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Newport Assertive Outreach Team. Not Just A Taxi Service. AGENDA. Introductions and Aims Songs Model of Service How Do We Make Decisions-Risks, Rights and Responsibilities Team Approach and Statistics. SONGS. MODEL OF SERVICE. Conduct outreach to establish regular contact

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newport assertive outreach team

Newport Assertive OutreachTeam

Not Just A Taxi Service

agenda
AGENDA
  • Introductions and Aims
  • Songs
  • Model of Service
  • How Do We Make Decisions-Risks, Rights and Responsibilities
  • Team Approach and Statistics
engagement shaping an effective working alliance
Conduct outreach to establish regular contact

Being useful-provide practical help and support

Establish open, honest communication through active listening, getting to know the person behind the illness.

ENGAGEMENTShaping an effective working alliance
engagement psychosocial interventions
ENGAGEMENTPsychosocial interventions
  • Gaining knowledge of family
  • Starting to assess Activities of Daily Living
  • Awareness of physical health
  • Awareness/assessment of substance misuse
  • ‘Accepting’ conversations regarding perceptions of mental health
engagement medication symptom management
ENGAGEMENTMedication/Symptom Management
  • Medication delivery
  • Ensure medication available
  • Monitoring medication compliance
engagement medication symptom management9
ENGAGEMENTMedication/Symptom Management
  • Starting to assess side effects
  • Symptom acknowledgement and monitoring
  • Weekly medication supervision and review if necessary
developing a partnership psychosocial interventions
DEVELOPING A PARTNERSHIP Psychosocial interventions
  • Continue regular contact start to negotiate continued contact
  • Building a trusting relationship through reliability and advocacy
  • Working more in collaboration towards resolution of practical tasks
developing a partnership psychosocial interventions11
DEVELOPING A PARTNERSHIPPsychosocial interventions
  • Information re: illness/medication if wanted
  • Introduction to stress/vulnerability model through informal conversation
  • Informal coping strategies
  • Establishing relationships with family/carers as appropriate to include carers assessment, if appropriate
developing a partnership psychosocial interventions12
DEVELOPING A PARTNERSHIPPsychosocial interventions
  • Identifying interests, strengths, skills and aspirations
  • Monitor any physical health changes.
  • Consider Motivational Interviewing intervention at contemplation stage re substance misuse if appropriate
developing a partnership medication symptom management
DEVELOPING A PARTNERSHIP Medication/Symptom Management
  • Assessment of side effects
  • Assessment of symptoms
  • Reality checking
  • Ongoing monitoring and management of medication compliance
active treatment shaping an effective working alliance
ACTIVE TREATMENTShaping an effective working alliance
  • Regular agreed contact
  • Supporting progress and concordance with the plan
active treatment psychosocial interventions
ACTIVE TREATMENTPsychosocial interventions
  • Reinforce coping strategies
  • Consider Occupational Therapy assessment
  • Consider ‘family work’ if appropriate
  • Physical health education and support
active treatment psychosocial interventions16
ACTIVE TREATMENTPsychosocial interventions
  • Goal setting – strengths based/solution focused interventions-future plans-timetable for activities
  • Help service user to repair burnt bridges to re-establish relationships
  • Enlist family support for sustained lifestyle changes
  • Engage in MI re: Substance Misuse if appropriate
active treatment medication symptom management
ACTIVE TREATMENTMedication/Symptom Management
  • On-going support
  • Development of relapse indicators with service users, steps to be taken and advance directives
relapse prevention shaping an effective working alliance
RELAPSE PREVENTIONShaping an effective working alliance
  • Maintain/consider reduction in contact
  • Promote development of their supportive relationships
  • Boost self efficiency/positive reinforcement and consider other areas of development – move towards independence
relapse prevention psychosocial interventions
RELAPSE PREVENTIONPsychosocial interventions
  • Develop a formal relapse prevention plan
  • Continue with Psychoeduction
  • Provide information related to health, well being and lifestyle change
  • Help service users learn how to obtain information themselves
  • Explore a service user becoming a peer educator for others
relapse prevention medication symptom management
RELAPSE PREVENTIONMedication/Symptom Management
  • Promote independence with medication compliance
  • Psychoeduction on long term use and effects of medication
  • Continued symptom monitoring.
senario
SENARIO
  • What risks do we need to consider
  • What and whose rights should be influencing our decision making?
  • Who holds responsibility and for what?
human rights agenda
HUMAN RIGHTS AGENDA
  • Fairness
  • Respect
  • Equality
  • Dignity
  • Autonomy
how do we deliver our service
HOW DO WE DELIVER OUR SERVICE
  • Daily handover
  • Weekly team meeting-psychiatrist
  • 3 monthly review of risk management plan at team meeting
  • 3 monthly CPA
  • 6 month review of relapse indicators
how do we deliver our service25
HOW DO WE DELIVER OUR SERVICE
  • All staff see all service users
  • Different voices but the same song
has it worked service user evaluations
HAS IT WORKED?Service user- Evaluations
  • Understand my problems
  • They lift my spirit when I see them
  • They are fascinated by my beliefs
  • They treat me with respect
  • I don’t feel isolated
  • I need to be in my community, the AOT helps with speaking to the benefit agency
  • I haven’t got any bad things to say except I’d like to get off the depot-they are doing their best.