Student Induction / Information Forensic Community Mental Health Team University contact details School information desk 02920 917999 Venetia Yarr, Practice Facilitator 02920 716387 Link Lecturer Nicola Evans 02920 917919 Cardiff University sickness and absence 02920 687878 Welcome to the Forensic Community Mental Health Team (FCOM) We hope that you will find the whole team friendly and supportive as you begin your practice placement here. Please feel free to ask questions and seek support from all individuals within the team. Every effort will be made to facilitate your ongoing development and education, and use of informal learning opportunities. Regards, Jayne Miller Integrated Team Manager The CPN Lead for FCOM is Laurence Doyle. The lead Mentor for this practice placement is Mark Austin. The role of the lead mentor is to ensure that you have a suitable mentor and co-mentor and act as a point of contact should any issues arise or you just need advice. On your first day either Mark Austin or your allocated mentor: ________________________should meet with you to welcome and orientate you to the ward and begin to discuss your objectives that you will hopefully meet on this placement. Venetia Yarr is the Practice Facilitator for this area. Venetia primarily supports mentors but is happy to assist you with any issues you may have. Venetia can be contacted on 02920 716387 or email Venetia.Yarr@Wales.nhs.uk The link lecturer for the ward is Nicola Evans who can be contacted on 02920 917919 or email evansng@cf.ac.uk. The link lecturer is your contact with the university and practice placement. Team Philosophy In line with the Adult Mental Health Strategy for Wales, the philosophy of this service is to provide effective, evidence based care to the service population. The emphasis being on care and treatment based on flexible, needs led, supportive community services for users, carers/relatives and appropriate statutory and voluntary agencies The Community Forensic Services serves to support users remaining out side of hospital, which is consistent with the WAG Adult Mental Health Strategy. “To promote support which will enhance the ability to cope, with the individual remaining in control of their lives and to facilitate integration of mental health users into all aspects of community life” (3.2 Aims page 10) The Community Forensic Services also strives to maximise user’s ability to function safely within the community without offending. This is also consistent with the aims of WAG to “Protect users, carers and the public from avoidable harm while respecting the right of users and their carers” (3.2 Aims page 10) Aims of the Service 1. To integrate and/or maintain clients in the community at the earliest appropriate point, with sufficient support, treatment and supervision to minimise the risk of premature readmission 2. To provide a comprehensive level of, assessment, treatment, support and monitoring of the clients medical, psychological and social needs whilst in the community 3. To collaborate and work effectively with clients, their families and other agencies to reduce any known risks associated with offending and recidivism. 4. To provide ongoing assessment and monitoring with respect to any identified risk, specifically risk and dangerous, to include public safety. 5. To provide a comprehensive, supportive community service to the low secure in-patient facility based at Whitchurch Hospital. The Service consists of: Community Forensic Team Court Assessment Service Probation Liaison Service HMP Cardiff Inreach Service Police DAPA (Diversion At Point of Arrest) service The Professional structure of the Team: Medical Psychology Nursing Social Work Occupational Therapy Administrative/Clerical Support Referral Sources Community Mental Health Teams Regional/Medium Secure Units Special Hospitals The Probation Service The Criminal Justice System The South Wales Police Force Voluntary Agencies Low Secure Wards Adult Mental Health Wards The Prison Service THE TEAM The FCMHT aim to provide treatment and support to mentally disordered offenders their families and carers in order to maintain them in their communities. To achieve this aim we not only work as a multi professional team but we also work very closely with other agencies. Multi agency work is vital if we are to provide the best possible service for our clients. The student who chooses to spend a placement with this team will have learning opportunities that are varied and interesting. They will be given the chance to work with people with a range of mental illnesses who have an offending history. They will be expected to be involved the ongoing assessment of risk of these clients. They will spend time with the court liaison nurses and become familiar with the court assessment scheme. There is the opportunity to be involved in working with the Probation service and carrying out mental health assessments under the supervision of the Probation Liaison nurse. They will learn about the HMP Inreach service and be able to visit the prison to see how this service works. There will also be an opportunity to spend time with the DAPA liaison CPN based at Cardiff Central Police Station. They will be part of a team that is involved in multi agency working and will have the opportunity to work with the police and probation services as part of the Multi Agency Public Protection Arrangements (MAPPA). The team holds referral and case load concerns meetings on a weekly basis which the student would be encouraged to participate in. CTP / 117 review meetings are held around every three months for individual clients and is an ongoing process which students would be expected to attend and contribute to. The student who requests to do a placement with the FCMHT would be invited to attend an informal interview. They would be expected to have a genuine interest in forensic psychiatry and would be encouraged to become involved in all the opportunities available to them during their placement. USEFUL TELEPHONE NUMBERS: CPN office Admin support (Cheryl) Laurence Doyle (CPN Lead) Mark Austin (Lead Mentor) Duty 02920 336095 02920 336082 02920 336053 02920 336081 215160 07980 029722 mob 07855 If you need to phone in sick or are not attending placement for whatever reason you must ring the CPN office and inform the team on one the numbers above. You must