Sussex Partnership Core Study Teams. Dr Bree Macdonald (Clinical Psychologist, Crisis Teams West

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Sussex Partnership Core Study
Teams.
Dr Bree Macdonald
(Clinical Psychologist, Crisis Teams West
Sussex; facilitator Sussex Partnership
CORE study).
• Results and areas of work within the teams.
• Challenges and positives from implementation
• The impact on the teams and services users of
implementation and involvement in the study
• What next in Sussex Partnership CRHT’s.
• Time for questions.
Sussex Partnership CRHT’s
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1. Brighton
2. Eastbourne
3. Hastings
4. Worthing
5. Crawley
6. Chichester
opted out
comparison team
resource pack team
resource pack team
comparison team
resource pack team
Resource Pack Teams – Worthing.
• Pre-score: 140
• Post-score: 153
• Main areas of work:
• 1,3,7,13,14,16,17,18,19,24,28,30
Resource Pack Teams – Hastings.
• Pre-score: 130
• Post-score: 148
• Main areas of work: 6,7,11,13,14,16,18,24,32
Resource Pack Teams – Chichester.
• Pre-score: 107.
• Post-score: 125-131.
• Main areas of work: 2,12,13,14,16,17,18,19,
24,26,30
• Sussex comparison teams both went down re
fidelity scores.
What worked well in the teams
(CORE MODEL)?
• The scoping days were a positive start for all teams
(engaged staff, motivated staff, interested staff, put
them in control).
• Facilitator role enabled the change to happen more
quickly.
• The structure of the process enabled change.
• The regularity and encouragement of the facilitator
kept momentum.
• When staff saw each others work they were motivated
themselves.
• It was a vehicle for reflection for the teams.
• Regular team meetings (reflect and momentum)
What worked well/positive outcomes?
• Service users are keeping the work.
• Staff fed back they feel good about the work.
• Staff feel service users are benefitting (why we
come to work).
• Work was largely embedded (good time scale)
What were the challenges?
• To keep going when the team is busy.
• When something new was introduced it was
clunky to get used to – took time.
• The interventions were not all the same for
everyone – but did we have time to allow for the
flexibility – i.e. capture in case notes if cannot do
care plan etc.
• When motivation was low.
• The resource pack in paper form?
• “It was hard work” “we do that anyway”
What Next In Sussex?
• Event in December 2015/March 2016 (sharing
the work).
• Increased communication between teams and
with the wider adult service (sharing the model).
• Myth busting re CRHT’s.
• Moving towards the development of a Single
Point of Access for local crisis care (informed by
poor scores in CORE on access). Reference.
• More joint local working (front door/WCHP).
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