SPSP-Mental Health Regional Learning Session February 2017 - - PowerPoint PPT Presentation

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Aug 20, 2022 304 likes •713 views

SPSP-Mental Health Regional Learning Session February 2017 @spsp_mh #mhimprove People are and feel safe #mhimprove Methods of delivery Balance between local Work with boards to Pathway approach to and national priorities: prototype new

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SPSP-Mental Health Regional Learning Session February 2017

@spsp_mh #mhimprove

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People are and feel safe

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Methods of delivery

Pathway approach to new work streams Balance between local and national priorities: “menu of options” Work with boards to prototype new work streams Focus reporting on

utcome measures

Blend of collaborative and networking models Combine use of local and national collaborative with campaign approach

#mhimprove

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...supporting health and social care

rganisations to design and deliver

services and support that meet the changing needs of people in Scotland...

#mhimprove

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Prevention Response Recognition

Harm

System Enablers

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 10 wards/units showing reduction in the percentage of patients who self harm of up to 75% and a 39% reduction in percentage of self harm in 17 out of 35 acute wards  15 wards/units showing a reduction/sustained reduction in the rates of violence of up to 80%  9 wards/units showing a reduction or sustained reduction in the rates of restraint of up to 64%

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What is harm?

#mhimprove

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Example 1

A female psychiatric in-patient with a history of abuse finds

herself too anxious to leave her bedroom to sit in the mixed- sex TV room

Is this harm?

#mhimprove

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Example 2

A patient returns home after 2 weeks in hospital under
detention. A neighbour comments that it must have been

very upsetting for the police to have ‘taken her away’.

Is this harm?

#mhimprove

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What is harm?

#mhimprove #mhimprove

Physical Social Psychological Sexual

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Medicines

As required psychotropic monitoring
High risk medicine
Medicines reconciliation
Safer administration processes
Patient, staff and carer education

Risk Assessment and Safety Planning

Training and refresher training
Timing and review Live risk assessment – linked to goal setting
Discharge
Patient and Carer involvement

Violence, Restraint and Seclusion Reduction

Training
Debrief following restraint/near miss
Restraint monitoring
Seclusion Policy and monitoring

Communication at Transitions

Admission and Discharge
Daily Goal Setting
Safety Briefings and Huddles
Physical health at key transition points (and at all other times)
Absconding and missing persons

Leadership and Culture

Patient safety climate tool
Staff climate tool
Walkrounds/Safety conversations
Learning from adverse events

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Safety Principles

Data and Measurement Human Factors Human Rights Legislation Education and training Service User, carer and staff engagement

Scale All 13 boards with inpatient facilities 31 separate sites 74 reporting wards (out of 124) All boards have one or more wards with an improvement or sustained improvement

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Physical Health

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People with severe mental illness die on average 20 years younger than the rest of the population, largely owing to poor physical health.

Brown et al (2010) British Journal of Psychiatry 196; Parks et al (2006), National Association of state Mental Health Programme Directors

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Service User Involvement

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Phys/MH

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Results driven improvement

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Reduction in the percentage of patients who self harm of up to 75% Reduction in the rates of restraint of up to 64% Reduction in the rates of violence of up to 80% Over 600 facilitated patient safety climate tools completed Over 3000 staff safety climate questionnaires completed

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Looking into an unknown future………

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What’s your plan?

@spsp_mh #mhimprove

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What’s your plan, what do you want to do?
Do you know if it’s better than best practice

already, what or who else is out there that might know or help?

Are there barriers or blocks in the way?
What support is in place?

#mhimprove

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What advice can we give ourselves?

Avoid duplication
Start small, quick wins
Build the will
What can we take straight away from

elsewhere?

#mhimprove

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What’s your plan, what do you want to do?
Do you know if it’s better than best practice

already, what or who else is out there that might know or help?

Are there barriers or blocks in the way?
What support is in place?

#mhimprove

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What’s your plan, what do you want to do?
Do you know if it’s better than best practice

already, what or who else is out there that might know or help?

Are there barriers or blocks in the way?
What support is in place?

#mhimprove

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What’s your plan, what do you want to do?
Do you know if it’s better than best practice

already, what or who else is out there that might know or help?

Are there barriers or blocks in the way?
What support is in place?

#mhimprove

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What’s your plan, what do you want to do?
Do you know if it’s better than best practice

already, what or who else is out there that might know or help?

Are there barriers or blocks in the way?
What support is in place?

#mhimprove

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Be ambitious! Be brave! Be nice!

#mhimprove

People are and feel safe

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@spsp_mh #mhimprove