do this before the commencement of your shift/start time. Failure to do so will mean that you are marked as absent on your timesheet and the university will be informed of your failure to follow procedure. You must also ring the university’s sickness/absent hotline number and leave a message on the answer phone. The number is 02920 687878 Typical working hours for FCOM are: 0900-1700 or 0800-1600 We operate a lone worker policy within FCOM and it is the responsibility of all workers (including students), to inform the duty person that you are in at the start of the day, and that you are safe at the end of the day. Failure to comply with the lone worker policy may result in the police knocking at your door! THE EMERGENCY NUMBERS ARE: Cardiac Arrest - 2222 Fire - 3333 Security - 3333 THE STAFF The CPN team is led by Laurence Doyle. Other CPN’s / mentors within the team are: Julie roach Linda Hamblin Mark Austin Sharon Henry Paul Hamlett Simon Price Steve Madden THE MULTI DISCIPLINARY TEAM During your stay you will meet a variety of Health Care Professionals, all of whom would be involved in providing the highest level of patient care from admission through to a safe discharge home The MDT team includes: CPN ‘s Social workers Occupational Therapists Clinical Psychologists Psychiatrists Admin support EDUCATIONAL OPPORTUNITIES During your placement you are encouraged to utilise the expertise of other health practitioners and disciplines. You should discuss these visits with your mentor who will then liaise with the individual an appropriate time for you to work with them. HMP Prison Cardiff: Feroze Peerbaccus 20 923159 Vanessa Fowler 20 923159 Court Liaison Officers: Ken Campbell 20 474397 mob 07817 714648 Mark Donoghue: 20 474397 mob 07817 715744 Probation liaison officer: 20 394592 mob 07966 141461 Police Liasion officer: (DAPA) officer Rhian Brett 20 222111 ext 34025 mob 07837 530916 Ward West 3 Manager: Dave Williams ext 36351 Ward West 2A Manager: Mark Williams ext 36353 Occupational Therapy: Alex Hibbert ext 36568 Psychology: Dr Rob Kidd ext 36193 ABBREVIATIONS During your placement with the Community Forensic Mental Health Team, you will encounter a number of abbreviations. The list below is aimed as a guidance tool for you. It must be stressed however that the use of abbreviations is not encouraged in accordance with the NMC Code of Professional Conduct (2008). The most commonly used are: CPN – Community Psychiatric Nurse CTO – Care and Treatment Order CTP – Care and Treatment Plan (previously known as CPA – Care Programme Approach) DAPA - Diversion At Point of Arrest MAPPA - Multi Agency Public Protection Arrangements MARAC -Multi-Agency Risk Assessment Conferences RC – Responsible Clinician (Applied to the Mental Health Act, 2007) Mental Health Act (1983) updated (2007) - Part 3. Patients concerned in criminal proceedings or under sentence. Key sections of part 3 of the MHA that will frequently apply to patients receiving care and treatment from the Forensic CMHT (and inpatient services) include: 37 – Hospital Order (as a section 3); admission of a patient to a named hospital for an initial period of up to 6 months and following renewal periods of 6 months to 1 year. 37/41 – Hospital order with restrictions as directed 41 – Order restricting discharge. This is often applied to patients who have committed more serious offences. The Home Office becomes responsible for granting leave and hospital discharge. 136 – Mentally unwell patients found in a public place. This allows a police officer who finds a person appearing to be suffering from a mental illness, who is in a public place, to remove them to a place of safety if they appear to be a risk to others, themselves or the person appears in need of immediate mental health care. MHA Part 4: Consent to treatment 117 – After care. Section 117 was introduced in the MHA (1983) and defined statutory provision for after care of patients detained under the MHA. It is the responsibility of the RC and MDT to ensure all patients needs have been correctly and fully assessed and that all needs are addressed via the patient care plan prior to granting leave or discharge. SUGGESTED READING MAPPA Guidance: http://www.justice.gov.uk/downloads/offenders/mappa/mappa-guidance-2012part1.pdf The Maze: Mental Health Act 1983 Guidelines (Revised 1999). Maudsley Hospital. Induction Checklist All students must receive a departmental (local) induction on the first day of their clinical placement. Mentors must complete this with you - if your mentor or another staff nurse does not complete this, please inform Mark Austin or Laurence Doyle. Your mentor will… Welcome you and give you an orientation to the department/team within the Trust and discuss the Trusts Mission Statement Give you an understanding of the site layout Advise that any sickness/absence is reported to both college & wardthe number and who to report to is listed below Explain the necessity of wearing an identification badge. Introduce you to team members Advise who you report to Explain how you can obtain advice/support Introduce you to your place of work / base etc. Explain housekeeping arrangements – and show you the location of toilets, catering facilities, lockers, notice boards etc. Explain where personal belongings can be safely stored Explain the bleep system and priority (if appropriate) Point out the location of items used in the course of employment (forms / dressings/stationary etc). Explain the department’s dress code Confirm hours of work, breaks, shifts etc. Highlight/explain any other departmental policies / procedures / strategies / protocols e.g. POVA/POCA Advise on the departmental greeting for answering the phone Explain the permitted use of mobile phones/ texting etc. Completed (tick) Yes N/A Health and Safety Your Mentor will… Completed (tick) Yes N/A Point out the location of fire exits and emergency numbers Point out the location of fire evacuation assembly points Explain the fire procedures and different types of alarms Explain the Incident Reporting procedure Explain infection control and hygiene requirements (as appropriate) Provide Information / instruction on the safe use of all equipment relevant to the performance of the job. I confirm this checklist has been completed and understood as indicated above Student’s Signature Date Mentor’s Signature Date