MH2. Psychosocial Team - Stockton-on-Tees Borough Council

What happens during an assessment?
The care co-ordinator will meet with you to:
ask you questions about any difficulties you are having
find out what you would like to do
discuss what support is available to you
The care co-ordinator will also talk to other workers involved in your
care, e.g. doctors, occupational therapists and support workers. A
report is then written to say what your needs are and what is going to
be done to support you. This is called a care plan.
You will receive a written care plan which will provide information
about what services you will receive and who will be responsible for
making sure you receive these services.
Who is involved in an assessment?
You will be involved in planning your care with your care
co-ordinator and other members of the team who are helping you.
This may involve the consultant psychiatrist, your support worker,
occupational therapist, ward/day hospital staff and you may wish to
involve a carer, family members or an independent advocate.
Care co-ordination standards you can expect
We will provide people receiving care co-ordination with a
copy of a written care plan
The care plan will be regularly reviewed by the person’s care
co-ordinator.
You will receive a copy of a written care plan which will be
agreed on your discharge from hospital. This will set out the
care to be provided and identify the care co-ordinator.
We will offer all carers who provide regular and substantial
care for a person receiving enhanced care co-ordination an
assessment of their needs and a support plan, which will be
reviewed every year.
To give you more involvement in how the service is
planned and delivered we want to:
make it easier for you to get the service you need.
manage the service in partnership to ensure we help people
to move through services easily
The review meetings
We will look at your care plan at meetings. These meetings are
called “reviews”. They are held so that we can discuss with you any
areas of concern you have and the progress you are making. If,
following a review, a change is made to the services you receive you
will be provided with an up-to-date care plan.
make sure you and your carers have a say in how services
are developed and provided.