Reshaping Penumbra
How developing a
personal outcomes tool led
to the reshaping of
Penumbra.
Nigel Henderson
Chief Executive
©Copyright Penumbra 2010
Penumbra
• Established in 1985
• Significant provider of person-centred social
care services for people with mental health
problems
• Employs 400 people in 35 locations.
• Supports over 1000 adults and young people
each week.
• Turnover of £9.5 million
• Works in 16 local authority areas
• Significant history of innovation
©Copyright Penumbra 2010
Vision
Penumbra envisages a society
where people with mental
health problems expect
recovery and are accepted,
supported and have the
resources to fulfil their potential.
©Copyright Penumbra 2010
Values
• People can and do recover from mental ill
health.
• People have equal human value regardless
of their situation or ability and have the right
to dignity, respect, privacy and choice.
• People should be enabled to exercise control
over their own lives by means of real choice.
• Penumbra’s services should provide person
centred support on an ordinary scale
wherever possible.
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Recovery
Recovery is a way of living a satisfying,
hopeful and contributing life, even with
limitations caused by (mental) illness
(W Anthony, Boston University)
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Recovery
Recovery
isn’t
waiting for the
storm to pass…..
It’s learning to
dance in the
rain…..
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What we did
• Asked the ‘so what?’ question.
• Worked with Intrelate to create a web based
client database and recovery tool.
• Developed outcome indicators and
questionnaire.
• Tested with over 40 service users.
• Launched first I-ROC internally in 2010.
• Developed first HOPE toolkit.
• Over 4000 people now on database.
©Copyright Penumbra 2010
Validation
• Knowledge Transfer Partnership (KTP) with University of
Abertay,Dundee
• Tested reliability and validity of I-ROC compared with 2
established recovery measures
• 175 services users took part in research and focus
groups
• Results peer reviewed and published in Academic
Journals
• Research Conferences
• Launched revised I.ROC in 2012
©Copyright Penumbra 2010
Model for Improving Wellbeing
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I.ROC - Measuring Wellbeing
4 Areas of HOPE
12 Wellbeing
Indicators
6 Point Scale
Recovery
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Questionnaire
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Guidance
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Toolkit
Personal
Planning Tools
Well-Being
Tips
Resource Links
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i-ROC
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Leading Change
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Four Key Changes/Shifts
1.Passive recipient
Student of wellbeing
2.Care
Coaching and learning
3.Services
Service
4.Measuring outputs
Measuring outcomes
©Copyright Penumbra 2010
Change 1- students of wellbeing
• Held Regional Roadshows.
• Established a self directed support ‘champions’
group who developed a DVD, held events and
developed information leaflets.
• Developed the revised HOPE toolkit with ‘tools,
tips and techniques’ to ensure person centred
plans and actions.
• Opportunities for people with lived experience to
become facilitators or peer support workers.
©Copyright Penumbra 2010
Change 2- coaching and learning
• Developed a new competency framework for all
staff.
• Created new roles - Recovery Worker, Recovery
Practitioner, which gives staff a career structure.
• Restructuring of frontline staff into accountable,
autonomous small teams (3-4 people), led by a
Recovery practitioner.
• Training in coaching techniques.
• Created and developed Peer Support Worker
roles. (26 posts in Penumbra out of 36 across Scotland)
©Copyright Penumbra 2010
Change 3- service
• Cultural shift from ‘wholesale to retail’
• Developed a menu of services and activities e.g
NOVA service and powwows (workshops on
wellbeing)
• Template developed for outcome focused
personalised support plans
• Provided 24 hour leadership retreats for all
managers. (Reflect/Refocus/Recharge)
• Developing training in ‘customer service’.
©Copyright Penumbra 2010
Change 4- measuring outcomes
• Developed and validated I.ROC with service
users and staff.
• Delivered I.ROC and HOPE training to all staff.
• Further pilots being developed to test I.ROC in
other settings e.g. older peoples services and a
CMHT.
• Partnerships with other organisations who are
now using I.ROC helps build the evidence base.
©Copyright Penumbra 2010
Mental health
Life Skills
Safety and Comfort
Physical Health
Exercise and Activity
Employment and Skills
Personal Network
Social Network
Valuing Myself
Participation and Control
Self Mmgt
Hope for the future
Individual/Service/Organisation Results
1.20
1.00
0.80
0.60
0.40
0.20
0.00
©Copyright Penumbra 2010
Outcomes Based Approach
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Conclusions
•
•
•
•
We are on a journey.
We know where we are going.
We have methods to measure progress.
We have a dynamic, outcomes oriented
framework.
• We have created energy and excitement.
• We can provide continuity without
uniformity.
©Copyright Penumbra 2010
We provide Hopeful support
‘One of the most important things was
that the staff were able to hold the
hope for me when I was unable to hold
it for myself’
©Copyright Penumbra 2010
Thanks for listening
Contact details: Nigel Henderson
t. 0131 475 2380
e. nigel.henderson@penumbra.org.uk
Twitter: @sogalo
Web: www.penumbra.org.uk
©Copyright Penumbra 2010