Facilitating Service User Involvement
description
Transcript of Facilitating Service User Involvement
Facilitating Service User Facilitating Service User InvolvementInvolvement
in an Assessment & Treatment Unitin an Assessment & Treatment Unit
Parkside Lodge is a 12 bedded acute admission Parkside Lodge is a 12 bedded acute admission service providing highest quality MDT care to service providing highest quality MDT care to people with a LD, specialist focus psychiatry of people with a LD, specialist focus psychiatry of learning disability.learning disability.
The inpatient service operates a locked door The inpatient service operates a locked door policy and service users are admitted under policy and service users are admitted under sections of the Mental Health Act.sections of the Mental Health Act.
Pre-requisite of service is to provide specialist or Pre-requisite of service is to provide specialist or intensive inpatient assessment and treatmentintensive inpatient assessment and treatment
What Does It Mean?What Does It Mean?
““I can tell you what I can tell you what I want”I want”
- Inpatient at Parkside - Inpatient at Parkside Lodge, Sept 2008Lodge, Sept 2008
““Learning Disability Nursing is a person Learning Disability Nursing is a person centred profession with the primary aim of centred profession with the primary aim of supporting the well being and social supporting the well being and social inclusion of people with learning disabilities inclusion of people with learning disabilities through improving or maintaining physical through improving or maintaining physical and mental health”and mental health”
Good Practice in Learning Disability Nursing DOH (Dec 2007)Good Practice in Learning Disability Nursing DOH (Dec 2007)
PRACTICEPRACTICEInpatient 1Inpatient 1
Self Advocacy FocusSelf Advocacy FocusDischarge PlanningDischarge Planning
Wrote his own weekly MDT reportWrote his own weekly MDT report Wrote his own leave programme weekly Wrote his own leave programme weekly
following MDT / outcomesfollowing MDT / outcomes Wrote his own discharge planning with Wrote his own discharge planning with
nursing staffnursing staff
Treatment PlanTreatment Plan4 week timetable to support programme as agreed at professionals Meeting 10 October 20084 week timetable to support programme as agreed at professionals Meeting 10 October 2008
Week OneWeek One
Primary Nurse to Primary Nurse to evaluate after evaluate after week onweek on
4 visits with UBU staff on unit4 visits with UBU staff on unit
Set clear boundariesSet clear boundaries
1:1 session with Clinical Psychologist1:1 session with Clinical Psychologist
2 visits with community nurse on unit2 visits with community nurse on unit
1 visit to grandma’s with unit staff1 visit to grandma’s with unit staff
1 hour visits to grandma’s daily1 hour visits to grandma’s daily
Primary nurse and inpatient to set details of next weekPrimary nurse and inpatient to set details of next week
Week TwoWeek Two
Primary Nurse to Primary Nurse to evaluate after evaluate after week twoweek two
Carry on with contact as above in week 1 plusCarry on with contact as above in week 1 plus
1 visit to Peel Mills with staff from Parkside Lodge1 visit to Peel Mills with staff from Parkside Lodge
Primary nurse and inpatient to set details of next weekPrimary nurse and inpatient to set details of next week
Week ThreeWeek Three
Primary Nurse to Primary Nurse to evaluate after evaluate after week threeweek three
Carry on with contactsCarry on with contacts
2 visits to Peel Mills2 visits to Peel Mills
UBU staff / community nurse to spend time on the unit with inpatient as planned with UBU staff / community nurse to spend time on the unit with inpatient as planned with less support from unit staffless support from unit staff
Primary nurse and inpatient to set details of next weekPrimary nurse and inpatient to set details of next week
Week FourWeek Four
Primary Nurse to Primary Nurse to evaluate after evaluate after week fourweek four
Carry on contact as week 3Carry on contact as week 3
2 visits to Peel Mills but extend time there2 visits to Peel Mills but extend time there
Primary Nurse and inpatient to set details of next weekPrimary Nurse and inpatient to set details of next week
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MD
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Section 17 Leave
