Sponsors:
Mental Health Commission,
Health Service Executive,
St. Patrick’s University Hospital
and St. John of God Hospital.
An Introduction
Ms. Rhona Jennings
NMHSC - Project
 Topic Selection
 Individual Care and Treatment Planning that supports
Recovery – Quality Framework Standard 1.1(MHC, 2007)
 Participating Teams
 Ten sites, 11 teams across a range of services and age
groups
 Time Line
 November 2009 – April 2011
National Mental Health Services Collaborative
National Legal/Policy Context
2001:
2005:
2006:
2007:
2008:
Mental Health Act 2001
Quality in Mental Health
Services - your views (MHC)
Regulations S.I. No. 551 of 2006
Vision for Change (DoHC)
Quality Framework for Mental
Health Services in Ireland (MHC)
Building a Culture of Patient Safety
Quality Framework for
Mental Health Services - 2007
A systems approach to improving the quality of MHS;
Standards:
What a service user/carer can expect (point of
service delivery)
Rules/Regulations/Codes of Practice are integrated
Enablers:
what’s required to deliver the service user standards
Monitoring and Evaluation
Implementation
Mental Health Services Context
 Compliance in 2007 with Article 15, Regulations for
Approved Centres
 Very low compliance with care and treatment plans -18%
(Inspector of Mental Health Services)
 Self assessment of compliance - 83.6%
NMHSC
Objective
Generate change ideas and target
improvement measures relating to
individual care and treatment
planning to support recovery
Rationale – Methodology
 Service users /carers actively involved in all stages
of planning and implementation of the proposed
project
 Change ideas for implementation informed by
service user / carer experiences (process mapping)
 Methodology - evidence informed,
 Evidence that it has worked elsewhere in health
& in particular mental health services
National Mental Health Services Collaborative
Rationale – Methodology
 Build the capacity of the system
Implementation
 Sustainability
 Spread
 Outcomes focussed & time-bound
 Evaluation is an integral component
 Have a very good chance of success in the Irish
context

National Mental Health Services Collaborative
1
Pre – Project Planning
Phases
Project Plan
Initiation Phase
Teams selected/Governance Structures /
Knowledge Review/Evaluation
Training Needs identified/Measurement Tools/
Service Users journey mapped /Record base line
data
Implementation Phase
Plan/Do/Check/Act Cycles
2
3
Summative Phase
Record Outcomes/Spread the
learning/Evaluation Report
4
Starting Point
• Reference Group Meeting – 19th February 2010
 Group description


Identification of Learning needs
Map service users journey
 Establish National baseline
 Identify Gaps
 Expected Outcomes



Key improvement needed
Measurement tools
Learning needs identified
Learning Sets
 1st Session
 Learn about chosen topic
 Plan changes
 Agree on how changes are to be measured
 2nd & Subsequent Session
 Opportunity for teams to report on methods & results
 Learn from each others experience
Best Practice
ACT
Standards
Analyse
Mapping Journey/Needs Assessment PLAN
Identify learning
Align
Journey
Learning
Act
Implement Learning
Assess
Summative Assessment
DO
DO
STUDY
The Journey
 Positive Journey for Service Users/Carers and
Clinicians
 Active involvement
 Promote Recovery Approach
• Creating a supportive environment for learning and
improving
– Leadership
– Culture
• Creating a learning network
• Measuring and reporting on outcomes
Contact Details
Ms. Rhona Jennings
Email – rhona.jennings@mhcirl.ie
Telephone: (01) 6362400
National Mental Health Services Collaborative