SPECIALIST REHABILITATION & RECOVERY TRANSITIONS TEAM. (Currently based at 4 Wellfield Terrace, Cherry Knowle. Hospital)

Transcription

1 SPECIALIST REHABILITATION & RECOVERY TRANSITIONS TEAM (Currently based at 4 Wellfield Terrace, Cherry Knowle Hospital) PROFILE OF LEARNING OPPORTUNTIES OCTOBER 2011 GUIDANCE FOR STUDENTS AND MENTORS

2 This profile is a comprehensive document, detailing all the learning opportunities available in our specific clinical area. It is intended that students and mentors select the appropriate opportunities to help the students to meet the specified competencies for their particular placement. Student should not expect to access all of these opportunities during one placement.

3 CONTENTS 1. Teams Profile 2. Learning Opportunities 3. Key Elements 4. Learning Zone

4 SPECIALIST REHABILITATION & RECOVERY TRANSITIONS TEAM - AREA PROFILE CLINICAL AREA Specialist Rehabilitation and Recovery Transitions Team. Caring for people up to the age of 65 that have a long term psychosis. LOCATION 4 Wellfield Terrace, Cherry Knowle Hospital, Ryhope, Sunderland TELEPHONE NUMBER STAFF LIST (Please see Team Structure below)

5 TEAM STRUCTURE Suzanne Miller Service Manager Angela Brownbridge CNM Michael Dingwall Team Manager Jackie Outhwaite Band 6 CPN Malcolm Langley Band 6 CPN Dave Dickeson Band 6 CPN Bill Courtney Band 6 CPN Nicola Langley Band 6 CPN Deb Thompson Support Nurse Steph Beaumont Employment /Education Link Worker Part-Time Admin Worker Total Posts As At October Service Manager 1 CNM 1 Team Manager 5 CPN s (Band 6) F/T 1 Support Nurse 1 Administrator 1 Employment/Education Link Worker

6 WORKING HOURS The normal working day is 9am till 5pm with some flexibility of working on an evening. Flexibility working for CPN s as well due to office duty system. OFFICE DUTY SYSTEM Monday Friday 3.00pm 5.00pm One qualified member of staff PHILOSOPHY OF CARE Psychosis is a debilitating illness with far reaching implications for the individual and their family. It can affect all aspects of life, education, relationships, social functioning, physical and mental health well-being. Without an appropriate and integrated approach to care, psychosis can have unnecessary negative outcomes for individuals and place a heavy burden on carers, family and society at large. Despite the dominance of a rather negative view of outcomes for people with psychosis, there is evidence that a large percentage can make a recovery. We believe therefore, that people with psychosis can recover to grow beyond the illness, and live a full and satisfying life, discovering a new purpose and meaning. MODEL OF NURSING Our model of care is based on the concept of recovery. It is based on Zubin and Springs Stress Vulnerability Model (1977). We aim to provide a service that is designed around the developing evidence base of psychosocial approaches. The theoretical underpinning of the service is the stress vulnerability model, which sees the aetiology of psychosis as multi-factional and that stress and trauma can both precipitate an onset and relapse. It is postulated that reducing stress, improving coping mechanisms and adopting a sense of self-efficacy can be protective against relapse and lead to recovery.

7 ORGANISATION OF NURSING CARE Each patient referral is allocated a Key Worker / Named Nurse on receipt of the referral to the teams. The allocated team member will make contact with the patient and also with the referrer. There is quite often joint working between a CPN and Social Worker from a team with the same patient. It is widely acknowledged that the needs of this group are often complex, multiple and long term, affecting the social, personal and environmental aspects of their lives. To meet these needs affectively it operates on a multi-disciplinary and integrated approach to service delivery. The Care Programme Approach (CPA) is a useful framework for organising appropriate support and interventions for individuals with mental illness and the service will work within the local CPA policy. PROFILE OF LEARNING OPPORTUNITIES STUDENTS WILL HAVE THE OPPORTUNITY TO: Observe and participate in the assessment of patients and in the planning, implementation and evaluation of care from referral stage and possibly discharge. Liaise and work with other members of the multi-disciplinary team, i.e Consultant Psychiatrist, Senior House Officers, Social Workers, Support Workers and Support Nurses. Access statutory and voluntary agencies, i.e other parts of Social Services, Salvation Army, MIND, Mental Health Matters. Observe, participate in and facilitate group therapies (under supervision). Observe assessments and assist in these (under supervision). Take a leadership role regarding person-centred care, i.e carrying out basic assessments, liaising with carers and patients, helping make subsequent decisions regarding required care and making appropriate referrals with guidance of mentor.

