Championing Recovery in Mental Health Services in Ireland Anne O'Connor, National Director, HSE Mental Health @AnneOConnorhse 16 th N OVEMBER 2016
Many complex factors at play Growth in demand Recruitment Growth in population Stigma Quality and Safety Change in expectation
Current Situation Growth in Growth in Change in demand population expectation Themes Identified from the Listening Meetings Developing Respectful and Accessing Helpful Empathetic Relationships Information Improved access to Service User, Family and Carer Peer Support information & services Involvement Providing the Full Range Challenging Societal Attitudes of Interventions Primary care based Access to Out-of-Hours Providing Continuity of care services Care and Supporting People in their Recovery Avenues for Assessment Providing Specialist Services and Admission
Current situation Growth in Growth in Change in Recruitment Stigma demand population expectation There is still a stigma associated If I was experiencing mental I would find it hard to with mental health problems health problems I wouldn’t talk to someone with want people knowing about it mental health problems Net Net Agree Agree strongly Net Agree 81% Agree slightly Agree 55% 35% Neither agree/ disagree Source Mental Health Disagree slightly Awareness “The Little things” Disagree strongly Campaign Evaluation Study, April 2015 It depends Don’t know
What We Already Know… Mental Have a profound impact on an individual, family members and the wider community Health Affect all aspects of health and well being, including physical, social, emotional Difficulties and psychological People Needs will change over time Experiencing May require a range of health and support services from primary, secondary, tertiary, community and voluntary care agencies and specialists services Mental Health Family, friends and carers of those experiencing mental health difficulties Difficulties may require help and assistance
Key Insights and Drivers of Change Programme of Change aimed at driving sustainable service improvement throughout MHS nationally Team of dedicated Service Improvement Leads who will work as Change Agents, linking the evidenced based work of the PMO with local service delivery Programmatic Recovery underpinning all of our work and service users, carers and family members are Service User central Embedding the role of mental Training, trialogues, colleges, health service users in the peer-lead implementation of sustainable Recovery change Head of SUE now appointed to drive development of consultation structures
Improvements and Progress
Service User, Family Member and Carer Engagement National Structures for Engagement with Service Users, Family Members and Carers
Advancing Recovery in Ireland Build a meaningful Enable & support people Focus Support progress & satisfying life towards people’s on strengths & solutions to become active & take responsibilities as defined by people personal goals for life decisions & care/ services health & wellness Enable people to take on Inspire & hold Develop relationships based on mutual meaningful, satisfying & valued social roles &relationships respect & partnership hope for the future Include family & Communicate Support staff’s wellbeing supporters in recovery respectful & clear & cultivate capacity use non-stigmatizing for hope, creativity, compassion, language whenever possible realism &resilience
Advancing Recovery in Ireland Sites across 8 CHO areas Irish based consultants with recovery Service improvement/ recovery committees experience available to the Irish MHS established on all its sites developed a consultancy model Staff training. All sites have taken part in the ARI national training programme Recovery Colleges: Mayo, Galway/Roscommon. Midwest ARIES project, South East Recovery College and the Co- produced ‘Recovery Principles & Practice North East Recovery College workshop developed for all MH staff to introduce CHO’s participating in ARI developed readiness & them to the core principles of recovery practice. capacity for the MH national division 2017 deployment of Peer support working roles Sites contracted on a recovery Services are currently rolling out training to MDT’s programme for 2016 Involvement centres - Peer led recovery centres empowering service users to self manage their own recovery process. ARI services developed a Family peer support programme Sites have engaged in audit processes to Services are providing co-produced recovery regularly monitor the service user experience education on in patient units around recovery of using the service literacy, discharge and goalplanning
When Do We Know We Will Have Succeeded? “We are writing to you regarding the outstanding quality of service which we received from the CAMHS In-Patient Unit in Through the experiences of people Galway… and their families using our services There will be many days when you have to deal with criticism of mental health services which may or may not be justified. We just want to counteract that by letting you know that is our experience that at the CAMHS In-Patient Unit in Galway , the mental health of our children is being safeguarded effectively, efficiently and empathetically . It clearly took vision, insight, commitment and leadership over the years to make this happen and we are grateful to all those involved. We wish you and your team every success in your critical work now and in the future.”
mentalhealth@hse.ie
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