nehf happy, healthy, at home symposium 100117 session 2 - recovery college

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The Recovery College

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Page 1: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

The Recovery College

Page 2: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

PRESENTERS

• Andrew Liles, Wessex AHSN

• Dr Angela Devon, Associate Director Therapies, Consultant Psychologist

• Rebecca Isherwood-Smith, Recovery College Manager

• Colette Lane, Senior Recovery Coach

Page 3: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

AGENDA

• What we have evaluated

• The Recovery College model explained

• Evaluation findings

• Conclusion, Active Ingredients and Next Steps

• Questions

Page 4: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Recovery College EvaluationImproved mental health, wellbeing and functioning.Increase in people entering employment, education or training.

Reduced use of primary care, A&E and mental health services.

More people actively self managing their needs, developing their own staying well plan

High level of satisfaction amongst students and staff.

Page 5: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Context to Setting up Recovery College• No Health Without Mental Health and Closing the

Gap

• Five Year Forward View

• Recovery services and use of IMROC

• New way to deliver health services

Page 6: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

What is Recovery?

• Recovery is a personal journey

• It involves making sense of what has happened to you

• People find ways of living meaningful lives with or without the symptom of their condition; does not mean “getting better” in its traditional sense

• Become an expert in your own self care, finding purpose in life using the resources available to you to pursue your aspirations and goals

• Empowerment, hope, friendship and work opportunities, use services less

Page 7: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College
Page 8: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Background to our Recovery College• Workshop to commence the co-design of the RC

• Pilot Recovery College to better support people with personality disorders/ problematic personality traits and their carers

• Now – Recovery College in North East Hampshire and Farnham as part of the Vanguard. Across diagnoses, physical health and older peoples services/ learning disability.

Page 9: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

The Recovery College Journey• Students choose from a range of courses from a

prospectus

• Students graduate with a certificate of success

• Encouraged to seek further opportunities

Page 10: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Co-development and Co-delivery• Experts by experience have been involved throughout

the development and implementation of the project– Developing protocols and delivering courses– Sharing their own recovery journeys

• Regular feedback from students

• Development of the ‘train the trainer’ packages

• Opportunities for progression from volunteering to paid trainer roles (Recovery Coach and Senior Recovery Coach)

Page 11: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Wide range of courses in prospectus 1. Health and Wellbeing courses– Wellness for Life– Movement for Wellbeing– Healthy Lifestyles and Healthy Eating– Move it or Lose it!!– Pilates– Seated Pilates– Seated Exercise– Steady and Strong– Hart Healthy Walks

Page 12: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Wide range of courses in prospectus 2. ‘Understanding’ Courses– Dementia Information– Understanding long term physical health conditions– Understanding medication– Understanding personality disorder– Understanding psychosis– Understanding mood disorder/ bipolar

Page 13: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Wide range of courses in prospectus 3. Skills Courses– Confidence and Self Esteem– Healthy Sleep Habits– The Power of Occupation/ Activity on Health & Wellbeing– Overcoming Eating Dissatisfaction– Managing Intense Emotions– Recovery in ACTion– Sustaining Meaningful Relationships– Introduction to Crisis Planning– Pain Management

Page 14: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Wide range of courses in prospectus 4. Creativity Courses– Music for Wellbeing– Art for Wellbeing– Confidence Building Through Drama– Card Making Workshop

Page 15: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Partnership Working • To make the most of the whole system – integration

and holistic approach• Importance of Third Sector, Local Authority,

Education, Health• Co-development and Co-delivery• Employment of Peer Recovery Trainers – ‘experts by

experience’• Engagement of volunteers

Page 16: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Evaluation Findings• Demographics• Recovery College Outcome Measures• Independent Qualitative Evaluation• Staff Reported Outcome Measures• Use of Services measure• Case Studies

Page 17: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Student Demographics365 students enrolled between June 15 and Aug 16:Demographic characteristic % of 365 students

