1. By Julie Barnhouse - OT Lisa Fenney - OTAP

2.  Wards - 2 x 20 bedded wards which includes 6 Ministry of Defence (MOD) beds - 1 x 13 bedded adult Psychiatric Intensive Care Unit (PICU)  OT Capacity : - 1 Band 7 (22.5hrs) - 1 Band 6 - 2 Full time Band 5’s - 1 Band 4 (18 hrs)

3.  Term “creative” refers to the person’s ability to grow or change, does not refer to their artistic flair  What motivates an individual.  Understanding their actions/ behaviours  Determines their overall ability i.e. the level are they able to engage in an activity.  There are 9 levels but we use 5 levels on the inpatient wards.

4.  Blanket referral  Set up group programme  Anyone could attend  Motivated patients, willing to engage  Groups to meet all needs, no psycho- educational groups  1-1community assessments/interventions  Core OT skills eg home visits, functional assessments

5.  Lack of quality service  No direction / lack of vision  Little evidence base  Care plans sporadic / not detailed  Feeling not valued  Questioning our role  Poor resources

6.  Training in the model  Visit to Centre of Excellence  Proposal for PICU  Levels established of patients  Initial interview based on Vdt MOCA  Establishing protocols / levels / resources on Cookery / Art  Presentation and delivered to staff

7.  Task assessment group  Information on ward / timetable  Engaging all patients  Established therapy group programme  Care plans

8.  More focus/direction  Clarity of role  Awareness of engagement and levels  Vdt MOCA led care plans  Therapy suite  Weekly meeting  Improved engagement/communication with service users  Model for all inpatients  Bi-monthly MOCA support group  Pregnant OT!!

9.  Lack of training for some OT staff  Restrictive  Resources  To embed in practice  Time and capacity  High turnover of patients / staff  Difficulty implementing unfamiliar activity  Attendance of groups

10.  Leaflets  More staff training  More resources  Liaison with Centre of Excellence / Wendy Sherwood  Evaluation

11.  Thank you for listening any question?  For any further information contact: - Julie.barnhouse@sssft.nhs.uk Julie.barnhouse@sssft.nhs.uk - Lisa.Fenney@sssft.nhs.uk Lisa.Fenney@sssft.nhs.uk