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Weekend Working The Way Forward?

Weekend Working The Way Forward?. Gabby Buchanan & Vicki Dent Occupational Therapists Specialist Mental Health Services Canterbury DHB. Overview. May 2013 saw the introduction of weekend Occupational Therapy within the Adult Acute Mental Health Inpatient Service

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Weekend Working The Way Forward?

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  1. Weekend Working The Way Forward? Gabby Buchanan & Vicki Dent Occupational Therapists Specialist Mental Health Services Canterbury DHB

  2. Overview May 2013 saw the introduction of weekend Occupational Therapy within the Adult Acute Mental Health Inpatient Service This presentation will look at – • Why this came about • How this came about • What we learnt along the way • Where we are going next

  3. Why? • Sentinel Event • Leadership response to impact of change • Physical environment changes • Staffing changes • The Service User Experience

  4. Therapeutic impact on risk Environmental risk factors that increase the risk of violence: • “Lack of structured activity (there are fewer violent incidents in occupational and other therapy areas)” • “Unpredictable ward programmes” S E Davison,(2005). The management of violence in general psychiatry. Advances in Psychiatric Treatment vol. 11:362-370

  5. How? • Scoping Exercise • 2 OT’s x 8hrs • Liaison with Service Users, Nursing & Senior Staff • Written proposal • Proposed timetable • Trial agreed

  6. The TRial • Trial • 6 weeks initially • 6 Occupational Therapists • Dedicated equipment • Therapeutic social, leisure and recreation programme

  7. The Programme Therapeutic Social, Leisure & Recreation

  8. the lived experience • Practical Issues • Communication • Orientation pack • Handover book & sheet • Resources • Weekend OT Co-ordinator • Roster / Staffing • Equipment

  9. Weekend OT InputHandover Sheet Unit Group Activity Individual Activity

  10. The lived experience • Professional Issues • In-house v external staff • Is familiarity best? • Importance of skill set & flexibility • Differing clinical opinions • Gender safety • Risk management

  11. The lived experience • Evolving Feast • Involvement with High Care Area Service Users • Use of sensory modulation • Change in hours • Finding the best fit for all • Demand for more • 1:1 interventions • Requests from other clinical areas

  12. outcomes • Service User Feedback “It’s awesome that you guys are here to support us” “You’ve taught me how simple it can be to relax” “Being involved has helped me trust again” “It’s great to be able to have a laugh” “This is the most relaxed I’ve felt in the last 2 weeks” “Just because it’s Saturday and Sunday doesn’t mean we switch off”

  13. outcomes • Staff Feedback / Anecdotal “1:1 time – reduces agitation, improves mood, feeling of being “special”” “The atmosphere on the units is more relaxed. It feels like a therapeutic environment” “The patients are more involved, interacting with each other. They are not as irritable or sleeping” “Consultation / feedback to staff has been great”

  14. What next? • Make it permanent……………. • Rostered working • Mental Health OT is Monday – Friday, 9-5! • Culture shift • Occupational beings 24/7 • The role going forward…… • Activity v Therapy

  15. Any Questions? Thank you for Listening For further information: Gabby.buchanan@cdhb.health.nz Vicki.dent@cdhb.health.nz

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