Working in Partnership to Promote RecoveryDr David Blazey (Head of Social Inclusion and Recovery Projects)Tony Holmes (Operations Manager, SLaM Recovery College)

South London and Maudsley NHS Foundation Trust (SLaM)Where it fits in

South London and Maudsley NHS Foundation Trust (SLaM) is descended from the Bethlem Hospital founded in 1247 and the Maudsley Hospital founded in 1907

Department of Health (central government)

NHS England – commissions some national services, umbrella organisation forClinical Commissioning Groups (CCG) – commission local services from NHS Trusts and other providers

SLaM is commissioned to provide secondary Mental Health and Addictions Services for children, adolescents, adults and older people

Most work is concentrated in four London Boroughs, serving a population of around 2.5 million, but there is some additional work in other areas, and some specialist work commissioned on a national basis.

SLaMGeography

SLaMServices

In-patient services are concentrated in four hospitals

Other services are provided in over 100 community locations

The Trust has a strong reputation for treatment-based services

A wide spectrum of treatments and therapies is used

There is a close relationship with King’s College London, Institute of Psychiatry, Psychology and Neuroscience (IoPPN)

The Trust is a partner in King’s Health Partners Academic Health Science Centre and is active in ensuring that all aspects of people’s health are cared for and promoted

“Our work is about changing lives, not just for individuals, but in partnership with them”

Early Recovery Champions emerged among senior leaders following visits to USA centres of excellence

→ SLaM Social Inclusion, Rehabilitation and Recovery Strategy 2007-2010

→ SLaM Social Inclusion Strategy 2010-2015

The two most recent government strategies for mental health have confirmed Recovery as a desirable approach to service delivery

Recovery has been widely adopted throughout the Trust as “the way we do things”

Commissioners’ interpretation of Recovery – selective adoption of measurable activity as ways of “demonstrating” that recovery is in place

SLaMRecovery

Working in partnership to promote RecoveryExamples of successful partnerships (1)

CQUIN (Commissioning for Quality and Innovation)Service users contributing to service delivery through CCG

* Volunteering SLaM* Peer Support SU* Timebank NGO

General Public

Status Employment* Football Maudsley Charity* Trapeze Other Charity* Drama NGO

SLaMSU

Working in partnership to promote RecoveryExamples of successful partnerships (2)

Dance UnitedSeabreeze Maudsley Charity

Other CharitySLaMNGOUniversity

SLaM Occupational TherapyBethlem Food Growing/ Other CharityOrchard Project Maudsley Charity

SLaMNGO[Commercial Partner]

Working in partnership to promote RecoveryExamples of successful partnerships (3)

Sydenham GardenMaudsley CharityOther CharitiesNGO SLaMSU

Blackfriars SettlementMental Health &Wellbeing Centre Commissioiners(Art2Print) Maudsley Charity

NGOSLaMSU

Working in partnership to promote RecoveryExamples of successful partnerships (4)

Pathway Homeless SLaMProgramme Other NHS Trusts

SUNGOOther CharityMaudsley Charity

Safety in Mind Maudsley CharityNational InitiativeSLaMSUMetropolitan PoliceLondon Ambulance Service

Working in partnership to promote RecoveryExamples of successful partnerships (5)

Mental Fight ClubDragon Café Maudsley Charity

Other CharitiesNGOSU SLaMCommissionersSupportersGeneral Public

Working in partnership to promote RecoveryExamples of successful partnerships (6)

SLaMRecovery College National Initiative

Other NHS TrustsMaudsley CharitySLaMSUSupportersNGOs

SLaM Recovery College:putting co-production at the heart of

everything we do

Tony’s story

hope…

…that, in the face of what can sometimes seem like overwhelming odds, a meaningful life is possible.

control…

…over what you want to do in life, of the path your journey takes and of how you receive help along the way.

opportunity…

…to do the things that you want to do, to do the things that make life worthwhile, to have a place in the world and a connection to the people in it.

co-production• …between people with personal and people with professional

experience of mental health

• …in the production of all courses and workshops

• …in the delivery of all courses and workshops

• …involves our students

• ….in the development of the college, from initial concept through to launch

• …in the running of the college

the first pilot

• 11 courses

• 1 location

• 2 week period

• 157 registered

the second pilot

• 20 courses

• 3 locations

• 8 week period

• 254 registered

spring/summer 2014

• 38 courses

• 7 locations

• 13 week period

• 319 registered

autumn 2014

• 44 courses

• 9 locations

• 13 week period

• 332 registered

“The experience is empowering. I feel this is the way forward.”

