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Introduction Pathways Support groups/ services Referral forms GREENHEAD COLLEGE toolkit Emotional health well-being and

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Page 1: DB3343 - Version 2 - Nov 09 (DB)

Introduction Pathways Support groups/services

Referral forms

GREENHEAD COLLEGE

toolkit

Emotionalhealth

well-being and

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Referral forms

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Contents pageIntroduction to the Kirklees college health & emotional well-being group

(KCHEWG) (formally Kirklees Colleges EHWB task group) .................................................................................................. 3

Emotional health and well-being care pathway ........................................................................................................................ 5

• CreatedbytheKirkleesCollegesEHWBtaskgroupinJune2008.

• Ausefultoolforuseinassistingstudents/learnersinaccessingservicesavailableinthecommunity.

Mental primary health worker pathway ................................................................................................................................... 6

CollegereferralpathwaytoCAMHS ........................................................................................................................................ 7

Guidelines for emotional health and well-being care pathway: staff information .....................................................................8

Emotional well-being support groups....................................................................................................................................... 9

• AlistofsupportgroupsavailableintheKirkleesarea.(lastupdatedJune2009)

Servicesavailable(LastupdatedNov2008) ............................................................................................................................ 11

Calderdale&Huddersfield-ConsultationConsentFormCAMHS ..........................................................................................20

ReferraltoInsightFormandcriteria(Earlyinterventioninpsychosis) ...................................................................................... 21

AccesstoMedicalreportsact1988asusedbyKirkleesCollege(HuddersfieldCentre) ........................................................... 22

KirkleesCollege:HuddersfieldCentreConfidentialityandInformationSharing:GeneralGuidanceforStaff .....................23-24

DatarequestformforuseunderSection7oftheDataProtectionAct1998 ......................................................................... 25

Feedback form ....................................................................................................................................................................... 26

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IntroductionKirklees Colleges mental health task groupThegroupwasestablishedinNovember2006followingasuccessfullocalconference for college managers based ontheEveryChildMatterstheme.Theconference sought to make links between education and health and the KirkleesHealthyCollegeStandard.Itwas also an opportunity to present the resultsofalocalCAMHSfundedresearch project on the mental health of young people in Kirklees colleges.

Promotionofemotionalhealth&well-beingandenablinglearnerstoaccesstomentalhealthserviceswereseenasthehighestpriorityandthetaskgroupwasformed. It was made clear that participants did not want a ‘talking shop’ but some real action.

The group has met regularly since its inception and has made remarkable progress. The first task was to decide where deficiencies in the care pathway lay and then identify ways in which links could be made. It became clear that a readilyavailablesourceofadviceshouldbeavailablesothatcollegescoulddecide on the best course of action if they had concerns regarding a learner.

ThemainchallengewastoestablishlinkswithCAMHSandAMHSsinceyoungpeople(andstaff)incollegesmayqualifyforeitherservicedependingonage.

Transitionfromoneservicetotheothercanalsobedifficultforlearnerswithapre existing condition.

TheprimarymentalhealthworkershaveprovedtobeanimportantlinkwithCAMHSservices,beingavailableforadvicebutalsowillingtocomeintocollegestomakeinitialassessments.CollegeshavealsobenefitedfromPMHWdocumentationwhichenablesthemtomakeeffectivecontactwiththeservice.

Thenewlyestablished(January2008)earlyinterventionteamwhichdealswithpossible psychosis has also been keen to work with colleges and not only answerqueriesbutalsotakedirectreferralsinsteadofworkingthroughtheGProute.

StrategicworkingLinkswithAMHShaveprovedmorechallengingbutbridgesarebeingbuiltthroughthetaskgroupatastrategiclevel,particularlywithcommissionersforadultandchildrenandyoungpeople’smentalhealthservicesaswellaspromotionoftheadultservice’sbidforfoundationstatus.Experienceswiththegroup indicate the importance of understanding the bigger picture both throughmeetingwithkeypeopleandalsoinvolvingtheminthegroup.

LocalchangesandtheIACPSmeanthattheEHWBcarepathwaywillhavetobereviewed,revisedandregularlyupdated.

ThepathwaywaslaunchedinSeptember2008andwillalsoincludesectionsonguidance and information on local agencies.

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Lessons• Thegroupexistsbecausethememberswantitto,itwillceasetooperate

when its function is completed.

• Thegrouphasaclearlyidentifiedpurpose.

• Thegroupmightwellchangeitspurposeandcompositionovertime.

• Ithasprovidedanopportunityforcooperativeworking,buildingpositiverelationships and partnerships between education and health.

• Ithasprovidedanopportunitytofeedinformationonotheraspectsofhealth.

