IMPLEMENTING RECOVERY ORGANISATIONAL CHANGE

1. IMPLEMENTING RECOVERY ORGANISATIONAL CHANGE How KMPT is taking on the challenge of becoming a recovery focussed organisation.

2. Ongoing KMPT recovery strategy will be based on: “Implementing Recovery: A methodology for organisational change” Sainsbury Centre for Mental Health 2010

3. 10 Key Organisational Changes 1) Changing the nature of day-to-day interactions and the quality of experience. 2) Delivering comprehensive, user-led education and training programmes. 3) Establishing a ‘Recovery Education Unit’ to drive the programmes forward. 4) Ensuring organisational commitment, creating the ‘culture’. The importance of leadership. 5) Increasing ‘personalisation’ and choice.

4. 10 Key Organisational Changes 6) Changing the way we approach risk assessment and management. 7) Redefining user involvement. 8) Transforming the workforce. 9) Supporting staff in their recovery journey. 10) Increasing opportunities for building a life ‘beyond illness.’

5. KMPT has joined a programme of ImROC national learning sets. • Opportunities to learn from the experiences of other organisations and share our own good practice. • A local steering group will transfer this learning into action to bring about change.

6. Local ImROC Steering Group • Multiagency group – including service user and carer reps, commissioners, KMPT practitioners, project managers. Led by director of community recovery services. • Have the task of identifying and delivering specific projects that will help us build the local services we need to meet the 10 organisational challenges, and ensuring that the recovery agenda influences all other service developments.

7. Initial Priorities • Development of a framework for a recovery group programme. • Embedding the Recovery Star into practice. • Advanced care planning – enhancing understanding, promotion to staff and service users. • Peer Support Workers – developing the way forward.

8. Recovery Group in Shepway • Runs for 8 weeks on a rolling program • Co facilitated with a service user who has experience in their own Recovery • Follows the pattern of the Trust packs, and people are encouraged to fill in the packs during the duration of the group; • People can attend at any point in their journey.

9. Main areas addressed • Keeping well • Medication- Pharmacy visit • Managing life’s up and downs • Moving on after a crisis • Pursuing ambitions and dreams • Problem solving • Self help • Advanced Decisions

10. Recovery Groups in Shepway • Are helping staff team and individuals embrace Recovery • Developed and run with service users • Have had great service user feedback • Good outcomes (recovery markers and rating scales) • Incorporating SFBT as much as possible

11. Worksheets • Solution focused worksheets have been devised by myself and Andrea Beed, service user, life coach. • They follow the main areas addressed in the trust packs and encourage greater reflection.

13. Imagine Imagine you are your CPN for the week of a crisis in your life……… What would you do to make your journey easier?

14. Some responses • Let me speak my opinion • Help me to stay active • Help me be aware of my mental health problems • Encourage me to stay well • Ask my neighbour how I am – I will lie to you- he knows • Leave me for two days- I always need this time, and will be OK- then visit me/call • Please chit chat for 10-15 mins, it takes me this long to relax enough to open up to you. • Be aware of my concentration levels.

15. YOU ARE THE EXPERT ON YOUR JOURNEY! Remember clinicians are there to be guided by you! Spend some time to reflect on these questions: Get in to your car……. Who is with you? Do you know where you are going? Are you ready to move? What will get you there? When will you know you are there? What is your first step back to wellness?

16. Ward based Recovery • Work sheets have been devised and have been piloted on Ashford in-patient wards with good feedback from service users.

17. Ward based group Imagine you were your own nurse on the ward…. What would you do to make your stay easier? What would you be advising your consultant at ward round? (Will ask Consultant to ask at beginning of ward round for recovery group feedback- This will feed into CPA)

21. ‘What is the rest of KMPT doing about recovery groups? • A number of services run recovery groups • There are other examples of really good practice Unfortunately • Not all localities/services are running a recovery Group • Some teams/services are more recovery focused than others • Group content varies with no standard framework • Not all groups are co-led by service users

22. The Recovery Groups Project Aim: To ensure that a consistent framework of recovery groups is available in every KMPT service. Key features of groups will be service user co-facilitation and provision of a personal recovery pack. A standard outcome measurement tool will be identified for use in all recovery groups.

23. How will this be achieved? • Workshops will be held, bringing together all current group facilitators to agree standard framework for recovery groups and content/format of recovery packs, and to agree on outcome measure. • Staff and service users will be trained to facilitate the groups. • This programme will be embedded into KMPT care pathways, with continuity into primary care and voluntary sector.

24. Example of Potential Recovery Group Programme within Community Recovery Teams Step 1 8 weeks Recovery Star Group • To introduce Recovery, look at all areas of the Recovery Star in more detail and encourage members to further develop their goal steps. Step 2 7 weeks Recovery Packs and Advanced Care Planning Group • To enable members to complete the trust Recovery pack and Advanced Care Plans. Step 3 6/8 weeks Community Resources Group • To explore community resources as appropriate to group members. Step 4Ongoing Community Group (Service user led, can be attended after discharge.)

25. The short term aim is for this type of programme to be embedded into access, recovery, rehabilitation and acute inpatient services by April 2012. • Further work will enable this to be replicated in learning disability, older people’s services, forensic and specialist services.

26. For more examples of good practice and further information about the rest of the ImROC programme please visit our recovery stands.