slide1 n.
Skip this Video
Download Presentation
Tees, Esk & Wear Valleys

Loading in 2 Seconds...

play fullscreen
1 / 13

Tees, Esk & Wear Valleys - PowerPoint PPT Presentation

  • Uploaded on

Tees, Esk & Wear Valleys. NHS Foundation Trust. Life Beyond Mental Health Services. Within Integrated Mental Health Services The emphasis is on Recovery!.

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
Download Presentation

PowerPoint Slideshow about 'Tees, Esk & Wear Valleys' - ruana

Download Now An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

Tees, Esk & Wear Valleys

NHS Foundation Trust

Life Beyond

Mental Health Services


Within Integrated Mental Health Services

The emphasis is on Recovery!

“Recovery is an idea whose time has come. At its heart is a set of values about a person’s right to build a meaningful life for themselves, with or without the continuing presence of mental health symptoms.”

“Recovery is based on ideas of self-determination and self-management. It emphasises the importance of ‘hope’ in sustaining motivation and supporting expectations of an individually fulfilled life”.

(Shepherd et al, 2008)


What is


  • Recovery = Absence of symptoms?
  • Recovery = Cure?
  • Recovery = Adaptation?
  • Recovery = Social Re-integration?.


Recovery is a deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills and roles. It is a way of living a satisfying, hopeful and contributing life, even with the limitations caused by illness. Recovery involves the development of a new meaning and purpose in one’s life as one grows beyond the catastrophic effects of mental illness”

(Anthony, 1993)


“Values based practice involves responding to the differences in values that we encounter in mental health, not by prescribing “right” values but by developing skills that support effective clinical work based on respect for the diversity of values”

(Woodbridge & Fulford, 2003)

The development of recovery-based services emphasises the personal qualities of staff as much as their formal qualifications. It seeks to cultivate their capacity for hope, creativity, care, compassion, realism and resilience.

(Shepherd et al, 2008)


“A central tenet of recovery is that it does not necessarily mean cure (‘clinical recovery’). Instead, it emphasises the unique journey of an individual living with mental health problems to build a life for themselves beyond illness (‘social recovery’). Thus, a person can recover their life, without necessarily ‘recovering from’ their illness.”

(Shepherd et al, 2008)


Local Context

The method of delivery by Mental Health Services in Hartlepool came about following extensive consultation with Service Users, Carers and other partner agencies.

“Increasingly, services aim to go beyond traditional clinical care and help patients back into mainstream society, re-defining recovery to incorporate quality of life – a job, a decent place to live, friends and a social life”

(Appleby, 2007).


The most effective way of making the concept of recovery operational for this locality was to utilise two teams addressing the needs of the population within the community.







For people

with Affective


For people

with Psychosis


The teams are integrated and ‘functional’ and deliver the appropriate care by use of specialist therapies from staff utilising evidence based approaches such as Psychosocial Interventions, Cognitive Therapy and Family Interventions.

But …

The primary principles that are adhered to in all

community mental health services

are highlighted in the next slide …


Preventing Relapse

Minimising Symptoms

Increasing Independence



Living Outside Hospital

Optimising Functioning

Preventing Admissions

Improving Quality of


In ‘Normal’ Social


Increasing Skills


Increasing Access

Primary Principles

of Community Services


In order to fulfil the Primary Principles in delivering the appropriate service to our client-group we are able to utilise different expertise within the integrated teams.

This includes ….

  • Care Coordination
  • (Skills Matching)
  • Medical Interventions
  • (Inc. Community Pharmacies, Nurse prescribers etc)
  • Approved Mental Health Professionals
  • Specialist tertiary Services
  • (Inc. Eating Disorders, Mother & Baby service etc).
  • Psychological Therapies
  • Employment Services
  • Social Integration Services
  • Self Directed Support
  • Occupational Therapies
  • 24 Hour Support


The client-group within secondary mental health services are here due to the complexity of their needs and, in some cases, lifestyle.

This degree of complexity and needs of the client-group brings with it the need for sensitive and appropriate risk management.

Care coordination demands that the assigned care coordinator identifies needs in conjunction with the client

The Care Coordinator matches appropriate skills from within the integrated service and with external agencies to assist the service user towards their personal recovery goal.



Anthony, W.A. (1993) Recovery from mental illness: the guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16,11 –23.

Appleby, L. (2007) Mental health ten years on: progress on mental health care reform. Department of Health: London.

Shepherd G. Boardman J. & Slade M. (2008) Making Recovery a Reality Sainsbury Centre for Mental Health. London.

Woodbridge K and Fulford KWM (2003) Good Practice? Values-based practice in mental health. Mental Health Practice, 7, 2, 30–34