FutureAswellasmonitoringthepathway,thegroupwillbeworkingonotherareassuchaschallengingthestigmaaroundmentalhealthwithstaffandstudents,includingstafftraining,mentalhealthpromotionandinitiativessuchasmentalhealth first aid courses.

Group membersHuddersfieldNewCollege

Greenhead College

Huddersfield Technical College

Dewsbury College

Primarymentalhealthworkers(CAMHS)

SWYMT

EarlyInterventionTeam

HealthImprovementSpecialist(Mentalhealth)

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Emotional health and well-being care pathway Disclosure/

issues raised

[email protected]

CreatedJune2008

College mental health coordinator PMHW / CAMHS • Adviceunder18

• Tel:01484342141 01484342083 01422305539

• Fax:01484342136

• Mon–Fri8am-5pm

• 2.30pmonwards–DutyTeam

AMHS Advice over 18• CommunityMentalHealthTeam

(CMHT)

• 01484343421ReferralorDutyTeam

• Mon–Fri9am-5pm

Risk assessmentCAMHSunder18AMHSover18

Tutors/lecturersetcGP

Reasonable adjustments including referral to internal support

Insight / Early Intervention Psychosis / At risk psychosis • Age14-35,adviceorreferral

• Mon–Fri9am-5pm

• Tel:01484640158

Under18

CAMHSadvice

CAMHSreferral

Early intervention

team

CPNor crisis resolution

team

RefertoGPorNHSDirectfor

guidance

Crisis

Refer to police

Refer to A&E

Over18

N/A

No Yes No

N/A

Reviewmeetingand feedback form completion

Click here to go to the referral pathways

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Primary mental health worker pathway

Referral to PMHW

Written Consultation with refer

Advice/supportgiven

Jointassessment Refer to core CAMHSteam

Record outcome

Nofurtheraction

Supportprofessionalsinworkingwithchild/family or joint work

as appropriate

Record outcome

Nofurtheraction

Oral/phone

If more work needed

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College referral pathway to CAMHS

OR

Referral to CAMHS

Contact primary mental health worker

Complete college CAMHSreferral

form if possible fax to01484342136

Primarymentalhealth worker

support

Adviceandsupport given

Undertake agreed actions

Issues resolved

Yes

NoPrioritisedtier3byCAMHS

Tier3CAMHSwaitinglist

Record outcome

Ifunavailableandurgent speak to duty

officer

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Guidelines for emotional health and well-being care pathway: staff information

Themainaimofthepathwayistoensurespeedyandappropriatereferralandthesafetyofthelearner,otherlearnersandstaffincolleges.

Explanation of acronymsCAMHS Childandadolescentmentalhealthservice

AMHS Adultmentalhealthservice

PMHW Primarymentalhealthworker

CMHT Community mental health team

CPN Community psychiatric nurse

MH Coordinator Nominatedperson(s)incollegewith responsibility for contacting mental healthservices

Cause for concern?• Selfharm

• Unusualbehaviourforthat person

• Unkemptappearance

• Poorconcentration

• Weightloss

• Unexplainedabsence

• Aggressivebehaviour

• Anger

• Suicidalthoughts

• Sleepdisturbance

• Delusionalthoughts,hallucination-auditory orvisual(psychosis)

Crisis in college?• Won’tgohome

• Injury

• Intoxication

• Overdose

• Selfharm

• Depressed/suicidal

• psychotic

Refer to MH coordinatorFor risk assessment and mental health first aid assessment:

Recommended good practice• Eachcollegehasnominatedmentalhealthcoordinator(s).

• Useaconsentformfordisclosureofinformationwithincollegeandbetweenagencies,whereappropriate.

• Haveareturntocollegeinterview/meetingwiththelearnertochecksafety/supportneeds,etc.

• Referringmemberofstaffshouldmakesuretheyhaverecordedalllearnerdetails(DOB,address,etc.

• Feedbackfromprofessionalagencyregardingsuccessofintervention.

• Adjustmentstobemadebycollegetosupportlearneretc.

• ContinuedsupportforlearneregintutorialifrequiredfromMH professional.

N.B. GPs are not routinely informed if there has been involvement of primary mental health worker/CAMHS. Please be aware that if insight/early intervention psychosis/at risk psychosis service assess a client who is not suitable for their service, they would take the responsibility in referring them to the appropriate area ie CAMHS or AMHS.

