East Lancashire Community Rehabilitation Team (CRT) Service User Information
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This Information Pack has been designed to help you understand who the Community Rehabilitation Team are and how we may be able help you. CONTENTS About the Community Rehabilitation Team Page 4 How do I get support from the Community Rehabilitation Team Page 6 What does Rehabilitation mean? Page 7 How does the Community Rehabilitation Team work? Page 8 Confidentiality and Information Sharing Page 9 Useful Contacts Page 10 Other Resources Page 11 Frequently asked questions Page 14 Rights and responsibilities Page 16 3
Hello! We are the Community Rehabilitation Team The Community Rehabilitation Team (sometimes people call us CRT ) provides a service to help people move towards living in the community instead of in hospital or residential care homes. We also help people who are already at home to stay there by making sure they get the support they need. We are interested in providing support to help people recover from mental health problems, live more independently, and be a valued member of their community. Our main goal is to try to prevent people from having to go into hospital or care homes. If people do need treatment in hospital or a care home, we try to make sure they do not stay there any longer than they need to. About the Community Rehabilitation Team The Community Rehabilitation Team is a team of professionals specialising in different areas: Support, Time, & Recovery Workers Community Rehabilitation Manager Mental Health Nursing Occupational Therapy Clinical Psychology Social Work We have links with other professionals and services that can help you to achieve your goals e.g. housing teams, drug and alcohol services 4
We use a person-centred approach, which means that the most important thing to us is you and what you want. We support people who want to live in the community by making sure they are getting the help they need. This means that you will continue to get support from the people who already care for you. We offer a specialist rehabilitation service to help you and the people involved in your care find the best way to work towards recovery and independence. 5
How do I get support from the Community Rehabilitation Team? Usually, the people already involved in your care will make a referral which means they ask us to come and see you. Once we receive the referral a member of our team will visit you wherever you are staying whether you are at home, in hospital or a residential care home. If you are in hospital or a care home, we can work together with you and the people who already provide your care to help you work towards living in the community. If you live in the community we can make sure you get the right support to help you stay well so that you don t need to go into hospital or a care home. If you have family, carers or friends who you want to tell about this service, we can give them their own Information Pack too just ask a member of our team. 6
What does Rehabilitation mean? Rehabilitation is the process of recovery from mental health problems. It works by empowering you to help yourself feel happier, healthier and more fulfilled. Rehabilitation aims to improve your quality of life and well-being by helping you to: feel good and have hope for the future be able to take care of yourself and your family set your own goals and be supported in achieving them get what you want such as work, hobbies, friendship, education, or training make your own choices and decisions about your care have somewhere safe and secure to live improve your skills or learn new ones develop ways of coping with stress and difficult times in your life learn how to manage your mental health symptoms be in control of your own life move on from past difficulties or losses manage your money stay healthy and be able to access health services 7
How does the Community Rehabilitation Team work? You will always be involved in decisions regarding your care. The Community Rehabilitation Team will support you every step of the way. You will also continue to receive support from the people who are already involved in your care. First, a member of our team will come to meet you for a chat. We will do what is called an initial assessment. During an initial assessment, we will talk to you about what your current situation is like. They will ask you about your goals and talk about how we might work towards them together. We will then work with you to make a plan (called a rehabilitation plan ) which you will make to help you to achieve the goals you have set. We will decide which member of our team has the most suitable skills (e.g. nurse, occupational therapist) to support you in creating your rehabilitation plans they will be your case manager. There will be a point in your treatment where you and the people involved in your care feel that you are ready to move on. If you are in hospital or a care home, moving on might mean moving back into the community. If you already live in the community, this could mean being more independent by doing things on your own that you may have needed help with in the past. Moving on from hospital or a care home, or gaining more independence at home shows that you are making real progress towards recovery! 8
Confidentiality and Information Sharing It is important that our staff know as much about your mental and physical health as possible, so we can give you the right support you require to achieve your goals. Sharing Your Information with Relatives, Family and Friends We will only share information about your care with relatives, carers, or friends if you ask us to. If you give permission for information to be shared, we will record it in your notes. You can change your mind at any time and your new decision will be recorded. Information Sharing We do not disclose information without your written permission to third party organisations. This includes police, housing associations, other care agencies, etc. Occasionally there are exceptional circumstances that mean we have to, such as when you or someone else is at significant risk of harm, or where the law requires such information to be disclosed. If you require any further information regarding confidentiality and information sharing, please speak to your care co-ordinator. Access to Health Records You are entitled to access your health records under the provisions of the Data Protection Act 1998. Your care co co-ordinator will be able to advise you on how to do this. 9
Useful Contacts It is likely there will be times when you will want to contact the Community Rehabilitation Team. Below are the names and numbers of people you may need to get in touch with, as well as some other useful resources. You can contact the people below Monday to Friday between the hours of 9am and 5pm. (If you need to speak to someone in an emergency outside of these hours, their number will be in your rehabilitation plans.) Case Manager My Case Manager is Their mobile number is. Support, Time & Recovery Worker My Support, Time & Recovery Worker is. Their mobile number is. Community Rehabilitation Team The office telephone number is.. You may work with other members of the Community Rehabilitation Team during your rehabilitation. Add their names and telephone number below: Psychologist.. Occupational Therapist. Mental Health Nurse.. Social Worker.. 10
