The ReFleCT service is a recovery focused, pre-discharge intervention which has improved and supports the transfer of service users’ ongoing care from mental health services to GP services.
ReFleCT is client-led and developed primarily for people with chronic mental health difficulties to improve their transition to GP care. Frontline staff identify what matters in terms of life goals, hopes and desires and that offers invaluable support to clients and multidisciplinary team staff during the transition.
Patients that require mental health support in Furness General Hospital (FGH) can now benefit from Dedicated Mental Health Liaison Nurses on site, thanks to a partnership between University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT) and Cumbria Partnership NHS Foundation Trust (CPFT).
Prior to February 2016, mental health liaison was only available by hospital staff calling the Access and Liaison Integrated Mental Health Service (ALIS). This could cause delays in patients being seen as the team are not based in FGH.
Family focused practice is thought to lead to positive outcomes for all family members. However, there are multiple barriers and enablers in adult mental health services to practitioners undertaking these actions. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - http://bit.ly/1Xyazai
Mutual help meetings form part of the Safewards initiative, set up to make psychiatric wards more peaceful places, increasing safety, reducing coercion and building relationships between service users and staff.
Safewards is being embraced in many wards and is rolling out across our Trust. It creates a therapeutic nursing environment based on 10 interventions including clear and mutual expectations between staff and service users; the use of soft and positive words and offering reassurance.
Despite being 15 years old, this study remains relevant. To investigate carer involvement in care planning in the psychiatric unit of an older person’s hospital, the researchers observed multidisciplinary ward rounds and family meetings, and reviewed documentation about admissions, discharges and care plans. They also conducted interviews with 20 carers and with members of the 29-strong multidisciplinary team to explore their experiences of carer involvement. Login using your SSSFT NHS OpenAthens details for full text. SSOTP - request a copy of the article from the library http://bit.ly/1Xyazai
Best Example of Collaborative Working – NWC Research and Innovation Awards 2015 Cheshire Constabulary and mental health services are working together to provide an immediate response to police incidents that would benefit from mental health services, through Street Triage. It is supported by Cheshire and Wirral Foundation Trust and 5 Boroughs Partnership NHS Foundation Trust.
A police officer and a community psychiatric nurse work together, sharing information and expertise.
Both parties assess situations with the nurse using mental health expertise, access to diagnosis and risk history, and the officer looking at the law/crime, offending history and current situation. Together they decide the most appropriate course of action, taking into consideration customer care, illness, safeguarding and the law.
The Admiral Nurse Service, which is provided by specialist dementia nurses, will be based in the community and the nurses will work with local families to ensure they are better able to understand and cope with the changes which can occur with dementia. They will work with the family to make informed decisions about their future needs, to enable the family to stay together for as long as possible.
Admiral nurses play a unique role in care management by joining up the different parts of the health and social care system, and help address the needs of family carers and people with dementia in a coordinated way.
The Admiral Nurse Service is delivered by ourTrust and works in partnership with Dementia UK which governs and monitors the service. The service has been running in Knowsley since 2011.
A website full of ideas about inpatient mental health care. Covers areas such as activities, mindfulness, involvement, culture/atmosphere, communications ...
[Canadian article] What are the implications for practice?
Multidisciplinary outreach teams, specifically those with psychiatric and nursing support, successfully work with and house people experiencing street homeless-ness and psychosis.
Mental health nurses embedded in the community are an essential link between inpatient and outpatient care for highly vulnerable street homeless individuals. Login using your SSSFT NHS Athens for full text. SSOTP - request a copy of the article from the library http://www.sssft.nhs.uk/library
Conclusions
The administrative elements of care co-ordination reduce opportunities for recovery-focused and personalised work. There were few shared understandings of recovery, which may limit shared goals. Conversations on risk appeared to be neglected and assessments kept from service users. A reluctance to engage in dialogue about risk management may work against opportunities for positive risk-taking as part of recovery-focused work.
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The Commission on Acute Adult Psychiatric Care has been set up by the Royal College of Psychiatrists (RCPsych) in response to widespread concerns about the provision of acute inpatient psychiatric beds and alternatives to admission available for patients.
There is evidence – some quantified, some anecdotal – of difficulties in admissions, variable services for patients in the community, long distance transfers of patients, high occupancy rates and high stress levels amongst patients, their families, carers and staff.
The Francis Inquiry (2013) focused the attention of the general public onto poor quality nursing care. As a direct result of this inquiry, NICE was asked to review the evidence base for safe nurse staffing levels in nine care settings in England. Two of these reviews focused on mental health, with reviews proposed for acute inpatient and community care. This work was halted in June 2015 by NHS England, and it was thought that the majority of this work would not be completed and published.
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