Excellence in care and treatment planning facilitator’s workbook

Rhagoriaeth mewn Cynllunio Gofal a ThriniaethLlyfr Gwaith Hwyluswyr

Excellence in Care and Treatment Planning Facilitator’s Workbook

Adnoddau dysgu i gyd-fynd â’r Dull Cynllunio Gofal a Thriniaeth a gweithredu Rhan 2 a 3 o Fesur Iechyd Meddwl (Cymru) 2010

Learning resources to support the implementation of Par ts 2 and 3 of the Mental Health (Wales) Measure 2010

Digital ISBN 978 0 7504 7872 4© Hawlfraint y Goron/Crown copyright 2012WG15036

2

Ysgrifennwch eich nodiadau yma:

3

Excellence in care and treatment Planning – Facilitator’s Workbook – Introduction

Write your notes here:

4

Rhagoriaeth mewn Cynllunio Gofal a Thriniaeth – Llyfr Gwaith Hwyuswyr – Cyflwyniad

Mae’r adnoddau yma wedi eu cyfansoddi o’r adnoddau sydd ar gael ar y wefan yma Tudalen

Llyfr Gwaith Hwyluswyr (y ddogfen hon) 1

Cyflwyniad i Fesur Iechyd Meddwl (Cymru) 2010/Uned Ychwanegol 1: Trosolwg o Fesur Iechyd Meddwl (Cymru) 2010

1

Uned Graidd 1: Beth mae defnyddwyr gwasanaeth yn dymuno ei gael o gynllunio gofal a thriniaeth

1

Uned Graidd 2: Adeiladu perthynas, gwellhad a chynllunio gofal a thriniaeth 1

Uned Graidd 3: Rhannau 2 a 3 o Fesur Iechyd Meddwl (Cymru) 2010: Dadansoddi’r Mesur 1

Uned Graidd 4: Asesu a chynllunio canlyniadau 1

Uned Graidd 5: Adolygu cynlluniau gofal a thriniaeth 1

Uned Ychwanegol 2: Gwasanaethau Iechyd Meddwl Plant a Phobl Ifanc (CAMHS) a chynllunio gofal a thriniaeth

1

Uned Ychwanegol 3: Arweinyddiaeth a datblygu tîm 1

Uned Ychwanegol 4: Uwch reolwyr a chyfrifoldebau sefydliadol 1

Llyfrau nodiadau cyfranogwyr a sleidiau PowerPoint ar gyfer pob uned 1

Adnoddau sain a fideo 1

These materials are made up the following resources available from this website Pages

Facilitator’s Workbook (this document) 1

Additional Unit 1: An overview of the Mental Health (Wales) Measure: care and treatment planning

1

Core Unit 1: What service users want from care and treatment planning 1

Core Unit 2: Relationships, recovery and care and treatment planning 1

Core Unit 3: Parts 2 and 3 of the Mental Health (Wales) Measure 2010: application of the measure

1

Core Unit 4: Assessment and outcome planning 1

Core Unit 5: Reviewing care and treatment plans 1

Additional Unit 2: Children & young people and care and treatment planning 1

Additional Unit 3: Leadership and team development 1

Additional Unit 4: Care and treatment planning: organisational responsibilities 1

Participant’s notebooks and PowerPoint slides for all units 1

Audio and video resources 1

DVD

DVD

5


Mae’r deunyddiau hyn yn help i ddeall a gweithredu Mesur Iechyd Meddwl (Cymru) 2010. Hefyd maent yn cyfeirio at y ddeddfwriaeth ategol: Rheoliadau Iechyd Meddwl (Cydlynu Gofal a Chynllunio Gofal a Thriniaeth) (Cymru) (2011) a Chod Ymarfer Mesur Iechyd Meddwl (Cymru) 2010; Rheoliadau Iechyd Meddwl (Asesu Defnyddwyr Blaenorol Gwasanaethau Iechyd Meddwl Eilaidd) (Cymru) 2011; Rheoliadau Iechyd Meddwl (Eiriolwyr Iechyd Meddwl Annibynnol) (Cymru) 2011. Mae’n hanfodol eich bod yn gyfarwydd â’r rhannau hyn o’r Mesur. Hefyd byddai’n syniad da i chi gael copïau o ddogfennau perthnasol wrth law i’ch helpu i ateb unrhyw gwestiynau am y ddeddfwriaeth a’r polisi ategol.

These materials support understanding and implementation of the Mental Health (Wales) Measure 2010. In addition they refer to the supportive legislation and policy; the Mental Health (Care Coordination and Care and Treatment Planning) (Wales) Regulations (2011) and the Code of Practice for the Mental Health (Wales) Measure 2010). The Mental Health (Assessment of Former Users of Secondary Mental Health Services (Wales) Regulations 2011, The Mental Health (Independent Mental Health Advocates (Wales) Regulations 2011. It is essential that you are familiar with these parts of the Measure. It would also be advisable to have copies of relevant documents to hand in order to help answer any questions about the legislation and supporting policy.

DVD

6


Gweithio trwy’r deunyddiau dysgu ‘rhagoriaeth wrth gynllunio gofal a thriniaeth’

Mae’r deunyddiau dysgu i gefnogi rhagoriaeth wrth gynllunio gofal a thriniaeth yng Nghymru yn ceisio bod yn hyblyg. Mae hynny yn rhoi cyfle i hwyluswyr ddewis adnoddau dysgu sy’n addas i’r gynulleidfa.

Mae’r deunyddiau wedi eu rhannu’n Unedau Craidd (UC) ac Unedau Ychwanegol (UY). Mae’r unedau craidd yn dilyn ei gilydd ac yn anelu at adolygiad cynhwysfawr o gynllunio gofal a thriniaeth ynghyd â’r ddeddfwriaeth a pholisi ategol Mesur Iechyd Meddwl (Cymru) 2010. Dylid cwblhau’r unedau craidd yn y drefn y maen nhw’n ymddangos. Ond, gall hwyluswyr dysgu (ar ôl iddynt ddod yn gyfarwydd â’r adnoddau hyn) addasu a newid trefn yr unedau yn dibynnu ar y gynulleidfa dan sylw. Mae’n bosibl cyflwyno’r unedau craidd mewn blociau unigol neu gyda’i gilydd i ffurfio unedau mwy. Os bydd hwyluswyr yn cyfuno unedau, gofynnwn iddynt feddwl yn ofalus am addasu’r astudiaethau achos/senarios personol yn y deunyddiau fel bod y cyfranogwyr yn dilyn yr un senario personol drwy’r unedau a ddewiswyd.

Mae’r unedau ychwanegol wedi eu paratoi ar gyfer cynulleidfaoedd penodol y mae angen iddyn nhw fod yn ymwybodol o Gynllunio Gofal a Thriniaeth (Uned Ychwanegol 1:‘Trosolwg o Fesur Iechyd Meddwl (Cymru) 2010; y bobl sy’n gweithio mewn Gwasanaethau Iechyd Meddwl Plant a Phobl Ifanc (CAMHS); (Uned Ychwanegol 2: ‘Plant a Phobl Ifanc a chynllunio gofal a thriniaeth); timau ymarfer (Uned Ychwanegol 3: ‘Arweinyddiaeth a datblygu tîm) a’r rhai sydd â chyfrifoldeb fel uwch reolwyr (Uned Ychwanegol 4: Uwch reolwyr a chyfrifoldebau sefydliadol).

Yn ogystal â hyn, mae’r unedau wedi eu rhannu’n flociau o amser a gellir eu cyflwyno mewn ffordd hyblyg. Felly nid oes raid darparu’r adnoddau mewn amgylchedd hyfforddi ffurfiol. Rydym yn argymell bod pobl yn meddwl yn greadigol sut i gyflwyno elfennau o’r unedau mewn cyfarfodydd tîm neu sefyllfaoedd tebyg.

Cyfwyno’r Adnoddau

Mae’r adnoddau yn ddwyieithog ac mae’r Gymraeg a’r Saesneg i’w gweld ochr yn ochr. Mae hyn yn cyfleu neges bwysig fod statws y ddwy iaith yn gyfartal yng Nghymru. Mae’r ddeddfwriaeth yn rhoi ystyriaeth arbennig i’r Gymraeg ac rydym ninnau’n awyddus i adlewyrchu hynny.

Sleid 1: Strwythur yr unedau

Defnyddiwch sleid 1 i ddangos strwythur yr unedau

DVD

7


Navigating the ‘excellence in care and treatment planning’ learning materials

The learning materials to support excellence in practice for care and treatment planning in Wales are designed to be flexible. This will allow facilitators the opportunity to match learning resources to different audiences.

