Vocational Rehab
Pathway
Life Skills Team
NHS Grampian
Background/context

Realising Work Potential – Defining the contribution
of Allied Health Professionals to Vocational Rehabilitation in Mental
Health Services: The Way Forward

Towards Work in Forensic Mental Health:
National Guidance for Allied Health Professionals A Review to
Government by Jean McQueen
Blair Unit
Vocational Rehabilitation Pathway
3 stage approach –
 Stage 1: Engagement, Assessment and
Planning
 Stage 2: Individual ready for placement in
education/work/volunteering out with unit
 Stage 3: In work support to maintain post
Flowcharts
 Organisations
 Referral route
 Risk assessment, consent, disclosure
 Restricted patients
 Screening sheet
 Work plan
 Consent to share information

Benefit of employment role
for patient identified and
agreed at CPA meeting
If required a plan will be drawn
up by the OT and key nurse with
the patient, documenting any
actions to be adhered to (such
as calls between ward and
agency to inform that patient has
left and arrived etc. Details
review dates for the plan should
also be documented). This will
be filed in the nursing notes and
OT patient file.
Within the OT treatment plan
there will be details of how the
clients progress within the
resource will be communicated
back to the OT and/or team
Mental health social firm is
identified as possible
appropriate placement for
client
Visit resource with patient to
gauge their level of interest and
to clarify if resource and support
offered meets the patients
needs
If the patient
wishes to pursue
Check how the agency
stores patient
information to ensure
this meets patient
confidentially standards
EMPLOYMENT
PATHWAY FOR A
RESTRICTED/MAPPA
PATIENT TO A SOCIAL
FIRM
The key nurse will send details of
the opportunity to key agencies
(i.e. police etc) through the CPA
process
Once documented, the Support Plan is shared with the
patient and agreed. Written consent is sought from the
patient for this to be shared with the agency. Consent
should be documented on the ‘Consent to share
information form’ (see appx 3)
HCR 20 and risk assessments in CPA
documentation are used to identify any
risk, either current or a future risk, which
may be anticipated as a result of the
placement happening
And / or
A trained risk assessor should assess
any risk that may be posed by the
individual working in the environment, by
completing the ‘Generic Risk Assessment
Form (RA1 Version August 2007) on
Intranet (See appx 1.)
Feedback detail and outcome of risk
assessment at MDT meeting
If team are happy to pursue a referral, agree the information
to be shared via a Support plan with staff and patient (see
example of this in appx 2).
Lisa Jamieson, Occupational Therapist 2010
Outcomes
Work in progress
 Consistency
 Promotion of VR
 Other services


Watch this space…