1. An Introduction Ms. Rhona Jennings Sponsors: Mental Health Commission, Health Service Executive, St. Patrick’s University Hospital and St. John of God Hospital.

2. NMHSC - Project Topic Selection Individual Care and Treatment Planning that supports Recovery – Quality Framework Standard 1.1(MHC, 2007) Participating Teams Ten sites, 11 teams across a range of services and age groups Time Line November 2009 – April 2011 National Mental Health Services Collaborative

3. National Legal/Policy Context 2001: Mental Health Act 2001 2005:Quality in Mental Health Services - your views (MHC) 2006: Regulations S.I. No. 551 of 2006 Vision for Change (DoHC) 2007: Quality Framework for Mental Health Services in Ireland (MHC) 2008: Building a Culture of Patient Safety

4. Quality Framework for Mental Health Services - 2007 A systems approach to improving the quality of MHS; Standards: What a service user/carer can expect (point of service delivery) Rules/Regulations/Codes of Practice are integrated Enablers: what’s required to deliver the service user standards Monitoring and Evaluation Implementation

5. Mental Health Services Context Compliance in 2007 with Article 15, Regulations for Approved Centres Very low compliance with care and treatment plans -18% (Inspector of Mental Health Services) Self assessment of compliance - 83.6%

6. NMHSC Objective Generate change ideas and target improvement measures relating to individual care and treatment planning to support recovery

8. Rationale – Methodology Service users /carers actively involved in all stages of planning and implementation of the proposed project Change ideas for implementation informed by service user / carer experiences (process mapping) Methodology - evidence informed, Evidence that it has worked elsewhere in health & in particular mental health services National Mental Health Services Collaborative

9. Rationale – Methodology Build the capacity of the system Implementation Sustainability Spread Outcomes focussed & time-bound Evaluation is an integral component Have a very good chance of success in the Irish context National Mental Health Services Collaborative

10. Project Plan Phases Initiation Phase Teams selected/Governance Structures / Knowledge Review/Evaluation 1 1 Implementation Phase Plan/Do/Check/Act Cycles Pre – Project Planning Training Needs identified/Measurement Tools/ Service Users journey mapped /Record base line data Summative Phase Record Outcomes/Spread the learning/Evaluation Report 2 2 3 3 4 4

11. Starting Point Reference Group Meeting – 19 th February 2010 Group description Identification of Learning needs Map service users journey Establish National baseline Identify Gaps Expected Outcomes Key improvement needed Measurement tools Learning needs identified

12. Learning Sets 1 st Session Learn about chosen topic Plan changes Agree on how changes are to be measured 2 nd & Subsequent Session Opportunity for teams to report on methods & results Learn from each others experience

13. Standards Best Practice ACT Analyse Mapping Journey/Needs Assessment Identify learning PLAN Act Implement Learning Align Journey Learning Assess Summative Assessment DO STUDY

14. The Journey Positive Journey for Service Users/Carers and Clinicians Active involvement Promote Recovery Approach Creating a supportive environment for learning and improving – Leadership – Culture Creating a learning network Measuring and reporting on outcomes

15. Contact Details Ms. Rhona Jennings Email – rhona.jennings@mhcirl.ierhona.jennings@mhcirl.ie Telephone: (01) 6362400 National Mental Health Services Collaborative