The materials are separated into Core Units (CU) and Additional Units (AU). The core units are sequential and are designed to provide a comprehensive review of care and treatment planning and the legislation and policy supporting the Mental Health (Wales) Measure 2010. The core units are designed to be completed in the order in which they are presented. However, we believe facilitators (once familiar with these resources) can adapt and re-order these units depending on particular audiences. Core units may be delivered in single blocks or joined together to form larger units. In circumstances where units are joined we ask facilitators to think carefully about adapting the case studies/personal scenarios in these materials in order that participants may follow the same personal scenario throughout the combined unit.

The additional units are designed for particular audiences, such as those requiring a general awareness about care and treatment planning and care coordination in the Mental Health (Wales) Measure (Additional unit 1:‘An overview of the Mental Health Measure - care and treatment planning’); those people working in Child and Adolescent Mental Health Services (CAMHS) (Additional unit 2: ‘Children & young people and care and treatment planning’); practice teams (Additional unit 3: ‘Leadership and team development) and those with senior management responsibility (Additional unit 4: Care and treatment planning: organisational responsibilities).

Additionally the units are divided into blocks of time and again can be delivered in a flexible manner. Therefore there is no requirement that these resources are delivered within a formal training environment. We would encourage people to think creatively about how elements of these units can be provided in team meetings or similar situations.

Presentation of these Resources

These resources are fully bilingual and we consider the presentation of Welsh & English versions sends an important message on the equal standing of both languages in Wales. The Welsh language has a special place in the legislation and we intend that these resources reflect that position.

Slide 1: Structure of the units

Use Slide 1 as an illustration of the structure of the units

8


Cyflwyniad i’r unedau astudio a’r prif themâu:

‘Gwellhad, dealltwriaeth ddiwylliannol, cymhlethdod wrth gynllunio gofal a thriniaeth’

Bwriad yr adnoddau hyn yw cefnogi gwelliant parhaus ym maes gofal iechyd meddwl a chefnogi prif elfennau Rhannau 2 a 3 o Fesur Iechyd Meddwl (Cymru) 2010. O ganlyniad, maent yn cynnwys nifer o brif themâu:

• Gwellhad.

• Dealltwriaeth Ddiwylliannol.

• Cymhlethdod.

Nod cyffredinol yr adnoddau yw cefnogi’r dasg o gynllunio gofal a thriniaeth mewn ffordd safonol a chyson yng Nghymru i bawb sy’n derbyn gwasanaethau iechyd meddwl eilaidd. Mae hefyd yn helpu i ateb y gofynion deddfwriaethol sy’n deillio o Ran 2, Mesur Iechyd Meddwl (Cymru) 2010.

Bydd yr adnoddau hyn yn:

• Rhoi cyfle i gyfranogwyr ddeall gofynion Mesur Iechyd Meddwl (Cymru) 2010.

• Cynnig addysg a hyfforddiant ar gynllunio gofal a thriniaeth i gynulleidfa eang yn cynnwys defnyddwyr gwasanaeth, gofalwyr, clinigwyr, partneriaid y 3ydd sector, rheolwyr gwasanaethau iechyd meddwl a phartïon eraill â diddordeb.

• Adlewyrchu’r cyd-destun Cymreig unigryw ar gyfer cynllunio gofal a thriniaeth.

• Helpu i ddatblygu cynlluniau gofal a thriniaeth sydd â phwyslais ar wellhad a dealltwriaeth ddiwylliannol yn y gwasanaethau iechyd meddwl eilaidd i bobl o bob oed.

A) Gwellhad

Credir yn gryf bod dull sydd â phwyslais ar wellhad yn cynnig ffordd integredig a defnyddiol i ddarparu gofal, triniaeth a chefnogaeth effeithiol i ddefnyddwyr gwasanaeth, gweithwyr a gwasanaethau iechyd meddwl, ac mae’r unedau astudio canlynol yn seiliedig ar y gred honno. Mae mwy nag un dehongliad yn bosibl o’r cysyniad o ‘wellhad’, ond un thema sy’n gyson ym mhob un ohonynt yw ‘gobaith’. Ystyr gwellhad mewn gofal iechyd meddwl yw bod pob unigolyn yn gwneud ymdrech barhaus i fyw bywyd ar eu telerau eu hunain, gan adlewyrchu eu gobeithion a’u huchelgais.

9


Introduction to the units of study and the key themes:

‘Recovery, cultural capability, complexity in care and treatment planning’

These resources are intended to support continuous improvement in mental health care and are designed to support the key elements of Parts 2 and 3 of the Mental Health (Wales) Measure 2010. In this way, they incorporate a number of key themes:

• Recovery for all.

• Cultural Capability.

• Complexity.

The overall aim of these resources is to support high quality and consistent delivery of care and treatment planning in Wales for all persons in secondary mental health services, and which support delivery of the legislative requirements arising from Part 2 of the Mental Health (Wales) Measure 2010.

These resources will:

• Provide an opportunity for participants to understand the requirements of the Mental Health (Wales) Measure 2010.

• Offer education and training on care and treatment planning to a broad audience including service users, carers, clinicians, 3rd sector partners, managers of mental services and other interested parties.

• Reflect the unique Welsh context of care and treatment planning.

• Support the development of recovery and culturally capable orientated care and treatment planning in secondary mental health services for persons of all ages.

A) Recovery for all

The following units of study are based on a strong belief that a recovery orientated approach offers service users, mental health workers and services with a helpful and integrated approach to effective mental health care, treatment and support. The concept of ‘recovery’ has many interpretations, but consistent within all of them is the theme of ‘hope’. Recovery in mental health care is about each person making a continued effort to lead a self-determined life that reflects their hopes and ambitions.

10


Mae Llywodraeth Cymru wedi cefnogi prif elfennau’r dull gwellhad, sef

1. Ymrwymiad i wneud cynnydd

2. Ymrwymiad i’r person cyfan a

3. Grymuso a hunan reolaeth

Gwellhad i blant a phobl ifanc a phobl hyn sy’n dioddef o ddementia

Gellir defnyddio egwyddorion gwellhad mewn ffordd wahanol yn dibynnu ar y gwasanaeth, er enghraifft, pobl hyn, plant a phobl ifanc, pobl ag anabledd dysgu ac ati. Fel hwylusydd, bydd angen i chi annog trafodaeth a defnyddio egwyddorion gwellhad yn ystyrlon.

Er mwyn helpu’r broses hon rydym wedi cynnig rhai syniadau cychwynnol yma.

• Ymrwymiad i wneud cynnydd

Mae hwn yn ymrwymiad hirdymor ar y cyd rhwng defnyddwyr gwasanaeth a gweithwyr gofal iechyd meddwl. Maen nhw yn ymrwymo i wneud cynnydd (pa mor gyflym bynnag y mae hynny’n digwydd). Gall cynnydd hefyd gyfeirio at ‘gynnal’, ac o ran gofal pobl hyn, gall gyfeirio at geisio cynnal yr unigolyn ac ansawdd ei fywyd ef neu hi cyhyd â phosibl wrth i’r clefyd ddatblygu.

• Ymrwymiad i’r person cyfan

Ystyr hyn yw symud yn fwy pendant at ymarfer mewn ffordd fwy cynhwysol, gan ystyried unigolion ac ymateb iddyn nhw, yn hytrach na’u hystyried fel label diagnostig. Mae’r pwyslais ar ymateb i anghenion cymdeithasol, ysbrydol, corfforol a seicolegol yr unigolyn ac ystyried bod rhain yn ffactorau pwysig ym mywyd pobl. Yn achos pobl hyn, mae hynny yn bwysig er mwyn sicrhau urddas y person ym mhob agwedd o’u bywyd. O ran pobl ifanc, gall olygu rhoi sylw i’w hanghenion unigol yng nghyd-destun y rhwydwaith teuluol.

• Grymuso a Hunan Reolaeth

Mae grymuso’n cynnwys elfennau o ddewis, pwrpas, cynhwysiant a hunaniaeth bersonol. Mae’r rhain yn agweddau pwysig wrth ddarparu gofal o’r radd flaenaf i bobl hyn sy’n dioddef o ddementia. Mae’n ymrwymiad i’r unigolyn yn gyntaf ac i’r salwch yn ail. Gyda phlant a phobl ifanc, credir ei bod yn bwysig cefnogi’r person i ddatblygu trwy wneud penderfyniadau a byw’n iach. Gyda phobl sy’n dioddef o ddementia, gellir gwneud dewisiadau ar sail gosodiadau cynt sy’n help iddyn nhw gynllunio ar gyfer y dyfodol.

