Back to accessibility links 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 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 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 https://www.health.nsw.gov.au/mentalhealth/services/carers/Pages/support.aspx The FCP aims to increase the capacity of area health districts to work with families and carers. Systems, practices and care planning 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? https://paperzz.com/doc/9467619/whose-plan-is-it-anyway 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 Action areas for collaborative cultures Accountability Collaboration for improvement Governance systems Performance indicators and measurement Collaborative workforce culture Enhancing leadership Professional development and capacity building Workforce planning Healthy and therapeutic environments Collaborative improvement Therapeutic environments Leadership Clinical practice Governance Peer workforce Quality improvement Workforce development Systems, practices and care planning Collaborative care planning Collaborative workforce Local policy and practice Trauma-informed recovery oriented approaches In practice examples Key guiding principles for collaborative cultures Balancing risk Background Purpose What are collaborative cultures? Policy context How the toolkit was developed HETI training available Definitions Building collaborative cultures of care resources References