1. QUALITY FRAMEWORK PEER REVIEWS: SHARING GOOD PRACTICE EVENT – 22 November 2012 NHS Grampian Forensic Learning Disability Service Dr Amanda McKenzie CPsychol AFBPsS CSci Principal Clinical Psychologist T: 01224 557142 E: amanda.mckenzie@nhs.netamanda.mckenzie@nhs.net

2. Learning Disability Service In-Patient Services:  Bracken Assessment & Treatment Unit  *Fern Close Supervision Unit  Hawthorn Day Hospital

3. Learning Disability Service Out-Patient Services:  Aberdeen City CLDT  South Aberdeenshire CLDT  Central Aberdeenshire CLDT  North Aberdeenshire CLDT  Moray CLDT

4. 2 Areas of Good Practice highlighted: 1.Links with CJS esp. CJSW – Grampian wide 2. PCP/GLM Joint Approach with CP & SW – Aberdeen City

5. Links with CJS Multi-agency team: MAPPA MARS ECPA LAC/Pathways CJSW Reviews Established Links with: Grampian Police – OMU/PPU COPFS SCS MAPPA CJSW SPS Local Solicitors MHTS SG

6. CP & CJSW Joint Work Service Level: 1.Training for CJSW/JSOP Teams 2.Joint Risk Ax, Formulation and RMP 3.Joint Interventions Individual Level: 1.Modified JSOP 2.Modified CSOGP 3.Move to GLM based SOTP

7. PCP/GLM - Joint Approach – with Kay Stewart, Social Worker “It has been asserted that forensic services for people with learning disabilities have an obligation to both reduce the risk posed by the service user and work with them in a person centred way that enables them to live in the community and achieve their goals. This presents a challenge because these two goals may be in conflict with each other.” – Aust (2010) "Is the Good Lives Model of offender treatment relevant to sex offenders with a learning disability?", Journal of Learning Disabilities and Offending Behaviour, 1(3), p.33 - 39

8. PCP/GLM - Joint Approach – with Kay Stewart, Social Worker “In the Good Lives Model, the offender would learn that their goals are not in question but the means by which they have been achieving them is.” (McMurran & Ward, 2004) “The purpose of person-centred planning is to inform action that makes life better for people with disabilities and the people who know and love them.” (O’ Brien & O’ Brien, 1999)

9. PCP/GLM Joint Approach – with Kay Stewart, Social Worker PCP Model within ACC GLM within NHSG F/LD Service Review of Evidence Bases Action Planning Template 6 Sessions Pilot Sample Roll-out ?Publication

10. My 9pm Curfew when I’m living in the community. I think this is too early and it really upsets me My flat being too small I feel there is TOO MANY of them! And they are not CLEAR enough for me to understand!! Confusing and Inconsistent messages I get from staff at times Staff not recognising when I feel I need their support. Sometimes I feel I need 15minute checks as per my risk management plan but staff do not feel I do. This makes me even more upset and confused. Meeting my friends. I cannot organise this myself. I need help to do this

11. I have lots of goals I want to achieve in my life. Sometimes I can do things that can make reaching my goals difficult. This section of my Person Centred Plan will let you know what goals I want to achieve and what type of behaviour may stop me from achieving them. This part of my plan is called my GOOD LIFE PLAN

12. My GOALS: 1.Time alone without staff What STOPS me reaching my Goals: 1.Risk Assessment – need 24 hour supervision 2.Behaviour with kids Why offending makes it harder to reach my Goals: 1.In trouble with Police 2.Back to prison or hospital 3.Team won’t trust me Why not offending makes it easier to reach my Goals: 1.People will trust me 2.Stay in my own flat 3.Get off my order Goal Action Plan: 1.Private time in flat – alarm on door so staff do not have to be in flat 2.Walk to bus stop to catch bus to work alone