Debbie Rimmer & Karen Swain Recovery College – East Sussex 13 September 2016 Presentation: The East Sussex Strategic Partnership (ESSP) Assembly

“I have found it inspiring and rewarding as service users have been so enthusiastic and wanted to get really involved.” - professional trainer

Recovery College – 5 key principles 1. Innovation and culture change - partnership working, de-stigmatising language, recovery oriented practice 2. Co-production – combines lived experience of mental health challenges & teaching qualifications (peer trainers) with clinical professional expertise (clinical co-trainers) 3. Education – A college not a clinic, students not patients or service-users. Educational approaches in teaching & learning. Students choose courses from a prospectus, attend open days and graduation 4. Inclusion – people with MH challenges, their relatives and carers, SPFT staff and partner organisations – learning together is key 5. Progression - students become experts in their own recovery, work towards their own goals in an educational setting

Recovery College is not A substitute for traditional assessment and treatment – ATS & RC complement each other as parts of a comprehensive Mental Health Service A day centre, courses are not therapy groups re-badged Traditional peer support A substitute for mainstream colleges – although it can provide a route onto mainstream education

Sussex Recovery College: A Learner’s Journey Prospectus - Registration - Open Days Course confirmation letters - reminders ILP’s offered – Student Voice meetings Buddies – support for students on request by Southdown Peers in Partnership Attend courses – course learning outcomes, resources, Recovery & Wellbeing evaluation & student feedback Graduation - celebrate success! Progression - other courses, volunteering,

Course examples Understanding Psychosis Coping with Anxiety or Managing Depression Finding Happiness, Sleep About Me: Plan for wellbeing Work for Wellbeing Self-esteem & Resilience Coping with my Ups and Downs - Learning Disabilities course Return to Learning – Northbrook & Sussex Downs College

Learning Journey – Recovery & Wellbeing Karen

Journey continues…. Service User / Patient becomes a Student Choice from a prospectus instead of referral or prescription Therapist / mental health professional becomes a trainer or teacher Instead of discharge - Graduation with a certificate to recognise achievement Peer becomes a co-trainer or facilitator working alongside a mental health professional or with a third sector partner organisation

“We have been the dreamers, we have been the sufferers, now we are the builders....” (Nye Bevan, 1945) Recovery College gives staff and students opportunities to grow and develop in an innovative way within our National Health Service By changing practice through reflection, listening & responding to student feedback we continue to develop As a reflective teaching practitioner I bring peer and teaching expertise to work within a complex and evolving organisation. I am honoured to meet with, teach, hear and learn from the experiences of our students and staff in their own recovery and/or continued professional development

What do students say? I feel more able to take control of my own recovery It was the equality, learning from peer trainers and professionals that helped Thanks to the Recovery College I have got my sister back I also made so many friends. I feel included, not alone It was helpful to learn techniques to help me manage my anxiety

Course Feedback Improvement in Knowledge and/or Skills -85% great deal or moderately (- 82% 2014) Recommend the Course to Others -97% extremely likely or likely (- 95% 2014) Recommend to others

Effectiveness (Pre-Post) Students made significant progress (All p 0.75) P ersonal Goals Course Learning Outcomes Outcome measures: - wellbeing (SWEMWBS) - quality of life (MANSA) - recovery (PQR & CHOICE) Routine outcome measurement as part of ILPs (individual learning plans)

Who attended courses?  60% were people accessing Secondary Care - 62% anxiety or depression - 37% psychosis  18% were accessing Primary Care  8% Carers (or 11% inc carers with Mental health challenges)  14% Staff  66% Female  86% White British  85% Heterosexual  76% Aged

Number of courses completed each term

Outcomes of Recovery College “I have found it inspiring and rewarding as service users have been so enthusiastic and wanted to get really involved.” - professional trainer Recovery college is efficient and cost effective – more people can receive the help they need. eg. SW London reported decreased service use and savings of £800 per student Recovery college inspires staff and breaks down barriers Recovery college courses form part of PbR care packages from NHS and third sector

Where are we now? “I have found it inspiring and rewarding as service users have been so enthusiastic and wanted to get really involved.” - professional trainer Campuses across Sussex East Sussex and Brighton and Hove ( ) West Sussex (2015) & Discovery College (2015) Senior peer trainers – 3 posts across Sussex Peer Trainer Bank – employs 22 peer trainers & volunteers who contribute significantly Third Sector Partners – working together with organisations including Southdown, Recovery Partners, Sussex Wildlife Trust, Northbrook, Sussex Downs College etc Student Voice – a forum for students to give feedback, ideas and contribute to the college on a termly basis Courses for different groups e.g. people with learning disabilities and mental health problems, women who have suffered abuse

Challenges – Q&A: Panel discussion “I have found it inspiring and rewarding as service users have been so enthusiastic and wanted to get really involved.” - professional trainer Innovation and co-production How to maintain leadership and direction, yet relinquish control over decisions and agenda to service users, students, peers and partners Governance Regulation, accountability, safety planning, standards and governance Partnership working Communication, transparency and mutual respect whilst there are competing voices for funding and agendas Sustainability How to ensure Recovery College is embedded as part of a comprehensive mental health service. Continued professional development for peer trainers Thank you for listening