14 research outputs found
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Cross-national comparative mixed-methods case study of recovery-focused mental health care planning and co-ordination: Collaborative Care Planning Project (COCAPP)
The care programme approach in England and care and treatment planning in Wales are systems designed to provide mental health service users with a named care co-ordinator who meets regularly with the service user, oversees their care and develops a written plan to guide the care that they receive. These approaches are meant to help people towards recovery. In this study, we investigated whether care is organised to help people’s recovery and whether this is done in a personalised way. We identified six NHS trust/health board sites in England and Wales, and surveyed staff and service users to measure views on recovery, empowerment and therapeutic relationships. At each site we also interviewed managers, clinical staff care co-ordinators, service users and carers about their experiences of care planning. We found that good relationships are important for service users, carers and care co-ordinators in care planning and supporting recovery. Experiences of care planning and co-ordination varied within all sites. People do not always feel involved in their own care. The understanding of recovery and personalisation varied among the service users and staff interviewed. Workers say that there is too much paperwork and, like service users, they rarely look at care plans once written. Staff focus on risk but this does not often appear to be discussed with people using services, which may be problematic. We recommend research to investigate new ways of working and training to increase staff contact time with service users and carers and to improve a focus on recovery
Thinking disability orientation : practicing affirmation
Introduction: Occupational therapy’s theoretical base is
informed by beliefs in empowerment, partnership, choice and
hope — all key components in client-centred practice (Sumsion
and Law 2006). In order to be client-centred, it is important
to appreciate an individual’s perception of their own disability,
known as their disability orientation.
Disability orientation, as described by Darling and Heckert
(2010), includes three aspects: disability identity; adherence to
a particular model of disability, and involvement in disability
rights activism. Each type of disability orientation will affect the
disabled person’s beliefs and feelings about themselves, their
impaired bodies and their disabled lives. This, in turn, is likely to
influence their expectations of and satisfaction with occupational
therapy services. Therefore, occupational therapists aiming to
work within a client-centred approach should be cognisant of
this concept and consider its possible impact on their therapeutic
approach.
This seminar will:
– Explore the concept of disability orientation and discuss
examples of different orientations;
– Examine the affirmative disability orientation as it relates to
occupational therapy;
– Enable participants to analyse and understand their clients’
disability orientation;
– Discuss strategies to provide intervention informed by a client’s
disability orientation.
Case studies will be used to promote discussion and explore
practical ways to ascertain an individual’s disability orientation.
The affirmative disability orientation will be discussed in
particular.
Impact on service users: Understanding disability orientation
could lead to enhanced client-centred and culturally sensitive
practice.
Implications for occupational therapy: Contribution to the
improvement of practice through the development of culturally
sensitive therapeutic strategies