Mae hunan reolaeth yn rhan annatod o rymuso. Mae’n cynnwys dod o hyd i ffyrdd ystyrlon i fyw gyda phroblemau iechyd meddwl. Mae hynny yn newid natur y berthynas ofalgar i gyfeiriad hyfforddi a phartneriaeth.

11


The Welsh Government have supported the key components of a recovery approach, being

1. A commitment to progress

2. A commitment to the whole person and

3. Empowerment and self management

Recovery for children and young people and older people with a dementia

The principles of recovery may be applied differently across services, for example older people, children and young people, people with a learning disability etc. As a facilitator, you will need to promote discussion and thoughtful application of recovery principles within these settings.

In order to assist this process we have generated some initial thoughts here.

• A commitment to progress

This represents a shared and long term commitment on both the service users and mental health care workers to maintain a commitment to progress (at whatever pace that happens). However progress can also refer to ‘maintenance’ and in older person’s care, this can relate to making efforts to maintain the person and their quality of life for a long as possible during the progression of the disease.

• A commitment to the whole person;

This means making a concerted shift to practising more inclusively, seeing and responding to the person, not a diagnostic label. The emphasis is on responding to the social, spiritual, physical and psychological areas of the individual and seeing these as important in people’s lives. For older people this is an important in maintaining dignity of the person in all aspects of their daily life. In young people it may mean ensuring their individual needs are considered and met within the context of a family network.

• Empowerment and Self Management

Empowerment has elements of choice, purpose, inclusion and personal identity. These are important aspects of high quality care provision for older people with a dementia. It is a commitment to the person first and their illness second. In children and young people it is a belief in supporting the person to develop through decision making and maintaining healthy lifestyles. With people with dementia choice might be exercised through advance statements that can help them to plan for their future.

Self management is inextricably linked to empowerment. It involves finding meaningful ways to live life with mental health problems. This changes the nature of helping relationships towards coaching and partnership.

12


Mae’r pwyslais hwn ar wellhad yn berthnasol i’r dull o ddarparu gwasanaeth i bobl hyn, wrth i ni feddwl sut y gall ymarferwyr gefnogi’r unigolyn i fyw gyda’i gyflwr a’i symptomau o ddydd i ddydd. Mae’n ymrwymiad i ofalu am les yr unigolyn, gan weithio ar sail ‘yr hyn sydd’, ‘yr hyn a allai fod’ a’r ‘hyn a ddylai fod’. Ystyr gwellhad yw byw gyda’ch sefyllfa a gwneud y gorau o’ch bywyd.

Defnyddiwch eich amser i helpu cyfranogwyr i feddwl sut mae’r egwyddorion hyn yn berthnasol yn eu gwaith.

B) Dealltwriaeth ddiwylliannol

Mae’r deunyddiau hyn yn seiliedig ar yr ymrwymiad ei bod yn rhaid i’r gweithlu iechyd meddwl weithio tuag at lefel uwch o ddealltwriaeth ddiwylliannol wrth drin a chefnogi’r boblogaeth ddwyieithog (Cymraeg/Saesneg) yng Nghymru.

Diffinio Dealltwriaeth Ddiwylliannol

Mae dealltwriaeth ddiwylliannol yn cyfeirio at werthoedd, ymddygiad, agweddau ac ymarfer mewn sefydliadau, gan dimau ac unigolion. Caiff ei nodweddu gan barch tuag at gredoau, ieithoedd ac ymddygiad diwylliannol pobl sy’n defnyddio gwasanaethau a chydweithwyr. Mae’r ffocws hwn yn cydnabod mai proses ddynamig yw hon sy’n golygu bod angen i bobl fyfyrio’n barhaus ar eu hymarfer a’i newid os oes angen.

Un elfen hanfodol o ddealltwriaeth ddiwylliannol yw’r cysylltiad rhwng agweddau ac ymddygiad. Wrth ysgrifennu’r deunyddiau hyn y bwriad oedd bod ymarferwyr a sefydliadau yn ymateb yn briodol i ddisgwyliadau a hawliau diwylliannol. Yng Nghymru, mae cael mynediad at siaradwyr yn Gymraeg neu yn Saesneg, yn ôl angen yr unigolyn, yn ystyriaeth bwysig wrth ddarparu gwasanaethau iechyd meddwl. Mae’r mater hwn yn bwysig i rai sy’n siarad Cymraeg, er nad yw wedi ei gyfyngu’n unig iddyn nhw.

Mae’r ddogfen ddefnyddiol ‘Dwy Iaith: Dau Ddewis’ (Cyngor Gofal Cymru, Elaine Davies1) wedi helpu i ganolbwyntio ar y materion pwysig y dylid eu hystyried wrth ddarparu gofal yng Nghymru:

• Mae gwahaniaeth rhwng gallu iaith a defnyddio iaith – gall pobl siarad dwy iaith ond efallai mai un iaith yn unig y maent yn ei defnyddio go iawn, a’u bod yn fwy cyfforddus yn defnyddio un o’r ddwy iaith (neu fwy).

• Gall hyfedredd ieithyddol pobl amrywio yn y pedwar sgil iaith (siarad, darllen, gwrando ac ysgrifennu). Gall pobl newid rhwng ieithoedd ar gyfer pob un o’r sgiliau hyn a rhaid i ymarferwyr fod yn effro i hynny.

• Ychydig o bobl sy’n rhugl a’r un mor fedrus yn y ddwy iaith. Mae un iaith yn tueddu i fod yn gryfach na’r llall.

• Mae gallu ieithyddol pobl yn tueddu i amrywio dros amser. Wrth fynd yn hyn nid yw’n anarferol i bobl ddewis defnyddio eu mamiaith unwaith eto i gyfathrebu.

Gofynnwn i hwyluswyr a dysgwyr roi sylw i’r materion pwysig hyn wrth iddynt weithio trwy’r defnyddiau hyn:

“Rwy’n teimlo’n fwy cartrefol wrth siarad fy mamiaith. Mae fel bod gartref gyda’r holl bethau cyfarwydd a chyfforddus o’ch cwmpas. Mae siarad ail iaith fel teimlo eich bod yn nhy rhywun arall.” (Ellen: siarad Cymraeg/Saesneg)2.

13


This focus on recovery, has application for an approach to older people in thinking about how practitioners, can support the person to live with their condition on a day by day basis. It is a commitment to well-being, to work to ‘what is’, ‘what might be’ and ‘what should be’. Recovery is living with your situation and making the most out of life.

Use your time to support participants to think about how these principles apply within their working practice.

B) Cultural Capability

These materials are based on a commitment that the mental health workforce must work towards greater cultural capability in treatment and support of the bilingual Welsh/English speaking population in Wales.

Defining Cultural Capability

Cultural capability refers to the values, behaviours, attitudes and practice in organisations, teams and people. It is characterised by respect for beliefs, languages and cultural displays of behaviour of people who use services and work colleagues. A belief in capability is based on an understanding that this is a dynamic process which requires people to continually reflect upon their practice and make refinements where necessary.

A critical element of cultural capability is the link between attitudes and behaviour. These materials are written with the intention that aspects of cultural rights and expectations are met by practitioners and organisations. In Wales, ensuring access to Welsh or English speakers, depending on the needs of the service user, is an important consideration in the delivery of mental health services. This issue is significant for, but not exclusive to, speakers of the Welsh language.

The helpful publication ‘Different Words: Different Worlds’ (Cyngor Gofal Cymru/Care Council for Wales1) has provided a focus on the important issues for care delivery in Wales:

• There is a distinction between ability and use of a language – A person may speak two languages but may only use one in practice, they may be more comfortable using one of their two (or more) languages.

• A person’s proficiency in language may vary across the four language skills (speaking, reading, listening and writing). A person may switch between languages for each of these skills and practitioners must be alive to this issue.

• Few bilingual people are fluent and equally competent in both languages. One language tends to have a dominant position.

• A persons’ competence in language may vary over time. It is not uncommon for people as they get older to return to their native language as a preference in communication.

We request facilitators and learners to attend to these important issues as they work through these materials:

“I feel more at ease speaking in my mother tongue. It’s like being at home with all the usual familiar worn and comfortable clutter around you. Speaking a second language is like being you, but in someone else’s house” (Ellen: Welsh/English speaker)2.

