NHS Lanarkshire Forensic Mental Health

Service

Maureen BlackAdvanced Specialist Occupational Therapist

Iain MackenzieService Manager

Hamilton West Station

Clydesdale Community Initiative

Steering Group

Service Users

Scotrail

Employees

Commitment

The more people involved

the easier the work load

Health and Safety

Planting twice a year

Structure the session

Development

Large Area Tubs Bench Art Sculptures Vegetables/Fruit

Balancing Activity

Patient Questionnaire

Structured programme of activity offered on the Beckford site

Station offers a work based activity

Audit

Starting Off

Look up ‘Adopt a station’ in search engine

Find out if your local station is free

Other groups

Volunteers

Measuring Success

‘I don’t feel like a patient here, I feel

like a worker,

We are all equal

In the group’

NHSL Approach to Risk NHSL Approach to Risk Assessment/management Assessment/management

Policy Policy

PracticePractice

ReviewReview

Risk of Harm to Others & Risk management Arrangements

Developed in 2011 and ratified early 2012 Across service implementation Identified 2 levels-level 1 screening, level 2-SPJ Timeframes identified for each and audit pathway

introduced Standards for both risk assessment and risk

management plans were detailed including review dates

Practice

Avon and Wiltshire (adapted) risk assessment screening tool completed for all inpatient and community patients within set timeframe

Assessment formulation agreed and signed off by clinical team SPJ format agreed, responsible clinicians identified and ‘clinical

supervisor’ identified Risk review meeting held prior to completion of SPJ chaired by

RMO or Clinical psychologist Risk management plan agreed by risk review meeting and

completed risk assessment/management plan presented to CPA group for sign off and implementation

reviewreview

Peer review processPeer review process

AuditAudit

Senior Clinicians Risk Review GroupSenior Clinicians Risk Review Group

Questions? Questions?