NHS Lanarkshire Forensic Mental Health Service

1. NHS Lanarkshire Forensic Mental Health Service Maureen Black Advanced Specialist Occupational Therapist Iain Mackenzie Service Manager

2. Hamilton West Station Clydesdale Community Initiative Steering Group Service Users Scotrail Employees

3. Commitment The more people involved the easier the work load Health and Safety Planting twice a year Structure the session

4. Development Large Area Tubs Bench Art Sculptures Vegetables/Fruit

5. Balancing Activity Patient Questionnaire Structured programme of activity offered on the Beckford site Station offers a work based activity Audit

6. Starting Off Look up ‘Adopt a station’ in search engine Find out if your local station is free Other groups Volunteers

7. Measuring Success ‘I don’t feel like a patient here, I feel like a worker, We are all equal In the group’

8. NHSL Approach to Risk Assessment/management Policy Practice Review

9. Risk of Harm to Others & Risk management Arrangements • Developed in 2011 and ratified early 2012 • Across service implementation • Identified 2 levels-level 1 screening, level 2-SPJ • Timeframes identified for each and audit pathway introduced • Standards for both risk assessment and risk management plans were detailed including review dates

10. Practice • Avon and Wiltshire (adapted) risk assessment screening tool completed for all inpatient and community patients within set timeframe • Assessment formulation agreed and signed off by clinical team • SPJ format agreed, responsible clinicians identified and ‘clinical supervisor’ identified • Risk review meeting held prior to completion of SPJ chaired by RMO or Clinical psychologist • Risk management plan agreed by risk review meeting and completed risk assessment/management plan presented to CPA group for sign off and implementation

11. review Peer review process Audit Senior Clinicians Risk Review Group

12. Questions?