1. York and Selby Rehabilitation & Recovery
York CVS 23rd Jan 2018
Teri Sanders Locality Manager

2. Event March 2016
Aims was to explore the development of future Rehabilitation and Recovery services in York & Selby. Providing an opportunity to consider a new vision and model of rehabilitation services and seamless care pathways in York & Selby, encompassing a wide spectrum of partner organisations that support individuals in their community
Over 3 days 80 participants
18 of which service users and carers
Many representations from voluntary and non nhs agencies

3. There are five key desired service outcomes
Reduce reliance on Rehabilitation inpatient facilities
Ensure recovery pathways are as seamless as possible
Improved partnership working to enable continued recovery in the community
A more efficient, evidence based, high quality service
To support people in Out of Area treatment placements to return to the York & Selby Locality
review of the configuration of the Rehabilitation and Recovery service to
ensure there are effective pathways across a network of services and wide spectrum of support, determined by local need.
Some components of an effective Rehabilitation care pathway may be provided by independent and third sector organisations as well those provided by the Trust

4. The final vision following voting
18 SU’s and carers, LA, Vol services, Students, inpatients and community staff, of all discliplines.

5. Mission Statement
Creating a mental health service which gives people hope for positive change and recognises the importance of listening to the individual.
Building pathways to recovery which allow individuals to go at their own pace, with the freedom to make informed choices about their care.
Developing and maintaining partnerships with the community and other organisations to keep lines of communication clear and avoid leaving people with out support.
Taking a holistic approach to the strengths and vulnerabilities of each individual, combining physical and mental health with life skills and self care.
1 Hope for positive change & listen
2 own pace & make informed choices
3 partnerships with the community are essential / lines of communication clear / avoid leaving people with out support.
4. strengths and vulnerabilities

6. Whole Concept
Buttercup and flower network – representing the community working together for recovery.
Tree at centre – represents knowledge, skills and experience, shared values, heart of network.
Topped by the owl of wisdom and diversity.

7. Hive The Door Queen Bee Snails Bees Buttercups and flowers
An obvious door at the centre of the tree represents clear, visible access.
A straight forward route for urgent access.
Queen Bee
A person seeking mental health support.
They are at the heart of the network.
All the worker bees are working for the queen bee.
Snails
The service is paced to the individual and can go at the person’s pace.
Hive
The secure base for the queen bee – whether that is home or a resource in the community.
The worker bees are working to make that place secure and comfortable.
Bees
Are representative of all service workers with different connected roles.
(Health workers, educators, researchers, council staff, volunteers, friends, carers, family.)
Buttercups and flowers
Physical location of service provision.
Health facilities
Education facilities.
Third sector organisations.
Community organisations.
Connected by a strong root network.
Other flowers and overflowing roots
A wider range of resources and providers.
The worker bees are constantly looking beyond their network for new connections.
Swing
A willingness to try things and to take risks.
Nest
Somewhere to feel safe /sanctuary when needed.
Time out when needed
Snail – at the own pace.

8. Agreed next steps
The group have agreed to develop a focused consultation group, reporting to the project group and supporting other community developments.
This became the Rehabilitation and Recovery Steering group

9. Rehabilitation and Recovery Steering group
Service Users and Carers
Tees, Esk and Wear Valley NHS Foundation Trust
City of York Council
CVS
MIND
Converge
Discover Hub
Your Consortium
So we have the model, we have the mission statement, we have the right people in the room.
First job was to interpret the model into action

10. First Thoughts Mental Health Accommodation Steering Group.
International Whole Life System Recovery Symposium.
Discovery Hub, Converge and Recovery College.
Team to engage with service users out of area and locality, to fully understand what the needs are.
Scoping the possibility of a Crisis café
Enhance community serivces
MH Steering Group – getting past barriers in mental health and housing support.

11. Mental Health Housing and Support
Links to the Whole Concept - The Hive and Nest
Mental Health Housing and Support Workshop, September 2017, York CVS
Report to the Health and Wellbeing Board on 24 Jan 2018
Ongoing work to develop plans

12. Repatriate service users to York
Links to the Whole Concept - The Hive and Nest
Each service user has a recovery plan
Review and transition panel
Appointed an advanced practitioner
support those placed away from York to return when appropriate.
who’s role it will be to connect with the people in out of area placements and repatriate them to the local area

13. Review of current mental health directory information
Links to the Whole Concept - Buttercups and flowers/ other flowers and overflowing roots
Health Watch
York Directory for mental Health, electronic version
Discovery Hub – For learning opportunities

14. The International Whole Person, Whole Life-Whole System Recovery Symposium
Links to the Whole Concept - Snails, Bees, Buttercups and Flowers, Other flowers and overflowing roots, Swing
Developing a shared vision for Mental Health in York
Involves working on the real needs and interests of people
Challenging familiar, outdated concepts and ideas

15. Enhancing Community Rehabilitation Treatment.
Links to the Whole Concept - The Door, Queen Bee, Hive, Swing and Nest
The long term vision is a cultural move from traditional bed base / admissions to caring communities, supported by community facing services.
Pilot team in place.
It will provide intervention and treatment for the gap in provision between an in-patient units and supported housing accommodation or independent living that can be difficult to manage for some of service users.

16. The Haven @ Clarence Street
Links to the Whole Concept - The Door, Queen Bee, Hive, Swing and Nest
Opened on the 31st October 2017
From 29th Jan 2018 times; 6 – 11 pm
An out of hours service for any adult in mental distress in York and Selby
A welcoming, safe, supportive, comfortable and non-clinical environment that promotes independence opportunities for recovery
Designed by service users for service users

17. What next?
The group had achieved what is was able to do in its current form
In line with recovery aims, ie connectively and inclusion, the group will move outwards and integrate with the whole systems approach

18. Any Questions?