Section 17 Leave
PRACTICEPRACTICEInpatient 2Inpatient 2
Self Advocacy FocusSelf Advocacy FocusClinical Assessment & Core Pathway PlanningClinical Assessment & Core Pathway Planning
Wrote in a daily diaryWrote in a daily diary Met with nursing clinicians and discussed Met with nursing clinicians and discussed
contentcontent Actioned planned what she wanted to Actioned planned what she wanted to
happen nexthappen next Wrote up own report for MDTWrote up own report for MDT
Weekly TimetableWeekly TimetableDAYDAY DATEDATE WHAT I WOULD LIKE TO DOWHAT I WOULD LIKE TO DO
MONDAYMONDAY Go to shops to buy a card making kitGo to shops to buy a card making kit
Make cards for friends and familyMake cards for friends and family
TUESDAYTUESDAY 11am – 4pm11am – 4pm Meet with mum and advocate and go and see flat, return at Meet with mum and advocate and go and see flat, return at 4pm4pm
WEDNESDAYWEDNESDAY 2 – 3pm2 – 3pm
PMPM
Ventures cooking sessionVentures cooking session
Go and buy a top up card for phoneGo and buy a top up card for phone
THURSDAYTHURSDAY AMAM
PMPM
Psychology session at 12.30pmPsychology session at 12.30pm
Get a take-away for tea / supperGet a take-away for tea / supper
FRIDAYFRIDAY Enquire about swimming lessons at the local swimming Enquire about swimming lessons at the local swimming baths baths
Get ingredients and make own mealsGet ingredients and make own meals
SATURDAYSATURDAY AMAM
PMPM
Access the local community to buy some shoesAccess the local community to buy some shoes
SUNDAYSUNDAY Go for walkGo for walk
MD
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eeting
MD
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eeting
PRACTICEPRACTICEInpatient 3Inpatient 3
Recovery & RehabilitationRecovery & RehabilitationRe-lapse PreventionRe-lapse Prevention
Weekly activity planningWeekly activity planning Social skill developmentSocial skill development Self esteem / confidence buildingSelf esteem / confidence building Exposure to interactions with others Exposure to interactions with others
outside hospital settingsoutside hospital settings
Weekly TimetableWeekly Timetable
DAYDAY DATEDATE WHAT I WOULD LIKE TO DOWHAT I WOULD LIKE TO DO
MONDAYMONDAY Go out for lunch (picnic in park, weather pending)Go out for lunch (picnic in park, weather pending)
TUESDAYTUESDAY Go bowlingGo bowling
WEDNESDAYWEDNESDAY 2 – 3pm2 – 3pm
6.30 – 8pm6.30 – 8pm
Ventures cooking sessionVentures cooking session
Dance class – Northern School of DanceDance class – Northern School of Dance
THURSDAYTHURSDAY Go to the shops in local community and buy a CDGo to the shops in local community and buy a CD
FRIDAYFRIDAY Go for a walk around Roundhay ParkGo for a walk around Roundhay Park
SATURDAYSATURDAY AMAM
PMPM
Prepare for visit from parents, buy a cake and ingredients for Prepare for visit from parents, buy a cake and ingredients for teatea
Cook own team on ward using bought ingredientCook own team on ward using bought ingredient
SUNDAYSUNDAY Go to the picturesGo to the pictures
Weekly TimetableWeekly Timetable
DAYDAY DATEDATE WHAT I WOULD LIKE TO DOWHAT I WOULD LIKE TO DO
MONDAYMONDAY 15/915/9 Go to the shops to buy a CDGo to the shops to buy a CD
TUESDAYTUESDAY 16/916/9 Get out to buy a Chinese for teaGet out to buy a Chinese for tea
WEDNESDAYWEDNESDAY 17/917/9 Cooking with VenturesCooking with Ventures
THURSDAYTHURSDAY 18/918/9 Go to the shops to buy a CDGo to the shops to buy a CD
FRIDAYFRIDAY 19/919/9 Go to the cinemaGo to the cinema
SATURDAYSATURDAY 20/920/9 Buy ingredients and cook on the unitBuy ingredients and cook on the unit
SUNDAYSUNDAY 21/921/9 Go out to buy a Chinese for teaGo out to buy a Chinese for tea
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PRN
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Restraint
Seclusion
PRACTICEPRACTICEInpatient 4Inpatient 4
Self Advocacy FocusSelf Advocacy FocusFuture PlanningFuture Planning
CPA involvement / participationCPA involvement / participation Service user involvement representativeService user involvement representative Service user CPA focus group Service user CPA focus group
representativerepresentative Developed his own websiteDeveloped his own website
Person Centred ApproachPerson Centred ApproachSecuring future placementSecuring future placement
Where would I like to live?Where would I like to live?I would like to stay in Leeds. I would like to stay in Leeds.