• Assessrisksuicideorself-harm

• Listennonjudgmentally

• Givereassuranceandinformation

• Encouragepersontogetappropriate professional help

• Encourageself-helpstrategies

• Makeformalreferral

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Emotional well-being support groupsAdult psychologyStLuke’sHospital,Huddersfield Tel:01484343481

Bracken Hall Housing Office66OxleyRoad,Huddersfield,HD21NT

Bradford and Airedale early intervention teamsAsatJune2009-donotpresentlyacceptdirectreferrals.StudentshouldbedirectedtotheirGP.Thismight possibly change to become more flexible to referrers in the future.

Bradford CAMHSFieldheadHouse2-8MartinsAvenue,FieldheadBusinessCentre,BradfordBD71LG Tel:01274723241

Calderdale Insight TeamTel:01422425101

Castleford, Wakefield, Pontefract and surrounding areas – Insight Team Tel:01977465820

Children with a disability team Mirfield.Tel:01924326435

Citizens Advice Bureau Tel:01484425240

Crisis Intervention Team StLuke’sHospital,CroslandMoor Tel01484343421

DewsburyCAMHS,Child&AdolescentMentalHealthService Tel:01924512011

Drug SenseBrianJacksonCentre Tel:01484353353

Dewsbury Youth Offending TeamTel:01924482118

Educational PsychologyCivicCentre1Huddersfield Tel:01484221472

Family Support TeamDeighton Centre Tel:01484226215

Greenhead Resource Unit Learning Disability Tel:01484347618

Halifax CAMHS LauraMitchellHealthCentre Tel:01422363541

Homeless NeedsTel:01484221000

Huddersfield CAMHS21AcreHouseAvenue,Lindley Tel:01484342141

Huddersfield Youth Offending Team SomersetBuildings,10ChurchStreet,Huddersfield,HD11LS Tel01484226263

Insight, Early Intervention into Psychosis ServiceRushbrookeHouse,106RoydStreet,Milnsbridge,HD3 4RB Tel01484640158

Interpreting Service Tel01484344275

Kirklees Home Start Coule Royd Dalton Tel01484421925/432462

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Kirklees Teenage Pregnancy Support Strategy, Tel01924236170

Kirklees Asian Family ServiceTel:01484226224

Kirkwood Hospice Tel:01484557908

Kirklees Asian and Black Women’s Advice Centre & Refuge Tel:01484426390

Kirklees Domestic ViolenceTel01484223221

Leeds Aspire Team Tel:01132009170

Links Centre Adult Psychology –6AGreenheadRoad Tel:01484303007

Mind18+Tel:01484466486

Northorpe Hall Counselling NorthorpeHallChildandFamilyTrust,53NorthorpeLane,Mirfield Tel:01924492183.

Police Station Child Protection Unit Tel:01484436661

RelateCounsellingserviceforyoungpeople– Tel:01422350315

Samaritans 14NewNorthParade,Huddersfield,HD15JP– Tel:01484533388

SHAP Singlehomelessaccommodationproject– Tel:01924454770

Shield Project 16NewNorthParade,Huddersfield Tel:01484550610

Social Services Duty and Assessment TeamTel:01924326093

Star Project SurvivingTraumaAfterRape Tel:01924292361

Support 2 Recovery Tel:01484426819

Sweet ProjectWork with people in relation to the sex industry - Tel:01422223062

Wish ProjectWomenIntoSingleHousing– Publictel:559879,tel:office512739

Women’s Aid Tel:01484308300

Whitehouse Centre GPpracticeforrefugees,asylumseekersandthosenotregisteredwithaGP.23aNewNorthParade–Tel:01484301911,fax:01484301941

Young Peoples Service NethertonVillageHall,330–332aMelthamRoad,Huddersfield,HD47EX Tel:01484222865

Young Carers NorthorpeHallTrust,Mirfield Tel:01924492183

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Name of service provider AIM (Artists in Mind)

Name of specific service MentalHealthCreativeArtsService(Thisnamemaychange!)

Contact details RichardTurner(AIMCoordinator) Turnbridge Mill QuayStreet Huddersfield HD1 6QT

01484345223

[email protected]

Service outline Usingthepotentialofcreativeartsactivitiestosustainandimprovethewellbeingofpeopleexperiencingacuteandenduringmentalhealthproblems,enhancingself-esteem,improvinglifeskills,counteringsocialisolationandencouragingengagementwiththewidercommunity.Developingartisticlanguageandskillstoahighdegreeandcreatingopportunitiesfor(re)enteringtheworldof work or taking up further education.

Opening times Mon-Fri10-4,othertimesbyarrangement/agreement

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Name of service provider Hoot (+Aim)

Name of specific service MentalHealthCreativeArtsService

Contact details PhilRussell Hoot Bates Mill MilfordStreet HuddersfieldHD13DX

Tel:01484516224

Mob:07880731767

Email: [email protected]

www.hootmusic.co.uk

Base (if applicable) HootpremisesatBatesMillinHuddersfieldplusvariouscommunityvenuesinNorthandSouthKirklees.

