Mental health service models

To enable the team to provide the best support to our customers, our model has oversight from a psychologist. They provide practice leadership and guidance to the team to develop and deliver a psychologically informed service based on CBT, DBT or CAT. This model focuses on developing psychologically informed formulations, which are used to develop our support plans and relationships with customers. These are also used to inform workforce development and reflective practice is embedded within the service.

The service is managed by a mental health nurse to enable us to rapidly respond to escalation of need and reduce crisis and distress for customers, linking appropriately with statutory services. Key to this role is responsibility for formulating and managing clinical risk for each customer, in partnership with the psychologist, and providing direction on multi-layered risk management plans.

Within the model we provide occupational therapy either through a dedicated member of the team or from our central clinical team. This enables each customer to have a bespoke skills development strategy, with the team delivering a coordinated approach with practice leadership and clinical coaching from an occupational therapist. This aims to enhance participation, optimise occupational performance and independence and promote engagement in meaningful and purposeful activity.

The service has a number of features:

• An integrated model that supports a highly skilled and supported team, working in a trauma informed and psychologically informed framework

• Psychological framework informed by Cognitive Analytic Therapy

• Clinical colleagues will be embedded in the team enabling swift response to escalation of risk and crisis

• Integrated mental health nursing to manage complex medication, with support and understanding of complex mental health difficulties

• High quality care and support assessment and delivered through our LIFE support model, with person-centred planning, a strengths-based approach and psychologically informed practice

• Positive Behavioural Support from our central clinical team

• Improved health outcomes, addressing inequalities and enabling customers to navigate and access to mainstream health services.

The benefits of our service include:

• A new home- long term or lifetime homes for customers within their local community.
• Outcomes- improved outcomes, such as: recovery (wellbeing and personal development); improved physical health; reduction of behaviours that challenge; reduction in risk and crisis.
• Co-production- through peer support and co-delivery of the service, customers will build confidence, a more positive self-concept and a network of support.
• Skills- improved skills development, improving levels of autonomy and independence and meaningful engagement in occupational tasks.
• Cost savings- delivered in the long term as formal support needs decrease, with a reduction on in incidence of mental health crisis.
• Relationships- we work with families as key partners and understand the complexity of providing this support.
• Improved health- addressing inequalities and enabling customers to access and navigate mainstream health services.