Pt 2 - Critical components of crisis resolution/home treatment -Kevin Heffernan

Post on 11-Nov-2014

1.036 views 3 download

Tags:

description

the second part of Kevin Heffernan's keynote talk at the conference "Home Based Recovery and Wellness in Mental Health" - jointly hosted by University College Cork and the Centre for Recovery and Social Inclusion, Cork on the 9th June 2010

Transcript of Pt 2 - Critical components of crisis resolution/home treatment -Kevin Heffernan

H o m e T r e a t m e n t E x p e r i e n c e

C h o i c e & A l t e r n a t i v e

... part 2

Kevin Heffernan

• Effective communication and planning

Fidelity principles ... continued from Part 1

Advantages

• Intensive monitoring of complex cases

• Can be more flexible/sensitive ethnic minority groups

• Extended Support for Carers

• Explanation and advice and post crisis planning

• Confront social problems directly

• Work closely with Dual Diagnosis issues

• Reduce stigma of hospitalisation

• Higher satisfaction users and carers

• Development of an acute team

Advantages

Avoidance of admission (1st presentations….Zacch)

Advantages

Avoidance of admission (1st presentations….Zacch)

Interrupt cycle of admission (change expectations…David)

Advantages

Avoidance of admission (1st presentations….Zacch)

Interrupt cycle of admission (change expectations…David)

Facilitate early discharge

Advantages

Avoidance of admission (1st presentations….Zacch)

Interrupt cycle of admission (change expectations…David)

Facilitate early discharge

Reduced bed use - admissions and length of stay

Home Treatment

HopeOptimismMotivationExploration

TemperanceRecoveryEmpowermentAutonomyTruthMeaningEmpathyNegotiationTrust

Advantages

Avoidance of admission (1st presentations….Zacch)

Interrupt cycle of admission (change expectations…David)

Facilitate early discharge

Reduced bed use - admissions and length of stay

Advantages

Different framework for sustaining recovery focused engagement

Support can be perceived as:

• More Personal/Individualised

• Increased Negotiation leading to a sense of increased autonomy

Advantages

Different framework for sustaining recovery focused engagement

Support can be perceived as:

• More Personal/Individualised

• Increased Negotiation leading to a sense of increased autonomy

• Potential to develop more true Partnership working (Trialogue can emerge)

Advantages

Different framework for sustaining recovery focused engagement

Support can be perceived as:

• More Personal/Individualised

• Increased Negotiation leading to a sense of increased autonomy

• Potential to develop more true Partnership working (Trialogue can emerge)

• Narrative scrutiny (exploration of the why now and true context becomes more possible)

I hope this conference is inspiring and gives you hope for the future development of local community based mental health services

This is your opportunity! And not a danger or risk

Values of Home Treatment working

Support Client’s to acknowledge and value theuniqueness of their experience, personal narrative exploration allows intervention to beless stigmatising and medicalised

Become a catalyst for inspiration

Encourage personal responsibility

Clients can begin the journey of recovery andnot become passive victims of illness