Blyth Valley Day Service. Wellington House Student Information Booklet

Transcription

1 Blyth Valley Day Service Wellington House Student Information Booklet

2 Blyth Valley Day Service Wellington House Student Information Booklet Including profile of learning opportunities for student nurse training Compiled February 2003 LH/JW Reviewed &Updated July 2004 LH Reviewed & Updated January 2005 LH Reviewed & Updated March 2006 JW Reviewed & Updated July 2006 LH Reviewed & Updated November 2008 LH/MC Reviewed & Updated May 2010 LH/MC

3 SERVICE PROFILE Brief Overview Wellington House is a Day Service within the Northumberland Recovery and Rehabilitation sector. It caters for clients with ongoing Mental Health Problems. These clients will usually have experienced problems for many years. The service aims to offer a responsive, needs led approach to people who are vulnerable; this can encompass physical, psychological or social issues. We balance the goals of recovery, social inclusion, maintenance, crisis stabilisation and enhancement of function to enable the client to achieve and maintain a quality of life that is acceptable to them in their own community. The unit can also offer an extended hours and outreach service (in the evenings or at weekends), allowing the service to offer activity and interventions outside of the normal working day. We operate as an integrated team consisting of nurses, occupational therapists, support staff and medics. Care Delivery We offer a Primary Worker approach to the delivery of an individualised recovery package. A Primary Worker could be either a Registered Mental Nurse or an Occupational Therapist. Referrals (see clinical criteria) are discussed within the clinical team, then allocated to an initial contact person who will arrange an interview. This is then discussed with the team and if it is felt appropriate, allocated a Primary worker and admitted to the unit for a six-week assessment period. During this time we aim to establish whether or not we are able to meet the clients needs (see attached sheet for examples). If the answer is yes, the client is admitted on a more permanent basis, if not they would be referred back to the referrer (see attached sheet for examples). Who Can Use The Service? People who are 18 and above People who live in the Blyth Valley area People who have been referred via a Care Coordinator Clinical Criteria Clients must be suffering with mental health problems Clients must not have a primary diagnosis of substance misuse; (there are services specifically dealing with these areas). Clients must not have a degenerative cognitive illness; (we do not have facilities to ensure the safety of this group of clients).

4 Client Involvement The team aims to deliver a service, which is responsive to the needs of the individual clients. Clients (and their families when appropriate) are encouraged to take an active role in the assessment, recovery planning and discharge process. Wellington House works towards providing a service, which is based upon the development of therapeutic relationships, encouraging mutual respect, empowerment and is based around client hopes, goals and aspirations. Clients are also encouraged to contribute to the planning and development of services via staff/client meetings, recruitment of staff, and utilising volunteers as advocates. Clients are supported in making choices about their lives and are involved in their own recovery journey e.g., there is a section within our assessment for client signature, contribution and opinions. Hours of Operation We currently offer a Monday to Friday service, which operates from 9.00am until 5.00pm. However there are some occasional optional evening and weekend working. Student Placements Each student will be allocated a named mentor prior to his or her first day of placement. Students are generally expected to work the hours of 9am to 5pm Monday to Friday. However, they are encouraged to be flexible, and there is an expectation that they should be involved in some of the out of hours activities. This will enable the student to optimise the therapeutic relationship. At Wellington House an Induction Package is also available, this gives more detail on practical issues and includes more descriptive information. Students are encouraged to be actively involved in their own learning package. General Expectations Students are not required to wear a uniform. However, appropriate dress is expected. Casual and smart. Service Expectations of The Student The learning experience is the students personal responsibility, whilst we are happy to contribute we will not take the lead. The student will be expected to actively participate and will be expected to be motivated to learn. They must also be proactive in seeking knowledge and experience. They should show initiative and should be polite and professional at all times. In return we will ensure the student is welcomed into the clinical team and is fully supported in the achievement of their learning outcomes. Team Consists of

5 2 main Consultant Psychiatrists (however, other psychiatrists do have input) 1 band 8 Day Service Manager (currently a shared post with Ashington day service and employment services) 1 band 6 Senior Clinical Nurse 2 band 5 RMN's 0.5 band 7 Senior I OT 3 band 3 Support Staff 1 band 4 Technical Instructor 1 band 3 Receptionist 1 Staff Grade Senior House Officer (Sessional) 2 Volunteers

6 Blyth Community Hospital Wilkinson Morrisons Woolworths Flying Horse Market Place YMCA A Three Cooks Northumbria House CODE X Wellington House 4 Blyth Community Hospital 8 Northumbria House 1 YMCA/ Open Door 5 Morrisons 9 Market Place Roundabout 2 Church 6 Argos 10 Market Place Chippy 3 Flying Horse Pub 7 Three Cooks Bakery 11 Woolworths Traffic Lights Parking is available behind the flying horse public house.

