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HPHS Health Improvement Team Directorate of Forensic Mental Health Building Effective Practice

Primary Care Division Mental Health Services. HPHS Health Improvement Team Directorate of Forensic Mental Health Building Effective Practice Health Improvement in Mental Health HPH Annual Conference Dublin 17-20 th May 2005. Aims of Presentation. I will give an overall account of

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HPHS Health Improvement Team Directorate of Forensic Mental Health Building Effective Practice

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  1. Primary Care Division Mental Health Services HPHS Health Improvement Team Directorate of Forensic Mental Health Building Effective Practice Health Improvement in Mental Health HPH Annual Conference Dublin 17-20th May 2005

  2. Aims of Presentation I will give an overall account of How the Forensic Directorate identified the need for health improvement. How we planned, implemented and developed activity programmes for patients. How we utilised the Health Promoting Health Service Framework. How we investment in staff health, where we are now and our future plans.

  3. Setting the ScenePopulation 867,049.Unemployment 30,271 (3.5%)Long Term Illness 205,912 • For most mental and physical health problems in Greater Glasgow there is a strong link with deprivation. • Compared with people living in the most affluent areas, people living in the most deprived areas are 2.7 times more likely to be admitted for depression, 3 times more likely to commit suicide, 4.5 times more likely to be admitted for self-poisoning, 6 times more likely to be admitted with schizophrenia, 10 times more likely to be admitted for an alcohol related problem and 33 times more likely to be admitted for a drug misuse related problem. Greater Glasgow 2001 Census

  4. Background Forensic unit established 1997. Continuing Care Facility For Under 65’s. Staff issues/Redeployment. Limited health-promoting activities. Client mix and expectations. Crossroads 1997

  5. How we got started Ask users what they want/need re questionnaire. Benchmarked existing programmes. Start with ONE activity. Have a champion. Patience/Perseverance. Staff Fundraising Activities. Ben Arthur Walk 23/8/98. Strathblane Walk 8/12/98. Halloween Dance 31/10/99.

  6. Early Development Developed basic Measurement tools / keeping records. Bring in other disciplines. Tap into your Staff Expertise. Local Networking. Propose idea with Aims and Objectives.

  7. Maintaining the Enthusiasm Keeping Faith with Current Programmes Give Encouragement to Staff Motivate Users/ Set Realistic Objectives Document progress in Care plan Find out what is, and what is not happening Training Courses Available Keeping Records/Audit Walking Group 1997

  8. Some of the Pitfalls Not seen as Nursing Remit by some staff. No Financial Rewards for Users and Staff. Favoritism of Users and Staff. Some talk a good game/Mean Well. Slow Progress. Training Requirements. Unforeseen Barriers- Budgeting/Staffing Red Tape/Protocols/Health and Safety.

  9. HPHS Framework 2001-2004 National Impact Site Increased Knowledge base Restructuring Activities Used as a Guide Allowed Networking Collaboration Patient Focused Joint Working Raised Profile Benchmark Evaluation

  10. Art Cooking Social Groups Pool Computing Badminton Indoor/0utdoor Bowling Fishing Five a side Football Gardening Gymnasium Swimming Walking Cycling Patient Holiday Current Patient Activities Forensic Directorate Leverndale Hospital 2004-05

  11. Gymnasium Established May 1998. Sponsored Walks/Dances. Champion Driving on Classes. 2 staff and 1 patient trained as gym instructors 2001. Fitech and computer equipment obtained in 2002. 5 staff trained gym instructors 2004.

  12. The Acorn Project Established 2003. Identifies patients who don’t engage. Referrals made from MDT. Introduce and develop horticultural skills. Over 1/2 of patient population attend. Kiln Purchased 2004.

  13. Main Social Events 2004-2005 Winners of Indoor Bowling League. 2nd Burns Supper. National No Smoking Day. Prostate Cancer Awareness. Oral Health Awareness. 1st Annual Ben Nevis Walk. Mental Health Week .

  14. Mental Health Improvement Leverndale HospitalGlasgow Health Promoting Hospital Mental Health HubScotland • Developed a Health Improvement Benchmarking Tool • Developed a Good Practice Database • Liaison with Smoking Concerns and Ash Scotland and benchmarked smoking activity in Forensic • Piloting In-Patient MOT Checks • Developed a PFPI Benchmarking Tool • Developed a Patient Activity Audit • Developing Admission Health Screening Toll • Pivotal Role in HPH Mental Health

  15. ‘ We Have Came a Long Way’ National Health Service AwardsRecognition in 2004-2005 Nursing Times Mental Health Award Category Runners Up Scottish Health Awards Mental Health Category Winners

  16. Any Questions on the HPHS

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