The aim is for people to have access to enhanced community services delivered by a workforce that is confident in community risk assessment and management. We plan to work with our NHS and local authority providers to develop knowledge so that teams are able to provide: Effective and accurate discharge planning from in-patient services with respective partners and advocacy which will include comprehensive and rapid assessments encompassing Offending and criminogenic need delivering community risk assessments identifying trigger factors to past and future risk behaviours Treatment plans addressing trauma and presenting comorbidity factors. Where required brief hospital in-patient admissions for mental health needs. Effective case management by skilled practitioners including criminal justice partners where applicable Schema focused interventions Effective use of Conditional Treatment Orders Good sign posting when recognised the service user is struggling to manage behaviour that challenges People in out of area placements will be supported to come home. Support training in Police, Probation and Criminal Justice systems to help recognise learning disabilities and/or autism and provide appropriate response Remodelling, operational changes and commissioning new services Subject to further scoping, financial planning, releasing in-patient resource, and being awarded new funding to ensure the right future and sustainable resources are in place, by March 2019 the TCP aims to: Intention Actions Reduce reliance on inpatient care Reduce in-patient beds close eight bed in – patient service by May 2016 Reduce admissions to inpatient learning disability services Secure relevant funding / resource to: Reduce learning disability inpatient beds Develop the skill set within commissioned Reduction in Length of Stay workforces and with family carers in Positive Sustainable and effective crisis support Behaviour Support (PBS) to allow for emergency allowing for Early Intervention enhanced – response within the community in order to home intensive support teams in the prevent admission community Work with providers to create models of community care that meet seven day services and provide wrap-around 24 hr care support; personalised, tailored, with a bespoke range of choice (encouraging the uptake of personal health budgets) Enhance Community Provision Further scope and define an enhanced community model with learning disability Shift provision to a ‘Home’ Intensive community team (LDCT) members and Experts Treatment model (HIT) with Direct Experience Complex Care Support 24/7 combined Review capacity of existing LDCTs to deliver with Supported Living additional functions MDT review/support Medicines Management Apply learnings from Bootham Hospital in-patient
The aim is for people to have access to enhanced community services delivered by a workforce that is confident in community risk assessment and management. We plan to work with our NHS and local authority providers to develop knowledge so that teams are able to provide: Effective and accurate discharge planning from in-patient services with respective partners and advocacy which will include comprehensive and rapid assessments encompassing Offending and criminogenic need delivering community risk assessments identifying trigger factors to past and future risk behaviours Treatment plans addressing trauma and presenting comorbidity factors. Where required brief hospital in-patient admissions for mental health needs. Effective case management by skilled practitioners including criminal justice partners where applicable Schema focused interventions Effective use of Conditional Treatment Orders Good sign posting when recognised the service user is struggling to manage behaviour that challenges People in out of area placements will be supported to come home. Support training in Police, Probation and Criminal Justice systems to help recognise learning disabilities and/or autism and provide appropriate response Remodelling, operational changes and commissioning new services Subject to further scoping, financial planning, releasing in-patient resource, and being awarded new funding to ensure the right future and sustainable resources are in place, by March 2019 the TCP aims to: Intention Actions Reduce reliance on inpatient care Reduce admissions to inpatient learning disability services Reduce learning disability inpatient beds Reduction in Length of Stay Sustainable and effective crisis support allowing for Early Intervention – enhanced home intensive support teams in the community Reduce in-patient beds – close eight bed in patient service by May 2016 Secure relevant funding / resource to: Develop the skill set within commissioned workforces and with family carers in Positive Behaviour Support (PBS) to allow for emergency response within the community in order to prevent admission Work with providers to create models of community care that meet seven day services and provide wrap-around 24 hr care support; personalised, tailored, with a bespoke range of choice (encouraging the uptake of personal health budgets) Enhance Community Provision Shift provision to a ‘Home’ Intensive Treatment model (HIT) Complex Care Support 24/7 combined with Supported Living MDT review/support Medicines Management Further scope and define an enhanced community model with learning disability community team (LDCT) members and Experts with Direct Experience Review capacity of existing LDCTs to deliver additional functions Apply learnings from Bootham Hospital in-patient
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