Recovery & WellbeingCollege

‘A force for change’

Manchester - 4th March 2015

Waldo Roeg & Sam Nicholls

“Recovery is not about finding a miracle cure or returning to how things used to be. It’s about finding a happier,

healthier, more sustainable life...

... that recognises the past, accepts the limitations of the present and is full of hope for the future.”

Simon Heyes - recoverydevon.com

What do we mean by recovery?

We see recovery as a personal journey:

• Hope…….believing in the possibility thatthings can be better for us

• Opportunity……….to feel and be part ofour world again, rebuilding a sense ofself

• Control…….. in our recovery and our lives

What is the CNWL Recovery & Wellbeing College?

• The CNWL Recovery & Wellbeing College is a shared learning environment

• Supports individuals to recognise and develop their talents and resources in order to become experts in their own self-care, to ‘self right’; and do the things they want to do in life…beyond services

• Creates learning opportunities which span physical and mental health/wellbeing

• Underpinned by the principles of ‘co-production’

Co-production

• All course design is a collaboration between peer trainers and mental health practitioners

• Peer trainers have lived experience of using secondary mental health services

• This aims to get the right balance between evidence base, practice wisdom and lived experience

50,000 Prospectuses (06/15)over 4,500 Students

Pilot 2012 Spring/Summer 2015

CAMHS

Acute

Dementia Services

Addiction Services

Offender Care

Eating Disorders

OPHA Services

ABTRehabilitation

Community Recovery

Learning Disabilities

Corporate Services

CNWL RECOVERY & WELLBEING

COLLEGE Admissions

Registration Prospectus

Course Design

Westminster

Hillingdon

Brent

Harrow

K & C

Surrey

•Local Leads/champions

•Multi disciplinary

•Developing local ownership/central governance

•Central quality control

CHALLENGES

•What does ‘recovery’mean to you?

•Co-production

•Local capacity and capability

HUB & SPOKE

Workshop & Courses

Understanding Health/Mental Health difficulties & treatment

Rebuilding your life

Getting Involved

Developing knowledge & skills

We want ALL Recovery & Wellbeing College courses to …

… to minimise the potential ‘them and us’

barriers

… be underpinned by the principles of personal

recovery

… to reflect the college’s main three principles of

Hope, Control & Opportunity

… be co-produced i.e. an ACTIVE

COLLABORATION between those with lived

experience and those with professional

expertise

To reflect the latest thinking, best practices, an evidence base and

research findings

… to be of an extremely high and consistent quality

…to • Encourage involvement• Boost learning • Maintain energy

OutcomesStudents survey reported attending

courses had…

… encouraged me to feel hopeful (82%)

…helped me find meaning in life (80%)

80% of staff felt it had helped their own wellbeing and their continuing professional development

When asked whether learning alongside people who use services, carers and staff had been a positive experience: 92% said ‘yes’

Developing an evidence base

• Health education improves wellbeing, increases self management, reduces crises and reduces service use (Lawn et al. 2011)

• Review of self management in mental health: “Shift from treatment to prevention and promotion generates significant efficiency gains” (Knapp et al, 2011)

• SW London Recovery college reports that 70% students go on to mainstream education, employment or volunteering (Rinaldi, 2010)

• Nottingham Recovery college reports significant improvements in friends, social support and social roles (Brown, 2013)

People who see themselves solely as a mental patient may feel driven to conform to an image of incapacity and worthlessness, becoming more socially

withdrawn and adopting a disabled role. As a result, their symptoms may persist and they may become dependent on treatment providers and others

(Warner et al. 1989)

Accessibility

Individual Learning Plans• A tool that allows us to explore how we can

help student’s to make the most of the learning by identifying 3 -4 recovery goals and to think about what courses will best help them in meeting their goals.

Access Needs• Meeting all learning needs such as Dyslexia

or other learning difficulties• Difficulty with concentration• Physical or pain issues• Issues of mobility

Impact on us as People

• Breaks down the ‘them and us’ and validates ‘lived experience’

• Changes the nature of conversations and facilitates shared decision making

• Equips individuals with skills and knowledge to self-right

• Encourages responsibility for management of conditions and general wellbeing

• Extends opportunities for greater participation in communities i.e. citizenship

Impact on the culture of the organisation

• Challenges the dominance

of professional expertise

• Raises expectation from

‘Yes - but…’ to ‘Yes - how?’

• Shifts the ‘silo’ mentality

• Serves as reminder of why staff

chose to work in mental health

• Connects the clinical with the non

clinical

Impact on practice within the organisation

• Drives recovery focused practice across the organisation

• Supports the individual to move out of services

• Draws together key agendas:

Quality and performance

Transforming the workforce

Employment and vocation

Integrated care

Where are we heading?

• Translating the principles

and values into our

community physical services –

integrated care

• Primary care – mental and

physical wellbeing

• Developing ‘unique’ spokes

• Co-production at a strategic and

corporate level.

‘Thanks to the Recovery College

and its message of hope. I doubt I

would be doing as well as I am now,

without it. Hopefully I can help other

students find a way out of the darkness’Peer recovery trainer

and ex-student

I feel more able to

take control of my

own recoveryRecovery College

Student

It was helpful to

learn techniques

to help me

manage my

anxietyRecovery College

Student

It was the equality,

learning from peer

trainers and

professionals that

helpedRecovery college

student

'…is making a great impact on both staff

attitudes and the experience of people

who use services’ Recovery College

Student

“Treat people as if they were what they

ought to be and you will help them

become what they are capable of

becoming”

Johann Wolfgang von Goethe

THANK YOUWaldo Roeg - Peer Recovery Trainer

waldoroeg@nhs.net

Sam Nicholls – Snr Practitioner Trainersam.nicholls@nhs.net

Website

www.cnwl.nhs.uk/recoverycollegeAdmission Office 020 3214 5686Emailrecoverycollege.cnwl@nhs.net Recovery College Videohttp://www.youtube.com/watch?=lMoohO86EE