Service outline Usingthepotentialofcreativeartsactivitiestosustainandimprovethewellbeingofpeopleexperiencingmentalhealthproblems–enhancingself-esteem,improvinglifeskills,counteringsocialisolationandencouragingengagementwiththewidercommunity.Theserviceoffersarangeofopenaccessgroupsandactivitieswherepeoplecanmakemusic,recordsongs,dance,dramaworkshops,visualartssessionsandaccesstoothercreativemediaprojects.

Opening times Openaccessgroupsandactivitiesthroughouttheweekplussomeopensessions.Ringfordetails’orcheck‘What’sOn’sectionofwebsite on www.hootmusic.co.uk

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Name of service provider Calderdale Women’s Centre

Name of specific service KirkleesWomens’MentalHealthService

Contact details Contactperson ClareJones

Tel 01422386500

Email [email protected]

Base (if applicable) Coreserviceswillrunfromtwobases

inSouthKirkleesatWomenspace,51EstateBuildings,Huddersfield

ByJune08inNorthKirkleesatDewsburyvenuestilltobeidentified

Service outline Theserviceprovidesawomancentredandholisticprovisionofonetooneandgroupsupportandinterventionstoenablewomentoovercomepsychological,emotionalandsocialproblemsthatarehavingadetrimentalimpactontheirmentalhealthandwellbeing.

South Kirklees:Immediatestartofdropins,counsellingservice,onetooneinterventions,selfhelpgroups,personaldevelopmentcourses.

North Kirklees:Selfhelpgroups,personaldevelopmentcoursesandonetooneinterventionsprovidedatknowncommunityvenuessuchasWindybankandFieldhead.

Opening times South Kirklees:

Drop in sessions:Monday9.30–11.30&12.00–2.00

Counselling service:Flexibletimesthroughouttheweek–ageneralguidance:

Monday:Allday Tuesday:a.m. Thursday:Allday Friday:Allday

Telephone helpline: Open office hours

One to one sessions:Flexibletimes(needtobebookedinadvance)

North Kirklees:

Drop in sessionsandactivitiesflexibletimesthroughouttheweek

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Name of service provider Support to Recovery S2R (DASH & CMH)

Contact details JanetPollard(Manager) MoorsteadsSLHsiteCroslandMoor

[email protected] 01484343337

RevenueChambers StPeter’sStreet Huddersfield

[email protected] telephone details to follow

Base (if applicable) Asabove,plusbaseinDewsbury(tobeconfirmed)after1April.

Service outline TheserviceisbasedonfacilitatedselfhelpandsocialinclusionandreceivesreferralsfromGPs,primarycareworkers,psychologists,psychiatrists,CMHTs,JobCentrePlus,SSIPsandGatewayworkers.Theserviceisofferedtopeopleaged18+;60%arewomenand40%men.

Ourworkisbasedontherecoverymodel.Opportunitiesavailableinclude:

• Facilitatedselfhelpworkshops

• Socialconfidencegroups(Combatingsocialisolation;SignpostingandInformationonlocalservices)

• Aone-to-oneprogrammeidentifyingindividualgoalsandbarriers(includingreturntoemployment,voluntaryworkoptions,accesstoleisureactivities,problemsolving.)

• Employmentadvice–returntoworkorjobretention

• Counselling

• OutofHoursprovision(CurrentlyforpeopleonCPAbutwillextendsomeprovisiontoallserviceusers)

• ReadingandYouScheme(RAYS)

• IntrotoITandopportunitieswithLearnDirectandlocalITCentres.

• Alsoreflexology

• KirkleesUserVoicesurgeries.

Opening times Mon–Fri9-5(OutofHours–1evening-laterin2008)

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Name of service provider Mental Health Matters

Name of specific service Vocationalservicesforpeoplewhoexperiencementalill-health

Contact details JoanneBarraclough,DeputyDirector,Operations AvalonHouse StCatherinesCourt SunderlandEnterprisePark SunderlandSR53XJ

Tel.01915163500

Base (if applicable) Deighton Centre Deighton Road Deighton HuddersfieldHD21JP

Service outline Theobjectivesoftheserviceareto:

• Provideanaccessible,flexibleservicethatrespondseffectivelyandswiftlytotheindividualvocationalaspirations/needsandchoicesofserviceusers.

• Workcloselywiththepersonreferring,ensuringthatanagreedlevelofsupportisprovideddependingontheindividualneedsoftheserviceuser,inconjunctionwiththeircareplan/personcentredplan.

