Condition Management – “A Unique Experience”

1. Condition Management –“A Unique Experience” Pauline Wilson RMN Jan Henderson BSc.O.T. Condition Management Practitioners

2. Background • Condition Management Practitioners for the Pathways to Work Project since 2004 • Previously worked in mental health services collectively for a period of 34 years • We have extensive experience of working in a variety of hospital and community settings, promoting the rehabilitation and recovery of clients with mental health problems

3. Condition Management – “A Unique Experience” Why unique? … practitioners found working in CMP much more rewarding than any past experiences What makes it unique? … practitioners are empowered to be innovative and creative in their practice, well supported by management team How do we find this out? … questionnaires were issued to colleagues looking at factors cited as being important to them

4. We hope that these findings provide a flavour of the factors we consider important in providing an effective condition management programme

5. The Results

6. Q. What influenced practitioners to join the team? • Non medical model • Shared vision and philosophy • Emphasis on improving customer lifestyle • Opportunity to use self help techniques • Freedom to use skills and knowledge unused in previous positions

7. Autonomy and Flexibility • Therapeutic use of self • Voluntary for customer • Partnership working – with Non NHS partners

8. Q. What was considered to be different about working as part of the Condition Management Team? • Without the traditional hierarchy system that exists in traditional NHS setting • Truly a multi-disciplinary team who freely share skills and knowledge • Future orientated – more emphasis on solutions

9. Forward thinking – the opportunity to try new ideas and to develop new skills through training • Short term intervention • Degree of autonomy, freedom to practice and use own clinical judgement

10. Q. Do you consider that the relationship with your customers is different? If so, why? • Based on wellness • Evidence based, individually tailored to customers needs • Supported Self Help v treatment • More emphasis on education • Short term intervention

11. Looking at customers whole life – not just work • Flexibility to use a range of methods and approaches incl. complimentary therapies • Normalisation – use of existing community resources

12. Q. Have CMP’s reported higher levels of job satisfaction since joining team? 100% YES

13. Q. Why do you think this is the case? “Able to use and develop skills, learn new skills, feel more motivated” “Interventions seem to be more successful, also short term input allows for a fairly rapid turnover of customers” “The autonomy to practice in the best way to suit individual needs”

14. “A unique working environment. Have never experienced anything similar or even close” “This is a great team, it is great to see customers move on and get back to work or increase their activity level” “Empowering people to help themselves, increasing independence” “Conditions can vary widely and be complex and challenging”

15. Thank You

16. I.B. REFORM PILOT Client quotes.. “It seems to me that it’s never been easier to get back to work than it is just now…there’s so much help about…especially with the PA’s being able to do so much for us….” PG (greenock) Physical health problems following injury.. Currently looking into retraining for new career through JCP.

17. I.B. REFORM PILOT Client quotes… “writing things down (practical problem solving) helps make problems seem more manageable……and I’m now starting to recognise unhelpful thinking styles in others…..” CG (greenock) Client has history of depression/anxiety and is currently considering return to work after individual and groupwork programme.

18. I.B. REFORM PILOT Client quotes… “I now find myself when faced with a problem, thinking in the boxes…those wee boxes just pop into my head!! I even find myself trying to help others by using the same techniques…” MB (paisley) Client has 2 yr history of low mood/anxiety/PTSD following serious assault.. Completed CMP and has job interview for 20hr work..

19. I.B. REFORM PILOT Client quotes… “Different people have talked about helping me for ages now….but its only now that everyone seems to be working together and talking to each other that I feel its really helping……” NG (renfrew) Social phobia/low mood.. Was work ready, but completed 2 CMP sessions for confidence building and has started new job...

20. I.B REFORM PILOT Client quotes.. “this past hour has made more sense to me than what I’ve been getting told over the past two and a half years……..it now seems manageable and workable (depression)……” AA (renfrew) Physical health problems (cardiac) and low mood..client angry at lack of co-ordinated approach in past… Declined full CMP but used initial interview to check out available support and referral on..

21. I.B. REFORM PILOT Client quotes… “Workbooks sometimes difficult to understand but they’re good to look back on…. and it doesn’t matter if you make a mess of them!!!….” JM (erskine) Low mood/bereavement/physical health problems.. Currently on CMP and considering returning to work on part time basis with in work support..

22. I.B. REFORM PILOT Client quotes… “During my (job) interview, I asked if I could continue my stress management course. I couldn’t believe it, I would never have been able to do that before….” AP (paisley) Stress/Anxiety Problems with Alcohol Abuse. Completed Stress Management Group programme and has now secured new employment

23. I.B. REFORM PILOT Client quotes… “Being part of the Condition Management Programme has given me hope and reassurance…….” CM (paisley) Client experiencing workplace stress for 1yr, returned to part time work after 4 CMP sessions looking at confidence building..

24. I.B. REFORM PILOT Client quotes… “Being able to speak openly without pressure has helped and I’ve found it valuable to be able to contact JCP and CMP staff…..the workbooks have been challenging but in a good way…” JH (paisley) Physical Problems and Depression. Currently working with CMP feeling more positive and looking for employment.

25. I.B. REFORM PILOT Client quotes… “Being part of the Condition Management Programme has given me hope and reassurance…….” CM (paisley) Client experiencing workplace stress for 1yr, returned to part time work after 4 CMP sessions looking at confidence building..

26. I.B. REFORM PILOT Client quotes… “I now find myself when faced with a problem, thinking in the boxes…those wee boxes just pop into my head!! I even find myself trying to help others by using the same techniques…” MB (paisley) Client has 2 yr history of low mood/anxiety/PTSD following serious assault.. Completed CMP and has job interview for 20hr work..