MENTAL HEALTH AFTERCARE

GENERAL

With the relocation of categories of Rehabilitated Mentally Ill persons being re-established in the community; the ethos of the Home is to accommodate in a therapeutic homely environment, individuals suffering Mental Illness, with a broad base of need.

The range of need is espoused below:

Long stay Mentally Ill who need minimum but necessary support and supervision, yet can continue to maintain and improve their quality of life. In this way they are enlarging their experience hence gaining greater freedom and choice. This can be done by relearning social skills either lost or left dormant by long periods of Institutional care.

Although rehabilitated in hospital a further phase of improvement would be implemented to enable the process of reintegration and acceptance in the community to continue.

It is envisaged that a further group, emanating from the community and who previously would have been directed to inpatient hospital care; would be referred directly to the Home with a view of preventing deterioration of the personality and motivation that often accompanies institutional care.

Referrals can be received from agencies such as the Probation Service, Courts, Homeless Hostels, Family, Mental Health Organisations, or others involved with Mental Health.

The maintenance of dignity and social attributes that can be fostered would help the individual remain in society and may help him return to full community living as the situation allows.

Other areas of need identified

There are individuals who require 24 hour surveillance, observation and supervision, who’s needs are not met at present, who would benefit through Nursing Home care.

With the need for Day Care increasing as the identification of the widening scope of the needs of this group are acknowledged, The Home would develop Care Facilities to include the above needs.

AIMS AND OBJECTIVES

1. To provide care in the community for the long stay Mentally Ill individuals who need minimum support in all activities and social skills, yet who without support are unable to maintain an independent existence.

2. To encourage Independence through Therapeutic Approaches and practical skills as required.

3. To develop Therapeutic and Occupational skills tailored to individual needs to encourage greater independence and self reliance.

4. A process of Re-socialisation through individual and group participation to enable the residents to integrate within the community.

5. Maintenance and improvement of Hygiene, Self Respect and Confidence is to be encouraged. Self help through cooking, washing, ironing and cleaning will be part of this programme. A sample programme is included to give an idea of how such a programme will work. Staff on duty preparing meals will encourage Residents in the preparation of meals and beverages as part of the programme of care.

6. The Home endeavours to give the residents a Home for Life, unless such situation occurs that would necessitate Relocation to be of further benefit to the residents welfare.

7. The process will involve an ongoing assessment involving the appropriate resource personnel needed to monitor the individual’s progress, within the Multi-Disciplinary Team structure.

8. Prior to Admission, Selection Procedures will begin by way of referral to the Head of Home by way of a Mental Health Multi-Disciplinary Team member. The Head of Home will then assess the individual in relation to the needs of both the individual and the home. Suitability with the other residents will be a major factor.

9. The ethos will be to teach and instruct members of staff how to deal with the client group involved. The Philosophy will include teaching staff of the nature of the disability of Mental Illness with strong reference to the maintenance of dignity, the need for privacy of residents and the effective “norms” of how society expects people to behave and the best way of translating this to the care of the residents.

10. With the individual needs choice can be given with meals if the resident feels an alternative is desired.

11. In keeping with its own philosophy and Quality Assurance Charter The Home guarantees the resident will keep his Personal Allowance, fees will come from other sources.

12. Residents may also keep their own keys to their rooms to provide Safety, Security and Privacy to all their money and property.

13. Whilst giving professional input, advice will be sought from qualified personnel, in their particular speciality. Specialist help can be from i.e.: Mental Health Multi-Disciplinary Team member, Community Psychiatric Nurse, G.P. etc.

14. Residents will be given the Opportunity to have their own Possessions in their rooms with aim to personalise the room to give the individual a “Home” of his/her own.

15. Transport will be provided to enable the Rehabilitation process to be achieved were relevant. It would also be provided for any journey in support of Residents needs, excluding transportation which is the responsibility of any other agency.

16. The Home provides a Minibus Service for Outings, Shopping and Associated Trips, which will aid the individual to be able to Re-socialise and give added interest to Outdoor Activities.

17. The Home in wishing to enhance the well being of the individual wishes to encourage freedom. Through freedom comes responsibility and this incurs on the Residents a Code of Conduct incorporating Reasonableness, Association Hygiene, Behaviour, Noise Consideration, Tolerance, and the Avoidance of Combative Manner as well as Adherence to Fire Procedures.

18. In the reality of Personality Differences, Discourses or a Range of Company in which Individuals seek plus the variety of ages and Social Activities, the Home identifies a need for a Variation of Meeting Places, either for T.V., Conversation, Radio or Peace, each Home provides a Variety of Lounge Space, plus a Dining area, which should cover the Range of Activity envisaged for the group.

19. Each Home has Bathrooms and Shower facilities. This caters for the individual who has a Preference for an Alternative Form of Hygiene and cleanliness. It also has more than adequate WC facilities for its Residents. See Statement of Facilities for exact details.

20. Weekly Group meetings shall be constituted to aid the Smooth running of the Home, this is to :Air Grievances, Resolve Problems and Difficult Situations. From this can come policy and Home Decisions and Direction.

21. Monthly G.P. Clinic is held and Residents are Assessed both on a Periodic and as Necessary basis. The Clinic is Informal and allows the Resident to discuss Situations and Resolutions of a Medical, Social and Psychological nature.

22. Residents are assessed by a Multi-Disciplinary Team both 6 Monthly and as needed basis. Further they are seen by the Consultant Psychiatrist at an Outpatient Clinic on a Regular Basis, if required. There is also a weekly C.P.N. Clinic.

23. 24 hour waking Supervision, Surveillance and Observation for Global Assessment and Intervention during periods of Difficulty enabling Reassurance to aid Coping Mechanisms in times of need therefore preventing the need for transfer or discharge, also allowing Full Care and Home for Life if necessary.

24. Day Care provision to help provide a Service for Carers who need to be able to have time away, thus allowing the Individual to continue to be looked after in their Home Environment. Day Care places can be dependant on available Living Area, inclusive of other Residents areas who are involved in a Rehabilitative Programme outside the Home.

RESIDENTS CRITERIA

Prospective residents will be considered for relocating at The Home if:-

There is need for medium or long term support which is justified as an alternative to long stay hospital care.

No other provision adequately caters for the needs of the individual.

There is a requirement for short term, respite or emergency admission to which all other Agencies cannot find a suitable alternative.

AGE CRITERIA

The age range of admission will be from 20 years to 65 years old. Admission either side of these ages can be agreed if they meet the client group need.