Vocational Rehab Pathway

1. Vocational Rehab Pathway Life Skills Team NHS Grampian

2. Background/context • Realising Work Potential – Defining the contribution of Allied Health Professionals to Vocational Rehabilitation in Mental Health Services: The Way Forward • Towards Work in Forensic Mental Health: National Guidance for Allied Health Professionals A Review to Government by Jean McQueen

3. Blair Unit Vocational Rehabilitation Pathway 3 stage approach – • Stage 1: Engagement, Assessment and Planning • Stage 2: Individual ready for placement in education/work/volunteering out with unit • Stage 3: In work support to maintain post

4. Flowcharts Organisations Referral route Risk assessment, consent, disclosure Restricted patients Screening sheet Work plan Consent to share information

5. Mental health social firm is identified as possible appropriate placement for client Visit resource with patient to gauge their level of interest and to clarify if resource and support offered meets the patients needs If the patient wishes to pursue Benefit of employment role for patient identified and agreed at CPA meeting Check how the agency stores patient information to ensure this meets patient confidentially standards If required a plan will be drawn up by the OT and key nurse with the patient, documenting any actions to be adhered to (such as calls between ward and agency to inform that patient has left and arrived etc. Details review dates for the plan should also be documented). This will be filed in the nursing notes and OT patient file. EMPLOYMENT PATHWAY FOR A RESTRICTED/MAPPA PATIENT TO A SOCIAL FIRM HCR 20 and risk assessments in CPA documentation are used to identify any risk, either current or a future risk, which may be anticipated as a result of the placement happening And / or A trained risk assessor should assess any risk that may be posed by the individual working in the environment, by completing the ‘Generic Risk Assessment Form (RA1 Version August 2007) on Intranet (See appx 1.) Within the OT treatment plan there will be details of how the clients progress within the resource will be communicated back to the OT and/or team The key nurse will send details of the opportunity to key agencies (i.e. police etc) through the CPA process Feedback detail and outcome of risk assessment at MDT meeting Once documented, the Support Plan is shared with the patient and agreed. Written consent is sought from the patient for this to be shared with the agency. Consent should be documented on the ‘Consent to share information form’ (see appx 3) If team are happy to pursue a referral, agree the information to be shared via a Support plan with staff and patient (see example of this in appx 2). Lisa Jamieson, Occupational Therapist 2010

6. Outcomes • Work in progress • Consistency • Promotion of VR • Other services • Watch this space…