Recovering Ordinary Lives

1. Recovering Ordinary Lives

2. Introduction • Background to Mental health strategy • Development of strategy • Structure and content of strategy • What will the strategy mean for your practice?

3. Drivers • The need to raise the profile of occupational therapy in mental health and develop professional leadership • Promotion of occupation and its relationship to mental health and well being • Changes in UK policy drivers – Increased service user and carer involvement Emphasis on social inclusion and recovery Health promotion and employment focus Increasing choice and access to services

4. Drivers from New Ways Of Working • Mental health service redesign due to staff dissatisfaction and shortages • Redistribution of responsibility within teams • Traditional roles, composition and leadership of teams being challenged • Increasing scope for innovative practice. See www.newwaysofworking.org.uk for more examples • Working across boundaries whilst ensuring occupational need are met • Mental Health:New Ways of Working for Everyone DOH 2007

5. New Ways of Working continued. • Value based practice common to all team members • The Ten Essential Shared Capabilities (2004) • www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4087169 • Capabilities for Inclusive Practice (2007) • www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_078095 • NWW presentation on COT website at • www.cot.co.uk/public/introduction/intro.php

6. Stages of the Project • Literature Review to produce statement on occupation, draft vision and guiding principles • Consultation with practitioners, stakeholders, service users and carers • Creation of final three documents • Launch

7. Consultation • Survey of members at COT conference 2005 • Questionnaire sent to stakeholders and occupational therapists • Three focus groups • Highland User Group (HUG) • Carers Group • Black and Minority Ethnic Group

8. Consultation (cont’d) • Telephone interviews with chairs of specialist sections • Web based Forum • Received a total of 581 written responses

9. Trilogy of Documents • Literature review – looks at definitions, policy context, evidence base, role of occupational therapy, generic versus profession specific working, social inclusion/recovery V crisis/compulsion • Results from service user and carer focus groups –positives and negatives • A vision for the next ten years (2007-2017) - vision, ten guiding principles, five main themes, milestones to be measured at 2010, 2013, 2017

10. The Vision • By 2017, mental health service provision in the UK will be better for the active role and inspirational leadership provided by the cultural heritage and identity of occupational therapy, which at its core is social in nature and belief. It will therefore deliver the kind of care that service users want, need and deserve.

11. Ten Guiding Principles • Interventions move the client in the direction of fuller participation in society through the performance of occupations that are appropriate to her of his age, social and cultural background, interests and aspirations. • People who use occupational therapy services play a part in developing, monitoring and evaluating those services.

12. Five Themed Findings • Valuing Occupation • Added value of occupational therapy • Occupational Therapy Leadership • Education and Training • Workforce development

13. For each theme, key messages for six groups • Occupational therapy practitioners • Occupational therapy managers • College of Occupational therapists • Occupational therapy educators • Commissioners of mental health services • Occupational therapy researchers

14. Where to find on the website? • For members go to www.cot.co.uk • Go to members log in (you will need your BAOT number) • Go to Professional Practice • Go to Mental Health • For non-members go to www.cot.co.uk/public/publications/new/intro.php

15. First theme –Valuing Occupation • “Doing things increases our sense of self worth.” (Service user) • Occupation is pivotal to health and well being. • A key message for practitioners: Using occupational language, explain with confidence the meaning of occupation and its relationship to recovery and wellbeing to service users, carers, colleagues and service commissioners

16. Second theme – The Added Value of Occupational therapy • “Occupational therapists could play a big role in kick starting your mind into recovery and occupation.” (Service user) • Occupational therapists are experts in doing, helping people to develop skills and overcome barriers. Timely interventions can prevent hospital admission, facilitate early discharge, reduce incidents on wards. We need to evidence for commissioners our successes in recovery. • A key message for managers Build pathways of care that highlight what service users can expect of their intervention.

17. Third theme – Occupational therapy Leadership • “We need more expert occupational therapists that are active at a political level.” (Occupational therapist) • Services will only benefit from the vision and expertise of occupational therapists if the profession is represented at a strategic level. • A key message for COT Secure representation on government working parties, committees and other groups that develop or influence policy in the field of mental health.

18. Fourth theme- Occupational therapy Education and Training • “Occupational therapists would benefit from carers and service users employed as visiting lecturers.” (Service user) • Pre-registration education for occupational therapists must continue to strive to meet the needs of service users in modern mental health services. • A key message for occupational therapy educators Identify the potential to expand practitioner contributions to the curriculum so that mental health education is grounded in current best practice

19. Fifth theme – Occupational therapy Workforce Development • “It was not relevant to me, baking fairy cakes and cooking English meals.” (Service user) “Usually a young, white, middle class girl” (Service user) • The workforce needs to be diverse to reflect the population we serve. We need more men and staff from BME and culturally diverse populations. (Taylor 2007 Casson Memorial Lecture) • A key message for managers Recruit staff from black and minority ethnic groups to create a workforce that reflects the local population. • A key message for commissioners Take an overview of of the skills mix across services and consider where occupational therapists might have the most impact in meeting user needs.

20. Expectations for Occupational Therapy of the Future • Increasingly accessible and diverse services that respond to local need and involve service users and carers • Care pathways that promote social inclusion and recovery and are based on skill mix reviews • Leading to assist service users return to work (or other meaningful activity)and health promotion • Commissioning for occupational therapy within a broad range of services • Political representation backed by research evidence

21. To Make This Happen! • We need to re-assert and believe in the right of people to have their occupational needs met • We need people with the vision and leadership skills willing to make it happen • We need to jettison what we don’t need to do • We need to have the clarity to determine what we should be doing

22. Implementation The four work streams • Delivering the Strategy and New Ways of Working to members • Strategic Alliances • Monitoring and measuring success of implementation of milestones • Supporting information and products required, supporting implementation for members

23. Summary • Background to strategy and its development • Structure around five main themes • Implementation and expectations for the future • Workshops –what does this all mean for you?

24. Recovering Ordinary Lives is available for free download on the COT website:www.cot.org.uk

25. References • Taylor C (2007) The Casson Memorial lecture 2007: Diversity among occupational therapists – rhetoric or reality? British Journal of Occupational Therapists, 70(7), 276-283

26. Strategy Workshops • Discuss what the strategy means for you and your practice?

27. Strategyworkshops -How can the following be achieved? Using occupational language, explain with confidence the meaning of occupation and its relationship to recovery and wellbeing to service users, carers, colleagues and service commissioners Build pathways of care that highlight what service users can expect of their intervention. Identify the potential to expand practitioner contributions to the curriculum so that mental health education is grounded in current best practice. Recruit staff from black and minority ethnic groups to create a workforce that reflects the local population. Take an overview of of the skills mix across services and consider where occupational therapists might have the most impact in meeting user needs. Seek to develop and take the lead in co-ordinated programs of research

28. Feedback • If you have any comments or questions please email genevieve.smyth@cot.co.uk or call 0207 450 5220