Authors: Marko Turner
Year: 2017
Event: 2017 TheMHS Conference
Subject: Wellbeing,Reducing Stigma and Discrimination,Advocacy,Workforce,Promotion, Prevention, Early Intervention,Policy, Strategy,Clinical Issues,Research & Evaluation Informing Practice,Lived Experience, Recovery,Service Systems, Delivery, Implementation,Social Justice,Funding – Changing Models, Systems,Change, Innovation, Reform
Type of resource: Conference Presentations and Papers
Abstract: Mental Health organisations face challenges moving from a clinician focus to recovery-oriented practices that are client-led. This paper outlines an implementation of the Outcome Star process to address both client engagement priorities alongside service level evaluations for the Western Sydney headspace youth early psychosis program. Orygen’s Early Psychosis Prevention and Intervention Centre (EPPIC) model reflects recent governance principles requiring mental health services prioritise recovery needs. However, local difficulties recruiting to social recovery groups highlighted a paucity of information on both individual client recovery goals and service-level understandings across the program. Outcome Star trials confirmed clients responded positively, offering rich accounts of their difficulties and sources of distress whilst also generating personal goals. Despite slow clinician uptake, systematically identifying needs using the Stages of Change Model progressively highlighted their importance. Analysis of aggregated Star ratings alongside qualitative data themes are presented to demonstrate the richer levels of understanding and evaluation possible. Challenges and opportunities for innovation are offered. Paramount to reprioritising historical preoccupations with diagnostics and risk alongside an improved Outcome Star integration could be achieved via the Peer Support Workforce, thus elevating lived-experience and personal recovery to levels not foreseen by either the EPPIC model or governance frameworks more generally.
Learning Objectives
Learning Objective 1: Participants will learn about the ways in which mixed method, quantitive-qualitative practice tools like the Outcome Star can be used to generate client-led recovery needs and goals, whilst simultaneously generating critical data for evaluating the effectiveness of the wider service.
Learning Objective 2: Youth mental health services reprioritising the identification of individual needs and goals alongside risk and diagnostic information have a greater capacity to engage with mental health issues. Moreover, they have a greater capacity to identify and measure the most effective means of addressing and promoting recovery pathways, from both individual client and service-level perspectives.
References
MacKeith, J. (2011). The development of the outcomes star: a participatory approach to assessment and outcomes measurement, Journal of Housing, Care and Support, 14 (3): 98-106.
Makeith, J. (2014). Assessing the reliability of the Outcomes Star in research and practice, Housing, Care & Support, 17 (4): 188-197.
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