7 Ashmore House Assertive OutreachTeam Inpatient Units Beaconhill Centre Pharmacy St. George s Park G.P's Community Resources Interagency Liasion Wellington House Out Patient Department Plessey Centre Substance Misuse Team Sextant House Elderly Team Vocational Services Blyth Star Residential Homes Psychological Cramlington Blyth Starr, Percy House Services Social Services Ardgowan House,Waterloo House Beaconhill Centre Care Coordination User Voice Employment Services

8 Within this learning experience there will be Core Competencies which are available within a variety of learning experiences. Therefore there will obviously be some repetition. All learning experiences/opportunities will be negotiated with your mentor or the clinical team. Learning Experience Referrals Clinical Competency Initial Contact Assessment Interviewing Techniques Observation Reporting and Feedback Interagency Liasion Compilation of Assessment Information Assessment Skills Interviewing Observation Goal planning and setting Liasion (Interagency) Compilation of Assessment Information Negotiation and Feedback Communication Client Centred Approach Assessment Tools There are obvious abbreviations which will be explained fully during clinical placement. Learning Experience BVDS Assessment Tool Nursing Assessment Recovery Star KGV BDI BAI BSS BHS HAD Lancashire Quality of Life Scale SARN WRAP DREEM Risk Assessment Relapse Profile - Indicators SPI Lunsers Various OT Assessment Clinical Competency

9 Recovery Planning Evaluation Group Work Learning Experience Medication Principles of Rehabilitation, Recovery & Social Inclusion including individual hopes & aspirations Negotiation Client Led Approach Realistic Goal setting Writing Skills Devising Measurable Time Limited Outcomes Risk Assessment Risk Management Communication(Multiagency Liaison) Client Empowerment Prioritising Needs Clinical Review/Writing Client Led Approach Communication Observation Reporting and Feedback Interagency Liaison Measurement of Progress Renegotiating of Goals/Needs/Priorities Various Therapeutic/Social Group Assessing Group Need/Appropriateness Assess Client Suitability Plan Session Format Group Goals/Outcomes Practical Planning (i.e., room booking, session time etc.) Boundary Setting/Expectations for Group Relationship Building Group Dynamics Education Facilitation/Structuring Organisational Skills Leadership Skills Time Management Evaluation Writing Skills Communication Interagency Liaison Feedback Clinical Competency Correct Administration/Dispensing Policy/Procedure Awareness Monitoring of Side Effects

10 Feedback Interagency Liaison Observation Education Medication Awareness (Contraindications etc.) Stock Ordering Checking of Medication Liaison with Community Pharmacist Depot Injection Extended Hours Learning Experience Multi DisciplinaryTeam Review Anatomy and Physiology Correct Injection Technique Policy/Procedure Awareness Administration Risk Assessment/Management Monitoring of Side Effects Feedback Interagency Liaison Observation Education Medication Awareness (Contraindications etc.) Assessing Group Need/Appropriateness Assess Client Suitability Plan Session Format Practical Planning (i.e., room booking, session time etc.) Boundary Setting Relationship Building Group Dynamics Facilitation/Structuring Organisational Skills Leadership Skills Time Management Evaluation Writing Skills Risk Assessment Risk Management Clinical Competency Interagency Liaison Client Led Approach Client Views & Goal Planning (Pre meeting, based on CUES) Negotiation Goal Planning Feedback Communication Clinical Review

11 MDT Roles POVA MAPPA Individual Work Risk Assessment Management Techniques Learning Experience Relapse Indicators Assessment Relationship Building Communication Skills Education Consideration/Involvement in Recovery Planning (see above) Negotiation and Empowerment Feedback Supervision Observation Writing Skills Evaluation Interviewing Observation Liaison (Interagency) Compilation of Assessment Information Negotiation and Feedback Communication POVA MAPPA Prioritising Time Management Awareness Safety Issues Staffing Issues Case Load Management Standards of record keeping Audit Quality Monitoring Tools Clinical Competency Promotion of metal health well being Interviewing Observation Liaison (Interagency) Compilation of Relapse Pattern Information

