Building collaborative cultures of care

within NSW mental health services

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In practice examples

40 days of gratitude

http://www.fwlhd.health.nsw.gov.au/UserFiles/files/Directorates/MHDA/40 DAYS OF GRATITUDE booklet.pdf

This is a template for a gratitude journal.

Systems, practices and care planning

Co-design engagement and observation as a consumer resource

Following the release of the Policy Directive PD2017_025 Engagement and Observation in Mental Health Inpatient Units and development of LHD procedure in response, a co-designed project was required to produce resources.

Systems, practices and care planning

Co-design rounding

Create positive culture that supports co-design process through intentional rounding. Incorporates Peer Support Worker, multi-disciplinary team, unit management and strong governance.

Leadership

Community engagement and consumer participation framework 2015-2017

https://mnclhd.health.nsw.gov.au/wp-content/uploads/MNCLHD-Community-and-Consumer-Engagement-Framework1.pdf

Outlines a program that will engage consumers, carers and individual groups in the community in relation to the provision of health services and facilitate their involvement in decision making, planning and evaluation of care provided.

Leadership

Consumer collaborative council

The Committee shares resources that support peer work best practice, delivers the annual professional development forum and provides a community of practice for peer workers. Committee operates in a peer-led collaborative model.

Leadership

Consumer peer worker post seclusion collaborative review

Implementation of a post incident review in collaboration with consumer, peer workers and clinicians. Post seclusion event briefing - to understand what took place proceeding, during and following the intervention.

Accountability

Destination unknown

http://www.fwlhd.health.nsw.gov.au/index.php?select1=Mental%20Health%20and%20Drug%20&%20Alcohol

The Far West Mental Health Drug and Alcohol Service: Destination Unknown – This is a short film that allow service users, their families and the community to understand the pathways through mental health services and what services look like.

Systems, practices and care planning

Development of a mental health consumer participation unit

The CPU is a database of vetted, interviewed and trained voluntary participants who may be consumers, carers, or community members who are keen to participate in key mental health service projects and activities.

Leadership

Development of calming tools

Calming tools were developed to introduce collaborative trauma-informed practices in response to the high rate and frequency of use of coercive practices within the child and adolescent mental health unit.

Systems, practices and care planning

Establishment of the mental health co-design committee

A committee was established to improve the therapeutic environment using a co-design approach with consumers and carers to reduce and where possible eliminate seclusion and restraint.

Accountability

Family and carer pack

http://www.hnehealth.nsw.gov.au/mh/Documents/CarerPack.pdf

This information pack has been prepared by the Hunter New England Mental Health Family and Carer Committee and is a collection of resources for family members and carers of a person with a mental illness. See p.30.

Systems practices and care planning

From observation to intervention

https://ihub.scot/project-toolkits/improving-observation-practice/from-observation-to-intervention/

Guidance from Healthcare Improvement Scotland to support and challenge all mental health care practitioners to move away from the traditional practice of enhanced observation and work instead towards a framework of proactive, responsive, personalised care and treatment which puts the patient firmly at its centre.

Systems, practices and care planning

Implementation of consumer and carer escalation of care delivery into mental health inpatient units

Implemented REACH - a consumer and carer escalation process of care.

Systems, practices and care planning

Implementing trauma informed care practices to strengthen collaborative cultures

Aim of the project was to have a positive impact on consumers, clinicians and the clinical environment by embedding trauma-informed care principles into clinical practice (through identification, support and better collaboration with consumers).

Systems, practices and care planning

Introducing mobile phones for consumer use in an acute mental health inpatient unit

Promoting access to mobile phones in mental health inpatient units enabling consumers to remain connected to their lives.

Healthy and therapeutic environments

Introduction of a new engaging model of care

Launched The Mental Health Patient Safety Program to improve quality of care provided to consumers.

Systems, practices and care planning

Introduction of a strengths-focused consumer model

Support collaborative working and recovery-orientated practice in the community through adoption of the strengths model among the mental health team.

Systems, practices and care planning

Mental health family and carer program

http://www.hnehealth.nsw.gov.au/mh/Documents/FCP_Factsheet_Oct11.pdf

The FCP aims to increase the capacity of area health districts to work with families and carers.

Systems, practices and care planning

Mental health services community participation and partnerships

https://mnclhd.health.nsw.gov.au/services/mental-health-alcohol-other-drugs/community-participation-and-partnerships/

MNCLHD Mental Health Services have many effective networks and partnerships with both government and non-government services.

Leadership

National framework for recovery-oriented mental health services

https://www.health.gov.au/internet/main/publishing.nsf/Content/mental-pubs-n-recovfra

The framework highlights key capabilities and response required for the mental health workforce to operate in accordance with the trauma-informed recovery approach.

Systems, practices and care planning

Peer workers

https://www.health.nsw.gov.au/mentalhealth/professionals/pages/peer-workers.aspx

The NSW peer workforce provides direct care to people across the public mental health services, including acute in-patient care and the community.

Leadership

Post hot debrief and incident review

A hot debrief is a lessons learned review carried out immediately after the event to ensure all feedback, outcomes and actions required are obtained before anyone leaves.

Accountability

REACH: recognise, engage, act, call, help

http://www.cec.health.nsw.gov.au/quality-improvement/people-and-culture/reach

REACH is a system that helps patients, their family and carers escalate their concerns with staff about worrying changes in a patient’s condition.

Leadership; Systems, practices and care planning

Sample partners in recovery carer needs assessment (pdf)

A tool that can be used to identify carer’s needs and areas in which they may need more support.

Systems practices and care planning

TOP 5

http://www.cec.health.nsw.gov.au/quality-improvement/people-and-culture/person-centred-care/top5

Top 5 - talk to the carer, obtain the information, personalise the care, 5 strategies- is a process that encourages health professionals to engage with carers to gain valuable non-clinical information to help personalise care.

Systems, practices and care planning

Wagga Wagga mental health unit

https://www.mlhd.health.nsw.gov.au/about-us/newsroom/media-releases/mental-health-award-for-mlhd

Wagga Wagga Mental Health Unit received an award for its mental health recovery program (MHRP), a free residential, voluntary program of psycho-education, care and support for people with a mental health issue.

Systems, practices and care planning

Warm handovers and bedside handover

Developed and implemented a trial of bedside clinical handover in two wards to establish collaborative care practices in the unit.

Leadership

Whose plan is it anyway?

http://aplacetobelong.org.au/wordpress/wp-content/uploads/2013/11/Whose-Plan-is-it-Anyway.pdf

Queensland Alliance successfully promoted service planning to support personal recovery and self-direction.

Systems, practices and care planning

Writing good care plans: a good practice guide

http://oxleas.nhs.uk/site-media/cms-downloads/Writing_Good_Care_Plans_Oxleas.pdf

This booklet from the Care Coordination Association and Derbyshire Healthcare NHS Foundation Trust is for anyone who wants to understand how to plan care, and would like to develop skills in care planning.

Systems, practices and care planning

Your experience of service (YES) surveys

https://www.amhocn.org/your-experience-service-surveys

The YES survey is designed to gather information from consumers about their experiences of care. By helping to identify specific areas where quality improvements can be made, the YES can support collaboration between mental health services and consumers to build better services.

Accountability

Share your examples

Contact Deb Howe, Mental Health Network Manager, to share your local successes. deborah.howe@health.nsw.gov.au 0414 192 941