14


B) Cymhlethdod

Egwyddor bwysig arall yw natur gymhleth y ffordd y mae anawsterau iechyd meddwl yn cael eu profi ac yn amlygu eu hunain. Bwriad y deunyddiau dysgu yma yw cefnogi’r broses o feddwl a myfyrio am arferion gwaith, ond rydym yn cydnabod bod ymarfer ym maes iechyd meddwl yn fwy cymhleth a ‘dyrys’ hyd yn oed na’r hyn a gyflwynir yma.

Felly, mae eich rôl chi naill ai fel hwylusydd neu gyfranogwr yn bartneriaeth er mwyn deall yn well natur y cymhlethdod hwn wrth ymarfer. Mae dysgu’n rhoi cyfle i drawsnewid, hynny yw, mae gan y cyfranogwr a’r hwylusydd ddewis ehangach o gamau posibl y gellir eu cymryd. Mae hynny yn gwbl gyson â thema cymhlethdod mewn gofal iechyd. Rydym yn eich annog i fabwysiadu agwedd hyblyg tuag at ddysgu a hwyluso, ond dylid bob amser gadw golwg ar yr angen i gefnogi gwellhad yr unigolyn a gweithredu mewn ffordd sy’n cynnal y pwyslais ar ddealltwriaeth ddiwylliannol.

Adnoddau ychwanegol Adroddiad am astudiaeth o Ymwybyddiaeth o’r Gymraeg yn y Ddarpariaeth Gofal Iechyd yng Nghymru”

www.wales.nhs.uk/sites3/documents/415/ACF33A4.pdf

“Siarad yr Anweledig”

www.wales.nhs.uk/sites3/documents/415/Speaking-the-Invisible.pdf

Adnoddau Hyfforddi Ymwybyddiaeth Ieithyddol

www.wales.nhs.uk/sites3/page.cfm?orgid=415&pid=5534

“Gair o Gysur/Words of Comfort”

www.wales.nhs.uk/sites3/documents/415/Gair-o-Gysur-pdf.pdf

“Y Gymraeg yn y Gwasanaeth Iechyd”

www.estynllaw.org/uploads/y_gymraeg_yn_y_gwasanaeth_iechyd.pdf

Roberts, G., Jones, E. ac Ap Rhisiart, D. (2011) ‘Rhoi llais i bobl hyn: Urddas mewn gofal pecyn cymorth ar gyfer y Gymraeg. Llywodraeth Cymru. Caerdydd.

Prys, D. a Lloyd-Davies, O. (gol) (2005) Termau Gofal Iechyd Pobl Hyn. Uned e-Gymraeg, Canolfan Bedwyr, Prifysgol Cymru Bangor*

Prys, D. (2002) Termau Iechyd Meddwl Plant a Phobl Ifanc. Canolfan Safoni Termau, Prifysgol Cymru Bangor*

Prys, D. (2000) Termau Hybu Iechyd. Canolfan Safoni Termau, Prifysgol Cymru Bangor*

*Ar gael gan [email protected]

Geiriaduron ar-lein:

www.termcymru.cymru.gov.uk www.geiriadur.net

1) Davies, E. Dwy Iaith, Dau Ddewis ? Y cysyniad o ddewis iaith mewn gwaith cymdeithasol a gofal cymdeithasol. Cyngor Gofal Cymru.2) Davies, E. Dwy Iaith, Dau Ddewis ? Y cysyniad o ddewis iaith mewn gwaith cymdeithasol a gofal cymdeithasol. Cyngor Gofal Cymru.

15


B) Complexity

Another important principle is that of complexity in the presentation and experience of mental health difficulties. The learning materials are intended to support reflection on actual practice, but we have no doubt that mental health practice is even more complex and ‘messier’ than that presented here.

Therefore, your engagement as either facilitator or participant represents a partnership to deepen understanding about complexity in practice. Learning is about transformation, by which we mean the ability of the participant and facilitator to expand their range of possible actions. We encourage you to be flexible in your approach to learning and facilitation, but always with your eye on supporting rVecovery and acting in a culturally capable way.

Additional ResourcesA report on the study of Welsh Language Awareness in Healthcare Provision in Wales”

www.wales.nhs.uk/sites3/documents/415/ACF3394.pdf

“Speaking the Invisible”

www.wales.nhs.uk/sites3/documents/415/Speaking-the-Invisible.pdf

Language Awareness Training Resources

www.wales.nhs.uk/sites3/page.cfm?orgid=415&pid=5534

“Gair o Gysur/Words of Comfort”

www.wales.nhs.uk/sites3/documents/415/Gair-o-Gysur-pdf.pdf

“Welsh in the Health Service”

www.wales.nhs.uk/sites3/documents/415/WelshintheHealthService.pdf

Roberts, G., Jones, E. & Ap Rhisiart, D. (2011) ‘Giving Voice to Older People: Dignity in Care Welsh Language Toolkit. Welsh Government. Cardiff.

Prys, D. & Lloyd-Davies, O. (eds) (2005) Termau Gofal Iechyd Pbl Hym/Terms used in the care of older people.Uned-e-Gymraeg, Canolfan, Prifysgol Crymru Bangor/e-Welsh Language Unit. Canolfan Bedwyr, University of Wales Bangor*

Prys, D. (2002) Termau Iechyd Meddwl Plant a Phobl Ifanc/Child and Adolescent Mental Health Terms. Canolfan Safani Termau, Prifysgol Crymru Bangor/Centre for Standardisation of Welsh Terminology, University of Wales Bangor*

Prys, D. (2000) Termau Hybu Iechyd/Terms for Health Promotion. Canolfan Safani Termau, Prifysgol Crymru Bangor/Centre for Standardisation of Welsh Terminology, University of Wales Bangor*

*Available from [email protected]

On-line dictionaries:

www.termcymru.cymru.gov.uk www.geiriadur.net

1) Davies, E. Different Words, Different Worlds? The concept of language choice in social work and social care. Cyngor Gofal Cymru/Care Council for Wales.2) Davies, E. Different Words, Different Worlds? The concept of language choice in social work and social care. Cyngor Gofal Cymru/Care Council for Wales.

16


Gwybodaeth i hwyluswyr: Sut i ddefnyddio’r adnoddau dysgu hyn.

I bwy mae’r llawlyfr hwn?

Mae’r llawlyfr hyfforddi hwn yn adnodd dysgu am ddim i ddiweddaru, hyfforddi a chefnogi gweithwyr iechyd a gofal cymdeithasol, defnyddwyr gwasanaeth a gofalwyr wrth gynllunio gofal a thriniaeth. Mae’n seiliedig ar ofynion Mesur Iechyd Meddwl (Cymru) 2010 a’r polisi a’r canllawiau cysylltiedig.

Sut i ddefnyddio’r llawlyfr hwn a’r DVDMae pob uned ddysgu wedi ei strwythuro fel a ganlyn:

• Teitl.

• Oriau hyfforddi’n gysylltiedig â’r uned.

• Nodau’r uned.

• Prif negeseuon i hwyluswyr.

• Cyflwyniad.

• Cysylltiadau ag unrhyw ddeddfwriaeth a pholisi arall.

• Canlyniadau dysgu.

• Adnoddau dysgu angenrheidiol.

• Cynllun y wers.

• Negeseuon a ddysgwyd ac ymrwymiad personol i weithredu.

• Llyfryddiaeth a deunydd darllen pellach.

Yn ddelfrydol, dylai’r tîm hyfforddi gynnwys o leiaf ddau hyfforddwr, gan gynnwys defnyddiwr gwasanaeth. Mae gweithio gyda defnyddwyr gwasanaeth a gofalwyr yn gallu cynnig persbectif gwahanol a phwysig ar agweddau o gynllunio gofal a thriniaeth. Mae hyfforddiant dwyieithog yn adlewyrchu ysbryd a gwerthoedd diwylliannol Mesur Iechyd Meddwl (Cymru) 2010 a Mesur yr Iaith Gymraeg (2011) ac mae’r deunyddiau hyn yn addas i ddull o’r fath.

Y DVDMae’r DVD yn cynnwys llyfrgell o glipiau fideo a hanesion gan ddefnyddwyr gwasanaeth, gofalwyr ac ymarferwyr sy’n siarad am eu profiadau ac yn rhoi sylwadau am iechyd meddwl ac am wasanaethau sy’n gysylltiedig â chynllunio gofal a thriniaeth. Weithiau bydd y siaradwyr yn siarad am y DRhO, sef enw arall am gynllunio gofal a thriniaeth. Mae’r straeon yn ychwanegu gwerth gwirioneddol i’r adnodd dysgu. Gellir defnyddio’r clipiau i sbarduno gweithgareddau dysgu sy’n seiliedig ar broblem neu i gadarnhau neu drafod safbwyntiau. Mae’r llawlyfr hyfforddi’n nodi ble gallwch chi ddefnyddio’r darnau byr hyn i hybu trafodaeth a dysgu sy’n berthnasol i thema pob uned ddysgu. Gallwch ddefnyddio cynifer neu gyn lleied o’r rhain ag y dymunwch yn dibynnu ar eich anghenion a’ch amgylchiadau lleol.

