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Helen Eunson Practice Development Nurse Dr Suzanne Sambrook Consultant Clinical Psychologist

Thinking outside the box: Challenges of recovery training and embedding those principles into other training programmes. Helen Eunson Practice Development Nurse Dr Suzanne Sambrook Consultant Clinical Psychologist. Our story……. Where we started…….in that box. O O O O O O

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Helen Eunson Practice Development Nurse Dr Suzanne Sambrook Consultant Clinical Psychologist

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  1. Thinking outside the box:Challenges of recovery training and embedding those principles into other training programmes Helen Eunson Practice Development Nurse Dr Suzanne Sambrook Consultant Clinical Psychologist

  2. Our story…… • Where we started…….in that box O O O O O O O O O

  3. Introduction • “oh no, not more training…..” • Keeping that pendulum • balanced • clinical essential • training training

  4. Challenges of working in Forensic Services • Balancing demands for security & rehabilitation • Traditional biomedical model • Involving service users

  5. Ten Essential Shared Capabilities for Mental Health Practice (DoH,2004) • Working in partnership • Respecting diversity • Practicing ethically • Challenging inequality • Promoting Recovery • Identifying people’s needs and strengths • Providing service user centred care • Making a difference • Promoting safety and positive risk taking • Personal development learning

  6. Setting the scene • Agreeing the direction • Awareness training • Involving service users • Embedding recovery into general training

  7. Agreeing the direction • Setting up steering group • Contact with SRN • Training for multidisciplinary staff • We’re on the move! O O O O O O O O O

  8. Awareness Training • A brief history of the Recovery Approach • Service user definitions of Recovery • The Recovery cycle • Recovery themes and principles • 10 Essential Shared Capabilities for mental health practice (NIMHE, 2004) • How to work in a recovery oriented way • Hope inspiring strategies • Collaborative working • Self management (WRAP) • We reached our first milestone O O O O O O O O O

  9. Common Themes hope self-management & responsibility support Recovery purpose & active participation in life spirituality empowerment valued relationships & roles Helping people move towards the beginning of their Recovery

  10. Recovery cycle Working together Building skills Hope Increased functioning and coping Increased Confidence

  11. Involving Service Users • In awareness • Involving ex-service users • In general training • Goal setting for staff, digital story • Understanding self-harm teaching session written by service user We carried on and stepped outside the box, it’s no longer solid O O O OO O O O O

  12. Embedding Recovery • Skills pledge • Embedding key skills • Training & Development Group • Role modelling

  13. Training opportunities to embed recovery • In-house training programmes (SNDP, CARW) • HoNOS-Secure • Canfor-S • Nursing supervision • Induction

  14. Canfor-S • Canfor-S • Lesson plan • Thinking about the questions/discussion: • Question; “thinking about the principles of recovery how does Canfor-S needs assessment help build and meaningful and satisfying life?” • Answer/Discussion; “it allows services users to express their opinion” and “helps us (practitioners) to understand what is important to them”

  15. Continued • Q; “does Canfor-S help you encourage family/carers involvement (to support service users recovery)?” • A/D; “It would be good to ask the carers to score a Canfor-S it might give us some more information or another insight especially at the beginning or end of a services users stay in our service”

  16. Continued • Q; “Thinking about your role as the ‘professional’ does Canfor-S help you reconsider what your role is?” • A/D; “I think completing this assessment together will help me, as primary nurse, to understand what he (service user) really needs instead of what we (health care professionals) think he needs”. “I observed my mentor completing this assessment with a service user and it was a surprise to hear their ‘sexual expression’ was not being met – no one had thought it was important but actually when they started talking it explained a lot about how he had responded to particular staff. I was impressed they started to discuss how this could be met and it was a significant part of the CPA discussions”

  17. On the move again….. • We moved back inside the box with in-house training then out again by embedding O O O OOO OOO

  18. Exercise – in small groups • In the last 2 months think about training you have received or facilitated • How could recovery values be incorporated? • How would it be different?

  19. How we met the challenge and what the future holds…. • More challenges…. • Training for trainers • Rooms • Increasing service users involvement • Keep that box permeable OO O OOO OOO

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