An Introduction Ms. Rhona Jennings Sponsors: Mental Health Commission, Health Service Executive, St....

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An Introduction Ms. Rhona Jennings Sponsors: Mental Health Commission, Health Service Executive, St. Patrick’s University Hospital and St. John of God Hospital.

Transcript of An Introduction Ms. Rhona Jennings Sponsors: Mental Health Commission, Health Service Executive, St....

Page 1: An Introduction Ms. Rhona Jennings Sponsors: Mental Health Commission, Health Service Executive, St. Patrick’s University Hospital and St. John of God.

An IntroductionMs. Rhona Jennings

Sponsors: Mental Health Commission, Health Service Executive, St. Patrick’s University Hospital and St. John of God Hospital.

Page 2: An Introduction Ms. Rhona Jennings Sponsors: Mental Health Commission, Health Service Executive, St. Patrick’s University Hospital and St. John of God.

NMHSC - Project Topic Selection

Individual Care and Treatment Planning that supports Recovery – Quality Framework Standard 1.1(MHC, 2007)

Participating Teams Ten sites, 11 teams across a range of services

and age groups Time Line

November 2009 – April 2011

National Mental Health Services Collaborative

Page 3: An Introduction Ms. Rhona Jennings Sponsors: Mental Health Commission, Health Service Executive, St. Patrick’s University Hospital and St. John of God.

National Legal/Policy Context2001: Mental Health Act 20012005: Quality in Mental Health

Services - your views (MHC)2006: Regulations S.I. No. 551 of 2006

Vision for Change (DoHC)2007: Quality Framework for Mental

Health Services in Ireland (MHC)

2008: Building a Culture of Patient Safety

Page 4: An Introduction Ms. Rhona Jennings Sponsors: Mental Health Commission, Health Service Executive, St. Patrick’s University Hospital and St. John of God.

Quality Framework for Mental Health Services - 2007

A systems approach to improving the quality of MHS;

Standards:

What a service user/carer can expect (point of service delivery)

Rules/Regulations/Codes of Practice are integrated

Enablers:what’s required to deliver the service user

standards

Monitoring and Evaluation

Implementation

Page 5: An Introduction Ms. Rhona Jennings Sponsors: Mental Health Commission, Health Service Executive, St. Patrick’s University Hospital and St. John of God.

Mental Health Services Context

Compliance in 2007 with Article 15, Regulations for Approved Centres

Very low compliance with care and treatment plans -18% (Inspector of Mental Health Services)

Self assessment of compliance - 83.6%

Page 6: An Introduction Ms. Rhona Jennings Sponsors: Mental Health Commission, Health Service Executive, St. Patrick’s University Hospital and St. John of God.

NMHSC

Objective

Generate change ideas and target improvement measures relating to individual care and treatment planning to support recovery

Page 7: An Introduction Ms. Rhona Jennings Sponsors: Mental Health Commission, Health Service Executive, St. Patrick’s University Hospital and St. John of God.
Page 8: An Introduction Ms. Rhona Jennings Sponsors: Mental Health Commission, Health Service Executive, St. Patrick’s University Hospital and St. John of God.

Rationale – MethodologyService users /carers actively involved in

all stages of planning and implementation of the proposed project

Change ideas for implementation informed by service user / carer experiences (process mapping)

Methodology - evidence informed, Evidence that it has worked elsewhere

in health & in particular mental health services

National Mental Health Services Collaborative

Page 9: An Introduction Ms. Rhona Jennings Sponsors: Mental Health Commission, Health Service Executive, St. Patrick’s University Hospital and St. John of God.

Rationale – MethodologyBuild the capacity of the system

ImplementationSustainabilitySpread

Outcomes focussed & time-boundEvaluation is an integral componentHave a very good chance of success in

the Irish context

National Mental Health Services Collaborative

Page 10: An Introduction Ms. Rhona Jennings Sponsors: Mental Health Commission, Health Service Executive, St. Patrick’s University Hospital and St. John of God.

Initiation Phase

Teams selected/Governance Structures /

Knowledge Review/Evaluation

1

Implementation PhasePlan/Do/Check/Act Cycles

Pre – Project PlanningTraining Needs identified/Measurement Tools/Service Users journey mapped /Record base line data

Summative Phase Record Outcomes/Spread the learning/Evaluation Report

2

3

4

Page 11: An Introduction Ms. Rhona Jennings Sponsors: Mental Health Commission, Health Service Executive, St. Patrick’s University Hospital and St. John of God.

Starting Point

• Reference Group Meeting – 19th February 2010

Group description Identification of Learning needs Map service users journey

Establish National baseline Identify Gaps

Expected Outcomes Key improvement needed Measurement tools Learning needs identified

Page 12: An Introduction Ms. Rhona Jennings Sponsors: Mental Health Commission, Health Service Executive, St. Patrick’s University Hospital and St. John of God.

Learning Sets1st Session

Learn about chosen topicPlan changesAgree on how changes are to be measured

2nd & Subsequent SessionOpportunity for teams to report on methods &

resultsLearn from each others experience

Page 13: An Introduction Ms. Rhona Jennings Sponsors: Mental Health Commission, Health Service Executive, St. Patrick’s University Hospital and St. John of God.

Analyse

Mapping Journey/Needs Assessment Identify learning

PLAN

ActImplement Learning

Align Journey Learning

Assess

Summative Assessment

DO

DO

STUDY

Page 14: An Introduction Ms. Rhona Jennings Sponsors: Mental Health Commission, Health Service Executive, St. Patrick’s University Hospital and St. John of God.

The JourneyPositive Journey for Service Users/Carers

and CliniciansActive involvement Promote Recovery Approach

• Creating a supportive environment for learning and improving– Leadership– Culture

• Creating a learning network• Measuring and reporting on outcomes

Page 15: An Introduction Ms. Rhona Jennings Sponsors: Mental Health Commission, Health Service Executive, St. Patrick’s University Hospital and St. John of God.

Contact Details

Ms. Rhona JenningsEmail – [email protected]

Telephone: (01) 6362400

National Mental Health Services Collaborative