NODWCH: rhoddwyd caniatâd gan yr unigolion yn y ffilm sy’n cyd-fynd â’r adnodd hwn ar yr amod bod y DVD yn cael ei ddefnyddio at bwrpas addysgol. Defnyddiwch yr adnodd hwn yn sensitif a gwnewch yn siwr ei fod yn cael ei ddefnyddio i’r pwrpas hwn yn unig.

Ymwadiad: Mae’r farn a fynegir yn y DVD yn eiddo i’r unigolion hynny a wirfoddolodd i gyfrannu. Nid yw o anghenraid yn adlewyrchu barn Llywodraeth Cymru na datblygwyr yr adnodd hwn.

17


Information for facilitators: how to use these learning resources

Who is this manual for?

This manual is a freely available learning resource for updating, training and supporting health and social care workers, service users and carers about care and treatment planning. It is grounded in the requirements of the Mental Health (Wales) Measure 2010 and the policy and guidance associated with it.

How to use this manual and video resourcesEach unit of learning is structured as follows:

• Title.

• Training hours associated with unit.

• Aims of the unit.

• Key messages for facilitators.

• An introduction.

• Links to other legislation and policy.

• Learning outcomes.

• Required teaching resources.

• A lesson plan.

• Take home messages and personal commitment to act.

• References and further reading.

Ideally, the training team should consist of at least two facilitators’, including a service user. Co-facilitation with service users and carers can offer an important alternative perspective on aspects of care and treatment planning. Bilingual training reflects the spirit and cultural values within the Mental Health (Wales) Measure 2010 and the Welsh Language Measure (2011) and these materials lend themselves easily to such an approach.

The video resourcesThe video resources consists of a library of video and audio narrative clips of service users, carers and practitioners talking about their experiences and observations of mental health and services in relation to care and treatment planning. Sometimes the speakers will talk about CPA and this should be viewed as, care and treatment planning by another name. These narratives add real value to the learning resource. The clips may be used as triggers for problem based learning activities or to affirm or negate points of view. The trainer’s manual indicates where these short narratives may be used to prompt discussion and learning that is relevant to the theme of each unit of learning. You may use as many or few of these as fits local need and circumstance.

PLEASE NOTE: the individuals who agreed to be filmed for this resource gave their written consent on the understanding that the DVD will be used for educational purposes. Please manage this resource sensitively and ensure that it is only used for this purpose.

Disclaimer: The views expressed in the DVD are those of the individuals who volunteered to contribute. They do not necessarily reflect the views of the Welsh Government or the designers of the learning resource.

18


Lleoliad yr hyfforddiant

Mae neilltuo amser hyfforddi penodol yn gyfle rhagorol i ymarferwyr dreulio ychydig o amser i ffwrdd o’u sefyllfaoedd clinigol/ymarfer arferol er mwyn edrych yn fanwl ar ymyriadau llwyddiannus a nodi meysydd y mae angen eu gwella ymhellach. Rydym yn argymell yn gryf fod hwyluswyr hyfforddiant, rheolwyr hyfforddiant a chyfranogwyr yn meddwl ble maen nhw’n cynnal eu rhaglenni hyfforddi. O ddefnyddio adnoddau eraill, fel elusennau 3ydd sector, canolfannau iechyd meddwl cymunedol ac ati yn lleoliadau hyfforddi gellid meithrin deialog amlasiantaeth a gallai hynny arwain at werth ychwanegol wrth ddefnyddio’r rhaglen hyfforddi.

Caniatâd

Mae’r adnodd hwn am ddim i bawb. Mae hawl i atgynhyrchu’r cynnwys fel y bo angen at bwrpas hyfforddi (a fyddech gystal â chydnabod ffynhonnell unrhyw ddefnyddiau a ddefnyddir).

Bwriad y wybodaeth a’r gweithgareddau yn yr adnodd dysgu hwn yw hybu arfer da. Ni all awduron na noddwyr y llawlyfr hwn fod yn atebol am unrhyw hawliad am niwed personol neu niwed i eiddo nag am golledion ariannol sy’n digwydd wrth ddarparu gofal iechyd a gofal cymdeithasol:

Hwyluswyr - paratoi

• Gwneud yn siwr eich bod yn gyfarwydd â’r adnodd dysgu; y llawlyfr; y DVD a’r catalog; y taflenni a pha unedau a gweithgareddau y byddwch yn eu cynnwys yn y rhaglen.

• Recriwtio a gwybodaeth: cysylltwch â phobl berthnasol eraill ynglyn â phresenoldeb a sut i roi gwybodaeth am y rhaglen i gyfranogwyr.

• Dylech gyfarfod eich cyd-hyfforddwr(wyr) mewn da bryd cyn penderfynu ar y rolau a’r cyfrifoldebau a chynllunio’r unedau. Cynlluniwch ymlaen llaw sut fyddwch chi’n defnyddio’r adnodd, pa weithgareddau, cyflwyniadau PowerPoint, straeon DVD ac ati i’w defnyddio. Gyda rhai o’r ymarferion a awgrymwyd bydd angen cynllunio’n ofalus a rhannu tasgau rhwng hyfforddwyr.

• Gwnewch yn siwr fod y lleoliad yn addas a nodwch ein hawgrym cynharach ynglyn â’r dewis o leoliadau dysgu posibl. Ystyriwch faint y lle a’r adnoddau sydd eu hangen i allu rhannu’n grwpiau. Ceisiwch gael gwybodaeth am y lle ar gyfer y cyfranogwyr: rheolau tân, lluniaeth, toiledau, lleoedd tawel i rannu’n grwpiau, ffonau ac ati.

• Offer: gallwch chwarae’r DVD ar gyfrifiaduron neu ar deledu gyda pheiriant chwarae DVD. Os nad ydych yn defnyddio cyfrifiadur, bydd angen seinyddion (NI fydd y seinyddion mewnosodedig yn ddigon uchel.) Bydd y clipiau’n gweithio ar Windows Media Player, Real Player, Nero neu QuickTime (gallwch eu lawr lwytho am ddim http://quicktime.mediaplayer-stop.com/). Offer arall: taflunydd data, y DVD; siart fflip, stand a marcwyr; deunydd glynu posteri y gellir ei dynnu. Holwch i wybod beth sydd ar gael yn y lleoliad.

• Adnoddau: digon o daflenni a chyfarwyddiadau ar gyfer y grwp.

• Rheoli amser: rhowch ddigon o amser i drefnu’r ystafell a pharatoi’r offer cyn dechrau’r sesiwn.

19


Location of training

Having dedicated training time is an excellent opportunity for practitioners to spend time away from usual clinical/practice situations in order to examine successful interventions and identify areas for further improvement. We strongly urge training facilitators, training managers and participants to review where they conduct training programmes. Using alternative resources, such as 3rd sector charities, community mental health centres etc., as training venues may foster multi-agency dialogue and result in added value from a training programme.

Permission

This resource is freely available to all. Contents may be reproduced as required for the purpose of training (please acknowledge the source of any materials used).

The information and activities contained in this learning resource are intended to promote positive practice. Neither the authors or sponsors of this manual can accept any liability in respect of any claims for personal and or property damage or any financial losses sustained following incidents in health and social care provision.

Facilitator preparation

• Familiarise yourselves with the learning resource: the manual; the DVD; the handouts and which units and activities you will include in the programme.

• Recruitment and information: liaise with relevant others about attendance and how participants will be given information about the programme.

• Meet with your co-trainer(s) sufficiently in advance to decide respective roles and responsibilities and plan the units. Plan in advance how you will use the resource, which activities, PowerPoint presentations, DVD narratives etc. Some of the suggested exercises will require careful planning and allocation of specific tasks.

• Check the venue is suitable and please note our suggestion earlier on the range of possible learning venues. Think about size and resources for breaking out into groups. Find out domestic information so that you can pass on to participants: fire regulations, refreshments, toilets, quiet spaces for time out, telephones etc.