“Fantastic! The trainers worked extremely well together and brought different, valuable perspectives.”

“I’m so happy I came today. It is a very good project. Thank you so much to both of the trainers. They helped me to feel so welcome and they ran it great! Thanks.”

“Excellent, skilled trainers. They excelled in their expertise, shared so many strategies and really empowered me.”

“I felt the course inspired me. The group aspect also enabled me to feel a part of something and I was sharing the experience with others and listening to their stories.”

feedback

“Absolutely fantastic – excellent facilitation and just wanted to congratulate both trainers for developing and delivering a well-planned and useful course.”

“The trainers were lovely, down-to-earth and understanding.”

“Thank you…for your generous sharing of knowledge, skills and experience which ‘buoyed’ us up and kept us motivated to the very last minute.”

“I had some really important realizations about myself. I heard some beautiful stories and experiences of others. It was a very safe and comfortable group to be a part of.”

‘Brilliant! It was open and relaxed with no one judging you.’

“This was the best course I have been part of in a number of years!”

feedback

2015 and beyond…

• Increasing the number of peer recovery trainers and staff trainers

• Being part of the informal Recovery College network which is emerging

• Development of an evidence base for Recovery College effectiveness through more in depth evaluation

• More outreach into the inpatient settings where it can be difficult for staff and service users to attend the Recovery College

Working in partnership to promote RecoveryExamples of successful partnerships (7)

International OrganisationsCARe Europe NGOs

International ProvidersMaudsley International SLaM

World Health Organization

Working in partnership to promote RecoveryPartners

SLaMCommissionersNGOsPeople who use mental health services (SU)Supporters – friends and familyGeneral PublicPoliceAmbulance ServiceMaudsley CharityOther CharitiesOther NHS Trusts for Mental and Physical HealthNational Initiatives (ImROC)UniversitiesCommercial PartnersInternational Organisations

Working in partnership to promote RecoveryThe Magic Ingredients

For a partnership to work• It must be entered into willingly• There must be a clear purpose to working together• There should be obvious benefits to all partners• The outcomes should be better than they would be without a partnership

The best examples among those we have looked at are based on • Caring about the aim of the work• Enthusiasm for the idea• Shared vision• Mutual trust• Recognition of the value of individual partners’ contributions• Secure, trusting relationships between the people involved, especially between those

who facilitate and those who participate

Working in partnership to promote RecoveryThe Magic Ingredients

Perseverance – through good times and bad; willing to push through unexpected difficulties to achieve long range goals; flexible to adjust to any challenge.

Attitude – consistently projecting positive intent; always looking for the positive side of any issue, eager to see the best in any person or circumstance; willing to forgive and move forward.

Realistic – ability to maintain clarity in communication and decision making; can take a look at the “big picture” of a situation without letting go of hopes and dreams while addressing immediate needs; least likely to become defensive and will promote honesty.

Teachable – open to learn with a purpose to grow; listens to suggestions, seeking and exploring new options; desires to sharpen their skills daily to develop their dancing and improve your partnership.

Neutral – equalizes their emotions when it comes to a different opinion; may have a strong personality and/or convictions yet their self-image is not threatened by an alternative viewpoint; able to practice self-control and sincerely receive and respect others’ input.

Energetic – presents a daily upbeat demeanour (though not overpowering); enjoys fun and laughter in the process of practice, performance and competition; has a continuous desire to contribute whatever is required to fine tune the partnership.

Responsible – both personally and professionally aware and able to invest and maintain in the areas of communication, preparation, finances and disciplines of health. [Martha Harper]

Working in partnership to promote Recovery

Hartelijk dank en tot ziens.

david.blazey@slam.nhs.uk

tony.holmes@slam.nhs.uk