the things she has seen when she has been out.
Patient 5 To make sure we get it right, she needs to write a list of all the things she would like in her new home and the things she would like to take. She already has typed a list saying she would like a pink carpet, pink curtains, pink door, is this still right? Write a list ……………….. 1. 7. 2. 8. 3. 9. 4. 10. 5. 11. 6. 12.
