HPHS Health Improvement Team Directorate of Forensic Mental Health Building Effective Practice Health Improvement in Mental Health HPH Annual Conference Dublin 17-20 th May 2005 Primary Care Division Mental Health Services
HPHSHealth Improvement TeamDirectorate of Forensic Mental Health
Building Effective PracticeHealth Improvement in Mental Health
HPH Annual ConferenceDublin 17-20th May 2005
Primary Care DivisionMental Health Services
Aims of Presentation
I will give an overall account of
How the Forensic Directorate identified the
need for health improvement.
How we planned, implemented and developed activity
programmes for patients.How we utilised the Health
Promoting Health Service Framework.
How we investment in staff health, where we are now
and our future plans.
Setting the ScenePopulation 867,049.Unemployment 30,271 (3.5%)Long Term Illness 205,912
• For most mental and physical health problems in Greater Glasgow there is a strong link with deprivation.
• Compared with people living in the most affluent areas, people living in the most deprived areas are 2.7 times more likely to be admitted for depression, 3 times more likely to commit suicide, 4.5 times more likely to be admitted for self-poisoning, 6 times more likely to be admitted with schizophrenia, 10 times more likely to be admitted for an alcohol related problem and 33 times more likely to be admitted for a drug misuse related problem.
Greater Glasgow 2001 Census
Background
Forensic unit established 1997.Continuing Care Facility For
Under 65’s.Staff issues/Redeployment.Limited health-promoting
activities.Client mix and expectations.
Crossroads 1997
How we got started
Ask users what they want/need re questionnaire.
Benchmarked existing programmes.
Start with ONE activity.Have a champion.Patience/Perseverance.Staff Fundraising Activities.Ben Arthur Walk 23/8/98.Ben Arthur Walk 23/8/98.Strathblane Walk 8/12/98.Strathblane Walk 8/12/98.Halloween Dance 31/10/99.Halloween Dance 31/10/99.
Early Development
Developed basic Measurement tools / keeping records.
Bring in other disciplines.Tap into your Staff
Expertise.Local Networking.Propose idea with Aims
and Objectives.
Maintaining the Enthusiasm
Keeping Faith with Current Programmes
Give Encouragement to StaffMotivate Users/ Set Realistic
Objectives Document progress in Care planFind out what is, and what is
not happeningTraining Courses Available Keeping Records/Audit Walking Group 1997
Some of the PitfallsNot seen as Nursing Remit by some
staff.No Financial Rewards for Users and
Staff.Favoritism of Users and Staff.Some talk a good game/Mean Well.Slow Progress.Training Requirements.Unforeseen Barriers-
Budgeting/Staffing Red Tape/Protocols/Health and
Safety.
HPHS Framework 2001-2004National Impact Site
Increased Knowledge baseRestructuring Activities
Used as a GuideAllowed Networking
CollaborationPatient FocusedJoint WorkingRaised Profile
BenchmarkEvaluation
Current Patient Activities Forensic Directorate Leverndale Hospital
2004-05
• Art• Cooking• Social Groups• Pool• Computing• Badminton• Indoor/0utdoor Bowling • Fishing
• Five a side Football • Gardening • Gymnasium• Swimming• Walking• Cycling• Patient Holiday
Gymnasium
Established May 1998.Sponsored Walks/Dances.
Champion Driving on Classes.2 staff and 1 patient trained as
gym instructors 2001.Fitech and computer equipment
obtained in 2002.5 staff trained gym instructors
2004.
The Acorn Project
Established 2003.Identifies patients who don’t engage.
Referrals made from MDT.Introduce and develop horticultural skills.
Over 1/2 of patient population attend.Kiln Purchased 2004.
Main Social Events 2004-2005
Winners of Indoor Bowling League. 2nd Burns Supper.
National No Smoking Day.Prostate Cancer Awareness.
Oral Health Awareness.1st Annual Ben Nevis Walk.
Mental Health Week .
Mental Health Improvement Leverndale Hospital
Glasgow Health Promoting Hospital Mental Health Hub
Scotland
• Developed a Health Improvement Benchmarking Tool
• Developed a Good Practice Database• Liaison with Smoking Concerns and
Ash Scotland and benchmarked smoking activity in Forensic
• Piloting In-Patient MOT Checks • Developed a PFPI Benchmarking Tool• Developed a Patient Activity Audit• Developing Admission Health
Screening Toll • Pivotal Role in HPH Mental Health
‘ We Have Came a Long Way’
National Health Service Awards Recognition in 2004-2005
Nursing Times Mental Health Award Category Runners Up Scottish Health Awards Mental Health Category Winners