• Equipment: The DVD can be played on PCs or on TV with a DVD player. If you are using a PC, you will need speakers (the in-built speakers will NOT be loud enough). The clips will run on Windows Media Player, Real Player, Nero or QuickTime (free download at: http://quicktime.mediaplayer-stop.com/). Other equipment: data projector, the DVD; flip chart, stand and markers; removable adhesive for posters. Check what is provided at the venue.

• Resources: sufficient handouts and briefings for the group.

• Time management: allow sufficient time to set up the room and prepare equipment prior to start times.

20


Cyflwyno dysgu myfyriol

Yn y rhan fwyaf o’r unedau hyfforddi hyn rhaid i chi ystyried neu fyfyrio ar eich profiadau. Cyn dechrau dysgu mae’n werth ystyried yn fyr beth yw myfyrio.

Mae myfyrio yn fwy na dim ond meddwl am brofiad; mae’n cynnwys elfen o newid. Mae’r sawl sy’n myfyrio yn aildrefnu ei feddyliau, ei wybodaeth, ei deimladau a’i gamau gweithredu, hynny yw, mae’n “gwneud synnwyr” o brofiadau ac o bosibl yn ymateb iddynt mewn ffyrdd gwahanol. Yn aml, gall hynny gynnwys dull mwy beirniadol lle byddwn yn herio’r farn a gymerwn yn ganiataol trwy brofiad, ac o ganlyniad yn newid ein meddyliau, ein teimladau a’n hymddygiad.

Un ffordd ddefnyddiol o fyfyrio yw trwy ddefnyddio fframwaith syml fel yr un a gynigiwyd gan Gibbs (1988)6. Mae’r fframwaith hwn yn fodel cylch sy’n cynnwys y camau canlynol:

Disgrifio – Beth sy’n digwydd?

Teimladau – Beth ydw i’n ei feddwl a’i deimlo am yr hyn sy’n digwydd?

Gwerthuso – Beth sy’n dda/ddrwg am y profiad hwn?

Dadansoddi – Pa synnwyr alla’ i ei wneud o’r hyn sy’n digwydd?

Casgliad – sut fydda’ i’n ymateb – beth yw fy opsiynau?

Cynllun Gweithredu – Beth fydda’ i’n ei wneud? Sut fydda’ i’n ymateb?

Yr eiconau a ddefnyddir yn yr adnoddau hyn

I’ch helpu fel hwylusydd, rydym wedi cynnwys ychydig o eiconau i’ch helpu i ddeall beth fydd angen i chi ei gynnwys yn eich hyfforddiant. Nid oes raid dilyn y cyfarwyddiadau hyn, ond maen nhw’n gallu bod o gymorth wrth i chi ddod yn gyfarwydd â’r adnoddau. Dyma’r eiconau:

Eicon Rhybudd: sy’n dangos bod y testun dan sylw’n ddadleuol ac felly byddwch yn ymwybodol o’r angen i reoli gwahanol safbwyntiau yn y grwp hyfforddi.

Eicon DVD: sy’n dangos y gallech chi ystyried defnyddio clip DVD (o’r rhestr) yn y rhan hon o’r hyfforddiant. Pwrpas y DVD yw cadarnhau canlyniad dysgu penodol neu baratoi cyfranogwyr ar gyfer canlyniad dysgu.

Eicon Ymarfer: sy’n dangos bod ymarfer grwp yn rhan o’r hyfforddiant yma (fel arfer mae’n cynnwys trafodaeth grwp, negydu a chytuno).

Eicon Taflen: sy’n dangos bod taflen ar gael i gyfranogwyr.

Eicon Sleid/PowerPoint: sy’n dangos ei bod yn bosibl defnyddio sleidiau PowerPoint i helpu’r dysgu.

6)Gibbs, G. (1988) Learning by Doing: A Guide to Teaching and Learning Methods. Oxford Further Education Unit, Rhydychen.

DVD

DVD

DVD

DVD

DVD

21


Introducing reflective learning

Much of the training in these units requires you to reflect on your experience. Prior to commencing the learning it is worth briefly considering what reflection is.

Reflection is more than just thinking about an experience and involves an element of change. It involves the reflector in reorganising their thoughts, knowledge, feelings and actions. In other words “making sense” of experiences and potentially responding to them in different ways. Often this can involve a more critical approach in which we challenge our taken for granted views of experience and subsequently amend our thoughts, feelings and behaviour.

A useful way to reflect is to use a simple framework such as that proposed by Gibbs6. This framework is a cyclical model and includes the following stages:

Description – What is happening?

Feelings – What am I thinking and feeling about what’s happening?

Evaluation – What’s good/bad about this experience?

Analysis – What sense can I make of what’s happening?

Conclusion – how might I want to respond – what are my options?

Action Planning – What will I do?/How will I respond?

The icons used in these resources

To provide some aid to you as a facilitator, we have included a small number of icons to help you understand what you may have to include in your training. You are not bound by these instructions, but they may prove helpful as you begin to become familiar with the resources. The icons are:

Alert icon: This indicates that the subject matter is potentially contentious and so be mindful of being able to manage difference of opinions in the training group.

DVD icon: This indicates that you may wish to consider using a DVD or audio clip (from the menu list) at their point of the training. The DVD clip is designed to reinforce a particular learning outcome or to prime participants for a learning outcome.

Exercise icon: This indicates there is a group exercise at this point in the training (usually involving group discussion, negotiation and agreement).

Handout icon: This indicates there is a handout available for participants.

Slide/PPT icon: This identifies where power-point slides may be used to support learning.

6)Gibbs, G. (1988) Learning by Doing: A Guide to Teaching and Learning Methods. Oxford Further Education Unit, Oxford.

DVD

DVD

DVD

DVD

DVD

22


Mae copïau ychwanegol o lyfr gwaith hwyluswyr a’r DVD ar gael:

Ymholiadau

Dylid anfon ymholiadau am yr adnodd dysgu hwn at yr: Is-adran Grwpiau Iechyd Meddwl ac Agored i NiwedLlywodraeth CymruParc CathaysCaerdydd CF10 3NQ

23


Further copies of this facilitator’s workbook and the DVD will be available:

Enquiries

Enquiries regarding the learning resource should be directed to:Mental Health & Vulnerable Groups DivisionWelsh GovernmentCathays ParkCardiffCF10 3NQ

24


Adborth Feedback

Amlasiantaeth Multi agency

Amlddisgyblaeth Multi-disciplinary

Annog To encourage

Atgyfeirio Re-refer

Arloesedd Innovation

Arweinyddiaeth Leadership

Creadigrwydd Creativity, Creativeness

Cydlynydd / Cydlynwyr Gofal Care Coordinator(s)

Cydlynol Coordinated, Coordinating

Cyfathrebu Communicate

Cyfeirio Refer

Cyfranogwyr Participants

Cylch cyfoedion Peer group

Cymhwysedd (i) Eligibility (ii) Competence

Cymwys (i) Eligible (ii) Qualified

Cynhwysfawr Comprehensive

Cysyniad Concept

Dealltwriaeth ddiwylliannol Cultural capability

Deddfwriaeth Legislation

Diwygio Revise

Diwygiedig Revised

Dysgu myfyriol Reflective learning

Eirioli To advocate

Eiriolwr (an) Advocate

Eiriolaeth Advocacy

Rhestr Termau/Glossary

25


Grymuso To empower

G)wacsaw Trivial / frivolous

Gweithdrefn Procedure

Gweithlu Workforce

Gwellhad (h.y. proses gwellhad fel y mae hynny yn cael ei ddifffinio gan yr unigolyn)

Recovery

Gwirio To check

Gwyntnwch Resilience

Hyfedredd Proficiency

Meini Prawf Criteria

Myfyrio To reflect

Negydu To negotiate

Normadol Normative

Rheolaeth (i) Management (ii) Control

Rhestr wirio Checklist

Rhyngweithio To interact

Sefydliadol Organisational

Swyddogaeth Function (noun), Role

Trawsgrifiadau Transcripts

Trosolwg Overview (noun)

Y broses gadael gofal The discharge process

Ymreolaeth Autonomy

Ymyriad Intervention

*N.B. This glossary is text specific, rather than in any way definitive. Therefore the corresponding Welsh-English words and terms listed in this glossary may differ to some degree from definitions found in dictionaries, as they are contextualised renditions of their specific meanings in the texts of these units.

