Innovative Mental Health Services by Penumbra: A Journey of Recovery
Penumbra, a leading provider of community mental health services, focuses on innovative recovery-focused care. Their transformative approach emphasizes personal well-being and positive outcomes, addressing various factors affecting mental health. Through a comprehensive framework for measuring recovery, Penumbra has validated their methods with notable results, showcasing their commitment to improving lives and promoting overall well-being.
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Presentation Transcript
Answering the so what question Nigel Henderson, Chief Executive, Penumbra
About Penumbra Started in 1985 Significant provider of community mental health services 400+ staff 1600+ people using our services each week Innovative Recovery focused Person centred
Transformations Services Service Care Worker Coach/Mentor Patient Active Citizen Outputs Outcomes Maintenance Recovery
Recovery Recovery isn t waiting for the storm to pass . It s to dance in the rain .. learning
Focus on wellbeing +ve Wellbeing -ve +ve Mental Health -ve
Our journey Created a framework Explored how we might measure personal recovery Tested and retested various prototypes with people we support Set up a KTP with Abertay University Gradually refined, researched and developed I.ROC between 2010-2012 Began our digital journey in 2015
Factors Affecting Wellbeing Early Life: {Genetics, Experiences, Trauma, Education} Mental Health: {Illness, Confidence, Resourcefulness, Connectedness, Hopefulness,} Physical Health: {Illness, Pain, Diet, Addiction, Fitness} Situation: {Home, Personal Safety, Poverty, Debt, Inequality, Opportunity, Gender}
Measuring Recovery 4 areas of HOPE 6 point scale picture of recovery 12 indicators of wellbeing
Testing process Test Method Relevant Literature Review. Comprehensive Literature Review and Focus Groups. Valid Study by Abertay University and published results. Reliable Study by Abertay University and published results.
Validation Results 250 200 4 0 BASIS-32 Scoring RAS Score 150 1 I.ROC 6 100 140 r = 0.7 p < 0.001 50 120 0 BASIS Score 100 10 20 30 40 50 60 70 80 I.ROC Score 80 1 5 RAS 60 Scoring 40 r = -0.55 p < 0.001 1 I.ROC 6 20 0 10 20 30 40 50 60 70 80 I.ROC Score
Questionnaire Preference Questionnaire Preference 70 60 Number of participants 50 40 30 20 10 0 i-ROC I.ROC RAS BASIS-32 Questionnaire
Review Frequency Change in scores over time * p <0.05 *
I.ROC in Penumbra Now in use across relevant Penumbra services Over 12,000 people have used I.ROC in Penumbra since 2012 Offers a dynamic personal outcomes focused process for staff and the people we support Data gathered enables us to focus on particular areas for service development
Measuring Impact 5. 3.75 Mean Indicator Value Baseline Final 2.5 1.25 0. Mental Health Physical Health Personal Network I.ROC Indicator Participation & Control
Variables Average baseline I.ROC scores across different age groups 46.5 45. 43.5 Mean Total Score 42. 40.5 39. 37.5 36. YP 20-29 30-39 40-49 Age Group 50-59 60-69 70+
Demonstrating Impact Change in scores: baseline - current 0.9 0.8 0.7 Mean change in indicator score 0.6 0.5 0.4 0.3 0.2 0.1 0 Mental Health Life Skills Safety & Comfort Physical Health Exercise & Activity Purpose & Direction I.ROC Indicator Personal Network Social Network Valuing Myself Participation & Control Self Hope For The Future Management
www.irocwellbeing.com For the person who wants to: Identify factors that impact own wellbeing Define personal outcomes Shape and manage own recovery Develop strategies of self-management For the Practitioner who wants to have Clarity of purpose Support tools and resources Confidence of approach Ability to measure distance travelled of person
The benefits of using I.ROCwellbeing are: A secure and reliable system to store detailed personal, demographic and recovery data for each client in one place. Access the system securely anywhere, on almost any device, PC, tablet and smartphone. Easy for practitioners to update client records and upload further documents to the account. Complete I ROCs online or via mobile APP (online or offline).
benefits cont/ Access HOPE Toolkit and recovery resources online. Generate comprehensive client, service and organisation outcome reports quickly and easily. Access comprehensive eLearning modules about I ROC wellbeing and recovery approach. Create unlimited accounts per service - with unlimited storage.
Whos using I.ROCwellbeing People in:UK USA Australia Netherlands Belgium Spain Chile
And. Work/research underway with new partners in: Finland Australia Netherlands Czech Republic China
Settings where I.ROC is in use Hospital wards Forensic unit Rehabilitation units Step down services ARBD services Ex-offender services Community services Recovery Colleges Supported Housing
New developments Y.ROC eLearning modules Extended HOPE toolkit
Contact Details Nigel Henderson e:nigel.henderson@penumbra.org.uk twitter: @sogalo
