Specialist care - Dignity and mental health care: Ideas you could use
Promote recovery-focused servicesOpen
The Centre for Mental Health (CMH) launched Recovery into Practice in 2011, to discuss how the recovery approach could be put into action. It is based on ten key organisational challenges:
- Changing the nature of day-to-day interactions and the quality of experience.
- Delivering comprehensive, service user-led education and training programmes.
- Establishing a ‘Recovery Education Centre’ to drive the programmes forward.
- Ensuring organisational commitment, creating the ‘culture’.
- Increasing ‘personalisation’ and choice.
- Changing the way we approach risk assessment and management.
- Redefining service user involvement.
- Transforming the workforce.
- Supporting staff in their recovery journey.
- Increasing opportunities for building a life ‘beyond illness’.
The CMH developed a framework to support organisations in putting recovery into practice, and is now testing this framework, working with the National Mental Health Development Unit (NMHDU) and supported by the NHS Confederation. Pilots are taking place at 30 sites.
Further information from NMHDU or the Centre for Mental Health.
Engage and empower people with dementiaOpen
The Dementia Engagement and Empowerment Project (DEEP)
The Mental Health Foundation launched DEEP in August 2011, to explore work from around the UK in which people with dementia are actively involved in influencing services and polices. The information gathered should encourage more providers working with people with dementia to get involved in this type of activity. The project involves three organisations, the Mental Health Foundation, the Alzheimer’s Society, and Innovations in Dementia, and is funded by the Joseph Rowntree Foundation.
Build a 'legacy of a life'
One approach to sustaining the individual through their journey with dementia has been developed with the help of chaplains. The aim is to build a personal and ongoing ‘legacy’ of a life through dementia (Lawrence and Head, 2005; Lawrence, 2007). The idea is to begin in the early stages of dementia, when the person retains capacity and is able to inform what goes into the resource ensures that important wishes are recorded. These are recorded along with, for example, key moments in life and coping strategies adopted through life events. The resource belongs to the individual and follows them from home to hospital or nursing home. It should reassure them ‘that the basic tenet of their existence, their dignity as human beings, will be respected and all possible informed support given’.
Develop person-centred dementia care
‘Buzz Inspired Dementia Care’ is an approach that has been developed to support lead practitioners to raise staff skills, morale and commitment and so positively influence the well-being of people with dementia.
Tools have been developed to support:
- a dementia friendly physical environment
- reflective practice
- relationship-centred approaches
- workforce well-being
- abilities-focused assessment and care planning
This approach has been mapped against the Dignity in Care Challenge.
The Buzz Leadership Programme is currently being implemented in 32 independent sector care homes in the South East of England. The programme has been externally evaluated.
Provide specialist dementia training
Training based on real understanding of the experiences of people with dementia helps staff to empathise with people when supporting them each day.
Watch a short film about training developed by Maizie Mears-Owen, a mental health nurse and drama therapist:
Read about the effects of implementing this training at Care UK.
For more information contact Sheila.Roberts@careuk.com.
Support Dementia Awareness Day
Norms was diagnosed with dementia at the age of 50 and Elaine cares for him. By themselves, they have set up Dementia Awareness Day (DAD). See them in these films:
Collect users’ views on dignity in careOpen
Maple Ward at the Longley Centre, Sheffield Health & Social Care NHS Foundation Trust has developed ‘Dignity Steps’ which translate the views of people using the service into actions for improvement.
Rather than impose notions of what dignity means, staff use meetings to collect service users’ views on dignity in care, and the steps are developed from the results of these discussions.
Link: Dignity steps
For more information contact, Jim Buck, Staff nurse & dignity champion: Jim.Buck@shsc.nhs.uk
Raise awareness of dignity issuesOpen
Bronte Ward is a ten bedded unit for people with challenging behaviour within Nottinghamshire Healthcare NHS Trust Mental Health Services for Older People. The ward holds monthly sessions to raise awareness of dignity issues. Staff, in turn, are asked to create a display board for their peers, people on the ward and visitors, giving information on a particular aspect of promoting dignity. Subject areas include the dining experience, communication, mobility and bathing. This enables staff to explore ways of promoting dignity in the hospital setting. New ideas have been put into practice as a direct result of these sessions – for example, when someone is receiving assistance with personal care, door signs are used to alert other staff, so that interruptions can be prevented.
For more information, contact Nicola.Aisthorpe@nottshc.nhs.uk.
Take a holistic approach to improving dignity on the wardOpen
Lancashire Care NHS Foundation Trust has developed a range of initiatives to support staff in ensuring the people on their wards are treated with dignity.
Support Dignity Action DayOpen
Information on Dignity Action Day activities.
Provide same sex accommodationOpen
For further information contact firstname.lastname@example.org
Use training and information resources - CONTENT MISSINGOpen