26


Paul Barrett

Andy Betts

Paul Linsley

Dr Christine Jackson

Ian McGonagle

Sian Regan

Sian Ledbury

Victoria Richards

Helen Kelly

Michaela Morris

Gill Jones

Helen Rees

Kim Williams

Jeff Davies

Leah Pilling

Gail Hollohan

Rachel Skene

Stephen Pearce

Tracy Davies

Ben Jenkins

Wayne Jones

Andy Ward

Joanne Williams – Llandrindod Wells

Rhian Probert – Brecon

Amanda Christie – Torfaen

Sheila Lawrence – Cardiff & Vale UHB

Kelly Jones – ABHB

Gwyneth Statham

Ashley Hartwell – Cardiff & Vale UHB

Margaret Parry – CV MH DT

Elin Jones – Caerphilly ADT

Daniel Webb – ABHB

Simon Mudie – CV MHDP

Alex Nute – Cardiff & Vale UHB/ Cardiff University

John Burgess – ABHB

Catherine (Kay) Morgan – Cardiff Social Services

Mike Jones – Hywel Dda

Sharon Williams – Hywel Dda

Angela Lodwick – Hywel Dda

Vincent Padmanabhan – Hywel Dda

Amnai Hassan – Hywel Dda

Ana Llewellyn – Cwm Taf

Keith Lound – Powys

Antonio Munoz-Solmondo

Cydnabyddiaethau / Acknowledgements

Paratowyd y deunyddiau hyn gan y bobl ganlynol / These materials were authored by the following people:

Uned dysgu – prif dim ysgrifennu – Prifysogol Lincoln / Learning units – principal writing team – University of Lincoln

Cyd-awduron rhaglen beilot – Tîm datablygu Cwm Taf Bwrdd iechyd / Pilot programme co-writers Cwm Taf HB development team

Cyd-awduron rhaglen beilot – Tîm datablygu Gwasaneathau Iechyd Meddwl Plant a Phobi Ifranc/ Pilot programme co- writers CAMHS development team

Cyd-awduron rhaglen beilot – Tîm datablygu Llanharan / Pilot programme co-writers – Llanharran development team

27


Jean Leo – BCUHB

Mandy Rowlands BCUHB

Dianne Hunter – BCUHB

Richard Birch – Hafal

Jo Cottier – BCUHB

Nicci Astle – BCUHB

Maggie Heitzman – BCUHB

Joanne Thomas – BCUHB

Denise Charles – Hafal

Sandra Loxton – BCUHB

David Williams – (Carer)

Bob Davies – Hywel Dda HB

Katie Walker

Ken Lloyd – Carmarthen

Amanda Evans – Hywel Dda

Lynn Howels – Eirol – Mental Health Advocacy

Shôn Devey – West Wales Action for Mental Health

Jonathon Davies – Service user-Trainer

Kathryn Lewis – Hywel Dda

Tracy Davies – Hywel Dda HB

David Berrow – BCUHB

Teresa Morgan-Jones – BCUHB

Peter Hadrill – BCUHB

Lauraine Hamer – Social Worker AMHP

Liz Morgan – BCUHB

Carol Morgan – BCUHB

Kelly Williams – BCUHB

Rebecca Jones – BCUHB

Alan Davies – BCUHB

Tina Foulkes – Unllais

Joan Doyle – Unllais

Bill Fawcett – Service User

Paula Hilliam – University of Lincoln

Lucy Hale – Unllais

Enid V Roberts – Carer

Natalie Liddle – University of Lincoln

Craig Cotcher – BCUHB

Glenys Williams – BCUHB

Manuela Behnke – Unllais

Jane Berry – Unllais

Mike Hallows – Phoenix

Pam Bradley-Rushton – Unllais

Andrew Bryant – AB. MDF-B.P.

Cyd-awduron rhaglen beilot – Tîm datablygu Wrecsam / Pilot programme co-writers – Wrexham development team

Cyd-awduron rhaglen beilot – Tîm datablygu Y Trallwng / Pilot programme co-writers – Welshpool development team

Cyd-awduron rhaglen beilot – Tîm datablygu Caernarfon / Pilot programme co-writers – Caernarfon – Unllais development team

In addition to the above there were 5 people who did not wish to be identified as contributors but we still would like thank them for their important contribution

Cyd-awduron rhaglen beilot – Tîm datablygu Caerfyrddin / Pilot programme co-writers – Carmarthen pilot development team

28


Claire Fife (Chair) – Welsh Government, Mental Health Legislation Team

Christine Jackson (Deputy Chair) – University of Lincoln

Phill Chick – NLIAH

Jon Roche – Welsh Government, Mental Health Legislation Team

Ian Stevenson – CPAA (Wales) (until June 2011)

Michaela Morris – CPAA (Wales)

Bill Walden Jones – Hafal

Menna Thomas – Barnardos (Cymru)

Carl Hooper – Hywel Dda

Sue Bowler – University of Lincoln – Administrative support

Andrea Higgins – NLIAH

Ian McGonagle – Project lead – University of Lincoln

Gareth Bartley – Welsh Government Mental Health Legislation Team

Grwp llywio / Steering Group

Uned Ychwanegol 2 / Additional Unit 2 (CAMHS)

Grwp 1 / Group 1:

Grwp 2 / Group 2:

Menna Thomas – Barnardos (Wales)

Nicola Echanis – Principal Social Worker Bridgend LA

David Davies – Educational Psychologist – Vale of Glamorgan LEA

David Williams – CAMHS Clinical Lead Aneuran Bevan trust

Angela Rees – Senior Nurse Manager Cwm Taf LHB

Joanna Williams – SE Wales Specialist CAMHS Planning Network Manager

Glyn Davies – W. and Mid-Wales Specialist CAMHS Planning Network Manager

Caroline Winstone – N. Wales Specialist CAMHS Planning Network Manager

Delyth Hodnett – BCUHB

Sarah Maloney – BCUHB

Delyth Roberts – BCUHB

Elfryn Jones – BCUHB

Mari Ireland – BCUHB

Bethan Jones – BCUHB

Rhian Russell Owen – BCUHB

Sali Burns – BCUHB

Elaine Davies – Iaith

Steve Eaves – Iaith

Dave Smith Irene Hogan

Grwpiau ysgrifennu arbennigol / Specialist Writing Groups

Cyd-awduron rhaglen beilot – Tîm datablygu Cymraeg Bangor / Pilot programme co-writers – Bangor Welsh Language development team

Uned Graidd 1 / Core Unit 1

29


Unllais

Hafal

CPAA (Micheala Morris Lead)

The Mental Health and Welsh language task and finish group for the Welsh Government

All Wales Spirituality Group

Professors Nicola Gray & Bob Snowdon

Jo Cottier – CPAA

Debby Land – Betsi Cadwaladr UHB

Jacquie Ehlen – Betsi Cadwaladr UHB

Dave Semmens – Cardiff & Vale UHB

Andrea Gray – Welsh Government Mental Health Team

Sali Burns (Welsh language) – BCUHB

Rhian Pierce Jones – Cymal (www.cymal.co.uk)

Huw Powell and team – Bangor University Media Unit

Richard Martin and team Cardiff University Media Unit

Liz Lefroy – Glyndwr University Wrexham

Hayden Hughes – Glyndwr University Wrexham

Darren Hughes – Glyndwr University Wrexham

Dave Barnett – University of Lincoln

Corrine Smith – Wales REC

Dave Smith – Hafal

Terry Davies – Independent mental health trainer: www.steppingforwardintorecovery.co.uk/contact

Lee McCabe (Hafal)

Grwpiau/unigolion golygu / Editing Groups/individuals

Cefnogaeth cyfieithu / Translation support

Cyfryngau – ffilmio, recordio sain a chefnogaeth ymchwil / Media – Filming, audio and research support

Pobl allweddol wnaeth rhoi cymorth pan yn datblygu’r adnoddau yma / Key people who helped in the development of these resources Co-facilitators

Dr Christine Jackson (Chair) – University of Lincoln

Claire Fife – Welsh Government, Mental Health Legislation Team

Jon Roche – Welsh Government, Mental Health Legislation Team

Ian McGonagle – University of Lincoln

Emrys Elias – Delivery Support Unit

Liz Singer – NLIAH

Dave Semmens – CPA Manager Cardiff & Vale UHB

Steve Jones – School of Nursing, University of Swansea

Sali Burns – Betsi Cadwaladr UHB

Seren Roberts – Mental Health Research Network/ University of Bangor

Michaela Morris – CPAA (Wales)

Delyth Williams – Rhondda Cynon Taff Social Services Community Care

Sue Bowler – University of Lincoln – Administrative support

Sandra Loxton – CPAA (Wales) (from June 2011)