I would like to remain living in Leeds city itselfI would like to remain living in Leeds city itself
What kind of place would I like to live in?What kind of place would I like to live in?Ideally I would like to live in a flat.Ideally I would like to live in a flat.
I would also like to live in a residential home with other people.I would also like to live in a residential home with other people.
Who would I like to live with?Who would I like to live with?I don’t mind living with other people.I don’t mind living with other people.
I would like to live with people my own age.I would like to live with people my own age.
I don’t mind living with men or women.I don’t mind living with men or women.
Person Centred ApproachPerson Centred ApproachSecuring future placementSecuring future placement
What kind of support would I need?What kind of support would I need?I would like staff support every day. I would like to know that people I would like staff support every day. I would like to know that people would be checking on me daily and giving me support in my daily would be checking on me daily and giving me support in my daily living. I would like help in managing my medication and to help living. I would like help in managing my medication and to help complete my daily chores. I would need help to do my shopping and complete my daily chores. I would need help to do my shopping and manage my finance. I would also like help in accessing and manage my finance. I would also like help in accessing and maintaining day services.maintaining day services.
Where would I NOT like to live.Where would I NOT like to live.I do not want to live in Wakefield. Other places I do not want to move I do not want to live in Wakefield. Other places I do not want to move to are; Scotland, London, Birmingham and Chesterto are; Scotland, London, Birmingham and Chester
Any Other ConsiderationsAny Other ConsiderationsI don’t want to live too far away from my father who lives in Leeds.I don’t want to live too far away from my father who lives in Leeds.
Weekly PlannerWeekly PlannerDayDay MorningMorning AfternoonAfternoon EveningEvening
MondayMonday 10-12noon10-12noon
Art ClassArt Class
13-15.0013-15.00
PhotographyPhotography
TuesdayTuesday 10-12noon10-12noon
GymGym
13-16.0013-16.00
GardeningGardening
19-20.0019-20.00
Gateway ClubGateway Club
WednesdayWednesday 09-17.0009-17.00
Hollybush Farm Conservation WorkHollybush Farm Conservation Work
ThursdayThursday 10-12noon10-12noon
Confidence buildingConfidence building
13-19.0013-19.00
GymGym
FridayFriday 13-15.0013-15.00
ArtArt
SaturdaySaturday 10-16.0010-16.00
Activity of choiceActivity of choice
SundaySunday 13-19.0013-19.00
Cook on unitCook on unit
To add any other activity he wishes to do in the blank slotsTo add any other activity he wishes to do in the blank slots
PRACTICEPRACTICEInpatient 5Inpatient 5
Treatment Pathway Involvement Treatment Pathway Involvement andand
Discharge PlanningDischarge Planning
Self recording of progress of own treatment planSelf recording of progress of own treatment plan Use of individualised language components to Use of individualised language components to
promote communicationpromote communication Utilisation of interests / hobbies to promote Utilisation of interests / hobbies to promote
involvement in identifying and planning future involvement in identifying and planning future placementplacement
Activity Plan for week commencing Activity Plan for week commencing Monday 7 June 2010Monday 7 June 2010
Day of the Day of the weekweek Planned ActivitiesPlanned Activities
