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Person Centred Approaches: National Perspectives and priorities for from Mental HealthHugh Masters, Nursing Officer (Mental Health and Learning Disabilities, Scottish GovernmentEducational approaches – what have we done and what have we learnedSusanne Forrest, Programme Director, NHS Education ScotlandMuch More Than a Label: A User-Led Project About Personality DisorderNaomi Salisbury – Development Worker

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NATIONAL INITIATIVES

  • NHSS Quality StrategyRights, Relationships and Recovery: the National Review of Mental Health NursingRecovery approachesPeer Support
  • A CURRENT PRIORITY
  • Promoting Best Care For Older People And People With Dementia
  • General Hospitals
  • Mental Health Services
background and progress
Background and Progress
  • Action 1 and 2 RRR
  • 10 ESCs Learning materials
  • Realising Recovery Learning Materials
  • 2 Phase training for trainers
  • Local dissemination of training
  • Regional Coordinators
  • Evaluation 2008-2010
  • Scottish Recovery Indicator
the 10 essential shared capabilities
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 and learning

Common sense

Hardly ‘rocket science’

We do all of this this already

Incredibly complex – tensions between the ESCs

Practitioners often challenged to achieve this sort of working in services

Would service users and carers agree that they experience this already?

The 10 Essential Shared Capabilities
10 escs and learning materials scotland
10 ESCs and Learning Materials (Scotland)
  • Developed and piloted in England 2004/2005
  • Then extensively revised for Scotland
  • Launched April 2007
  • Revised version in 2011
    • Introduction
    • The 10 ESC
    • Values based practice
    • Involving service users and carers
    • Equality and diversity – respecting difference
    • Developing socially inclusive practice
about the esc learning
About the ESC learning
  • Closely linked to exploring own practice and services
  • Linked to personal and practice/service development- action focused
  • Whole team learning – multi professional/agency
  • Service users and carers involved as learners and as trainers/facilitators
  • Used as part of supervision (group or individual)
  • Used to look at ‘real’ issues in practice
  • Essential Building Blocks for recovery focussed practice
nes srn realising recovery learning materials
NES/SRN Realising Recovery Learning Materials
  • Similar to ESC materials in layout and nature (action focussed)
  • Driven by body of knowledge established by SRN over the years (narrative research)
  • Introduction
  • Using self to promote recovery focussed relationships
  • Person centred support and planning
  • Enabling self direction
  • Risk and risk taking
  • Connecting with communities
progress
Progress
  • Most mental health nurses now trained in ESCs
  • Strongly embedded in pre registration mental health nursing (and other programmes)
  • New mental health resource 2011
  • Two new further learning resources planned
evaluation findings translation and enactment within health boards
Evaluation Findings - translation and enactment within Health Boards

Case studies

Vanguard

Some comparatively substantive positive evidence of impact in terms of peoples’ self-reported thinking and some examples of practice development

Mid range

Some positive evidence of impact, mostly in terms of peoples’ self-reported thinking.

Limited enactment

Very little evidence of impact

evaluation findings participants
Evaluation Findings- Participants
  • The majority reported that the training had positive impact on their individual practice
  • Many respondents gave examples of team developments related to the training e.g. use of the 10 ESCs as a framework for clinical supervision; improvements in service user involvement; care planning based on users’ own perceived needs and strengths; and development of positive risk taking
  • The main aspects that respondents wished to take forward after the training were: developing individual practice; developing related educational activities within the team; ensuring a person- centred approach
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BUTAny impact on service users and carers’ experiences and outcomes not knownEducation and training is just part of the picture
srn scottish recovery indicator sri
SRN Scottish Recovery Indicator - SRI
  • Meeting basic needs
  • Personalised services and choice
  • Strengths based approach
  • Comprehensive service
  • Service user involvement/participation
  • Social inclusion and community integration
  • Advance planning
  • Recovery focus
discussion points
Discussion points
  • Could these approaches be useful in other practice areas?
  • National v. local approaches?
  • Demonstrating the outcomes and impact of person centred initiatives?
much more than a label a user led project about personality disorder

Much More Than a LabelA User-Led Project About Personality Disorder

Naomi Salisbury – Development Worker

naomi@capsadvocacy.org

0131 538 7177

what is the personality disorder project
What is the Personality Disorder Project?

Much More Than a Label is a service user-led project which aims to promote better understanding and support for people who have lived experience of personality disorder diagnosis

what is the personality disorder project18
What is the Personality Disorder Project?
  • Began as a six month consultation funded by NHS Lothian to produce a user-led resource for staff
  • Has expanded into an ongoing collective advocacy project spanning resources, training, the arts and more
  • Over 50 people who have been given a diagnosis of personality disorder have been involved from across Lothian
what have we done so far
What Have We Done So Far?
  • Building links with service users
  • Extensive consultation
  • Developing a variety of resources to give service users a voice
  • Feeding user views into local planning and strategy groups
  • Supporting service users to come to events to give their views
  • Input and involvement in other advocacy projects
resource
Developed following consultation with over 30 service users

Results of consultation analysed, divided into categories and written up to form a resource for staff written by service users

Uses quotes, illustrations and poetry to convey different views and experiences

Resource
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Aims to give a sensory experience of personality disorder – created using audio recordings with service users and stop animation imagesFilm
training
Two day course developed with NHS Lothian and Recovery Network

Covers information about the diagnosis, service user and staff experiences and skills development

Trainer pool being developed including service users and staff

Training
reference group
Made up of people who have experience of personality disorder diagnosis

Meets regularly to discuss progress of the project and plan further work

Reference Group
conferences
Supported service users to attend and speak at local and national conferences as well as facilitate workshops and display artworkConferences
what have we found out
What Have We Found Out?
  • Wasn’t too controversial!
  • Importance of consultation and Taking Part
  • Service User Views of Diagnosis and Treatment
  • Negative perceptions of diagnosis
  • People want to know the diagnosis
  • Issues around communication and consistency can undermine everything
  • Service users and staff do actually want the same things
  • Need for staff support and training
what next
What Next?
  • Continue to develop training
  • Consult with service users again
  • More arts/festival work
  • Developing information for service users by service users
  • How to involve people more remotely/virtually