• Supportserviceusersthroughworkplacementsandintopaid/self/supportedemployment

• Workincollaborationwithotheragencieswithsimilargoals,theservicewilldevelopandmaintainanetworkofemployerscommittedtoofferingworkplacementandemploymentopportunitiestoserviceusersandprovidethemwiththenecessarytrainingandsupport.ThiswillinvolvethepromotionoftheMindfulEmployerCharter.

• Providesupportforserviceuserswhohavesuccessfullyfoundworkinordertoenabletheirjobstobesustainable.

• Provide“WorkPreparation”trainingandsupportincludingjobsearch,interviewtechniques,confidencebuilding,supportondisclosureofmentalhealthissuesandtosignposttoandoffersupportinvocationaltrainingopportunities.

• Makeextensiveuseofresourcesandopportunitiesavailablefromotheragencies,forexample,colleges/trainingproviders,JobcentrePlusandemployers,supportingserviceuserstoaccessmainstreamservices.

Opening times CoreHours–9amto5pmMondaytoFriday

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Name of service provider Cloverleaf Advocacy

Name of specific service (if different from above)

MentalHealthAdvocacyService

Contact details Tel:01924438438

Fax:01924438444

Email:[email protected]

Base (if applicable) 1st Floor 9 Wellington Road Dewsbury WF13 1HF

Service outline Aone-to-oneindependentadvocacyserviceforadultsaged18-64usingmentalhealthservicesinKirklees.

Theservicesupportsandenablespeopletoparticipateinhealthandsocialcaredecisionmakingprocesses,assessmentsandcareplanning.Thiswillincludeissuesaroundhospitaladmissions,wardrounds/clinicalreviewsandMentalHealthAct,CPA,andcarereviews.

Referralscanbemadebyprofessionalswiththeconsentoftheserviceuser.Self-referralsarealsowelcomed.

Theserviceissupportedbypaidadvocatesandvolunteers.

Opening times OfficeopenMonday-Friday,9am–5pm

Advocacysupportprovidedduringthesetimesandoutsidebyarrangement.

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Name of service provider Kirklees Law Centre

Contact details Units 11-12 Empire House Wakefield Old Road Dewsbury WF128DJ

Base (if applicable) Units 11-12 Empire House Wakefield Old Road Dewsbury WF128DJ

Service outline Specialistlegaladviceandrepresentation

• Communitycare

• Employment

• Immigration

• Mentalhealth

• Welfarebenefits

Wewillprovidereferralthroughtootherspecialistservicesifrequirede.g.debt,housing.

Opening times Mon-Thurs10.00am–4.00pm

Friday10.00am–1.00pm

Kirklees Law CentreServing the Community

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Name of service provider Making Space

Name of specific service (if different from above)

MentalHealthCarerDevelopmentService

Contact details ShaneParnell-AreaManagerUnit67,BatleyBusinessParkTechnologyDriveBatley,WF176ER

Tel:01924441396

Email: [email protected]

Web: www.makingspace.co.uk

Base (if applicable) Coreservicesoperateoutoftwobases:

North Kirklees Carer Support Service Unit67,BatleyBusinessPark TechnologyDrive,Batley,WF176ER

Tel:01924441821

South Kirklees Carer Support Service C.M.H.T,OldSchoolofNursing StLukesHospital,BlackmoorfootRoad,CroslandMoor,Huddersfield

Tel:01484353493

Service outline Theserviceisaccessibletoallcarersofapersonaged18to64experiencingmentalillhealth.

TheServicesupports,developsandprovidesparticipatoryopportunitiesforcarersandaimstoimprovetheirownwell-beingthroughtheprovisionofavarietyofcarersupportgroups,forums,peergroupsandnetworksandpromotetheself-managementof such groups.

Carersareprovidedwithinformationandsignpostingtoappropriatesupportandservicesthatwillmeettheirneedswhilstfocusing on realistic outcomes for carers which promote their health and well-being.

Theserviceaimstopromotegoodpracticeinsupportingcarersamongstothermentalhealthproviders.

