MENTAL HEALTH STAKEHOLDER STEERING GROUP

MEETING

14May 2012 14:00 – 16:00

NES Offices, HanoverBuildings, 66 Rose Street, Edinburgh

Note of Meeting

Present:

Susanne ForrestNHS Education for Scotland

Anne JoiceNHS Education for Scotland

Patricia HowieNHS Education for Scotland

Geraldine BienkowskiNHS Education for Scotland

John McCormackScottish Recovery Network

GillUrquhartThe StateHospital

Frances SimpsonSupport in Mind Scotland

Carol DobsonMental Welfare Commission

Nigel HendersonPenumbra

In Attendance:

Joanne MayoNHS Education for Scotland

Wayne DuffyNHS Education for Scotland

Apologies:

Robert ParryNHS Education for Scotland
Judy ThompsonNHS Education for Scotland
Gill McNeillMental Health Collaborative
Hugh MastersScottish Government
Elaine HunterScottish Government
Graham MonteithScottish Government
Erica Stewart-JonesNHS Health Scotland
Claire LamzaNHSForthValley

1. Welcome and Introductions

SF chaired this meeting in the absence of RP. Members were welcomed to the meeting and a round of introductions was carried out. Apologies were noted as above.

2. Note of Previous Meeting

A couple of amendments were noted on behalf of GM where the last paragraph of page 2 would now read “In the north of Scotland there are plans for a re-provision of the regional inpatient service in Dundee which will include the building of a new 12 bedded unit and the creation of an obligate network to support the local provision of community tier 4 services.” Also the first paragraph of page 3 would now read “…HEAT target currently 26 weeks, will be aligned with the Psychological Therapies target in December 2014 so that both targets are for 18 weeks”. CD said that the second report mentioned in paragraph four, page 3 is titled “Left Behind”.

3. Matters Arising

GB will carry forward an action point to include a section on Child Psychotherapy Training to successive Update Reports.

4. Substantive Discussion Item – I-ROC – Recovery Outcomes Tool

NH spoke to a PowerPointpresentation on the I-ROC (Individual Recovery Outcomes Counter). This tool isdesigned to measure recovery outcomes and is part of a new database system Penumbra has developed to bring all service user information into a single place. The tool isfundamentally a short questionnaire that asks aboutareas of life considered important tomental health and well-being. The questions are repeated on a quarterly basis and progress/support is reviewed.

It is one of the few recovery outcomes products to be developed in the UK for measuring recovery for individuals and is aligned to the Scottish Government’s mental health strategy and the presentation informed members about the:

  • Development of the tool
  • Validating I-ROC: Process & Progress
  • Initial Findings of the validation
  • Benefits & issues of Outcome Measurement

NH provided members with a screenshot of the Carista database which now holds details for over 1,000 individuals using the service.

NH explained that Penumbra’s work could be encapsulatedunder the acronym HOPE:

  • Home
  • Opportunity
  • People
  • Empowerment

The structure of the I-ROC is built around these four key elements that make up a wellbeing wheel. Within this reside twelve indicators, a 6 point scale and a spidergram. NH explained how the concept had been developed and how it functioned.

The tool was said to have been well received in other quarters and interest has been expressed from some stakeholders in adopting a tailored version of the tool. Health in Mind and Aberdeenshire Council stand among such interested organisations.

Penumbra andUniversity of Abertayhave developed a Knowledge Transfer Partnership (KTP) toassess the reliability and validity of I-ROC. Penumbra is endeavouring to create awareness around recovery outcomes and will be presenting at the Mental Health Europe conference in June. The organisation is also producing material for publication in academic journals and also seeks other relevant outlets.

Penumbra would like to see I-ROC being used across services but appreciates it may not be suitable for use in crisis centres/services due to the nature of that work which is usually of a short duration.

Training is being rolled out to all Penumbra staff on the use of the revised I-ROC and guidance is being published to assist staff go through the questionnaire with people.

A discussion followed the presentation. GU said she is familiar with the Recovery Star tool and welcomed I-ROC as a less complex and more user friendly version. It was asked if such a tool might be suitable for use amongst AHPs. NH felt that this would certainly merit further consideration.

It was asked what difference had been noticed since Penumbra implemented the spidergram as part of its coaching and recovery focused approach. NH mentioned he felt that staff had a renewed focus on the importance of outcomes. He also mentioned that Penumbra staff and services usershave been provided with financial assistance to host a road show within their locality to showcase their local and individual achievements.

When asked about I-ROC’s relationship to the Scottish Recovery Indicator (SRI) NH said that both tools serve to complement each other. SRI allows staff to review how recovery focused the service is and I-ROC enables service users to track their own recovery journey.