Other Resources The following resources may also be helpful: Hearing Voices Network: Information, support, and understanding to those who hear voices and see visions www.hearing-voices.org 0845 122 8642 Help Direct: Access to practical support, guidance, and information. The team can help you regardless of your situation and you can be confident that you will be supported in finding a positive solution to your needs. www.helpdirect.org.uk 0303 333 11 11 HopeLine UK: Specialist telephone helpline staffed by trained professionals who give non-judgmental, practical support, advice and information to young people who are worried about themselves, not coping, or hurting themselves www.papyrus-uk.org 0800 068 41 41 Making Space: Support for people affected by mental health problems www.makingspace.co.uk Mind: Information on mental health, where to get help, medication, and advocacy www.mind.org.uk 0300 123 3393 (open Monday-Friday 9am-6pm) 11
NHS Direct: Health advice and information www.nhsdirect.nhs.uk 0845 46 47 (open 24 hours, 365 days a year) No Panic: Offering support for sufferers of panic attacks and OCD (obsessive compulsive disorder). Offers a course to help you overcome your phobia/ocd. www.nopanic.org.uk 0800 138 8889 (open 10am-10pm everyday) OCD (Obsessive Compulsive Disorder) Action: Support for people with obsessive compulsive disorder. Includes information on treatment and online resources. www.ocdaction.org.uk 0845 390 6232 Refuge: Advice on dealing with domestic violence www.refuge.org.uk 0808 2000 247 Rethink: Practical advice and information about things such as types of therapy and medication, benefits, debt and money issues, police, courts and prison, your rights under the Mental Health Act www.rethink.org 0300 5000 927 (open Mon-Fri 10am-1pm) 12
Samaritans: If something s troubling you, they help to talk things through. Everything is confidential. www.samaritans.org 08457 90 90 90 (open 24 hours, 365 days a year) SANE: Specialist emotional support and information to people affected by mental illness, including family, friends, and carers www.sane.org.uk 0845 767 8000 Turn2Me: An online mental health community providing peer and professional support to those in need www.turn2me.org Lancashire Care NHS Foundation Trust Service User Involvement Officer: (01772) 695366 Lancashire Care NHS Foundation Trust Compliments and Complaints Department: (01772) 695315 or FREEPHONE 0808 144 1010 Independent Complaints Advocacy Service: 0845 120 3735 East Lancashire Advocacy Service: (01254) 301303 13
Frequently Asked Questions Here are some of the questions that our service users ask us quite often. Remember, you can ask your Case Manager or other members of the Community Rehabilitation Team if you need more information about anything. Contact with the Community Rehabilitation Team Q. How often will I be seen? A. This depends on your circumstances and is likely to vary depending on how you are progressing. This will be agreed between yourself and your Case Manager, written into your rehabilitation plan and will be reviewed regularly. Q. Where will I be seen? A. Your Case Manager will talk to you and help you decide where you feel most comfortable meeting with members of the team. It will usually be where you are currently living, but sometimes it might be in the community when you are out and about. My Family Q. Is there any support available for my family or carer(s)? A. Your family or carer(s) will be involved with your care as much as you want. We have a Carer s Information Pack (similar to this one) that will give them some more details about our team. Please ask a member of our team about this. If you do want your carer(s) or family/friends to be involved, you can give your consent to your care co-ordinator. Your care co-ordinator will then be able to give them details of any support that is available for them. 14
Finances Q. Will I get help managing my finances if I need it? A. Your needs will be assessed and this will be part of your planned rehabilitation. There are various options to help you in this area and your Case Manager can discuss these with you. Work Q. What do I need to tell an employer about my mental health? A. Talk to your Case Manager about this. They can support you with managing your current employment or helping you to find work and apply for a job when the time is right. Social Q. I m worried about how other people will react to me, and what I should tell them. A. One of the challenges in recovering from a mental health problem is dealing with the reactions of other people. Your care coordinator will be able to advise and help you deal with this. 15
Rights and Responsibilities Service User Responsibilities Hope Be actively involved with the Community Rehabilitation Team and contribute to your rehabilitation plans so that they reflect your aims and aspirations. Keep in touch with your case manager and co-worker. Health Discuss any concerns you may have with your care co-ordinator, or a member of the Community Rehabilitation Team. These may be related to your care or social circumstances. Contact your care co-ordinator if you have any concerns regarding your medication such as prescriptions, further supplies or unwanted side effects. Recovery Inform your care co-ordinator of any changes in your personal circumstances such as change of address. If unable to keep an appointment for whatever reason to contact the Community Rehabilitation Team office. You will find the number in the Useful Contacts section of this leaflet. Take responsibility for the safe storage of your medication. You are advised to keep your medication in a lockable cupboard and well out of the reach of children. Service User Rights To be treated with consideration and respect, without bias or discrimination, maintaining personal dignity at all times. 16
To receive a full assessment of your individual needs. To be afforded privacy and confidentiality in all your interactions with staff, and to receive a full explanation of any circumstances in which information will be divulged to others To receive adequate information to enable you to give informed consent for the interventions offered to you. To request a change of case manager if a therapeutic relationship is not forming with the case manager allocated at the start of your treatment. To nominate a family member, friend or advocate to participate in the decisions regarding your health care. To complain and be informed of the complaints process. To expect all your personal records to be held by the service in a safe and secure manner. To be offered the services of a trained interpreter, if required. Service Responsibilities To offer regular appointments with a member of the team at a convenient time and to attend promptly. (Should the service be forced to cancel an appointment you can expect to receive a minimum of 24 hours notice. Where this is not possible you should receive a full explanation). To actively involve you in your assessment and in the agreement of your individual rehabilitation plans in order that they reflect your personal goals. Regular reviews are your opportunity to raise any concerns or dissatisfaction you may have with the support you are receiving and to negotiate changes. To provide you with competent, person-centred, rehabilitative support To treat you with dignity, respect and courtesy. To behave in a way that adheres to the Trust s core values of Teamwork, Integrity, Compassion, Excellence, Respect, and Accountability 17