Commissioning for Recovery. Dr Anne Crawford-Docherty, Tom Howell, and Sean Russell

Transcription

1 + Commissioning for Recovery Dr Anne Crawford-Docherty, Tom Howell, and Sean Russell

2 + New sense-making Realist approach: Identified key theories of HOW recovery comes about thru scoping review Logic model summary diagram of interventions, mechanisms of change and recovery outcomes 2 sets of literature; MH practice and community engagement why separate?

3 + Key concepts Cake ; recovery as synergy CHIME: Connectedness, Hope, Identity, Meaning and purpose, Empowerment Stigma reduction: Contact, Knowledge, Skills

4 Therapeutic interventions COMMUNITIES MH SERVICES INTERVENTION TYPOLOGIES Illness Management Recovery Wellness Recovery Action Plan Self-directed support/advance directives Strengths model Collaborative Recovery Model Co-production Outward looking MH education/training REFOCUS Recovery colleges Mental health trialogues Co-production Individual Placement and Support Supported housing development practitioners navigators Peer workers Time banks/credits Mental Health first aid

5 Therapeutic interventions COMMUNITIES MH SERVICES INTERVENTION TYPOLOGIES PUTATIVE MECHANISMS Illness Management Recovery Wellness Recovery Action Plan Self-directed support/advance directives selfdeterminati on Strengths model Collaborative Recovery Model Co-production knowledge & choice Outward looking MH education/training REFOCUS Recovery colleges Mental health trialogues Co-production Individual Placement and Support Supported housing development practitioners navigators Peer workers Developing staff community networks exposure Changing attitudes & building new skills Time banks/credits Mental Health first aid

6 Therapeutic interventions COMMUNITIES MH SERVICES INTERVENTION TYPOLOGIES PUTATIVE MECHANISMS RECOVERY PROCESSES Illness Management Recovery Wellness Recovery Action Plan Self-directed support/advance directives selfdeterminati on Personal recovery processes Strengths model Collaborative Recovery Model Co-production knowledge & choice Connectedness Hope Identity Meaning Empowerment Outward looking MH education/training REFOCUS Recovery colleges Mental health trialogues Co-production Individual Placement and Support Supported housing development practitioners navigators Peer workers Developing staff community networks exposure Changing attitudes & building new skills Citizenship processes Stigma reduction acceptance Time banks/credits Mental Health first aid

7 Therapeutic interventions COMMUNITIES MH SERVICES INTERVENTION TYPOLOGIES PUTATIVE MECHANISMS RECOVERY PROCESSES OUTCOMES Illness Management Recovery Wellness Recovery Action Plan Self-directed support/ advance directives selfdeterminati on Personal recovery processes Strengths model Collaborative Recovery Model Co-production knowledge & choice Connectedness Hope Identity Meaning Empowerment Outward looking MH education/training REFOCUS Recovery colleges Mental health trialogues Co-production Individual Placement and Support Supported housing development practitioners navigators Peer workers Developing staff community networks exposure Changing attitudes & building new skills Citizenship processes Stigma reduction acceptance QoL Time banks/credits Mental Health first aid

8 + Commissioning for recovery: A new approach From Counting inputs and activity Commissioning services Commissioning block contracts Accepting long standing ways of doing things Thinking about need in a clinical sense and commissioning services to meet this need Professional/managerial decision making To Monitoring outcomes including self-assessed recovery outcomes Commissioning resources that can be co-ordinated around the needs of the individual Finding ways to unlock resource so that it can be used more flexibly Asking questions about how interventions contribute to active recovery Thinking about need in a holistic sense and commissioning in response to this. Co-produced and collaborative decision making

9 + CHIME: Connectedness Opportunities to encourage peer support: Peer support groups in recovery and employment centres Peer support as part of support services Peer workers in workforce planning

10 + CHIME: Hope and optimism Attitude of positivity re potential for change and improvement: Ambitious vision Bringing people together to face wicked problems Developing consensus and shared vision REFOCUS strengths-based practice model

11 + CHIME: Identity Looking for opportunities to challenge stigma and redesign relationships: REFOCUS coaching relationship IPS employment model Recovery colleges Timebanks

12 + CHIME: Meaning and Purpose What are we trying to achieve? Outcome-led systems and practices; ReQoL PROM Recovery capital

13 + CHIME: Empowerment People with MH difficulties influence, shape and inform use of resources: Peer commissioning network Employment support to address financial barriers to recovery Personal health budgets

14 + West Midlands THRIVE

15 + developments IPS: employment support Timebanks MHFA

16 + Reflections To commission for recovery and wellbeing need to understand how to trigger these: CHIME To commission for recovery and wellbeing need synergistic model of change MH services and community development are two sides of the same coin