S50: Teaching new dogs old tricks – supporting recovery oriented practice in specialist mental health services for older persons.

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By September 26, 2017 No Comments

Authors: Stephen Young, Eddie Zeballos

Year: 2017

Event: 2017 TheMHS Conference

Subject: Community, Culture, Society,Lived Experience, Recovery,Change, Innovation, Reform

Type of resource: Conference Presentations and Papers

Abstract: Background:
The adoption of recovery oriented practice has been central to the mental health reform agenda for over a decade. A framework that provides guidance to services on how to achieve this is available (A national framework for recovery-orientated mental health services 2013). However, the development of this approach in older person’s mental health services has been a particular challenge. Recovery for older people should be a process to which clinicians support the individual to regain their sense of self and identity, whilst considering coexisting physical illnesses (Dailey et al 2012). Therefore clinicians focus of care and intervention should be designed around the identified needs of the individual that supports their recovery.

An initial retrospective audit of 40 random inpatient and community files over a 5 month period service inpatient and community service indicated that only 52% of care plans demonstrated the involvement of consumers in the development care plan only 42% had been signed and only 7.5% had consumer identified strengths. An educational intervention was developed that included the creation of video vignettes that demonstrated recovery orientated practice with older persons. The aim of training was to encourage an empathic and collaborative approach to supporting recovery. (Young et al., 2008) The video vignettes were used in training to challenge staff and have them reflect on their current practice.

Nursing, allied health and medical practitioners have undertaken the educational intervention and recent auditing of care plans have shown some improvement in the involvement of consumers in the care planning process. With ongoing auditing of the care plans post the training to match the initial retrospective audit we anticipate that there is an increase in all the domains.

The use of video vignettes that model recovery orientated practice has proven integral to supporting change in our specialist mental health service for older persons. This paper will showcase these vignettes, discuss how this material has been used to change practice and outline our plans for the future.

Learning Objectives
Learning Objective 1: At the completion of this session participants will have a better understanding of recovery orientated practice in specialist mental health services for older persons.

Learning Objective 2: At the completion of this session participants will have a better understanding of how training aids were developed to support recovery orientated practice in the specialist mental health services for older persons.

Daley, S, Newton, D, Slade, M, Murray, J & Banerjee, S 2012, ‘Development of a framework for recovery in older people with mental disorder’, International Journal of Geriatric Psychiatry, 28 pp. 522-529
Rickwood, D. (2006). Pathways of recovery - preventing further episodes of mental illness (Monograph). Canberra: Commonwealth of Australia.
Young, A. T., Green, C. A., & Estroff, S. E. (2008). New endeavours, risk taking, and personal growth in the recovery process: findings from the STARRS study. Psychiatric Services, 59(12), 1430-1436

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