HPHSHealth Improvement TeamDirectorate of Forensic Mental Health

Building Effective PracticeHealth Improvement in Mental Health

HPH Annual ConferenceDublin 17-20th May 2005

Primary Care DivisionMental Health Services

Aims of Presentation

I will give an overall account of

How the Forensic Directorate identified the

need for health improvement.

How we planned, implemented and developed activity

programmes for patients.How we utilised the Health

Promoting Health Service Framework.

How we investment in staff health, where we are now

and our future plans.

Setting the ScenePopulation 867,049.Unemployment 30,271 (3.5%)Long Term Illness 205,912

• For most mental and physical health problems in Greater Glasgow there is a strong link with deprivation.

• Compared with people living in the most affluent areas, people living in the most deprived areas are 2.7 times more likely to be admitted for depression, 3 times more likely to commit suicide, 4.5 times more likely to be admitted for self-poisoning, 6 times more likely to be admitted with schizophrenia, 10 times more likely to be admitted for an alcohol related problem and 33 times more likely to be admitted for a drug misuse related problem.

Greater Glasgow 2001 Census

Background

Forensic unit established 1997.Continuing Care Facility For

Under 65’s.Staff issues/Redeployment.Limited health-promoting

activities.Client mix and expectations.

Crossroads 1997

How we got started

Ask users what they want/need re questionnaire.

Benchmarked existing programmes.

Start with ONE activity.Have a champion.Patience/Perseverance.Staff Fundraising Activities.Ben Arthur Walk 23/8/98.Ben Arthur Walk 23/8/98.Strathblane Walk 8/12/98.Strathblane Walk 8/12/98.Halloween Dance 31/10/99.Halloween Dance 31/10/99.

Early Development

Developed basic Measurement tools / keeping records.

Bring in other disciplines.Tap into your Staff

Expertise.Local Networking.Propose idea with Aims

and Objectives.

Maintaining the Enthusiasm

Keeping Faith with Current Programmes

Give Encouragement to StaffMotivate Users/ Set Realistic

Objectives Document progress in Care planFind out what is, and what is

not happeningTraining Courses Available Keeping Records/Audit Walking Group 1997

Some of the PitfallsNot seen as Nursing Remit by some

staff.No Financial Rewards for Users and

Staff.Favoritism of Users and Staff.Some talk a good game/Mean Well.Slow Progress.Training Requirements.Unforeseen Barriers-

Budgeting/Staffing Red Tape/Protocols/Health and

Safety.

HPHS Framework 2001-2004National Impact Site

Increased Knowledge baseRestructuring Activities

Used as a GuideAllowed Networking

CollaborationPatient FocusedJoint WorkingRaised Profile

BenchmarkEvaluation

Current Patient Activities Forensic Directorate Leverndale Hospital

2004-05

• Art• Cooking• Social Groups• Pool• Computing• Badminton• Indoor/0utdoor Bowling • Fishing

• Five a side Football • Gardening • Gymnasium• Swimming• Walking• Cycling• Patient Holiday

Gymnasium

Established May 1998.Sponsored Walks/Dances.

Champion Driving on Classes.2 staff and 1 patient trained as

gym instructors 2001.Fitech and computer equipment

obtained in 2002.5 staff trained gym instructors

2004.

The Acorn Project

Established 2003.Identifies patients who don’t engage.

Referrals made from MDT.Introduce and develop horticultural skills.

Over 1/2 of patient population attend.Kiln Purchased 2004.

Main Social Events 2004-2005

Winners of Indoor Bowling League. 2nd Burns Supper.

National No Smoking Day.Prostate Cancer Awareness.

Oral Health Awareness.1st Annual Ben Nevis Walk.

Mental Health Week .

Mental Health Improvement Leverndale Hospital

Glasgow Health Promoting Hospital Mental Health Hub

Scotland

• Developed a Health Improvement Benchmarking Tool

• Developed a Good Practice Database• Liaison with Smoking Concerns and

Ash Scotland and benchmarked smoking activity in Forensic

• Piloting In-Patient MOT Checks • Developed a PFPI Benchmarking Tool• Developed a Patient Activity Audit• Developing Admission Health

Screening Toll • Pivotal Role in HPH Mental Health

‘ We Have Came a Long Way’

National Health Service Awards Recognition in 2004-2005

Nursing Times Mental Health Award Category Runners Up Scottish Health Awards Mental Health Category Winners

Any Questions on the HPHS