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Implementing a patient centred recovery approach in a secure learning disabilities service
- Authors:
- ESAN Fola, et al
- Journal article citation:
- Journal of Learning Disabilities and Offending Behaviour, 3(1), 2012, pp.24-35.
- Publisher:
- Emerald
This article examines how a patient centred recovery approach was implemented in a secure learning disabilities service. The Recovery Star; a measure of individual recovery, was adopted for use among the patients. Staff underwent training on the use of the Recovery Star tool after which a multidisciplinary steering group made some modifications to the tool. It was found that implementing a recovery approach with the Recovery Star tool was a beneficial process for the service. Key workers working with patients thought that the structure of the Recovery Star tool opened up avenues for discussing topics that may otherwise have not been discussed as fully. The authors concluded that the Recovery Star tool, embedded in a care programme approach process, equips patients and staff for measuring the recovery journey.
“Shared Pathway” national pilot project: the experience of a secure learning disability service
- Authors:
- ESAN Fola, et al
- Journal article citation:
- Journal of Learning Disabilities and Offending Behaviour, 3(2), 2012, pp.98-110.
- Publisher:
- Emerald
The cost of secure care has been increasing over the past few years. Despite the increased spending on secure services, there continues to be difficulties relating to patient progression through the care pathway to safe integration in the community. The Shared Pathway project was developed by the North of England Specialist Commissioning Group, Yorkshire and Humber Office in partnership with service users, clinicians and commissioners. The aims of the Shared Pathway are to: reduce costs within secure services without reducing quality; meet individual need; and demonstrate efficiency. The purpose of this paper is to describe the experience of a secure learning disability service in participating in the national Shared Pathway pilot project in secure services. It explores some background drivers to the project as well as the experience of service users and staff. Recommendations on service-wide implementation of the Shared Pathway are made. The findings show that the implementation of the Shared Pathway will lead to considerable changes in practice. It may be useful in ensuring evidence based outcomes are routinely used by clinicians in secure services in collaboration with patients. It may also clarify to patients what their role is in engaging in treatment that helps them in moving through secure services.