8 Access journal articles and text books relevant to their placement. Access the internet to research relevant topics.

9 KEY ELEMENTS Interpersonal Skills Learning Opportunities Resource/Relevant Personnel/Department Assessment and planning of patient care Nursing / Social Services / Medical Staff Implementing Care Communication skills Mentor, other team members Working with members of Multidisciplinary Team Out-Patient Reviews, CMHT meetings, Out-Patient Clinic, Social Workers, Support Workers, Support Nurses. Observing and participating in Group Therapies Relevant Team Members Observing and participating in Assessments CPN s, Social Workers, Medical Staff Adopting Leadership Role Mentor Reflective Practice / Supervision Mentor Teaching Sessions/ Discussion Lead Practitioner/Mentor/Team Members Evidence based approaches In Psychosis Lead Practitioner Mentors Practice Development Nurse

10 KEY ELEMENTS Clinical Skills Learning Opportunities Resource/Relevant Personnel/Department Assess for care (Functional Disorders) Qualified Team Members, Medical Staff, Carers, Referral forms, Assessment Tools (HONOS, Worthing Risk Indicator, KGV, Depression Scales, Lunsers). Observations (Physical Examinations, Blood Tests etc) CPN s/medical Staff and other members of multi-disciplinary team Planning Care (Observation, Communication, Discussion, Liaison) Qualified Team Members, Medical Staff, Carers, Families, Psychologists Implementing care (Observe and practice CBT techniques with patients, Observe and practice the involvement of carers, Monitor and Supply medication, Administer intramuscular injections) CPN, Medical Staff Learn about drugs used in psychiatry. (Teaching sessions, Discussions, Practice and assist in administration of drugs) CPN s / Pharmacist / Medical Staff

11 KEY ELEMENTS Pathophysiological Processes Learning Opportunities Resource/Relevant Personnel/Department Functional Disorders: Schizophrenia Personality Disorders Bi-polar Disorder Alcohol and Drug Abuse / Addiction Depression Anxiety Disorders Phobic Disorders Talks/Discussions CPN s, Social Workers, Medical Staff Journals, Relevant Literature Drug Company Representatives Internet KEY ELEMENTS Health Development Opportunities Learning Opportunities Resource/Relevant Personnel/Department Observe and participate in: Therapy Groups Clinical Supervision Case Presentation Health Promotion Lead Practitioner CPN s Social Workers Medical Staff Literature / Journals Internet Liaise With Other Areas/Departments Learning Zone Pharmacy General Practitioner Hospital Wards Mental Health Matters Sunderland Mind Salvation Army (Swan Lodge) District Nurses / Health Visitors

12 KEY ELEMENTS Management Of Care Learning Opportunities Resource/Relevant Personnel/Department Taking Leadership Role CPN s, Social Workers, Medical Staff Being responsible for individual assessments of patients and planning care CPN s, Social Workers, Medical Staff, Multi-disciplinary Team, Families Decision making, in discussion with mentor Mentor, other departments, Multidisciplinary Involvement in Multi-disciplinary team Members of Multi-disciplinary team Involvement in Out-patient reviews Mentor, Medical Staff, Patient, Families Individually working with a small caseload under the supervision of mentor Mentor, Medical Staff

13

14 SPECIALIST REHABILITATION & RECOVERY TRANSITIONS TEAM : LEARNING ZONE Social Worker General Practitioner Consultant Psychiatrist CMH Teams Staff Grade In Psychiatry Senior House Officers Community Psychiatric Nurses Lead Practitioner Coping Strategy Enhancement Early Warning Signs / Monitoring Relapse Prevention Medication Management Barnes Unit Home Treatment Service / Crisis Resolution Team Meaningful Day Specilaist Rehabilitation and Recovery Transitions Team Family Work Forensic Services Social Day Services Rehabilitation Services Side Effects Monitoring C.A.T Team CBT Medication Clinics Primary Care Residential Care Practice Development Nurse Carers Centre Assertive Outreach Early Interventions Pharmacy Staff Reception Staff Admin Staff Ward Staff Support Nurses Support Workers Clinical Psychologist