Opening times Core hours

9.00–5.00MondaytoThursday 9.00-4.00Friday

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Name of service provider Kirklees Council – Culture and Leisure Service

Name of specific service (if different from above)

Active4LifeProject

Contact details AlisonMorbyand/orJulietJackson

[email protected] Tel:01484234088

[email protected] Tel:01484234086

Base (if applicable) OfficerbaseattheGalpharmStadium,Huddersfield

ServiceavailableacrossKirklees

Service outline Theobjectivesoftheserviceare:

• Increaseawarenessandunderstandingofphysicalactivityandtheassociatedissueswithaviewtoinitiatingbehaviourchangeie increase in participation

• Provisionofonetooneandsmallgroupsupporttomotivateandenableparticipantstoengageinphysicalactivity

• Workwitharangeofpartnerstodevelopappropriatepathwaystoactivityand/ornewactivities/initiativestoensurelongtermparticipation

• Provideasupportnetworkforparticipants

• Ensurecontactismaintainedwithallpartners,inparticularwiththoseindividualsreferringintotheprogramme

• Monitoringandevaluationoftheprogrammeasappropriate

Opening times Corehours9am–5pm,MondaytoFriday

Howevereveningandweekendworkingwillbeavailableasappropriate

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Entered on Care Notes Y/N

Record of Advice/Consultation

Consent to Consultation - Young Person Y/ N

- Parent Y/ N

If details withheld why?........................................................................................................

............................................................................................................................................

Young Person’s Name: D.O.B M / F Ethnicity: Address: Tel no: College: GP: Is young person known to the Service? Y/ N Person requesting consultation: Designation: Telephone (please tick) In Person Address: Tel no: Date & Time

Person(s) with parental responsibility: Other family members: Child Protection Register? Y/ N

Record of advice - Consent to consultation

Click the form to download

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Referral to Insight (Early Intervention in Psychosis)

REFERRAL TO INSIGHT (Early Intervention in Psychosis)

SURNAME OTHER NAMES:

Date of Birth: Age:

Title:

M/S/W/D/SEP

M/F

Ethnic Origin and Religion:

REFERRAL DETAILS

By: ....................................................................................

Profession: .......................................................................

Address: .................................................................... ...................................................................................

Tel No: .............................................................................

Route: ..............................................................................

Date and time: ................................................................

Taken by: ........................................................................

Preferred Language:

Lives alone? Yes / No G.P. NAME: ....................................................................

PRACTICE: ....................................................................

...........................................................................................

TEL: ................................................................................

Date last seen by GP: .....................................................

ADDRESS:

..........................................................................................

..........................................................................................

..........................................................................................

..........................................................................................

..........................................................................................

TEL: ...............................................................................

PROFESSIONALS INVOLVED: .................................

...........................................................................................

TEL: ................................................................................

...........................................................................................

TEL: ................................................................................

NEXT OF KIN: ..............................................................

RELATIONSHIP:...........................................................

TEL: ...............................................................................

CARER’S NAME: ........................................................

RELATIONSHIP: .........................................................

TEL: ................................................................................

CURRENTLY IN EMPLOYMENT? Yes/ No/ Don’t Know

If “Yes”: FULL TIME / PART TIME NORMAL HOURS OF EMPLOYMENT:......................

CURRENT CARE INPUT/PACKAGE: (from Health Service, Social Services, family and others)

..........................................................................................................................................................................................

..........................................................................................................................................................................................

..........................................................................................................................................................................................

..........................................................................................................................................................................................

CURRENT MEDICATIONS:

KNOWN PHYSICAL HEALTH PROBLEMS:

Click the form to downloadReferralcriteriaforearlyinterventioninpsychosis• ThepersonmustbeexperiencingactivesymptomsofafirstepisodeofpsychosisORthereferrershouldhaveastrongsuspicionthatthisisthecase(pleaseoffersupportingevidencewithinthereferral),thismightincludepeoplewithmooddisorders.Evidencesuggeststhatthewindowofopportunitytopromoteoptimumrecoveryiswithinthefirstthreeyearsofsomeone first experiencing a psychotic episode.

• Itispreferablethatthepersonhasnotbeentreatedwithantipsychoticmedication in excess of 12 weeks. This is so we can use other treatments in concordancewithalowdosemedicationifrequired.Evidencesuggeststhatthisenhancestherecoveryprocess.

• Thepersonshouldbewithintheagerangeof14-35years.

• Earlyinterventionserviceswillworkwithindividualswhohavesubstancemisusedifficulties.However,itisnotanappropriateserviceforthosewhoonly experience brief intermittent symptoms as a direct result of substance misuse,andretaintheabilitytofunctionatahighlevel.

• Learningdisabilityisnotacriteriaforexclusion,butwherethisistheprimarydiagnosis,theteamwouldexpecttherelevantlearningdisabilityservicetotake the lead.

• Thosewithaprimarydiagnosisoforganicbraindiseaseorpsychosiscausedbyaphysicalhealthproblemwouldnotbesuitableforourservice.

• Individualswillbeassessedbytheearlyinterventionteam,andcaseresponsibilitywillonlybeacceptedoncetheassessmentsarecomplete,theteamhaveacceptedtheindividual,andthereisanidentifiedkeyworkerwithcapacity to take on the care co-ordinator role.

