1 / 20

Presidential Address

Presidential Address. Consultant Rehabilitation Psychiatrist at Guild Lodge Past Chair of Faculty of Rehabilitation Rehabilitation and Recovery Services for the 21 st Century The Recovery Movement and the Social Inclusion Agenda. Presidential Address. Sarah Davenport. Current situation .

penn
Télécharger la présentation

Presidential Address

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Presidential Address • Consultant Rehabilitation Psychiatrist at Guild Lodge • Past Chair of Faculty of Rehabilitation • Rehabilitation and Recovery Services for the 21st Century • The Recovery Movement and the • Social Inclusion Agenda

  2. Presidential Address Sarah Davenport

  3. Current situation • Post de-institutionalisation • Post NSFMH and NHS Plan • Pre next cycle of “New Long Stay” • Up to the neck in the “Virtual Asylum” • Too many “OATS”

  4. Too many deficits and not enough strengths • Lack of a substantial evidence base since the TAPS Studies • Lack of Policy support (3 Functional teams but no rehab team) • The Forgotten Generation (RETHINK 2004) • The OATS scandal (Ryan 2004)

  5. Rehab services are strength based NOT deficits driven! • Optimism • Resist asset stripping • Resist closures • Become more political, now a Faculty • Champion recovery and social inclusion • Advocate on the evidence we do have

  6. Comparison of Ohio Recovery Outcomes and NICE • Encourage my independent thinking • “Discuss preferences, record advance directives.” • Treat me in a way that helps my recovery • “in an atmosphere of hope and optimism”

  7. Comparison 2 • Treat me as an equal in planning my services • Collaborative working relationship • Give me the freedom to make my own mistakes • Service User preferences are central

  8. Comparison 3 • Treat me like they believe I can shape my own future • The right to be fully informed and share in decision making • Listen to me and believe what I say • Write account in the notes and say what else is important

  9. Comparison 4 • Look at and recognise my abilities • Include assessment of occupation status and potential • Work with me to find the resources or services I need • Comprehensive care co-ordination

  10. Comparison 5 • Are available to talk to me when I need to talk to someone • Should be engaging and kind, in constructive partnership • Teach me about the medications I am taking • Clear and intelligible information,full discussion, choice

  11. Political Context for change • Social Inclusion (Mental Health and Social Exclusion Report 2004) • Respecting Diversity,BME Communities (NIMHE 2003) • The Recovery Movement

  12. A socially inclusive recovery based rehab service should… • Promote self management • Empower the expert patient • Value ethnicity and diversity • Value employment and activities to recover for…leisure, creativity, friendship networks and spirituality

  13. How should we do this? • 10 Essential Shared Capabilities (DH 2004) • Framework for workforce development • New Ways of Working (DH 2005) should be included in training and CPD • Skills sets for recovery and social inclusion

  14. Working in Partnership ESC 1 • Develop and maintain constructive working relationships with lay people and the wider community networks

  15. Respecting Diversity ESC 2 • Work in ways that respect and value diversity including age, race, culture, disability, gender, spirituality and sexuality • Understand the impact of prejudice on mental health services

  16. Practising ethically ESC 3 • Recognise the rights and aspirations of service users and their families, acknowledging power differentials and minimising them wherever possible. • Demonstrating an understanding of the service user’s wider social networks and the contribution made by carers, family and friends to the recovery process

  17. Promoting Recovery ESC 5 • Recovery is what people experience themselves as they become empowered to achieve a meaningful life and a positive sense of belonging to the community • Facilitate access to community groups and networks that enable service users to participate in community activities

  18. Questions about Service Structures • Is a specific rehab service necessary? • Should it be part of a CMHT? • Or should there be a specific rehab team? • Who should work with the “virtual asylum” • NHS v Private v Voluntary Sector ?

  19. A Family of Psychosis Services • AOTs • EITs • Rehab and Recovery Teams • Continuing Care Teams • Dedicated In-patient resources

  20. An inspirational story to close • Fiona’s Recovery

More Related