mental health rehabilitation and recovery services...the main aim within our mental health...
TRANSCRIPT
Mental Health Rehabilitation and Recovery Services Outcomes
The main aim within our mental health rehabilitation and recovery services is to make a positive difference to the lives of the individuals we support.
We enable service users to build essential community links, supporting their re-integration into the wider community through partnership working.
Our model of care is based on an integrated approach. Families, commissioners, service users and carers are all involved in the rehabilitation and recovery.
Our services support those who are experiencing complex mental health difficulties and may require specialist treatment programmes.
All our environments offer high staffing ratios, skill development opportunities and vocational development in a safe, welcoming and nurturing environment, enabling each individual to flourish on their journey.
When the time is right, we also provide community rehabilitation, which provides increased independence, and a more outward-looking community based programme for those requiring additional support before full social reintegration.
We support 620 individuals across 32 Mental Health
Rehabilitation and Recovery Services
88% of our services are rated ‘Good’ or
‘Outstanding’ with our quality regulators
88%Introduction
Cygnet Fountains, LancashireCygnet Sherwood House, Nottinghamshire
2 | Mental Health Rehabilitation and Recovery Services | Outcomes
Our service user profile
18+
Male &Female
DetainedInformal
Age Range:
Gender:
Mental Health Act Status:
Primary diagnosis of mental illness with:
• • Complex comorbidities
• • Substance, drug and alcohol abuse
• • Treatment resistance
• • Behaviours that challenge
Typical diagnoses: schizophrenia, schizoaffective disorder, bipolar affective disorder or depression
May have secondary diagnoses of mild learning disability, autism spectrum disorder or personality disorder
Aiming for a return to community or community-based care
History of sexual abuse or domestic violence
May have a forensic history and/or be stepping down from secure services
May have a history of repeated acute admissions
Our model of care
Ass
essm
ent and
Enga
ge
ment Consolidation
Transition
Recovery
PSYCHIATRY
PSYCHOLOGY
NURSING
OCCUPATIONALTHERAPY
3 | Mental Health Rehabilitation and Recovery Services | Outcomes
Cygnet’s High Dependency Inpatient Rehabilitation Services
Acute or PICU Services
Secure Services
Transitional Services / CAMHS
Prison Services
Other Mental Health Services
Independent / semi-independent living
Cygnet’s Community Rehabilitation Services
Community Services
Our care pathways
Discharge destinations
79% of the individuals discharged from our High Dependency Inpatient Rehabilitation Services were able to move closer to home or step down along their care pathway into the community
This data shows the discharge destinations of 550 service users from our High Dependency Inpatient Rehabilitation Services
79%
21%
Moved into the community or closer to home
Moved to a low/medium secure or PICU service
4 | Mental Health Rehabilitation and Recovery Services | Outcomes
Global Assessment of Progress (GAP)
Daily Living Skills Observation Scale (DLSOS)
The Global Assessment of Progress (GAP) is our specialist outcome tool used within our mental health rehabilitation and recovery services. The tool allows us to measure an individual’s progress throughout their
placement, plot the positive developments, setbacks and changes in wellbeing but also identify the warning signs of any possible deterioration, whilst informing care planning and being transparent about future risks.
DLSOS tracks functionality and the ability to successfully live an independent life in the community.
0
20
40
60
40.4
51.2
on admission on discharge
n=600
on admission on discharge
Global Assessment Progress
0
50
100
150
200
250
163.6
224.8
*Data and graphs relate to 2019 data
Most individuals on discharge had a GAP score of 51-603
3 Most individuals on discharge had a DLSOS score of 201-325
60.69 average
increase in score
p<0.001
10.81 average
increase in score
p<0.001
n=600
5 | Mental Health Rehabilitation and Recovery Services | Outcomes
Daily living skillset
ShoppingRoad Safety
Cleaning
Laundry
Ironing
Leisure
Basic Kitchen Skills
Personal Hygiene
Sleep HygienePublic Transport & Travel Skills
Roles & Routines
Communication &Social Skills
Advanced Kitchen Skills
Budgeting & Financial Management
Vocational (Work & Education Skills)
On discharge
On admission
Service users are measured against 15 areas of function such as hygiene, budgeting and road safety. The graph below shows a cohort of 600 service users had improved their daily living skills on discharge.
Average daily living skillset scores on admission and discharge
n=600p<0.001
6 | Mental Health Rehabilitation and Recovery Services | Outcomes
Service user satisfaction results
of service users are happy with their
environment as well as feeling safe and
comfortable
of service users said that they are able to have their
say and are involved in their treatment and care plan
know how to contact and access an
advocate
of individuals are able to take part in meaningful
activities and continue with their hobbies
of individuals felt that staff are polite and approachable and that
they are treated with respect
81%
89% 82%
82%
91%
7 | Mental Health Rehabilitation and Recovery Services | Outcomes
YORKSHIRE &HUMBER
NORTH WEST
EASTMIDLANDS
WEST MIDLANDS
WESSEXSOUTHWEST
SOUTH EAST
LONDON
WALES EAST
NORTH EAST
SCOTLAND
MANCHESTER
LEEDS
BRIGHTON
BRISTOL
1
26
30
2
27
6
31
3
20
28
7
32
21
29
8
16
17
10
14
1115 12 18
13
9
19
2223
24
25
54
Our specialist services by regionHigh Dependency Inpatient Rehabilitation
Community Rehabilitation
Cygnet Appletree, County Durham1
1 Vincent Court, Lancashire26
Cygnet Delfryn Lodge, North Wales5
45 Portland Road, Birmingham30
Cygnet Aspen House, South Yorkshire2
Cygnet Lodge Woking, Surrey18
15 The Sycamores, Derbyshire27
Cygnet Fountains, Lancashire6
Malborn and Teroan, Nottinghamshire31
Cygnet Churchill, London3
Cygnet Raglan House, Smethwick20
12 Woodcross Street, Wolverhampton28
Cygnet Hospital Bury, Lancashire7
Rhyd Alyn, North Wales32
Cygnet Delfryn House, North Wales4
Cygnet Sedgley House & Cygnet Sedgley Lodge, Wolverhampton
21
20A & 20B Turls Hill Road, Dudley29
Cygnet Hospital Colchester, Essex8
Cygnet Lodge Lewisham, London16
Cygnet Lodge Salford, Manchester17
Cygnet Hospital Derby, Derbyshire10
Cygnet Lodge Kenton, London14
Cygnet Hospital Maidstone, Kent11
Cygnet Lodge Kewstoke, Weston-super-Mare15
Cygnet Hospital Woking, Surrey12
Cygnet Lodge Brighouse, West Yorkshire13
Cygnet Hospital Coventry, Coventry9
Cygnet Oaks, South Yorkshire19
Cygnet Sherwood House, Nottinghamshire22
Cygnet St Augustine’s, Staffordshire23
Cygnet St Teilo House, South Wales24
Cygnet Storthfield House, Derbyshire25
We are able to take referrals 24 hours a day, seven days a week
www.cygnethealth.co.uk/company/ cygnet-health-care/cygnethealthcare@cygnethealth
CYG-346 | Date of Preparation: 14/01/19
NEW
For more information or to make a referral please:
0808 164 4450 [email protected]
or contact your regional Business Relationship Manager