Yorkshire and the Humber Mental Health Network Early Intervention in Psychosis Network 2 November 2017 • Stephen McGowan, EIP Clinical Lead for Y&H CN and NHSE (North) (Chair) • Dr Steve Wright, Consultant Psychiatrist, TEWV (Co-Chair) • Sarah Boul, Quality Improvement Manager sarah.boul@nhs.net • Twitter: @YHSCN_MHDN #yhmentalhealth • November 2017 www.england.nhs.uk
Housekeeping: @YHSCN_MHDN #yhmentalhealth
Yorkshire and the Humber Early Intervention in Psychosis Network Welcome! Moggie McGowan, Co-Chair, Clinical Advisor, Y&H IRIS, Y&H Clinical Network & NHS England North www.england.nhs.uk
Yorkshire and the Humber Early Intervention in Psychosis Network National, Regional & Local Update Ceri Owen, Service User Representative www.england.nhs.uk
Yorkshire and the Humber Early Intervention in Psychosis Network Service User & Carer Involvement Examples of Good Practice in Yorkshire & the Humber Catherine Ding, Service User Development Worker Bradford District Care Trust www.england.nhs.uk
Barnsley Bradford PSYPHER Hull Insight EIP Service Wakefield Calderdale Kirklees EIP Insight Rotherham EIP Team Team EIP York Aspire TEWV Community Links
Service User Responses to questionnaire involvement (13 teams asked) 78% 22% No Yes 31% 69% Carer involvement 67% 33%
2 service users support the Joint facilitation of Current project looking at joint SU / running of the men's group Hearing voices group Aspire monthly ‘blog’ Facebook – promoting Weekly service user activity/support group – Perinatal mums activities and productive group with continued good attendance every 2 months encouraging SU feedback Service users trained climbing instructors support climbing group We had four Service users (voluntary) PSWs, on recruitment of which one has panels gone on to complete a Health Service & Social Care NVQ improvement & another that meetings has been employed by the recovery college. Service leaflet redesign & information booklets Action afternoon – weekly service user Meet the team SU attends teaching sessions reference group Linking clients event – focus on into the citywide ‘your say, our Focus group for Service user offering training peer support future’ experience of service, sessions to Princes Trust groups leading to recommendations from Input into strategic plan & Service user Co produced clients to shape service co-production initiatives involvement in audit care planning
We have started the ‘friends & IAPT assessments for Booklets Family’ groups and will be asking carers a SU to attend one of the sessions to ‘tell their story.’ Carers assessments Regular Carers meetings CARER Friends & Carer service family improvement INVOLVEMENT monthly meetings forum Referrals to carers hub Carers supporting recruitment. Family interventions Friends of PSYPHER – family support group. Purpose to connect families and carers to share experiences, support each Carers group every 2 months. other and provide feedback on the service.
Former SU Workers in your EIP team? Do you have Peer Support volunteer No 67% Yes 33% STR (salaried) SUDW (salaried) Former SU volunteer PSW (unsalaried) (unsalaried)
Do you have Peer Support Workers in your EIP team? We have in the past & We have one ex-service Currently 2 ex-service currently have a user who would define users in full time volunteering scheme himself as “an expert by employment in the which we encourage experience”. team. former service users to consider. Examples of how this has worked 4 SUDW posts & we’re We have focussed on include a SU co- also developing a peer volunteers. facilitating the drama support role in therapy group. collaboration with local employment/IPS services to create No peer support We have one PSW that development workers but 1 volunteer has just completed her opportunities in the that was a SU previously training & should be workplace for existing with the team. starting with us soon. SUs of MH Services.
Our 4 SUDW’s are split between One voluntary What do we do? development & involvement Peer Support Mentor activities and support work e.g. who is a peer to current collecting and collating feedback clients to support them from SUs, promoting the services, accessing services & audit and research, developing community resources. recovery stories, service This may include sharing governance, participation and personal knowledge / involvement activities. All act as stories of mental distress. support workers too, working alongside SUs. 8 volunteers to support social inclusion activities From our onset we employed The STR worker generally supports care service users co-ordinators in delivery of agreed plans of within the care facilitate group interactions however capacity of Care the ex-service users STR worker has an Co-ordinators ability to use personal experience and as STR disclosures to generate a sense of hope and workers. optimism to promote active engagement
Yorkshire and the Humber Early Intervention in Psychosis Network “Discovery” not “Recovery”: Making the most of learning, language and lived experience Emma McKenzie, Discovery Hub Team Lead, York St John University www.england.nhs.uk
Discovery not Recovery Making the most of Educational Language and Lived Experience
https://www.youtube.com/watch?v=Xg4_rleVveY
Principles of Converge • To work together as artists and students • Build a community where we learn from each other • Engage and enhance the university and wider community • Provide a supportive and inclusive environment • Respect others and value ourselves • Above all, strive to be ordinary, extraorinary yet ourselves
Opportunities with Mutual Benefit • Provide high quality learning opportunities to a wide range of people with lived experience of mental health illness. • Provide high quality learning opportunities to students studying at York St John University. • Development of everyone involved in Converge. • Decreased stigma across YSJ University and the campus. • Inspire and engage with the local community.
Key Aspects Enrol not refer Student rather than patient / service user Education rather than therapy Discovery rather than recovery
The Discovery Hub
Aims of the Discovery Hub: • To provide Learning and Access workers to give individual support to people moving across from mental health services into Converge and learning opportunities in the local community. • To provide up to date information and knowledge regarding learning opportunities and resources that provide learning options to people who have experienced mental health illness. • To utilise the university environment to draw on the support of students to gather information and knowledge about local learning opportunities. • To create a rich community network of resources that support working in partnership with organisations in support of a recovery journey.
Provide a wealth of horticultural opportunities across the city in partnership with St Nicks in York and Poppleton Community Railway Nursery. Other providers we work closely with: • Kyra womens project • St Leonards Hospice • York College
Mind your Language! Progression Discharge Student Discovery Referral Peer Next Step Service User Volunteer Achiever Triggering Colleague Signpost Clinical Graduate Person Client Employee Enrol Prescribing Teacher Student Diagnosis Friend Encourage PD Mentor Promote Access Journey Hope Future Joy Identity Link
Stats • 290 people (140 individuals) completed courses, and 85 university students were involved in delivery and support in the last academic year (2015-2016) • Since opening in April 2015 The Discovery Hub has seen over 240 individuals. We have an active caseload of around 30 – 40 people at any given time, with the opportunity to connect in / out of support when needed.
Jack’s story
The Future… www.yorksj.ac.uk/converge We now have a Converge Leeds and a Converge Newcastle….but could this go further? converge@yorksj.ac.uk e.mckenzie1@yorksj.ac.uk discoveryhub@yorksj.ac.uk
Stepping Through https://www.youtube.com/watch?v=8i91ArM6oTI
Yorkshire and the Humber Early Intervention in Psychosis Network Time for a break? www.england.nhs.uk
Yorkshire and the Humber Early Intervention in Psychosis Network Introduction to the Group Discussion Dr Steve Wright, Co-Chair, Consultant Psychiatrist, TEWV & Clinical Advisor, Y&H Clinical Network www.england.nhs.uk
• How do we keep service- users & carers at the centre of everything we do? • (Despite everything else that is going on!) www.england.nhs.uk
• How do we support genuine co-production within our teams as we go forward? www.england.nhs.uk
• How can we ensure that our team culture is non- stigmatising and values everyone equally highly? www.england.nhs.uk
• How do we ensure that we understand what service-users think about things before they happen to them? www.england.nhs.uk
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