Newport%20Assertive%20Outreach%20Team

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Newport Assertive OutreachTeam

• Not Just A Taxi Service

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AGENDA

• Introductions and Aims
• Songs
• Model of Service
• How Do We Make Decisions-Risks, Rights and
  Responsibilities
• Team Approach and Statistics

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SONGS
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MODEL OF SERVICE
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(No Transcript)
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ENGAGEMENTShaping an effective working alliance

• Conduct outreach to establish regular contact
• Being useful-provide practical help and support
• Establish open, honest communication through
  active listening, getting to know the person
  behind the illness.

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ENGAGEMENTPsychosocial interventions

• Gaining knowledge of family
• Starting to assess Activities of Daily Living
• Awareness of physical health
• Awareness/assessment of substance misuse
• Accepting conversations regarding perceptions
  of mental health

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ENGAGEMENT Medication/Symptom Management

• Medication delivery
• Ensure medication available
• Monitoring medication compliance

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ENGAGEMENT Medication/Symptom Management

• Starting to assess side effects
• Symptom acknowledgement and monitoring
• Weekly medication supervision and review if
  necessary

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DEVELOPING A PARTNERSHIP Psychosocial
interventions

• Continue regular contact start to negotiate
  continued contact
• Building a trusting relationship through
  reliability and advocacy
• Working more in collaboration towards resolution
  of practical tasks

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DEVELOPING A PARTNERSHIP Psychosocial
interventions

• Information re illness/medication if
  wanted
• Introduction to stress/vulnerability model
  through informal conversation
• Informal coping strategies
• Establishing relationships with family/carers as
  appropriate to include carers assessment, if
  appropriate

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DEVELOPING A PARTNERSHIP Psychosocial
interventions

• Identifying interests, strengths, skills and
  aspirations
• Monitor any physical health changes.
• Consider Motivational Interviewing intervention
  at contemplation stage re substance misuse if
  appropriate

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DEVELOPING A PARTNERSHIP Medication/Symptom
Management

• Assessment of side effects
• Assessment of symptoms
• Reality checking
• Ongoing monitoring and management of medication
  compliance

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ACTIVE TREATMENTShaping an effective working
alliance

• Regular agreed contact
• Supporting progress and concordance with the plan

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ACTIVE TREATMENT Psychosocial interventions

• Reinforce coping strategies
• Consider Occupational Therapy assessment
• Consider family work if appropriate
• Physical health education and support

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ACTIVE TREATMENT Psychosocial interventions

• Goal setting strengths based/solution focused
  interventions-future plans-timetable for
  activities
• Help service user to repair burnt bridges to
  re-establish relationships
• Enlist family support for sustained lifestyle
  changes
• Engage in MI re Substance Misuse if appropriate

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ACTIVE TREATMENT Medication/Symptom Management

• On-going support
• Development of relapse indicators with service
  users, steps to be taken and advance directives

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RELAPSE PREVENTIONShaping an effective working
alliance

• Maintain/consider reduction in contact
• Promote development of their supportive
  relationships
• Boost self efficiency/positive reinforcement and
  consider other areas of development move
  towards independence

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RELAPSE PREVENTION Psychosocial interventions

• Develop a formal relapse prevention plan
• Continue with Psychoeduction
• Provide information related to health, well being
  and lifestyle change
• Help service users learn how to obtain
  information themselves
• Explore a service user becoming a peer educator
  for others

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RELAPSE PREVENTION Medication/Symptom Management

• Promote independence with medication
  compliance
• Psychoeduction on long term use and effects of
  medication
• Continued symptom monitoring.

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DECISION MAKINGWhat interventions and when

• Risks
• Rights
• Responsibilities

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SENARIO

• What risks do we need to consider
• What and whose rights should be influencing our
  decision making?
• Who holds responsibility and for what?

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HUMAN RIGHTS AGENDA

• Fairness
• Respect
• Equality
• Dignity
• Autonomy

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HOW DO WE DELIVER OUR SERVICE

• Daily handover
• Weekly team meeting-psychiatrist
• 3 monthly review of risk management plan at team
  meeting
• 3 monthly CPA
• 6 month review of relapse indicators

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HOW DO WE DELIVER OUR SERVICE

• All staff see all service users
• Different voices but the same song

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HAS IT WORKED?Service user- Evaluations

• Understand my problems
• They lift my spirit when I see them
• They are fascinated by my beliefs
• They treat me with respect
• I dont feel isolated
• I need to be in my community, the AOT helps with
  speaking to the benefit agency
• I havent got any bad things to say except Id
  like to get off the depot-they are doing their
  best.

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ENGAGEMENT
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LIFE SKILLS PROFILE
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MEDICATION COMPLIANCE
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BED DAYS