• Earlyinterventioninpsychosisserviceswillendeavourtobeasflexibleandaccessibleaspossible,andwillofferadviceandconsultationonrequest.

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Access to Medical Reports Act 1988

Click the form to download

ACCESS TO MEDICAL REPORTS ACT 1988

Summary of the Individual’s Principle Rights and Consent Form In Summary, your principle rights under the Act are:- a) To withhold your consent for an application to be made to your doctor b) To see a medical report before it is supplied to the College Occupational Health

Advisor c) To ask your doctor to amend any part of the report which you consider to be

inaccurate or misleading ; or d) If your doctor declines to amend the report, to attach a written statement giving your

views on its content; or e) To withhold your consent to the report being supplied to the College Occupational

Health Advisor NOTE: Your doctor may withhold from you sections of the report if he or she thinks that you would be seriously harmed by seeing them. The attached notes of guidance set our in detail your rights under the Act, and there procedures for applying them. Please read the whole of the guidance notes before signing below.

Consent form Please return this form once completed to the College Occupational Health Advisor, Kirklees College, New North Road, Huddersfield, HD1 5NN. 1 I have been informed of my statutory right under the Access to Medical Reports Act

1988 and hereby give my consent for the College Occupational Advisor to apply for a medical report giving medical information from the doctor who has been responsible for my physical or mental care.

I understand that this consent form will be copied to that doctor and shall have the validity of the original.

2 I do / do not* wish to see the medical report before it is sent to the College Occupational Advisor.

FULL NAME ……………………………………………………………………………………………. Address ………………………………………………………………………………………………… Signed ……………………………………………………… Date ………………………………….. • Delete as appropriate

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Kirklees College: Huddersfield CentreConfidentiality and information sharing: general guidance for staffLearnersneedtofeelreassuredthattheirconfidentialityisrespected.Inmostcases we would only share personal information about someone with their consentandonlywithotherstafforexternalserviceswhoaresupportingthatperson.Howevertheremaybecircumstanceswhereyouwouldneedtooverridethisprinciple(seebelow,points7and8).Staffareentitledtodothislegallyandprofessionally–ifindoubt,askforadvicefromyourLineManager,HeadofStudentServices,HeadofFoundationStudiesoranappropriateSupportTeamManager.

General principles:• Explainopenlyandhonestlyattheoutsetwhatinformationwillorcouldbeshared,withwhomandwhy.Seekagreement–exceptwheredoingsoputsthe person at risk of harm.

• Theperson’ssafetyandwelfareistheoverridingconsiderationwhenmakinga decision about whether to share information.

• Respectthewishesofpeopleortheirfamilieswhodonotconsenttoshareinformation–unlessthereissufficientneedtooverridethatlackofconsent.

• Makesurethattheinformationisaccurateandcurrentandnecessaryforthepurpose for which you are sharing it. Make sure you share it only with those whoneedtohavetheinformationandthattheyareawareitmustbetreated securely.

• Recordthereasonsforyourdecision–evenifyoudecidenottoshareinformation. Keep the record in a secure place.

Specific college expectations:1. It is good practice to ask the learner if information can be shared with other

key staff who work with them (eg: a pastoral support worker may want to make sure that the course tutor is aware of a particular issue that a learner has, or vice versa.)

2.MakesureifyouaresharinginformationthatyouuseHTCMIStocheckthatallappropriatecoursetutorsareinformedandalsoensurethatwhereverpossible you establish which support staff need to know. (e.g. communicationsupportworkers,pastoralorcounsellingstaff,etc.)

3. Youmightneedtoinformanothermemberofstaffthatthereisaconfidentialissueaffectingalearner,butthatyouareunabletogointodetails as the learner has asked for confidentiality.

4. Allstaffmustrespectthisandnotseekfurtherinformationeitherfromthememberofstafforthelearnerthemselves.

5. Youmightneedtoprovideanothermemberofstaffwithfulldetailsofthesituation.Thisshouldbedonewiththelearner’sconsent,unlessthereareexceptional circumstances.

6.Wherepossible,usetheConsent to Share Information Form to record that thelearnerhasgivenpermissiontoshareinformationandensurethelearnerhas a copy.

7. Exceptional Circumstances: there are circumstances when there are overwhelmingreasonstoshareinformationwhenpermissionhasbeenrefusedornotbeenobtained.Theseinclude:Childorvulnerableadultprotectionissues(seeCollegeproceduresonPortal),Riskofselfharmorsuicide,Risktoothers.InthesecasespleaserefertotheChild/VulnerableAdultProtectionCo-ordinators.

