Delivering Excellence in Recovery Oriented Services in Mental Health
News from today’s conference on delivering excellence in recovery oriented services in mental health, chaired by Professor Mike Slade Chair in Recovery at the Institute of Mental Health.
What service users want from recovery oriented services
Paul Scates Senior Peer Specialist Campaigner and Ambassador
- learning from the lived experience
- what does recovery mean to you? Ensuring people facing mental health challenges
- develop their own definition of recovery] ensuring every person in services has an outcomes-focused recovery path
- implementing the recommendations from the Mental Health Taskforce
In his presentation Paul stated:
‘In todays news there was a feature about employment, and looking after your employees’ ‘I think we need to be setting the benchmark for this in healthcare as it is so important’
‘We support anyone and everyone – carers and patients’ ‘We need to empower and embrace, and help people move forward’
‘It’s about working with the individual not the diagnosis’
‘We need to look after our people working in services, as much as we need to look after our patients’
‘We need to spot the signs before the signs produce themselves’
‘Get to know your patient’ For example violence and aggression usually comes from anxiety’
‘I would like every trust in the country to have a well being bus to travel around, to talk about food, exercise, well being, an informal way to talk to people about mental health’
Moving the focus to recovery-orientated services
Dr Sridevi Kalidindi Consultant Psychiatrist in Rehabilitation & Trust Clinical Liaison Lead for Local Contracts South London & Maudsley NHS Foundation Trust Chair, Rehabilitation & Social Psychiatry Faculty & Co-Chair Joint Commissioning Panel for Mental Health RCPsych
- what outcomes does every clinical service need to measure to focus on recovery?
- what do recovery outcomes mean?
- how do we mainstream recovery orientated services for everyone
- examples of excellence in practice
In her presentation Dr Kalidini stated:
‘When you treat people with dignity and respect and talk about the outcomes they want, the outcomes are much better’
‘This focus on building strength is absolutely key’ ‘Strengths based approach – asking people what are you good at doing?’
‘The number of times I have seen physical health not supported, then mental health has deteriorated’
‘Its so important to support people in a very personalised way’ ‘Integrating services around the person, making it personalised’
‘Workforce and workforce mental well being’ – Unless the workforce are cared for and have support, it’s very difficult for them to be caring and supportive’
‘Every course that we run is co-lead with a service user’
Dr Kalidindi's biography:
Dr Kalidindi (Sri) completed her psychiatric training on the Maudsley Hospital rotation and has worked for 9 years as a Consultant in rehabilitation and general adult psychiatry at the South London and Maudsley NHS Foundation Trust, King's Health Partners (SLaM). She completed her PhD on a bipolar twin neuroimaging study at the Institute of Psychiatry, Psychology and Neuroscience, where she is now an Honorary Senior Clinical Lecturer.
She is the current Chair of the Royal College of Psychiatry, Faculty of Rehabilitation and Social Psychiatry, Co-Chair of the Joint Commissioning Panel for Mental Health and the RCPsych representative on the national Mental Health Senate.
She co-authored the national 'Joint Commissioning Panel for Mental Health; Guidance for commissioners of rehabilitation services for people with complex mental health needs.'
She was an expert on the steering group for the national 'Acute In-patient Mental Health Standards for rehabilitation (AIMS-Rehab)', which assesses and provides accreditation for units performing to a high set of standards.
Other work includes ensuring mental health is embedded throughout the NHSE national Rehabilitation Strategy (for all conditions), by being on the Program Delivery Board and leading a work stream on supported housing and mental health, with the Department of Health.
She is experienced in identifying the needs of a local population for rehabilitation interventions and then formulating innovative, bespoke services that have been commissioned by local health and social service budget holders, with good outcomes, both clinical and financial.
Other roles that she holds is the Trust Clinical Lead for Contracts, working with Clinical Commissioning Groups and the interface with SLaM, negotiating contracts and improving Trust-wide systems.; and Clinical Lead for Integration – leading on the 6 CCG and NHSE work for SLaM in the Our Healthier South East London programs.
She gives invited international lectures, teaches internationally and has many peer-reviewed publications as well as co-editing and co-authoring the textbook, Enabling Recovery: The Principles and Practice of Rehabilitation Psychiatry (2nd edition), which was ‘Highly Commended’ in the 2016 BMA Medical Book Awards.
What does excellence in recovery orientated services look like?
Phil Morgan Lead for Recovery and Social Inclusion Mental Health Directorate ImROC Implementing Recovery through Organisational Change
- changing the culture
- refocusing all mental health services around the principles of recovery
- what does excellence look like in recovery services
- measurement of recovery outcomes
- practical examples and advice
‘The roots of recovery come out of the survivor movement’
‘Recovery is an individual journey, everyone’s journey is different’
‘We need to be mindful of people who may be thinking – ‘whats the point in recovering if you’re going to loose your benefits or housing’
‘A buzzword at the moment is Co-production’ ‘We’ve learnt its so important for people to find out for themselves what recovery is, not just the patients, but organisations too’
‘Recovery is not about recovering, its about the struggle and learning from the struggle’
‘The Dorset Wellbeing and Recovery partnership started with just 2 service users’ ‘We now employ more than 70 people and this has happened in just 6 years’ ‘Everything we do we deliver in partnership’
‘We have lived experience all the way up the organisation’
‘Our recovery Education Centre was transformational for us.’ ‘It is the centre of everything we do’ ‘People tell us what helps their recovery and this feedback is off the scale’
‘There is a temptation that recovery can replace therapy and other services – but these service may be a big part of the individuals recovery and may still be needed’
Pre-event presentation abstract
Phil will talk about his experience in implementing recovery orientated approaches in his role as Lead for Recovery and Social Inclusion for Dorset HealthCare, working in partnership with Dorset Mental Health Forum, and as an ImROC consultant. There will be a focus on some of the underlining principles that support recovery, how these principles can shape our approaches to culture change, to describe some of the projects that are currently being delivered and developed and share some of the challenges and learning from them.
Phil is the co-Lead for Dorset Wellbeing and Recovery Partnership, a partnership between Dorset Healthcare University NHS Foundation Trust and the Dorset Mental Health Forum. Phil's work involves establishing partnerships between professional expertise and lived experience expertise. Phil is committed to exploring how recovery principles can shape our learning about ourselves, others and the organisations that we work within.
Future conferences of interest:
Improving the Quality of Perinatal Mental Health Services
Improving Mental Health Crisis Care: Maintaining Momentum
Safeguarding Vulnerable Adults in Hospitals: Improving Safeguarding Practice & Outcomes
Safeguarding Children & Young Adults: Level 3 Mandatory Safeguarding Training in Accordance with the Intercollegiate Guidelines
Dual Diagnosis: Implementing the NEW NICE Guidance
Self Neglect and Adult Safeguarding
Transforming Mental Health Services for Children & Young Adults
Investigation of Deaths in Mental Health & Learning Disabilities Services
4 October 2016