Implementing the Recovery Centred Clinical System in Fraser Health

Transcription

1 Implementing the Recovery Centred Clinical System in Fraser Health Angela Louie, Coordinator Rehabilitation & Recovery Services, Fraser Health Mental Health & Substance Use 1

2 Recovery Just a passing fad? 2

3 How do we implement a recovery approach across programs? 3

4 How do we make it stick? 4

5 Recovery Centred Clinical System Journey Culture Conversations 5

6 The Beginning Telecare presentation at IAPSRS 2005 Presentation to Director and Riverview Redesign committee 2006 site visits, investigations 2007 tertiary adopts as clinical model 2009 first staff training 6

7 Pilot site Tertiary Connolly/Cottonwood Steering committee 4 day staff training Infrastructure development Front-line staff support Physician workshop 7

8 Tertiary Support Practice Support Training Steering Committee Evaluation Guidelines 8

9 Tertiary Support Practice Support Training Steering Committee Evaluation Guidelines 9

10 3 Day Training Day 1: Recovery - concepts and journey Evolution of a disability Illness-centred vs person-centred Model of Complete Mental Health Care-taking vs growth oriented 4 stages of recovery Recovery Centred Clinical System overview Recovery Journey Relationships Day 3: Recovery conversations and tools Overview of recovery conversations Awakening hope Connections My Recovery Plan Clarifying identity Choice making Reducing harm conversations Day 2: Recovery culture, hopes and dreams, My Recovery Plan Overview of recovery culture Power Dreaming Individual uniqueness Respect and dignity Motivation Judgment 10

11 Tertiary Support Practice Support Training Steering Committee Evaluation Guidelines 11

12 Evaluation Tools We used the tools available at that time: My Recovery My Strengths Harm in My Life Client Engagement My Recovery Plan We are reviewing evaluation tools 12

13 13

14 Tertiary Support Practice Support Training Steering Committee Evaluation Guidelines 14

15 Tertiary Support Practice Support Training Steering Committee Evaluation Guidelines 15

16 16

17 Fraser Health Tertiary Programs Timber Creek Connolly/Cottonwood/Cypress Memorial Cottage Cedar Ridge 17

18 What were some of our challenges? Sustainability! Did not have channel to work with all sites consistently Different practices/understanding Different forms and procedures Different expectations 18

19 How do we move forward in tertiary? tertiary committee all sites Tertiary steering committee endorses consistent direction across sites First recovery evaluation across sites Recovery Centred Measure and staff interviews Working on standard recovery plan document 19

20 Fraser Health Community Residential Facilities xx x x x x xx x xx x Phased Implementation 4 years 20

21 Moving to Recovery Some challenges Care plan recovery plan Single document across licensed care facilities Synthesizing licensing and mental health requirements Using first person language, recovery philosophy and collaborative approach 21

22 Residential Facility Support 1 day workshop for Managers of Care, FH Community Residential Program staff 3 hour on-site workshop for facility staff Developed standard recovery plan for residential facilities Developed Information Gathering Tool 22

23 Housing Support Practice Support Training Steering Committee Evaluation Guidelines 23

24 Housing Support Practice Support Training Steering Committee Evaluation Guidelines 24

25 My Recovery Plan Feedback and revisions after each phase of implementation Based on both recovery orientation and ease of use One plan for all staff and resident 25

26 26

27 27

28 Information Gathering Tool Tool to assist with conversations Information can be brought to recovery planning Purpose is to get to know resident 28

29 29

30 Housing Support Practice Support Training Steering Committee Evaluation Guidelines 30

31 Housing Support Practice Support Training Steering Committee Evaluation Guidelines 31

32 Housing Support Practice Support Training Steering Committee Evaluation Guidelines 32

33 How do we implement a recovery approach across programs? 33

34 How do we make it stick? 34

35 4 types of support needed for success Top leadership Program leadership Infrastructure Direct clinical 35

36 Top Leadership Support 36

37 Program Leadership Support 37

38 Infrastructure Support 38

39 Direct Clinical Support 39

40 An Example - Clubhouse Strong management leadership Gathered 12 clubhouses together Set a clear vision/targets Developed guidelines and forms Coordinated collegial support Learning exchanges 40

41 41

42 42

43 Where to next? Other housing programs Mental health centres - Community Redesign In-patient units 43

44 Recovery approach implementation Are you considering implementing a recovery approach in your programs? What elements of support do you need to develop? 44

45 Questions 45