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Recovery Across Lothian. Moving from Awareness into Practice. Others definitions.

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Recovery across lothian

Recovery Across Lothian

Moving from Awareness into Practice


Others definitions
Others definitions

  • “What matters in recovery is not whether we’re using services or not..; using medication or not… What matters in terms of a recovery orientation is, are we living in the life we want to be living? Are we achieving our personal goals? Do we have friends? Do we have connections with the community? Are we contributing or giving back in some way?” Pat Deegan


History of recovery in scotland
History of Recovery in Scotland

  • User movement, Hearing Voices Network

  • National Programme 2003

  • Establishment of SRN 2003

  • National conferences

  • Mental Health (Care and Treatment) (Scotland) Act 2003

  • National Review of Mental Health Nursing 2006

  • Delivering for Mental Health (2006)


Recovery across lothian1
Recovery across Lothian

  • A Joint Mental Health and Well-being Strategy for Lothian

  • Training for Trainers

    • 20 participants involved

    • 5 days - intensive

    • Statutory, non statutory providers, users and carers

    • Working towards recovery – Ron Coleman and Karen Taylor

    • Group gelled well helped by facilitation

    • Inspirational


Following on from training
Following on from training

  • Lothian Recovery Steering Group formed

  • Awareness raising sessions major part of our work – 1 hour to 1 day in length

  • Group used PATH to identify direction of travel and priorities

  • Organisation buy-in, supported by Scottish context

  • Framework developed – strand of joint mental health and wellbeing strategy for Lothian

  • Evaluation of the training


Organisational support
Organisational support

  • Evening event for managers and strategic players in mental health

  • Included in the Lothian strategy

  • Meeting with managers re barriers

  • Strategic Planning support

  • Development of Framework

  • Needed support for change management


Framework for recovery
Framework for Recovery

  • Includes action plan and objectives

    1. Learning from Lived Experience

    2. Peer Support

    3. Training and Development

    4. Encouraging the organisation to recover

    5. Support Evaluation and Research


Lothians next steps
Lothians next steps

  • Awareness raising to continue including specialist services

  • Evaluation/ benchmarking

  • Clinical skills training

    • Self management

    • WRAP

    • PATH

    • PCP

    • Support to peer support workers

    • Interface with 10 ESC’s and Lothian Psychological Interventions Network


Recovery across lothian

“Recovery for me would be for Brendan to have the best quality of life regardless of illness - to be as happy, independent and optimistic as possible - to have the ability to do something with his life regardless of what it is - to have friends, relationships and be loved”.


Recovery across lothian

“Although I’m not active in the financial economy I’m active in the social economy of volunteering which has been of great benefit and has helped me enormously”.


Recovery across lothian

“Maintenance is not good enough. We are real people, who seek empowerment to discover and fulfil our potential”


Recovery across lothian

“One of the most important things was that the staff at Redhall were able to hold the hope for me when I was unable to see it for myself and they refused to give in to my despair”.


Recovery across lothian
PATH Redhall were able to hold the hope for me when I was unable to see it for myself and they refused to give in to my despair”.

Recovery is embedded in mental health nursing in Lothian

Positive and Possible

July 2008

Able to demonstrate a move towards recovery orientated practice


Mental health nursing in lothian
Mental Health Nursing in Lothian Redhall were able to hold the hope for me when I was unable to see it for myself and they refused to give in to my despair”.

  • Assessment process – strengths base, holistic, person centred

  • Positive risk taking / Risk Management

  • Care Planning – crisis plans, WRAP

  • Integrated care pathway development – generic pathway crucial- recovery orientated

  • Training additional champions

  • Tidal Model in acute care – how to join up the community services

  • Recovery focussed documentation


What helps organisational and cultural change required
What helps organisational and cultural change required Redhall were able to hold the hope for me when I was unable to see it for myself and they refused to give in to my despair”.

  • Growing body of evidence

  • KSF post outlines and PDP process

  • Effective clinical supervision networks

  • Resourcing of the recovery agenda – time most important

  • Application of valid model with recovery at it heart

  • User involvement in more meaningful ways


Barriers
Barriers Redhall were able to hold the hope for me when I was unable to see it for myself and they refused to give in to my despair”.

  • Attitudes

    • Doing it already

    • It’s not for everyone – it’s exceptional

    • Resourcing

    • Change for users

    • Low expectations


Discussion
Discussion Redhall were able to hold the hope for me when I was unable to see it for myself and they refused to give in to my despair”.

What is happening in your area?

What has worked well?

What should we avoid?

How to keep mental health nurses included and learning from each other?


Vision for the future
Vision for the future Redhall were able to hold the hope for me when I was unable to see it for myself and they refused to give in to my despair”.

  • Recovery embedded in mental health services .

  • Benchmarking allowing users and practitioners to decide where they will receive and deliver treatment

  • Living well expected for all