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SHEEPS ‘N’ PEATS

SHEEPS ‘N’ PEATS. YOU HELP ME CUT MA PEATS ‘N’ I’LL HELP YOU DIP YER SHEEPS MENTALLY DISORDERED OFFENDERS THE HIGHLAND EXPERIENCE. HIGHLANDS 208,700 population, 25,784 km² - 1/3 land mass of Scotland. Affric Ward. Affric Ward. Affric Ward. 12 Beds Mixed sex All rooms en-suite

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SHEEPS ‘N’ PEATS

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  1. SHEEPS ‘N’ PEATS YOU HELP ME CUT MA PEATS ‘N’ I’LL HELP YOU DIP YER SHEEPS MENTALLY DISORDERED OFFENDERS THE HIGHLAND EXPERIENCE

  2. HIGHLANDS208,700 population, 25,784 km² - 1/3 land mass of Scotland

  3. Affric Ward

  4. Affric Ward

  5. Affric Ward • 12 Beds • Mixed sex • All rooms en-suite • Secure garden • Pleasant surroundings • Activities within Ward

  6. Affric Ward - MDT • 2 Consultant Psychiatrists - Consultant covering General Adult psychiatry and consultant covering Forensic patients • Nursing Staff • Forensic MHO • Pharmacist • Occupational therapy • Forensic Liaison nurse

  7. Affric Ward - Forensics • Covers all of NHS Highland area except Argyll and Bute • Occasionally takes from NHS Grampian if patient is seen in Elgin or is from Northern Isles • Occasionally take from Western Isles • Occasionally take from other prisons • Over 90% are admitted from Inverness Sheriff Court or Porterfield prison

  8. Forensic Community Nursing 1 x Head of Forensic Nursing, Highlands VACANT 1 x Forensic CPN, Inverness, Nairn, Strathspey & Badenoch 1 x Forensic Specialist Nurse, Ross & Cromarty 0.4 x Forensic Specialist Nurse, Caithness & Sutherland 0.4 x Forensic Specialist Nurse, Lochaber VACANT 0.2 x Forensic Specialist Nurse, Skye and Lochalsh VACANT

  9. Forensic Provision Medical 1 x Consultant with an interest in forensics

  10. Forensic Provision MHO’s 1 x Senior Practitioner Forensic MHO 1 x Forensic MHO with 0.2 CJS commitment 1 x 0.5 Forensic MHO

  11. Access to Generic Team Activites FT ASSESSMENT OT CPN’S SW’S Partner Agencies e.g wellbeing group, green gym, Abriachan

  12. Co-Facilitation FT and CMHT/ CJS/ NC e.g LIST ACT Emotional Control Competent Witness

  13. Psychological Therapies No access to Forensic Psychology Sporadic consultation – not criminogenic or offence focussed THEREFORE HIGHLAND GREW THEIR OWN! With grateful thanks to the Forensic Network L

  14. DIYLower end stuff!

  15. TOOLBOX – STOLEN ITEMS!

  16. Risk AssessmentAffric Ward (IPCU) Introduced 12 years ago - evolved over this period Highly visible – red border kept at front of case record Inclusion of missing person section which includes the same risk definitions as used by the Police Multi-disciplinary approach Links to STORM assessment MHOs place before Sheriff court when seeking Compulsion orders

  17. Scottish Patient Safety Programme Affric Ward – chosen as Mental Health pilot site Chosen workstream – Risk assessment Proposed changes - More user involvement - Signed by user - Safety plan not Risk management plan - Use of Risk assessment from BEST index

  18. Advanced Risk Assessment Affric have several staff trained in - HCR 20 - SVR 20 - RSVP - C-BIT - RA 1-4 - BEST

  19. Forensic TeamAdditional training RM 2000 S&A 07 RA 1-4 LSCMI ASSET SAM CAADA-DASH RICKTER SCALE IMPULSIVITY CHECKLIST BEST

  20. Multi-agency approach NEW TO FORENSIC PROGRAMME Facilitated by – - Secure Care manager - Forensic MHOs - Forensic Specialist nurse Cohorts included – RMNs, MHOs, CJS Social workers, CPNs, Police, Prison Officers, Chaplains, MAPPA Co-ordinator, GP

  21. Multi- agency approach (cont) Through teaching the programme we are able to access, influence and equip others to contribute to 24 hour cover and Risk assessment

  22. 24 Hour cover – Triage New Craigs Hospital Mental Health assessments Mental Health Assessment Team 8am – 9pm 7 days a week Duty Doctor 24/7 Triage nurse based at New Craigs between 11pm and 8am, 7 days a week taking calls from NHS 24 Triage nurse will also attend police custody suite accompanied by member of staff from Affric or Night nursing team leader to assess people out of hours. This allows access to MH assessment for PF perusal prior to court appearance

  23. 24 Hour cover – Triage (cont) Section 297 protocol agreed with Northern Contabulary Mental Health Liaison nurses based at Raigmore Hospital (Acute Care)

  24. During office hours Forensic Team Provision of service to SPS-HMP Porterfield – Consultant Cl – Consultant Clinic, FSN FSN surgery, FMHO assessment/detention SCS – FSN and FMHO provide assessment, reports, advice, support and guidance to Highland courts in jurisdiction. NC – FSN and FMHO provide assessment advice, support and guidance to Police officers, especially officers in the custody suite

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