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Helen Eunson Practice Development Nurse Dr Suzanne Sambrook Consultant Clinical Psychologist PowerPoint Presentation
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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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Presentation Transcript
slide2

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

O O O

O O O

O O O

introduction
Introduction
  • “oh no, not more training…..”
  • Keeping that pendulum
  • balanced
  • clinical essential
  • training training
challenges of working in forensic services
Challenges of working in Forensic Services
  • Balancing demands for security & rehabilitation
  • Traditional biomedical model
  • Involving service users
slide6

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
setting the scene
Setting the scene
  • Agreeing the direction
  • Awareness training
  • Involving service users
  • Embedding recovery into general training
agreeing the direction
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

awareness training
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

slide10

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

slide11

Recovery cycle

Working together

Building skills

Hope

Increased functioning and coping

Increased

Confidence

involving service users
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

embedding recovery
Embedding Recovery
  • Skills pledge
    • Embedding key skills
  • Training & Development Group
    • Role modelling
training opportunities to embed recovery
Training opportunities to embed recovery
  • In-house training programmes (SNDP, CARW)
  • HoNOS-Secure
  • Canfor-S
  • Nursing supervision
  • Induction
canfor s
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”
continued
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”
continued1
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”
on the move again
On the move again…..
  • We moved back inside the box with in-house training then out again by embedding

O O O

OOO

OOO

exercise in small groups
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?
how we met the challenge and what the future holds
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