Recovery at NSFT
Marcus Hayward, Head of Recovery, Participation & Partnership
Kevin James, ImROC Project Service User Lead
Transforming services for adults with mental health needs in Norfolk
9 December 2016
At the heart of Recovery…
“...is a set of values about a person’s right to build a
meaningful life for themselves, with or without the
continuing presence of mental health symptoms.
Recovery is based on ideas of self-determination and
self-management. It emphasises the importance of
‘hope’ in sustaining motivation and supporting
expectations of an individually fulfilled life”
– Shepherd et al., 2008
ImROC (Implementing Recovery in
Organizational Change) and the 10 key
organisatoinal challenges…
1. Changing the nature of day-to-day 6. Transforming the workforce – providing
interactions and the quality of
increased opportunities for people with
experience
lived experience to be employed in the
workforce (monitoring quality, co2. Delivering comprehensive, userproducing training, delivering care)
led education and training programs
3. Establishing a Recovery
Education Centre (‘Recovery
College’) to drive the programs
forward
4. Ensuring organisational
commitment, creating the culture
and ensuring leadership
5. Increasing personalisation and
choice
7. Changing the way we approach risk
assessment and management – moving
from ‘risk’ to ‘safety’
8. Redefining user involvement to achieve
a true working partnership
9. Supporting staff in their recovery journey
10. Increasing opportunities for building a
life beyond illness (e.g.. promoting
access to housing, employment,
community integration etc.)
“Two or three years ago I realised that you really could recover…
I thought that once you had it, that was it – but you can recover.
I find that quite an amazing fact…”
“I have taken ownership of my illness and I take responsibility
for what I do and do not do. I don’t let it control me…
It’s not the whole of my life, it’s just a part of my life now...”
“The hardest thing about having a mental illness is the feeling that you’re
constantly taking, that people are always giving to you, that people are
always supporting you… Recovery has been about actually looking at ways I
can give back to other people that I care about…”
“Have a vision of where you want to be and try to find ways of getting there…
Nothing should ever stop you from being what you want to be….
Don’t ever let anyone tell you. It’s not their life, it’s your life…”
– From Making Recovery a Reality by Shepherd, Boardman & Slade.
It’s about CHIME…
Connectedness
Hope and
optimism
Empowerment
Personal
Recovery
Meaning and
purpose
Identity
Recovery & Co-production
The Six principles of Co-production in Mental Health (NEF, 2013)
1. Taking an asset-based approach
2. Building on people’s existing capabilities
3. For mutual benefit
4. Peer support networks
5. Blurring boundaries
6. Facilitating rather than delivering
“From us and them to just us”
Peer Support Workers (PSW)
NSFT have developed and implemented an award winning peer
support training programme:
•
Helped prepare Teams with advice and training to host PSW posts
•
We have run 7 PSW training programmes over last 2 years throughout
NSFT with 8th training programme currently underway
•
In region of 60 students have completed training to-date
•
We have established PSW roles within Adult Community, Acute (inpatient)
and Youth teams – currently 23 PSWs in secondary services
•
Training programmes have also been run for PSWs in Wellbeing and NRP
– currently 30 PSWs within the Wellbeing service (employed by our
partner, Mind) and 2 in NRP
Our Recovery College
• In the last 3 full academic years our Recovery College provided:
 598 workshops / 233 courses
 2,691 people attended
• In the last year (year 3) our Recovery College provided:
 207 workshops / 107 courses
 1,169 people attended
• In the current Term 1 of year 4, our Recovery College has
scheduled:
 103 workshops / 42 courses
 There are places for 1,640 students
Workshops and Courses…
in multiple sites across Norfolk & Suffolk
Workshops
• Creating an individual learning
plan (ILP)
• Everyone has emotions
• Five Ways to Wellbeing
• Introduction to Recovery
• Building on strengths and abilities
• Goal setting for recovery
• Living well with hearing voices
(Youth)
• Looking after your physical health
• Peer Support – Is it for you?
• Spirituality: a beginners guide
• Thinking about risk
• Tutor preparation
• Understanding self-harm
and harm-minimisation
• What is paranoia?
• What is anxiety
• What is psychosis?
Courses
• ACT on life
• ACT on life – booster
session
• Carers in recovery
• Compassionate mind
• How to tell your story
• Introduction to mindfulness
• Living well with hearing
voices
• Living well with combatrelated, post-traumatic
stress
• Men’s emotional health
• Safety planning
• Wellness planning
Overall feedback about Workshops and
Courses
• Good to excellent value in supporting recovery 99% (1,111)
• Met or exceeded expectations 94% (1,148)
• Would recommend Recovery College to a friend 99% (1,131)
What our students have said…
“Excellent course, thoroughly
enjoyed it, would recommend
to anybody”
“Very welcoming,
very equal
very positive”
“It’s a powerful tool. And if it helps you stay
well, well wow, what more could you ask for?
So I think it’s brilliant”
“I am just so grateful.
I have gained so much
from it”
“I think that's what truly makes it work. It
makes you feel more valid about the course
if you’ve got somebody with lived experience
tutoring”
“I’ve had mental health
problems for a long time and
I think it gave me a purpose
again”
“I just think the Recovery
College is absolutely excellent
in so many different ways”
NSFT’s 5 year Recovery Strategy…
Taking Recovery College from project status to business as usual:
•
Establish Recovery College service specifications with commissioners
•
Cross reference Recovery Strategy with other NSFT strategic plans
•
Focus on the four co-produced priority goals…
1.
Recovery at the core of every conversation
2.
Co-production in decision making at every level
3.
Sharing responsibility for keeping safe
4.
Develop partnerships to promote life beyond NSFT
•
Continued review of progress on the 10 challenges and 6 commitments
•
Continued Peer Support Worker training programmes and developing roles
•
Establish administrative and teaching hubs in Norfolk and Suffolk as the
foundation of the NSFT recovery college campus
Strategy timescale
• First draft of Recovery Strategy completed (end Oct 2016)
• Consultation and feedback process across Norfolk and Suffolk
(Nov - Dec 2016)
• Final draft signed off (Jan 2017)
• Document prepared and printed (Mar 2017)
“If you want to change the culture
in an organisation – change the
conversations that people have”
– Professor Patricia Shaw
Author of: Changing Conversations in Organisations and
Working Live – Experiencing Risk, Improvisation
and Spontaneity in Organisational Change
Any Questions?