Monday 7Monday 7 13.30 – Going out with Ventures to do the shopping13.30 – Going out with Ventures to do the shopping
18.30 – Going out to do the forgotten shopping again18.30 – Going out to do the forgotten shopping again
Tuesday 8Tuesday 8 13.30 – Going out to do the shopping to buy all the very nice new favourite things 13.30 – Going out to do the shopping to buy all the very nice new favourite things altogether todayaltogether today
Wednesday 9Wednesday 9 13.30 – Doing maths / jigsaw / wordsearch puzzles13.30 – Doing maths / jigsaw / wordsearch puzzles
18.00 – Family are coming to visit her18.00 – Family are coming to visit her
Thursday 10Thursday 10 13.30 – Going out with Ventures 13.30 – Going out with Ventures
17.00 – 18.00 – To gather together plates / cutlery for evening meal and then washing 17.00 – 18.00 – To gather together plates / cutlery for evening meal and then washing the evening meal potsthe evening meal pots
Friday 11Friday 11 13.30 – Going out with Ventures to do work13.30 – Going out with Ventures to do work
Saturday 12Saturday 12 10.30 – You will definitely need to go out to the mela with Claire to have all the Asian 10.30 – You will definitely need to go out to the mela with Claire to have all the Asian food and enjoy the tastefood and enjoy the taste
19.00 – To write her plan for next wee19.00 – To write her plan for next wee
Sunday 13Sunday 13 Relaxing day on the unitRelaxing day on the unit
12.00 – To gather together plates / cutlery for lunch and then wash the lunchtime pots12.00 – To gather together plates / cutlery for lunch and then wash the lunchtime pots
15.00 – Family are coming to visit her15.00 – Family are coming to visit her
Patient 5 Weight Monitoring 9 June 2009 – 25 May 2010Patient 5 Weight Monitoring 9 June 2009 – 25 May 2010
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Wei
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Patient 5Patient 5
Patient 5’s move from hospital to her new homePatient 5’s move from hospital to her new home
Patient 5’s new home must allow her to do the activities she likes to do. Patient 5’s new home must allow her to do the activities she likes to do.
Staff at Staff at patientpatient 5’s new home can help her do her morning routine and 5’s new home can help her do her morning routine and follow her timetable like she has here at Parkside Lodgefollow her timetable like she has here at Parkside Lodge
What activities does she like to do?What activities does she like to do?
WW AA SS HH II NN GG UU PP TTAA CC LL EE AA NN II NN GG CC
MM EE ZZ EE GG FF AA RR EE GG
SS AA ZZ PP OO PP EE WW GG NN
JJ SS TT KK PP AA RR NN JJ II
II KK EE HH DD CC II QQ OO PP
GG LL RR CC SS TT SS AA II PP
SS AA KK DD II MM TT MM DD OO
AA WW LL RR LL FF AA GG SS HH
WW HH WW QQ BB AA TT HH XX SS
WASHING UP WRITING BATH JIGSAW CLEANINGSHOPPING READ MATHS WALKS
Staff at her home will also be able to look at new activities and different places to visit. Patient 5 likes to write lists of the things she has seen when she has been out.
Patient 5Patient 5
To make sure we get it right, she needs to write a list of all the things she To make sure we get it right, she needs to write a list of all the things she would like in her new home and the things she would like to take. She would like in her new home and the things she would like to take. She already has typed a list saying she would like a pink carpet, pink already has typed a list saying she would like a pink carpet, pink curtains, pink door, is this still right?curtains, pink door, is this still right?
Write a list ………………..Write a list ………………..
1.1. 7.7.2.2. 8.8.3.3. 9.9.4.4. 10.10.5.5. 11.11.6.6. 12.12.