Occupation

Abstracts
Posters
• ‘Vocation goal’ on care plans.
• Vocation Screening Tool.
• Weekly ‘Thinking about work and education’ one to one
sessions.
• Implementing use of standardised assessments specific to
vocation.
• Monthly op-in sessions on the ward with outside employment
support agencies.
• Links with the Recovery College.
• Maintaining links and signposting to local vocational
opportunities.
• Delivering OT trust wide vocation workshop.
• Promotion of OT as leads for vocation.
References
College of Occupational Therapists (2008) Work Matters: The
College of Occupational Therapist’s Vocational Strategy
Commission for Healthcare Audit and Inspection (2008) Pathway
to Recovery: A Review of NHS Acute In Patient Mental Health
Service.
Rinaldi M, Perkins R, Glynn E et al (2008) Individual Placement
and Support: From Research to Practice, Advances in Psychiatric
Treatment, 13, 50–60.
Sainsbury Centre for Mental Health (2009) Breifing 37:
Doing What Works, Individual Placement and Support Into
Employment.
Keywords
Mental health, Service improvement or transformation,
Innovative practice, NHS
Contact E-mail Addresses
gemma.buttery@cpft.nhs.uk
Author Biographies
Gemma is an Occupational Therapist based on an acute in
pateint mental health ward. Gemma has a specialist interest in
vocation and mental health.
P77
Standardised treatment pathways: help or
hindrance?
Wawman C, Davies M, Legg R, Clark S, Dorset Healthcare
University NHS Foundation Trust
Involvement in developing a care pathway for the mental health
rehabilitation service prompted the rehabilitation OT team to
look at their current processes.
Reviewing these processes highlighted that the different units
within the service were delivering OT provision in slightly
different ways. We decided as a team to develop an OT pathway
that was seamless in its transitions, easily navigated and ensured
equity of service to all people currently in need of OT input. It
has been proven that having a care pathway can enhance the
quality of care received, increase the satisfaction levels of people
receiving the service and optimise the use of resources (Schrijvers
et al. 2012).
Our pathway is very much in its infancy and we anticipate many
changes ahead care pathways are not static objects, they are
intended to be dynamic tools that are evaluated and built upon
regularly (Duncan and Moody 2003).
We have been following this pathway now for about 3 months
and initial feedback from the team has been positive. They
value the structure it gives them and it has helped with day to
day time management. The wider MDT have said that it helps
to understand the OT process and it has definitely reduced
comments such as ‘what do you do?’, giving much more clarity
to the OT role. We did have some concerns that such a structure
would affect our ability to practice in a recovery focused way
and be truly client centred however we have found that there is
still flexibility within the pathway and that we are still guided by
the wants and needs of our patients.
Overall having an OT care pathway for our service ensures that
best practice is incorporated into our everyday clinical routines, it
enables us to effectively measure outcomes and provides us with
evidence upon which to action change.
References
Duncan, E and Moody, K. (2003). Integrated care pathways in
mental health settings an occupational therapy perspective.
British Journal of Occupational Therapy. 66 (10), 473–478.
Schrijvers, G, Van Hoorn, A and Huiskes, N. (2012). The care
pathway: concepts and theories, an introduction. International
Journal of Integrated Care. 12, Science Citation Index,
EBSCOhost, viewed 10 September 2015.
Keywords
Mental health, Service improvement or transformation, Pathways
or models of service delivery, NHS
Contact E-mail Addresses
caroline.wawman@dhuft.nhs.uk
Author Biographies
After graduating in 2001 Caroline has spent most of her career
working in varying acute mental health services. This work was
mostly inpatient ward based although 5 years of it was spent
within a crisis and home treatment team. She enjoyed the fast
pace and mostly quick results gained from these environments
however felt the need for a change.
18 months ago she made the step into mental health
rehabilitation services. The change of role and pace of work has
allowed her to focus on more service development opportunities
which she is looking forward to developing further.
Mary trained at Canterbury Christchurch University and qualified
in 2005. She worked in a variety of mixed clinical settings as
a junior and for the past 6 years has worked predominantly in
mental health and learning disability settings. After a spell of
working in the private sector Mary is now pleased to be back
working in the NHS and thrives on the feeling of developing new
clinical skills, trialling new approaches and achieving outcomes
as part of a team working with clients with complex needs in a
rehabilitation setting.
P78
Using creative occupational therapy approaches: a
health promotion workshop
Flower C, Barr-Hamilton L, South London and Maudsley
NHS Trust
The issue of health inequality for Mental Health (MH) Service
Users (SUs) has been brought to the forefront of priorities for
MH services, with new CQUIN targets for services to meet
around the Physical Health of SUs. The development of health
promotion interventions to influence behaviour change for
those with Severe Mental Illness (SMI) has become more
prominent in recent years. Rege suggested that the most
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