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A New Model for the Delivery of Forensic Community Mental Health Services BIGSPD, Manchester, 23 rd March 2012 Presented by: Memtaz Begum Forensic Social.

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Presentation on theme: "A New Model for the Delivery of Forensic Community Mental Health Services BIGSPD, Manchester, 23 rd March 2012 Presented by: Memtaz Begum Forensic Social."— Presentation transcript:

1 A New Model for the Delivery of Forensic Community Mental Health Services BIGSPD, Manchester, 23 rd March 2012 Presented by: Memtaz Begum Forensic Social Worker Jon Carey Senior Forensic Practitioner/ PhD student, Durham University Service Developments by all members of the Forensic CMHS Ridgeway Roseberry Park Middlesbrough

2 Forensic Community Mental Health Team Secondary CMHT MDT Assessments Reports Advice Prisons 11 Clinical Sessions Forensic CPN's Forensic Inpatients Social Work Support Transition & follow up

3 Referral Clinic (Under 2 weeks from referral) Further Specialist Assessment Formulation/CPA Meeting (4 weeks from clinic) Intervention Discharge Advice/SupervisionNFAIntervention Roseberry Park Sandwell Park West Park Lanchester Road Pathway through the new Forensic Community Mental Health Service

4 Referral Referral Criteria New Referral Form 10 Historical Items (HCR20 informed) Current Presentation Include behaviour/ risks that have triggered referral Assign to Clinic (Max 2 weeks) RejectMore information

5 The Forensic CMHT considers a new referral.

6 Clinics Two FCMHS members F-CAM Care co-ordinator + Patient Roseberry ParkWest ParkSandwell ParkLanchester Road Other activities: Clinical Supervision Training Advice 1.Introduction/ Information Leaflet 2.Confidentiality 3.Clinical/ Risk Interview (HCR20) 4.Protective Factors (SAPROF) 5.Psychometrics, (BPRS,SAPAS, DUDIT/ AUDIT, Quality of Life Scale *1) 6. Professional Discussion/ decision

7

8 Clinic Outcomes No further action (Letter within a week) Clinical Supervision Contract: Time limited Straight to Intervention Further Specialist Assessment Advice

9 Further Specialist Assessment Supplementary Psychometrics Personality Disorder: MCMI-III; IPDE; PCL- sv Substance Misuse: C- BIT Mental Illness: PSYRATS; BDI Stalking: SAMTrauma/ PTSD: CAPS Fire Setting: FAFS Sexual Risk: SVR20 Intelligence: WASI Violence: ERM/ FESAI; RM2000

10 Formulation/ CPA Review Discuss triggers, protective factors Treatment options Develop a care plan

11 Summary Report Summary of the assessment + outline of the agreed Care Plan Advice/ Clinical supervision Care Co-ordination by FCMHS Very High Risk MAPPA 2-3 Ex-Secure Care Intervention/ Co-working No further action

12 Interventions: Various timescales Offence Related Work DBT/ CBT: 6-24 months Alexithymia Group: 1 day JIGSAW ongoing ERM/ FESAI: 6-10 sessions ASRO: 20 sessions PSST

13 Discharge Quality of Life Scale *2 After months Quality of Life Scale *3 + 4 PARIS EntryDischarge Letter

14 Forensic Community Mental Health Team Secondary CMHT MDT Assessments Reports Advice Durham Cluster of Prisons Frankland/ Durham/ Low Newton 11 Clinical Sessions Forensic CPN's Forensic Inpatients Social Work Support Transition & follow up

15 The new Forensic Community Mental Health Service for the Durham Prisons

16 Reaction in the team was mixed

17 Release Pathway through the new Forensic Community Mental Health Service for the Durham Prisons

18 Forensic Inpatient Service Ridgeway Roseberry Park Memtaz Begum Forensic Social Worker 23 rd March 2012

19 Current Social Work provision 10 wards Medium and Low Secure -135 patients 1 Senior Social Worker 6 Social Workers S117 Responsibility for out of area patients

20 New model includes… Admission packs Weekly clinics Discharge packs Shared care post discharge

21 New model includes Community focused interventions PSST, ASRO, DBT and others Care co-ordination

22 On-going work of the team AMHP role Social Supervision BIA Child Visiting Appropriate Adult MHT & Managers Reviews

23 Thanks…any questions? Dr Brian Docherty, OBE, kindly provided some of the picture slides Roseberry Topping, Great Ayton, Middlesbrough

24 Glossary: AUDIT Alcohol Use Disorders Identification Test BDIBecks Depression Inventory BPRS Brief Psychiatric Rating Scale CAPS, Clinician Administered PTSD Scale CBIT Cognitive-Behavioural Integrated Treatment DUDITDrug Use Disorders Identification Test ERMEarly Recognition Method FESAIForensic Early warning Signs of Aggression Inventory FAFSFunctional Assessment of Fire Setting F-CAMForensic Collaborative Assessment Model HCR20 Historical/ Clinical/ Risk 20 IPDE, International Personality Disorder Examination PCL-svPsychopathy Check List, shortened version QoLSQuality of Life Scale RM2000Risk Matrix 2000 SAMStalking Assessment & Management Guide SVR20 Sexual Violence Risk 20 SAPAS Structured Assessment of Personality – Abbreviated Scale SAPROFStructured Assessment of Protective Factors WAIS IIIWechsler Adult Intelligence Scale, 3rd Edition


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