BUILDING SYSTEMS with VALUES Integrated Care and Beyond

BUILDING SYSTEMS with VALUES Integrated Care and Beyond

BUILDING SYSTEMS with VALUES Integrated Care and Beyond Mark Webster. South Hampshire CBT Ltd Julie Harrington. RN - Portsmouth City PCT Michelle Ormston. RN - Portsmouth City PCT 02/29/20 1 MARK WEBSTER Background in psychotherapy since 1993 and DBT since 1997. He has attend ACT workshops annually and has been learning through recorded supervision for9 years, including 4 as a trainer. Specialising in Addictions, PTSD, Chronic Pain. Private practice, broadly based. U.K.C.P.Registered. He has a

long-standing interest in Mindfulness and has been practising for over 15 years. 02/29/20 2 MICHELLE ORMSTON Registered General Nurse Specialised in Gastro -Enterology Substance Misuse Practitioner for 5 years. Practicing ACT for 4 years.

Supporting colleagues new to ACT Michelle likes eating and exercising. 02/29/20 3 JULIE HARRINGTON A Registered General Nurse Specialised in ENT and Terminal Care Substance Misuse Practitioner for 7 years Practicing ACT for 4 years

Supports colleagues new to ACT Interests include running and swimming 02/29/20 4 PORTSMOUTH 02/29/20 5 A CLOSER LOOK 02/29/20 6

JOGGING AROUND PORTSMOUTH ISLAND 02/29/20 7 Premier League Football Club Play up Pompey,Pompey play up 02/29/20 8 Portsmouth Historic Dockyard

02/29/20 9 HMS VICTORY 02/29/20 10 HMS WARRIOR 02/29/20 11 The Mary Rose

02/29/20 12 2 More of Portsmouths old relics! 02/29/20 13 New Millennium Tower By Day 02/29/20 14

The Spinnaker by Night 02/29/20 15 Portsmouth the only City to sail Ships over the Hill 02/29/20 16 AIMS PORTSMOUTH CITY DRUG SERVICES

Introduction of ACT into its treatment services based on VALUES. Developing an integrated Care Pathway across statutory and non statutory agencies including those not using ACT. 02/29/20 17 OVERVIEW The concept and process of implementation of ACT. The obstacles encountered and overcome. Management and philosophy. Management systems and outputs. 02/29/20 18

We will present a prototype to show how a valued approach in our experience can provide a basis for healthcare system to become integrated and run more effectively. 02/29/20 19 The ACT Team Within the service, the ACT team consists of:General Nurses Mental Health Nurses Social Workers Support Workers All our patients can be referred to trained councillors including Mark Webster to access ACT

02/29/20 20 How it All Began History Training Support Treatment program Barriers The way forward

02/29/20 21 Act Training Course Week 1 - Orientation and Noticing Week 2 - Suffering and Solutions Week 3 - Control is the Problem Week 4 - Hooked and Unhooked. Week 5 - Review and Treatment Planning 02/29/20 22 Therapeutic Program, Baytrees Life Change MONDAY

TUESDA Y WEDNE SDAY THURSD AY FRIDAY SATURD AY SUNDA Y

09.00 9.15 REFLECTIONS/MEDITATION/THOUGHT FOR THE DAY/ANGEL CARD/PRAYER ETC ALL CLIENTS 09.1510.15 TAI CHI OR OPEN GROUP VALUES ORIENTATION WOMEN SUPPORTIN G WOMEN Female break at

10-10.30 Break 10.15 11.15 11.1512.15 YOGA OR OPEN GROUP VALUES TRAINING MEN SUPPORTIN G

MEN Male break at 10.30 - 11 VALUES TRAINING 2.45 4.15 3.30 4.00 4.00 5.00 AWARE NESS Break

VALUES WEEKLY CHALLENGE VALUES NOTICING 1:1s with clients GUEST SPEAKER 02/29/20 Evening Break PROCESS

OF RECOVERY PAG workshop in first two weeks only SELF ASSESSME NT AND FEEDBACK Break time to be decided by group OPEN GROUP

Client led time Break AA/NA VISIT 10.30 11.30 REFLECTIO N GROUP VISITING 2-6 PM OR ACTIVITIES VISITING 2-6 PM OR

ACTIVITIES 1:1s with clients 1:1s with clients LUNCH/1:1s/CLIENT FREE TIME 12.15 2.45 2.45 3.30 YOGA OR OPEN GROUP

RELAPSE PREVENTIO N Break time to be decided by group 1:1s with clients Co dependenc y/ PAG Addictive

relationships Break VALUES NOTICING VALUES NOTICING 1:1s with clients 1:1s with clients 23 ACT Pathway for Psychosocial Interventions

Feeder Prescribing Basic Developing Detox 28 day Keyworking PUSH Needs Assessment/ Care Planning

02/29/20 ACT TEAM Progressive A F T E R C A R E Day Services 24

Our Values as Practitioners Behavioural Analysis Supervision with Practitioners Standards for Better Health (Clinical governance ) 02/29/20 25 A Well Used Ditty If you always do what you have always done, You will always get what you have always got. Mark Twain

02/29/20 26 Barriers to Implementation Time management Training Inequality Experiential learning, new concept for nhs

Non compliance Clients Resources Staff movements 02/29/20 27 I VIEW Old version) World of 5 Senses (External) Willing Body I Unhooked

ve a H VALUES Mind I A P N NOTICING Hooked

I SUFFERING World of Mind 02/29/20 FIX pa in Struggling 28 Organisational Context Overview

Background and trends Philosophy and Strategy 7 Principles Method Data Systems Case examples 02/29/20 29 Management Trends

70s Japan, I.T. 80s TQM and Decentralisation 90s JIT and Learning Organisation 2000s Lean, Adaptive, Agile, ToC 02/29/20 30 Strategy Quality Doing it right v Correcting Mistakes Values basis

Positive Reinforcement Service User Involvement 02/29/20 31 Principles Client Led

Values Based Clear Product Streams Behavioural / Functional Evidence Based Organic and incremental Practise focused 02/29/20 32 Scalable Circles values dialogue systems

02/29/20 33 solution problem coach/ manager vision values dialogue systems

02/29/20 training 34 Data Systems NTDMS AAQ-II Behaviour Data New Established Significant 02/29/20 35

Case Study Methadone Prescribing 3 week waiting Values Circle 3 day waiting Vision Circle Revised procedures Data Performance criteria 02/29/20 36 A problem cannot be solved by the same

consciousness that created it. - Einstein 02/29/20 37 ANY QUESTIONS ? 02/29/20 38 THANK YOU Mark Webster for believing us now experienced and capable enough to present with him at this conference. And special thanks for the financial and Professional support to:Dawn Roberts

Service Manager Substance Misuse Service Portsmouth City and S.E.Hants. Barry Dickinson Joint Commissioning Manager for PCT Safer Portsmouth Partnership Judy Hillier Director of Clinical and Community Services 02/29/20 39 Credits Mark Webster [email protected] Michelle Ormston [email protected] Julie Harrington RN [email protected]

02/29/20 40

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