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Newport Assertive Outreach Team

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

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  1. Newport Assertive OutreachTeam Not Just A Taxi Service

  2. AGENDA • Introductions and Aims • Songs • Model of Service • How Do We Make Decisions-Risks, Rights and Responsibilities • Team Approach and Statistics

  3. SONGS

  4. MODEL OF SERVICE

  5. 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

  6. 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

  7. ENGAGEMENTMedication/Symptom Management • Medication delivery • Ensure medication available • Monitoring medication compliance

  8. ENGAGEMENTMedication/Symptom Management • Starting to assess side effects • Symptom acknowledgement and monitoring • Weekly medication supervision and review if necessary

  9. 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

  10. 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

  11. 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

  12. DEVELOPING A PARTNERSHIP Medication/Symptom Management • Assessment of side effects • Assessment of symptoms • Reality checking • Ongoing monitoring and management of medication compliance

  13. ACTIVE TREATMENTShaping an effective working alliance • Regular agreed contact • Supporting progress and concordance with the plan

  14. ACTIVE TREATMENTPsychosocial interventions • Reinforce coping strategies • Consider Occupational Therapy assessment • Consider ‘family work’ if appropriate • Physical health education and support

  15. 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

  16. ACTIVE TREATMENTMedication/Symptom Management • On-going support • Development of relapse indicators with service users, steps to be taken and advance directives

  17. 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

  18. 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

  19. RELAPSE PREVENTIONMedication/Symptom Management • Promote independence with medication compliance • Psychoeduction on long term use and effects of medication • Continued symptom monitoring.

  20. DECISION MAKINGWhat interventions and when • Risks • Rights • Responsibilities

  21. SENARIO • What risks do we need to consider • What and whose rights should be influencing our decision making? • Who holds responsibility and for what?

  22. HUMAN RIGHTS AGENDA • Fairness • Respect • Equality • Dignity • Autonomy

  23. 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

  24. HOW DO WE DELIVER OUR SERVICE • All staff see all service users • Different voices but the same song

  25. 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.

  26. ENGAGEMENT

  27. LIFE SKILLS PROFILE

  28. MEDICATION COMPLIANCE

  29. BED DAYS

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