Care Planning in Mental Health: Promoting Recovery / Edition 1

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Care planning and delivery forms an essential part of everyday practice for all mental health practitioners. Care Planning in Mental Health: Promoting Recovery outlines essential concepts of care and its delivery, and explores how such practitioners and other health professionals can plan to provide effective care based on up-to-date methodology and proven techniques. The concept of recovery is examined as an inherent aspect of the care planning process and practical guidance, theoretical background and personal 'real life' context are provided within the overall framework of planning for mental health recovery.

Care Planning in Mental Health: Promoting Recovery begins by addressing the concept of care planning from the ground up beginning with a discussion of care planning itself before moving on to practical issues of application relevant to the contemporary mental health landscape. A crucial backdrop of genuine context is provided in Section 2 where personal experiences of care planning are shared allowing the core theme of the book to then be explored - that of promoting recovery. The final chapters draw the key issues together providing practical, up-to-date and evidence-based discussion on how the idea of recovery can best be addressed and achieved through successful assessment, planning, implementation and evaluation.

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Editorial Reviews

From the Publisher
“It is also a valuable learning resource for students studying mental health care and the qualified and experienced practitioner wishing to gain a fresh approach to planning recovery-focused care.”  (Newbooks.lib, 4 September 2014)
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Product Details

  • ISBN-13: 9781405152853
  • Publisher: Wiley
  • Publication date: 1/18/2008
  • Edition number: 1
  • Pages: 288
  • Product dimensions: 6.80 (w) x 9.66 (h) x 0.62 (d)

Meet the Author

Angela Hall is a Senior Lecturer (Mental Health) in the School of Health and Social Care at Teesside University, Middlesborough, UK.

Michael Wren is a Senior Lecturer (Social Work) in the School of Health and Social Care at Teesside University.

Dr Stephan D. Kirby is a Senior Lecturer (Forensic Mental Health) in the School of Health and Social Care at Teesside University.

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Table of Contents

List of Contributors     x
Introduction   Angela Hall   Michael Wren   Stephan D. Kirby     xvii
Understanding Care Planning     1
The Context and Nature of Care Planning in Mental Health   Angela Hall   Mike Wren     3
Introduction     3
Organisation of care     4
Community care and care management     10
Care management     11
Care programme approach and care coordination processes     14
Competing dilemmas associated with care-v-control issues     17
Conclusion     20
The Ethical and Legal Implications of Care Planning in Mental Health   Graham Lyons     24
Introduction     24
The context     25
How control is achieved     29
Conclusion     34
Therapeutic Risk and Care Planning in Mental Health   David Duffy     37
Introduction     37
Risk and litigation     37
Clinical negligence     38
Risk and regulation     39
Inquiries     41
Managing therapeutic risk     42
The risk management cycle     43
Discussion     45
Conclusion     46
Care Planning across Professional and Organisational Boundaries   Alan Pringle   Richard Brittle     48
Introduction     48
The ten essential shared capabilities     49
Implementation of the ESC     51
Barriers to partnerships in care     54
Overcoming the barriers to MDT working     55
Collaboration     55
Cooperation     56
Communication     58
Conclusion     60
Safeguarding Children when Care Planning in Mental Health   Karen Bibbings     63
Introduction     63
The impact of mental health on parenting capacity     63
Safeguarding children     67
Children acting as carers     69
Conclusion     72
Personal Experiences of Care Planning     75
Care Planning and the Carer   Molly Halford     77
Experiencing the Process   Edward Smith   Julie Smith   Mark Hopps   Victoria Lumley     87
The son's tale     87
The mother's tale     89
The CPN's tale     98
Promoting Recovery     111
Recovery as a Framework for Care Planning   Jim Campbell   Theo Stickley   Sarah Bonney     113
Introduction     113
Recovery debated     114
Historical context     115
Recovery concepts in the literature     117
The social construction of recovery     125
Models for recovery     126
Recovery orientated acute mental health service     129
Conclusion     130
Engagement within the Care Planning Process   Mike Firn     136
Introduction     136
What is engagement?     137
Constructive engagement and care planning     137
Informative and restrictive approaches     141
Evidence for enablers and barriers to engagement     144
Promoting positive risk taking, self-determined WRAP plans and advance agreements     145
Working with carers and families     147
Cultural determinants     148
Measuring engagement     149
Conclusion     149
Assessment   Angela Hall   Joy Trotter     152
Introduction     152
The nature of assessment     152
Policy guidance      154
Organisational issues     155
Assessment for nurses and social workers     156
Methods of assessment     158
Formulation     162
Assessing risk     162
Models/theories used in assessment     163
Engagement     166
Assessment     166
Formulations     167
Current thinking affect and behaviour     168
Practical strategies for promoting recovery focused assessment     170
Conclusion     172
Promoting Inclusivity in Care Planning   Jenny Weinstein     177
Introduction     177
Person centred planning: promoting recovery     178
Social exclusion     179
Person centred planning: confident and competent practice     182
Gender issues     183
Employment     184
Homelessness     187
Care planning, social exclusion and government policy     188
The user perspective     189
Informal or family carers     190
Good practice in inclusive care planning     192
Bad practice     195
Conclusion     195
Physical Health and Serious Mental Illness: Promoting Good Health    Debbie Robson   Mary Bragg     199
Introduction     199
Policy     200
What physical health problems do people with SMI experience?     201
Complexities to promoting physical health care     205
Health behaviours of people with SMI     206
Illness related factors     207
Health service factors     207
Treatment related factors     208
Environmental related factors     213
Assessment     213
Goal setting     214
Interventions     215
Conclusion     217
Integrated Care Pathways for Mental Health   Dennis Cross   Joan Murphy     223
Introduction     223
The history and proliferation of ICPs     223
Definitions of integrated care pathways     224
The ICP conceptual model     226
An ICP framework     226
Further definitions     227
Contents of ICPs     227
Designing ICP documentation     227
Differences between ICPs and protocols     228
Differences between an ICP and a package of care     228
Integrated care pathways in mental health: some examples of the need for development of ICPs     229
Determinants of outcome in the pathways through care for children hearing voices     232
Pathways into care and satisfaction with primary care for black patients in south London     235
Conclusion     238
Evaluation   Joan Murphy   Dennis Cross     241
Introduction     241
What is evaluation?     242
The process of evaluation     242
Practical strategies that facilitate evaluation     244
When should evaluation be done?     245
Discussion of outcome criteria for evaluation as part of collaborative process with service users     247
Negative influences on achieving an effective evaluation process     248
Conclusion     250
Reflections on the Future   Angela Hall   Mike Wren   Stephan D. Kirby     255
Index     263
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