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Dr. John Hanna, Consultant Clinical Psychologist, Highgate Mental Health Centre January 2012 Working with friends and family during times of crisis: Islington.

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Presentation on theme: "Dr. John Hanna, Consultant Clinical Psychologist, Highgate Mental Health Centre January 2012 Working with friends and family during times of crisis: Islington."— Presentation transcript:

1 Dr. John Hanna, Consultant Clinical Psychologist, Highgate Mental Health Centre January 2012 Working with friends and family during times of crisis: Islington Acute/Crisis strategy for carer engagement

2 Islington Acute/Crisis Services Mental Health Liaison Team Two Crisis Resolution/Home Treatment Teams Two Crisis Houses Assessment Ward Four Acute Treatment Wards Specialist Services for Aging in Mental Health Ward Psychiatric Intensive Care Unit Access to Women-Only Acute Treatment Ward

3 Unique challenges for acute/crisis Confidentiality – When paranoia interrupts close, positive relationships – Assessing service user’s reasons for denying carer involvement – Confidentiality of carer disclosure Sharing information – Pre-admission advance directives – Carer disclosure leading to MHA assessment – Leave, discharge arrangements – Complex categories: General, personal, personal-sensitive Carer expectations of acute admissions Separation—temporary and longer term Family/social network dysfunction, abuse, absence Young carers Out-of-area carers

4 Triangle of Care Self-Assessment Findings—9 teams within Islington Lack of carer-aware training for staff Variable “carer champion” support across teams Identified challenges relating to parameters of confidentiality/information sharing Limited service information available to carers

5 A renewed carer strategy for Islington Acute/Crisis Services A working party on improving working with carers and delivering the Trust’s Carer Strategy—representatives from all acute/crisis service line services, alongside Islington Carer’s Centre, IBUG, BUF, FT’s carers lead (Set up in early 2011) Co-production toward three shared objectives – Information leaflet for carers, family and friends on acute/crisis service pathway to support informed engagement—completed and ready for formal approval and dissemination – Confidentiality/sharing information strategy for carers, service users and staff—completed and ready for formal approval and dissemination – Staff training on working with social networks during crisis—delivered to service line managers Carer champions to be established within each acute/crisis team – To receive staff training as above (Spring 2012) Good practice adherence projects undertaken within each team (Spring 2012) Working toward concordance with NICE guidance on family work within Acute/Crisis service line


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