12 Negotiation and Feedback Communication Self Perception Inventories Monitoring WRAP Advance Directives POVA MAPPA Crisis Management Pyscho-Social Interventions Learning Experience Health & Safety Assessment Risk issues Formulation of Contract Decision Making Goal Setting/Planning Multi Agency Liaison POVA MAPPA Assessment - Bio - Psycho - Social Formulation - Case Formulation - Problem/Needs List - Prioritise Needs Detailed Assessment of Problem/Need - Psyrats - HAD - ABC Analysis - Problem Formulation Intervention - Evidence based - Clear Goal (Measurable) - Individually Paced Review of Interventions - MDT - Evidence based - Baselines/Goals Clinical Competency Assessment of Environment Fire COSHH Hygiene and Cleanliness Ventilation Heat Noise Lighting Legal Workspace Furniture Services

13 Occupational Therapy Health Promotion Supervision Mental Health Act 2007 Client Involvement Learning Experience Teamworking Primary Worker Equipment/Apparatus Building/Structure Training Protective Clothing Storage Areas Floors and Traffic Routes OT Priorities Working in Conjunction OT Assessment Promotion of metal health well being Various Therapeutic Groups Monitoring of Physical Health Education Promotion of Good Practise Formulation of Supervision Contract Support Monitoring Development Mentorship Clinical Supervision Awareness & understanding of the mental health act 2007 and it s amendments. Knowledge of Relevant Sections Supervised Community Treatment Order Paperwork Liaison Advocacy Empowerment Enablement Volunteers Partnership Working (client as the expert) Clinical Competency Respect Negotiation Support Supervision MDT Approach Skill Mix Responsibilities Case Management Liaison Nursing Process Organisation Skills Monitoring Feedback

14 Community Resources and Facilities Research and Development Liaison Awareness Facilitation Literature Search Internet Access Library Facilities Librarian Input We have a further induction pack on the Unit, which should clarify some of the points within this document.

15 Glossary of Terms KGV - Krawiecka, Goldberg & Vaughan (1977) An assessment tool used with Psycho Social Interventions. This tool is a brief measure of mental state. It has a variety of uses and will help to establish a concise summary of symptoms experienced by an individual. There are fourteen sections to this tool including depression, mania, and includes some more subjective measures. BDI-II - Becks Depression Inventory An assessment tool, which has specific questions, which should give a baseline to the range of depressive symptoms, someone suffers. A multi choice type questionnaire. BAI - Becks Anxiety Inventory An assessment tool, which has specific questions, which should give a baseline to the range of anxiety symptoms, someone suffers. A questionnaire, which helps to rate the severity of symptoms. BSS- Becks Suicide Scale An assessment tool, which has specific questions, which should give a baseline to the range of suicidal ideation, someone suffers. A multi choice type questionnaire. There should also be an indication given as to the severity of risk and the likelihood of self-harm.

16 BHS - Becks Hopelessness Scale An assessment tool, which has specific questions, which should give a baseline to the range of hopelessness, someone suffers. A questionnaire, which offers true/false answers and will give an idea as to the extent of negative attitudes/pessimism to the future. HAD - Hospital Anxiety & Depression Scale A questionnaire that rates anxiety and depression symptoms. Lancashire Quality of Life Scale A scale, which helps to identify areas of mastery and pleasure for a client. ACTIVE- Actively Collaborating Towards Independent Ventures through Enablement A unit based assessment tool done in conjunction with the client. It will help identify risk areas; areas where a client will need extra support to enable them to function in a community setting. BVDS Assessment - Blyth Valley Day Service Assessment Tool A unit based holistic assessment tool done in conjunction with the client. It will help a client to identify areas of their life where they need extra support. It looks at the person as a bio psychosocial individual.

17 Recovery Star A tool for supporting and measuring change with service users. An outcome tool supporting recovery. It provides a map of the journey to recovery. Covering 10 core areas of assessment, which have been found to be critical to recovery. It is an organisational priority. Wrap Wellness recovery Action Planning DREEM Blyth Valley Day Service Developing recovery enhancing environments measure Lunsers Wellington House Student Information Booklet Liverpool University neuroleptics side effect rating scale SPI Self Perception Inventory Sarn A measurement tool replacing Honos. It provides individual client data relating to service requirements and provision.