Female/ Male 71%/ 29%

Carers 13%

Staff employed to assist 10%

Stated that they have a mental health concern 85%

Stated that they have a physical health concern 14%

Non-British white ethnicity 13%

Average age 37 (18-84 years)

Reported that unemployed or unable to work 43%

Page 18: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Outcome measuresProcess of Recovery Questionnaire (QPR)A measure of the recovery journey of the student. A 26% improvement in recovery reported by students completing longer courses (4 sessions or more)

Significant at the 99% level

Page 19: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Outcome measuresCore-10 questionnaire A measure of psychological distress. A 20% reduction in psychological distress reported by students completing longer courses (4 sessions or more)

Significant at the 95% level

Page 20: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Outcome measuresCourse Goals, Education and Education

107 students completed the course goals questionnaire• 84% reported that they had met their goal• 74% rated the effectiveness of the course as 4 or 5

out out of 5.• 18 have entered further education• 15 have entered paid or voluntary employment• 12 have trained to become a recovery coach

Page 21: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Qualitative EvaluationInterviews with 10 students identified 4 themes:1. Others like me. • “I couldn’t believe that there were others like me out there”• “you realise that you are not the only one”

2. Learning and self help• “I’m learning all the time”• “I felt that I wasn’t in the rubbish bin, that people thought that

even with my age I was still worth helping and teaching”• “I am more able to do the little things that might help at the

time”

Page 22: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Qualitative EvaluationInterviews with 10 students identified 4 themes:3. Challenges of being in a group”• “In the break you get to talk to people and that made it easier”• “Someone on hand to go out and check that they were OK”• The facilitators were “absolutely brilliant and very understanding”

4. Progression• “I’m doing voluntary work … it’s really good because they say that

I’m doing a good job and that makes me feel worthwhile”• “It has boosted my self-esteem immensely to say I’m working”• “I can see the investment in my future with the recovery college”.

Page 23: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Staff Reported OutcomesR-Outcomes staff reported measures were used for the Recovery College staff and volunteers and the CMHRS team.

Page 24: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Staff Reported Outcomes – Work well-being

Page 25: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Staff Reported Outcomes – Job confidence

Page 26: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Impact on use of other health services

% Students who in the previous 7 days: Pre recovery college Post recovery collegeAttended GP 27% 10%Attended A&E 12% 6%Had contact with police 3% 1%Admitted to a mental health ward 4% 3%Referred to a Community Mental Health Recovery Service 38% 7%

Had a routine Community Mental Health Recovery contact

56% 40%

Had an emergency Community Mental Health Recovery contact

Majority did not complete this question

Contact with Home Treatment Team 10% 2%Contact with Crisis Line 15% 8%Contact with Safe Haven Cafe 19% 17%

120 students completed a Use of Services questionnaire to self report their use of specific services over the previous 7 days.

Evidence of a trend in reduced activity in other services.Not able to extrapolate for economic evaluation.

Page 27: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Example case studiesStudent A

Page 28: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Example case studiesStudent D

Page 29: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

Conclusions from evaluation• Well-run service, motivated team, well led.• Very good evidence of improvements in the outcomes that it is

targeting:– 26% improvement in Recovery

– 20% reduction in psychological distress

– 84% of students met their personal goals

– Students progressing to further education, employment and training

• Qualitative evaluation provides further evidence of positive impact• Evidence of a trend of reduced use of other health services from

self-reported activity and case studies

Page 30: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

The ‘Active Ingredients’ that Support this Model

• Co-Production and Co-Delivery. • Providing Psycho-Education – learn how to manage things

differently.• A focus on the students own goals. • A broad prospectus that doesn’t focus on what is wrong –

but is holistic• Connecting with local communities and local partners.• Providing courses in community settings – church halls,

community centres.• Building collection of outcome measures in from the start

Page 31: NEHF Happy, Healthy, at Home symposium 100117   Session 2 - Recovery College

QUESTIONS