National Mental Health Services Collaborative

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

2. 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

3. National Legal/Policy Context 2001: Mental Health Act 2001 2005: 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

4. 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

5. 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%

6. NMHSC Objective Generate change ideas and target improvement measures relating to individual care and treatment planning to support recovery

8. Rationale – Methodology • Service 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

9. Rationale – Methodology • Build the capacity of the system • Implementation • Sustainability • Spread • Outcomes focussed & time-bound • Evaluation is an integral component • Have a very good chance of success in the Irish context National Mental Health Services Collaborative

10. Initiation Phase Teams selected/Governance Structures / Knowledge Review/Evaluation Project Plan Phases 1 Pre – Project Planning Training Needs identified/Measurement Tools/ Service Users journey mapped /Record base line data 2 Implementation Phase Plan/Do/Check/Act Cycles 3 • Summative Phase • Record Outcomes/Spread the learning/Evaluation Report 4

11. 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

12. Learning Sets • 1st Session • Learn about chosen topic • Plan changes • Agree on how changes are to be measured • 2nd & Subsequent Session • Opportunity for teams to report on methods & results • Learn from each others experience

13. Analyse Mapping Journey/Needs Assessment Identify learning Standards Best Practice ACT PLAN Align Journey Learning DO Act Implement Learning DO • Assess • Summative Assessment STUDY

14. The Journey • Positive Journey for Service Users/Carers and Clinicians • Active involvement • Promote Recovery Approach • Creating a supportive environment for learning and improving • Leadership • Culture • Creating a learning network • Measuring and reporting on outcomes

15. Contact Details Ms. Rhona Jennings Email – rhona.jennings@mhcirl.ie Telephone: (01) 6362400 National Mental Health Services Collaborative