5. NES Project Updates - MattersArising– Stakeholder steering group update report

Members considered the update paper, previously circulated, and SF noted that a new resource The Ten Essential Shared Capabilities Supporting Person-Centred Approaches has just been finalised. This learning resource varies from the 2011 edition and has been tailored for more general use amongst health care staff. It will be uploaded shortly to the NES website where it will be freely available.

NES has collaborated with Support in Mind to produce a set of top 10 tip cards which will be disseminated to workers. These offer simple and pragmatic pieces of advice to workers which will make a difference to the people they care for. The cards will be officially launched on 30 June by the Minister for Health, Wellbeing and Cities Strategy.

SF mentioned the launch of a new Dementia Skilled resource which has been developed to target a wide range of staff that have regular contact with people with dementia. The resource also features a copy of the Informed about Dementia DVD which was launched last March. NES will be carrying out more focussed work on dementia in the Mental Health sector such as assessing the educational needs of the workforce. MWC will participate in discussions to progress this further.

AJ spoke about the need to augment training and support educational requirements through the use of electronic based facilities. This approach would lessen the emphasis on face to face training and benefit staff that work in remote and rural areas along with those generally who may find it difficult to get time away from their place of work.

Speaking about Cognitive Behavioural Training, GB reported that funding had been secured from the Scottish Government to take forward a programme of work. A tender on the Development, delivery and evaluation of an educational programme in Cognitive Behavioural Therapy (CBT) to PG Diploma level for multi-disciplinary staff working in Older People’s Mental Health Services across Scotland was put out and subsequently awarded to the South of Scotland CBT Course.

The course will accommodate 30 participants. Each of the 14 NHS Boards have been allocated a place and the remaining 16 places will be allocated using the NRAC Formula. The PIT team is working with Boards to attract nominations and to ensure that appropriate supervision is provided so that CBT development is sustained.

6. Strategic Update from Group Members

SRN

JmC reported that the SRI team was receiving positive feedback from people currently using the revised tool, in particular noting that it is user-friendly and straightforward. The team is undertaking a series of visits to NHS Boards across Scotland to assist with the implementation of SRI2.

Over the next year, SRN and NES plan to introduce Learning Network 3 which will have an emphasis on recovery focussed practice. The network will comprise of a collection of change agents and recovery champions which will share practice and ensure that the tool is rolled out to other services in their area. The network will also focus on ensuring that use of the tool is sustained nationwide.

JmC remarked that one of the challenges being faced was how to embed recovery and generate awareness on the subject with both Social Service andMental Health practitioners. CD supported the view that care planning needs to be more recovery focussed and SF drew attention to the encouraging and positive findings of the recent Inspection undertaken by Healthcare Improvement Scotland at the Partners in Care Ayr Clinic. The report documented that a recovery based philosophy was practiced and that a member of the hospital sits on the SRN steering group.

Penumbra

NH spoke about the self-stigma research being carried out in Dundee and Invergordon which forms part of a larger study for the SRN and ‘see me’. The survey aims to assess the extent to which mental health services can generate a sense of stigma and create conditions that lower a person’s self esteem. A report on this is due to be published shortly.

MWC

CD mentioned that MWC is publishing a Zero Tolerance good practice guide although the title itself is being reconsidered as it is thought that it can conjurenegative connotations. The next report will bear the revised title. MWC is also about to publish a report on Intensive Home Treatment. The organisation will also be commencing visits in June to Adult Acute Wards. The visits aim to see around 500 people and include sub-themes such as homelessness prior to admission at hospital, first admissions, minority ethnicities, co-morbid substance misuse, and, effect of compulsion on parental relations. It will be the first time that visits will consist of core questions and sub-themes.

CD announced that she would be retiring this coming November and a replacement for her post will be advertised.

Support in Mind

FS informed the group that the organisation is carrying out a survey amongst external organisations to collate views on how they feel the service relates to their work and identify any gaps. Members were asked to get in touch with FS if they had not yet received a questionnaire.

AHP

GU mentioned that the first national AHP delivery plan is due to be finalised this summer. The two year plan will cover all adult services including mental health.

Forensic Network

The Forensic Network is hosting a conference on Personality Disorder in Forensic Settings in Stirling on 25 May which will explore a number of themes such as Personality disorder in prisons, treatment and engagement, multidisciplinary working, and, training and education. The conference is also expected to be held in Aberdeen in October. The organisation has also received funding to carry out a census in mental health and this is being directed by Lynn Thomson.

The Short Module in Forensic Mental Health at Motherwell is half way through with 1st assignments submitted. Feedback to date has been positive. The 6 modules for the MSc in Forensic Mental Health are expected to be written up by the end of May and validated by late November. The MSc is expected to commence in autumn 2013.

A booklet on New to Forensics is being published and should be available by this autumn.

7. AOCB

There was none.

8. Date and times of the next meeting

The next meeting will be held on21 Aug. The substantive discussion item will be theMental Health Strategy 2012 – 2015.

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