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Spirituality and religious care: putting strategy into practice

About the Trust. Formed in 2006, FT status in 2008Covers the whole of SussexProvides mental health, learning disability and substance misuse services to a population of 1.5 millionEmploys 4,800 staff - 55% of whom are nurses who work in 126 sites. . . . . Spiritual and religious care. We have

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Spirituality and religious care: putting strategy into practice

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    1. Spirituality and religious care: putting strategy into practice Cris Allen – Associate Director of Nursing Richard Harlow - Chaplain

    2. About the Trust Formed in 2006, FT status in 2008 Covers the whole of Sussex Provides mental health, learning disability and substance misuse services to a population of 1.5 million Employs 4,800 staff - 55% of whom are nurses – who work in 126 sites

    3. Spiritual and religious care We have developed two spiritual and religious care strategies since 2006 Board level support - and leadership - through the Executive Director of Nursing Collaboration between nurses – and staff of all disciplines - and service users and carers Engagement with NIMHE/CSIP and national programmes

    4. What has been the nursing contribution?

    5. What has been the nursing contribution? Involved in early audits and surveys - and more latterly using DREEM - and our strategy developments Contributed to the leadership – critical to success Engaged in pilot site activities Collaborated with chaplains and faith leaders Developed new skills - practiced in new ways - led on many innovations Stepped forward to become spirituality ‘advocates’ ‘It can’t work without nurses’, ‘nurses are important to chaplains’

    6. Why are nurses engaged?

    7. Why are nurses engaged? Through their own interest, spiritual and religious beliefs? Because they are there and exploration is intrinsic to mental health nursing? Because of their core skills and their role? Because of their values and principles? As an outcome of the CNO’s review?

    8. Why are nurses engaged? It sits well with the compassion and dignity agenda? The Tidal Model, stories and narrative? Star Wards initiative? Health and social care governance has been an enabling factor? The recovery approach?

    9. The recovery approach - and spirituality The CNO’s review of mental health nursing (2006) endorsed the recovery approach: Mental health nursing should incorporate the broad principles of the recovery approach into every aspect of practice. This means working towards aims that are meaningful to service users, being positive about change and promoting social inclusion for mental health service users and carers

    10. The recovery approach Recovery is – ‘the development of new meaning and purpose as one grows beyond the catastrophe of mental illness . . . episodic symptoms may still persist; however, one can still feel and believe they are recovering’ (Anthony 1993)

    11. The recovery approach ‘The recovery approach is not something we can do to people; it is not a prescription or treatment. Nor can we tell people how to recover. It is a personally generated process, with a set of positive outcomes set only by the person who is embarking on the journey’ (Till 2007)

    12. NIMHE guiding principles for recovery-oriented mental health services (NIMHE 2004) NIMHE set 12 principles for recovery oriented services, including: P3 – service users are able to recover more quickly when their . . . spirituality is considered P5 – recovery from mental illness is most effective when an holistic approach is considered; this includes psychological, emotional, spiritual, physical and social needs

    13. NIMHE guiding principles for recovery-oriented mental health services (NIMHE 2004) P6 – in order to reflect best practices there is a need for an integrated approach to treatment and care that includes . . . values-based approaches P7 – emphasis on hope and trusting relationships

    14. NIMHE guiding principles for recovery-oriented mental health services (NIMHE 2004) P8 – clinicians and practitioners should operate from a strengths/assets model P9 – Users of services, with the support of clinicians, practitioners and other supporters should develop a Wellness Recovery Action Plan (WRAP) . . . focuses on wellness, the treatments and support that will facilitate recovery and the resources that will support the recovery process

    15. So what? Nurses are: 55% of our workforce Signing up to the strategy and the advocate role Providing leadership Contemplating values and principles Engaging, collaborating, leading More confident to intervene Working with, referring to, chaplains Deploying new skills, new ways and leading innovations Embedding recovery and the use of WRAPs in practice ‘It can’t work without nurses’ - ‘nurses are important to chaplains’ What next?

    16. And now – the really interesting bit!

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