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 work new work streams streams “menu of options” Combine use of local Focus reporting on Blend of collaborative and national outcome measures and networking models collaborative with campaign approach #mhimprove
...supporting health and social care organisations to design and deliver services and support that meet the changing needs of people in Scotland... #mhimprove
Prevention Harm Recognition Response System Enablers #mhimprove
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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% #mhimprove
What is harm? #mhimprove
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
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
What is harm? Physical Social Psychological Sexual #mhimprove #mhimprove
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Medicines Risk Assessment and Safety Planning • • As required psychotropic monitoring Training and refresher training • • High risk medicine Timing and review Live risk assessment – linked to goal setting • • Medicines reconciliation Discharge • • Safer administration processes Patient and Carer involvement • Patient, staff and carer education Leadership and Culture • Patient safety climate tool • Staff climate tool • Walkrounds/Safety conversations • Violence, Restraint and Seclusion Communication at Transitions Learning from adverse events Reduction • Training • Debrief following restraint/near miss • Admission and Discharge • Restraint monitoring • Daily Goal Setting • Seclusion Policy and monitoring • Safety Briefings and Huddles • Physical health at key transition points (and at all other times) • Absconding and missing persons
Data and Measurement Scale Service User, All 13 boards with inpatient carer and Human staff Factors facilities engagement Safety 31 separate sites Principles 74 reporting wards (out of 124) Education Human Rights All boards have one or and training more wards with an Legislation improvement or sustained improvement #mhimprove
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Physical Health #mhimprove
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 #mhimprove
Service User Involvement #mhimprove
Phys/MH #mhimprove
Results driven improvement #mhimprove
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 #mhimprove
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43 3 #mhimprove
Looking into an unknown future……… #mhimprove
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
What advice can we give ourselves? • Avoid duplication • Start small, quick wins • Build the will • What can we take straight away from elsewhere? #mhimprove
• 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
• 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
• 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
• 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
People are and feel safe Be ambitious! Be brave! Be nice! #mhimprove
@spsp_mh #mhimprove
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