Gareth Bartley – Welsh Government Mental Health Legislation Team

Richard Jones – University of Swansea

Grwp cynllun / Project Group

30


Linda Rodgers – Cardiff University

Sali Burns – Betsi Cadwaladr UHB

Elin Walker-Jones – Betsi Cadwaladr University Health Board

Meic Hughes – BCUHB

Dave Semmens – Cardiff and Vale UHB

Gwyneth Statham

Simon Mudie

Joan Doyle, Tina Foulkes, Hilary Roberts and colleagues – Unllais

Irene Hogan, Dave Smith & Denise Charles – Hafal

Hafal teams at: Trinhyder, Wrexham, Merthyr and Swansea

Martin Semple – Royal College of Nursing, Wales

Jacquie at Hafal for ideas on the location of training

Angie Darlington – West Wales Action for Mental Health

Barry Nixon & Gill Walker – CME in the Community (CAMHS unit material)

Interlink Service Users Forum – Rachel Skene & Helen Rees

Helen Hopkins – RCTCBC

Gail Holloman – RCTCBC

Helen Jehu – RCTCBC

Davida Watkins St Tydfils, Merthyr Tydfil

Loise Pye – Cwm Taf NHS LHB

Nicola Roberts – St Tydfils, Merthyr Tydfil

Sian Regan – Cwm Taf NHS LHB

Dr Victor M Aziz – Cwm Taf LHB

Bleddyn Lewis – Hywel Dda HB

Crystal Morris – Hywel Dda HB

Kathy Lloyd – Gwalia

Amanda Evans – Hywel Dda HB

Enid Hall – Hywel Dda HB

Laura Davies – Hywel Dda HB

Sharon Williams – Hywel Dda HB

Martin Arber – Hywel Dda HB

Robert Davies – Hywel Dda HB

Tracy Davies – Hywel Dda HB

Jonathon – West Wales Action for Mental Health

David Jenkins – Pembrokeshire County Council

Nicola Murray – Hywel Dda HB

Grwp ymgynghoriaeth Pobl Hyn / Older person’s consultation group

Grwpiau Hyfforddi’r Hwyluswyr / Train the Facilitator programme groups

Grwp HH Hywel Dda / Hywel Dda TtF group

Grwp HH Yr Wyddgrug / Mold TtF group

Cefnogaeth datblygu adnoddau dysgu / Learning materials development support

Steve Bodey – Betsi Cadwaladr UHB

Mandy Pickering – Betsi Cadwaladr UHB

Hayley Spridgeon – Betsi Cadwaladr UHB

Evelyn Oldale – Unllais

Chris Lawton - Betsi Cadwaladr UHB

Debby Land – Betsi Cadwaladr UHB

Jenny Gilmore – Unllais

Stephen Yorke – Carer, Conwy & Denbigh Mental Health Partnership

Tina Foulkes – Unllais

31


Pam Bradley-Rushton – Unllais

Patrick Howells – Betsi Cadwaladr UHB

Jackie Pegram – Betsi Cadwaladr UHB

Kathy Walsh – Betsi Cadwaladr UHB

Mike Thomas – Betsi Cadwaladr UHB

Huw Davies – Unllais

Jo Lowndes – Flintshire LA

Mandy Rowlands – Betsi Cadwaladr UHB

Maggie Heitzman – Betsi Cadwaladr UHB

Grwp HH Cyffordd Llandudno / Llandudno Junction TtF group

Grwp HH Caerdydd a’r De-Ddwyrain / Cardiff and South East TtF group

Paul Hosker – Betsi Cadwaladr UHB

Claire Thomas – Unllais

Sue Adams – Conwy LA

Mike Greenwood – Betsi Cadwaladr UHB

Jean Leo – Betsi Cadwaladr UHB

Helen Rogerson – Betsi Cadwaladr UHB

Andrea Ganley – Betsi Cadwaladr UHB

Di Hunter – Betsi Cadwaladr UHB

Norman Zigomo – Carer facilitator – Unllais

Ann Kallmark – Betsi Cadwaladr UHB

Kevin Payne – Betsi Cadwaladr UHB

Ruth Joyce

Mannon Trappe – Gwynedd LA

Craig Cotcher – Betsi Cadwaladr UHB

John Burns – Gwynedd LA

Chris Eastwood – Service user facilitator Unllais / Hafal

Norma Watkins – Service user facilitator -Unllais

Keith Saycell – Betsi Cadwaladr UHB

Julie Cleaton – Betsi Cadwaladr UHB

Karen Danby – Denbighshire LA

Angela Jones – Betsi Cadwaladr UHB

Jo Cottier – Betsi Cadwaladr UHB

Sandra Loxton – Betsi Cadwaladr UHB

Glenys Williams – Betsi Cadwaladr UHB

Sara Hammond-Rowley – Betsi Cadwaladr UHB

Vivienne Aston – Abertawe Bro Morgannwg UHB

Jo Finch – Bridgend County Borough Council

Pam Griffiths – Abertawe Bro Morgannwg UHB

Helen Kelly – Service user trainer – Cwm Taf HB

Lee McCabe – Hafal

Michaela Morris – Cwm Taf HB

Hazel Yates – Gofal

Jacqui Parry – Cwm Taf HB

Chrystelle Walters

Ana Llewellyn

Joanna Ali – Ategi

Dave Powell – Aneurin Bevan HB

Michael Jones

Caroline Chapman – Mind in the Vale, Glamorgan

Dave Semmens – Cardiff & Vale UHB

Rob Withey – Sefyll

Hilary Westwood – Cardiff Mind

Clive Westwood

Vineet Padmanabhan – Cwm Taf HB

Rachel Skene

Simon Mudie

Stephen Pearce – Aneurin Bevan HB

Kelly Jones – Aneurin Bevan HB

Julie Davies – Aneurin Bevan HB

Carolyn Potter – Service user, Monmouthshire

Daniel Webb – Aneurin Bevan HB

Alex Nute – Cardiff & Vale UHB/Cardiff University

32


Grwp HH Porthcawl / Porthcawl TtF group

Grwp HH Abertawe (Cymraeg) / Swansea (Welsh language) TtF group

Grwp HH Bangor (Cymraeg) / Bangor (Welsh language) TtF group

Cafodd y grwpiau Hyfforddi’r Hwyluswyr eu cyd-hwyluso gan / The TtF groups were co-facilitated by:

Lily Bidmead – Patient’s Council

Natalie Bell – Abertawe Bro Morgannwg UHB

David Davies – Abertawe Bro Morgannwg UHB

Michelle Williams – Abertawe Bro Morgannwg UHB

Angela Clifford – Abertawe Bro Morgannwg UHB

Ian Thompson – Abertawe Bro Morgannwg UHB

Mark Thomas – Abertawe Bro Morgannwg UHB

Mathew Hooper – Abertawe Bro Morgannwg UHB

Peter Ghroum – Abertawe Bro Morgannwg UHB

Jackie Davies – Abertawe Bro Morgannwg UHB

John Griffiths – Abertawe Bro Morgannwg UHB

Karen Donaldson – Swansea LA

Terri Warilow – Bridgend County Borough Council

Ashley Griffiths – Abertawe Bro Morgannwg UHB

Martin Holder – Abertawe Bro Morgannwg UHB

Dr Zelda Summers – Abertawe Bro Morgannwg UHB

David Enyon – Abertawe Bro Morgannwg UHB

Tracy Williams – Abertawe Bro Morgannwg UHB

Ian Hughes – Cardiff & Vale UHB

Jane Hastings – Hywel Dda HB

Cathryn Morgan – Hywel Dda HB

Carys Thomas – Swansea LA

Tessa Williams – Hywel Dda HB

Twm Jones – Betsi Cadwaladr UHB

Gwynfryn Evans – Vale of Clwyd Mind

Corinne Fahy – Betsi Cadwaladr UHB

Tom Regan – Betsi Cadwaladr UHB

Elin Walker-Jones – Betsi Cadwaladr UHB

Dave Smith (Hafal)

Terry Davies – (Independent Mental Health Trainer)

Richard Birch (Hafal)

Sali Burns (BCUHB)

Stacey Addison

Gemma Kittle

Samantha Murray

Wendy Graham

Emma Barrett

Linsey Hartley

Marie Girdham

Haley Welbourn

Roddy Perez

Gwirfoddolodd y myfyrwyr nyrsio canlynol o Brifysgol Lincoln eu hamser a’u cymorth er mwyn gwella’r cyfarwyddiadau ar gyfer yr ymarfer “cysylltu llinynnau” (UG3) / The following nursing students from the University of Lincoln kindly offered their time to help refine the instructions for the ‘strings attached’ exercise (CU3)

Documents

Excellence in care and treatment planning facilitator’s workbook