NHS Lanarkshire Forensic Mental Health Service

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NHS Lanarkshire Forensic Mental Health Service

• Maureen Black
• Advanced Specialist Occupational Therapist
• Iain Mackenzie
• Service Manager

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Hamilton West Station

• Clydesdale Community Initiative
• Steering Group
• Service Users
• Scotrail
• Employees

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Commitment

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

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Development

• Large Area
• Tubs
• Bench
• Art
• Sculptures
• Vegetables/Fruit

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Balancing Activity

• Patient Questionnaire
• Structured programme of activity offered on the
  Beckford site
• Station offers a work based activity
• Audit

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Starting Off

• Look up Adopt a station in search engine
• Find out if your local station is free
• Other groups
• Volunteers

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Measuring Success

• I dont feel like a patient here, I feel
• like a worker,
• We are all equal
• In the group

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NHSL Approach to Risk Assessment/management

• Policy
• Practice
• Review

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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

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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

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review

• Peer review process
• Audit
• Senior Clinicians Risk Review Group

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• Questions?