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©Copyright Penumbra 2010
Housing Support and Personalisation
How personalisation led
to the reshaping of
Penumbra.
Graeme Henderson
Director of Services and
Development
©Copyright Penumbra 2010
Penumbra
• Established in 1985
• Significant provider of person-centred social care services for people with mental health problems
• Employs over 400 people across Scotland
• Supports over 1000 adults and young people each week
• Turnover of £10 million
• Works in over half of local authority areas
• Significant history of innovation
©Copyright Penumbra 2010
Vision Penumbra envisages a society
where people with mental
health problems expect
recovery and are accepted,
supported and have the
resources to fulfil their potential.
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Values
• People can and do recover from mental ill health
• People have equal human value regardless of their situation or ability and have the right to dignity, respect, privacy and choice
• People should be enabled to exercise control over their own lives by means of real choice
• Penumbra’s services should provide person centred support on an ordinary scale wherever possible
©Copyright Penumbra 2010
Housing Support
• Aberdeen City
• Aberdeenshire
• Edinburgh City
• Falkirk
• Fife
• Glasgow
• North Lanarkshire
• Scottish Borders
• South Lanarkshire
• West Lothian
• Western Isles
• £5.5 million
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Recovery
Recovery isn’t waiting for the storm to pass….. It’s learning to dance in the rain…..
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Personalisation Highlights
• 2006 HOPE and I.ROC
• April 2010 Self Assessment
• 2010 Self Directed Support Advisor
LTCAS
• 2012 SG funded SDS Project
Manager
• 2012 Validated I.ROC
• 2013 Nova Short Breaks
• 2015 SG SDS Application
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HOPE and I-ROC
• Asked the ‘so what?’ question
• Created a web based database and recovery
tool
• Developed outcome indicators and
questionnaire
• Tested with over 40 service users
• Launched I-ROC in 2010
• Developed HOPE toolkit
• 4000 people now on database
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Validation
• Knowledge Transfer Partnership (KTP) with University of
Abertay, Dundee
• Tested reliability and validity of I-ROC compared with 2
established recovery measures
• 175 services users took part in research and focus
groups
• Results peer reviewed and published in Academic
Journals
• Research Conferences
• Launched revised I.ROC in 2012
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Model for Improving Wellbeing
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I.ROC - Measuring Wellbeing
4 Areas of HOPE 6 Point Scale
12 Wellbeing Indicators
Recovery
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Questionnaire
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Guidance
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Toolkit
Personal Planning Tools
Well-Being Tips
Resource Links
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i-ROC
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Service Change
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Four Key Changes/Shifts
1.Passive recipient
2.Care
3.Services
4.Measuring outputs
Student of wellbeing
Coaching and learning
Service
Measuring outcomes
©Copyright Penumbra 2010
Change 1 - students of wellbeing
• Held regional events
• Established a Self Directed Support ‘champions’
group who developed a DVD, held events and
developed information leaflets.
• Developed the revised HOPE toolkit with ‘tools,
tips and techniques’ to ensure person centred
plans and actions.
• Opportunities for people with lived experience to
become facilitators or peer support workers.
©Copyright Penumbra 2010
Change 2 - coaching and learning
• Developed a new competency framework for all
staff.
• Created new roles - Recovery Worker, Recovery
Practitioner, which gives staff a career structure.
• Restructuring of frontline staff into accountable,
autonomous small teams (3-4 people), led by a
Recovery practitioner.
• Training in coaching techniques.
• Created and developed Peer Support Worker
roles.
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Change 3 - service
• Cultural shift from ‘wholesale to retail’
• Developed a menu of services and
activities e.g NOVA service and
POWWOWS (workshops on
wellbeing)
• Template developed for outcome
focused personalised support plans
• Provided 24 hour leadership retreats
for all managers.
(Reflect/Refocus/Recharge)
• Developing training in ‘customer
service’
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Change 4- measuring outcomes
• Developed and validated I.ROC with
supported people and staff.
• Delivered I.ROC and HOPE training to all
staff.
• Further pilots being developed to test
I.ROC in other settings e.g. older peoples
services and a CMHT.
• Partnerships with other organisations who
are now using I.ROC helps build the
evidence base.
©Copyright Penumbra 2010
Individual/Service/Organisation Results
0.00
0.20
0.40
0.60
0.80
1.00
1.20
Me
nta
l he
alth
Life
Ski
lls
Safe
ty a
nd
Co
mfo
rt
Ph
ysic
al H
eal
th
Exer
cise
an
d A
ctiv
ity
Emp
loym
en
t an
d S
kills
Pe
rso
nal
Net
wo
rk
Soci
al N
etw
ork
Val
uin
g M
ysel
f
Par
tici
pat
ion
an
d C
on
tro
l
Self
Mm
gt
Ho
pe
for
the
futu
re
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Outcomes Based Approach
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Conclusions
• We are on a journey.
• Its not straightforward.
• We know where we are
going.
• We have methods to
measure progress.
• We have a dynamic,
outcomes oriented
framework.
• We have created energy and
excitement.
©Copyright Penumbra 2010
Penumbra and SDS 2015 - 2018
• SG Application for £300K
• Employ 3 Regional SDS
Practitioners
• To promote SDS to supported
people, carers and families, social
care providers, statutory agencies,
care managers and purchasers.
• To support the local implementation
and delivery of SDS.
• To continue to develop tools and
resources to facilitate SDS in mental
health.
• To promote sustainable futures for
people with mental health problems.
©Copyright Penumbra 2010
We provide Hopeful support
‘One of the most important things was
that the staff were able to hold the
hope for me when I was unable to hold it for myself’
©Copyright Penumbra 2010
Thanks for listening
Contact details: Graeme Henderson
t. 0141 229 2580/0131 475 2380
Web: www.penumbra.org.uk