By acute services I am referring to home treatment, crisis, respite and acute inpatients services.
By co-production, I am referring to services that have been co-designed and/or delivered with service users and/or people who have a lived experience of using this type of service.
Examples of co-production in mental health services tend to focus on primary and secondary care, so we have examples of Therapeutic Communities or third sector services that use the co-production model.
I am interested in any case studies, examples of services (I am based in the UK but am open to whatever is going on elsewhere), evaluations, research or other papers on this subject.
I am also interested in any work that has been done on improving the experience of service users who experience psychological distress and are admitted to acute services. In particular, presenting with self-harm, suicidal ideation, considered of danger to themselves or others - the types of presentations that are associated with personality disorders. These types of presentations are often viewed as problematic in acute services as they are not purely biological and cannot be solely treated with medication. Any work that has been done around improving services, treatment, staff confidence, reduction of stigma in this area would be very helpful.
As you can see, I'm quite open regarding ideas/papers that may inform this, as I am aware that work regarding co-production and improving the experience of service users who experience psychological distress in Acute services is not abundantly available at the moment!
For anyone else interested in this question, I've had some suggestions of papers from colleagues and fellow students/lecturers on my MSc cohort. I will add links to papers of interest as I come across them.
in the meantime here are links to articles of interest:
Drayton House, Camden & Islington NHS Trust, London, UK:
This innovative alternative project offers acute inpatient service to women. 12 beds are available, and there are facilities for up to two children to stay with their mother so that there are no issues with childcare during hospital stay.
http://pb.rcpsych.org/content/24/3/101
General principles for working with BPD in acute settings:
http://apt.rcpsych.org/content/10/2/93
General principles for working with other personality disorders in acute settings:
http://apt.rcpsych.org/content/10/2/100
Two other examples (I will need to add references etc later on)
In the UK, there is a Leeds based service user led crisis house - Dial House.
Another example of co-production on an individual treatment plan level were joint care plans which worked well with people who had psychosis and worked together with staff to draw these up whilst they had capacity. Home treatment teams were given access to these as soon as a person was referred to their service. The evaluation showed a statistical significance in reduction in inpatient admissions... But I need to check which service and the paper as I don't have this to hand at the moment. I will add this when I do!
Hi Tamar,
I have experience of working at the Henderson Hospital, which was a therapeutic community - it closed in 2008. I've written a paper about the staff's experience of good practice there, which reflects the co-productive nature of the work (from clinician's perspectives):
Borderline personality disorder: clinicians' accounts of good practice. Journal of Psychiatric and Mental Health Nursing DOI: 10.1111/j.1365-2850.2012.01943.x
Generally there is quite a lot written about therapeutic community work, and a journal of therapeutic communities.
Good luck with your project!
Matt.
Hi Tamar
The acute solutions work is always worth a look, at least as a good source of ideas. It's not bang up to date but it was a good piece of work in its time.
full report available at http://www.centreformentalhealth.org.uk/pdfs/Search_for_Acute_solutions.pdf
Best
D
Hi Tamar,
I'm coming in a bit late here, but thought this might be useful:
The Maudsley hospital has a specialist day service for people with a diagnosis of personality disorder:
http://www.national.slam.nhs.uk/services/adult-services/personalitydisorders/
I also know there is a crisis house in South London and Maudsley Trust.
This is a co-produced piece of research into service user views of alternatives to inpatient care:
http://bjp.rcpsych.org/content/197/Supplement_53/s26
There is also the literature on the harm minimisation approach for self harm, which I know is being implemented in some inpatient services, e.g:
https://www.dur.ac.uk/resources/sass/NSHMG_manual2.pdf
I am really interested self harm and crisis services, and also co-production, so would love to hear more about what you are up to!
With best wishes,
Karen
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