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Preventionofterrorism**.This may require you to disclose either internally or to an external agency. It is recommended that you seek advice from the Head of Client Services or the Vice-Principal Corporate Resources in this situation.UnderthePreventionofTerrorismAct2000suchinformationmustbe reported without informing the person concerned.

8. Ifyoudoneedtoshareordiscloseinformationduetoexceptionalcircumstances then you must inform the learner and tell them why. **The exception to this is under the Prevention of Terrorism Act 2000 as above.

ThisguidanceshouldbeusedinconjunctionwiththeCollegeDataProtectionPolicy.DisabilityPolicy,SENDAPolicyandtheChild/VulnerableAdultProtectionPolicy.

Note:Someservices,suchastheChoicesSexualHealthandRelationshipEducationProject,CounsellingServiceandNurseryServiceshavespecificconfidentiality procedures which share these principles but may differ slightly in matters of detail.

Kirklees College: Huddersfield Centre Consent to Share Information

In order to provide you, the learner, with the appropriate support, we need to let other people know about your needs. We respect your right to confidentiality and assure you that the information that you allow us

to pass on will be handled in a sensitive and discrete manner. Information will be stored securely in line

with the 1998 Data Protection Act. We need your permission to pass on information to other staff, except

in certain circumstances (for example where your own or others’ safety and welfare is at risk).

I agree for the following people* to be informed about my support needs:

□ My Personal/Course Tutor

□ All staff who teach me

□ Programme Manager

□ Head of School

□ Pastoral Support Team Manager

□ Pastoral Support Worker

□ Counsellor

□ Personal Support Team Manager

□ Personal Support Worker

□ Learning Workshop Manager

□ Learning Support Tutor

□ Dyslexia Team Manager

□ Dyslexia Tutor

□ HI/VI Team Manager

□ Communication Support Worker

□ Choices Centre Nurse

□ Health and Safety Manager

□ Occupational Health Nurse

□ General Practitioner (Doctor)

□ Technical and Facilities Manager

□ Security Staff

□ Examinations Staff

□ Finance LSF/EMA Team

□ Admissions Team

□ Reception Team

Other ……………………………………………………………………………………………………….

* If you need more information about team roles please refer to the Client Services section on the Portal

Staff Pages.

Learner Signature ……………………………………………………………………………………………..

Learner Name….. ………………………………………………………………………………………………

Enrolment Number ..…………………………… Course……………………………………………………

Staff Signature…. ……………………………… Staff name………. ………………………………………

Date………………………………………………………………………………………………………………

Brief Summary of information which may be shared:

Click the form to download the consent form

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Data request form

Click the form to download

Huddersfield Technical College

New North Road, Huddersfield HD1 5NN

Data request form for use under Section 7 of the Data Protection Act 1998

1. Details of the member of staff requesting the information

Full name ………………………………………………………………………………………

Position ………………………………………………………………………………………..

Staff number…………………………………………………………………………………..

Telephone …… ……………………………………………………………………………….

E-mail address …… ………………………………………………………………………….

2. Details of the data subject

Full name ………………………………………………………………………………………

Address ………………………………………………………………………………………..

…………………………………………………………………………………………………..

………………………………………………………. Postcode………………………………

Date of birth …………………………………………………………………………………...

Other details……………………………………………………………………………………

…………………………………………………………………………………………………..

…………………………………………………………………………………………………..

…………………………………………………………………………………………………..

3. Reason for request

…………………………………………………………………………………………………

…………………………………………………………………………………………………

…………………………………………………………………………………………………

…………………………………………………………………………………………………

…………………………………………………………………………………………………

…………………………………………………………………………………………………

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Support feedback form

Click the form to download

SUPPORT FEEDBACK FORM

WE DO NOT ASK FOR YOUR NAME THE FEEDBACK YOU GIVE WILL HELP TO IMPROVE THE

SERVICE.

1. Did you come to a member of staff with a problem, or did they come to you?

[ ] I approached a member of staff [ ] A member of staff approached me [ ] Other – please state…………………………………………………………………………

Comments……………………………………………………………………………………………………………………………………………………………………………………………………….

2. Who was it who helped you at first?

[ ] The college Principal [ ] A college personal tutor [ ] A college teacher / lecturer [ ] A college counsellor [ ] Person on front desk / reception [ ] Another student / learner [ ] The college caretaker [ ] The college security person [ ] Someone from the open door service [ ] Pastoral support [ ] Learning support staff / mentor [ ] Other college staff (Please state)…………………………………………………………

Comments………………………………………………………………………………………………………………………………………………………………………………………………………

3. Did you find them helpful?

[ ] Yes [ ] No – if not, why?........................................................................................................ Comments………………………………………………………………………………………………………………………………………………………………………………………………………

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Contact details??