Reshaping Penumbra How developing a personal outcomes tool led to the reshaping of Penumbra. Nigel Henderson Chief Executive ©Copyright Penumbra 2010
Penumbra • Established in 1985 • Significant provider of person-centred social care services for people with mental health problems • Employs 400 people in 35 locations. • Supports over 1000 adults and young people each week. • Turnover of £9.5 million • Works in 16 local authority areas • Significant history of innovation ©Copyright Penumbra 2010
Vision Penumbra envisages a society where people with mental health problems expect recovery and are accepted, supported and have the resources to fulfil their potential. ©Copyright Penumbra 2010
Values • People can and do recover from mental ill health. • People have equal human value regardless of their situation or ability and have the right to dignity, respect, privacy and choice. • People should be enabled to exercise control over their own lives by means of real choice. • Penumbra’s services should provide person centred support on an ordinary scale wherever possible. ©Copyright Penumbra 2010
Recovery
Recovery is a way of living a satisfying, hopeful and contributing life, even with limitations caused by (mental) illness (W Anthony, Boston University)
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Recovery Recovery isn’t waiting for the storm to pass….. It’s learning to dance in the rain…..
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What we did • Asked the ‘so what?’ question. • Worked with Intrelate to create a web based client database and recovery tool. • Developed outcome indicators and questionnaire. • Tested with over 40 service users. • Launched first I-ROC internally in 2010. • Developed first HOPE toolkit. • Over 4000 people now on database. ©Copyright Penumbra 2010
Validation • Knowledge Transfer Partnership (KTP) with University of Abertay,Dundee • Tested reliability and validity of I-ROC compared with 2 established recovery measures • 175 services users took part in research and focus groups • Results peer reviewed and published in Academic Journals • Research Conferences • Launched revised I.ROC in 2012 ©Copyright Penumbra 2010
Model for Improving Wellbeing
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I.ROC - Measuring Wellbeing 4 Areas of HOPE
12 Wellbeing Indicators
6 Point Scale
Recovery
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Questionnaire
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Guidance
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Toolkit
Personal Planning Tools Well-Being Tips Resource Links ©Copyright Penumbra 2010
i-ROC
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Leading Change
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Four Key Changes/Shifts 1.Passive recipient
Student of wellbeing
2.Care
Coaching and learning
3.Services
Service
4.Measuring outputs
Measuring outcomes
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Change 1- students of wellbeing • Held Regional Roadshows. • Established a self directed support ‘champions’ group who developed a DVD, held events and developed information leaflets. • Developed the revised HOPE toolkit with ‘tools, tips and techniques’ to ensure person centred plans and actions. • Opportunities for people with lived experience to become facilitators or peer support workers. ©Copyright Penumbra 2010
Change 2- coaching and learning • Developed a new competency framework for all staff. • Created new roles - Recovery Worker, Recovery Practitioner, which gives staff a career structure. • Restructuring of frontline staff into accountable, autonomous small teams (3-4 people), led by a Recovery practitioner. • Training in coaching techniques. • Created and developed Peer Support Worker roles. (26 posts in Penumbra out of 36 across Scotland) ©Copyright Penumbra 2010
Change 3- service • Cultural shift from ‘wholesale to retail’ • Developed a menu of services and activities e.g NOVA service and powwows (workshops on wellbeing) • Template developed for outcome focused personalised support plans • Provided 24 hour leadership retreats for all managers. (Reflect/Refocus/Recharge) • Developing training in ‘customer service’. ©Copyright Penumbra 2010
Change 4- measuring outcomes • Developed and validated I.ROC with service users and staff. • Delivered I.ROC and HOPE training to all staff. • Further pilots being developed to test I.ROC in other settings e.g. older peoples services and a CMHT. • Partnerships with other organisations who are now using I.ROC helps build the evidence base.
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Mental health Life Skills Safety and Comfort Physical Health Exercise and Activity Employment and Skills Personal Network Social Network Valuing Myself Participation and Control Self Mmgt Hope for the future
Individual/Service/Organisation Results
1.20
1.00
0.80
0.60
0.40
0.20
0.00
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Outcomes Based Approach
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Conclusions • • • •
We are on a journey. We know where we are going. We have methods to measure progress. We have a dynamic, outcomes oriented framework. • We have created energy and excitement. • We can provide continuity without uniformity. ©Copyright Penumbra 2010
We provide Hopeful support ‘One of the most important things was that the staff were able to hold the hope for me when I was unable to hold it for myself’
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Thanks for listening Contact details: Nigel Henderson t. 0131 475 2380 e.
[email protected] Twitter: @sogalo Web: www.penumbra.org.uk
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