Advancing Recovery in Adult Mental health Inpatient Services in Ireland
HSE Change Model (2008) was used to improve the delivery of recovery-orientated care in an adult mental health inpatient service. The areas of education on recovery and maintaining recovery on discharge were selected for improvement. A literature review was conducted and found that recovery had common themes and that with training these themes could be translated into practice. Regarding discharge the evidence suggests that when certain interventions are used they can have a dramatic effect on supporting a service-users recovery.
During initiation stage, a PEST and SWOT were used to explore the drivers for the change and then a stakeholder analysis was conducted. Mandate was sought from stakeholders who provided buy-in and credibility for the change. During the planning stage focus groups were used to engage staff and put forward a case for change. A working group was recruited and a recovery discharge package was created. The package has been implemented but ongoing communication and engagement remains a priority. A staff member and a service user were recruited and trained to deliver the training to all staff.
During mainstreaming the re-admission rate of the people who have been involved in developing their package was measured to demonstrating a reduction in re-admission rates. The PoRSAT was re-measured to demonstrate a 35% increase in the recovery orientation of the service. The education packages are ready to go however funding for service-user input has been a barrier to implantation. The HSE Change model served as a template to introduce a successful change and an improvement in the recovery orientation of a mental health service.