Systems, practices and care planning
Systems, practices and processes are the design features of care that support consistent care coordination, practice, approaches and implementation.
Collaboration enables health service staff to learn about a person’s strengths and strategies for self-management.
People with lived experience of mental health issues collaborate in assessment and care planning to inform and direct their care.
Topics
- Collaborative care planning
- Collaborative workforce
- Local policy and practice
- Trauma-informed recovery oriented approaches
Advance care directives
Family and carer involvement
Safety or continuum plans
Evidence
A range of systems and tools can reduce the use of restrictive interventions. These include:
- local policy and practice guidelines20
- organisational priority and responsibilities for change2122
- collaboration with people with lived experience, their families, kinship groups, and carers to identify opportunities and collaborate for areas of improvement22123
- person-centred, trauma-informed recovery oriented care and practice approaches that are culturally appropriate2324and
- collaborative care planning approaches to develop individualised plans and strategies to improve experiences and outcomes of care.2224
Resources
- Agency for Clinical Innovation. Consumer Enablement Guide. Sydney: ACI; 2019
- Agency for Clinical Innovation. Action Plan Template for Seclusion and Restraint Prevention Plan from a Consumer’s Perspective. Sydney: ACI; 2018
- Australian Commission on Safety and Quality in Health Care. National Safety and Quality Health Service. Standards User Guide for Health Services Providing Care for People with Mental Health Issues. Sydney: ACSQHC; 2018
- Blue Knot Foundation. Trauma-informed Care and Practice. Sydney: Blue Knot Foundation; 2019
- Central Coast Local Health District. REACHing for help. CCLHD: 2019
- Clinical Excellence Commission. REACH. Sydney: Clinical Excellence Commission; May 2017
- Gaskin C, Dagley G. Recognising Signs of Deterioration in a Person’s Mental State. Sydney: ACSQHC; 2018
- Headspace. Evidence Summary: Shared Decision-Making for Mental Health - What is the evidence?. Orygen Youth Health Research Centre; 2012
- Mental Health Australia. A practical guide for working with carers of people with a mental illness. MHA; 2019
- Mental Health Co-ordinating Council. MHCC Mental Health Rights Manual; Chapter 5 Section F: Advance Care Directives. Sydney: MHCC; 2015
- North Coast Primary Health Care Network. Person-centred Health Care. North Coast Primary Health Network; 2018
- Orygen: The National Centre of of Excellence in Youth Mental Health. Clinical practice in youth mental health: What is trauma-informed and how is it implemented in youth healthcare settings?. Orygen; 2018
- Queensland Government. Advance health directives – QLD example. Queensland Government: Dec, 2017
- Royal College of Psychiatrists. Reducing Restrictive Practice programme. London: Royal College of Psychiatrists; 2019
- South Australia Health. Mental Health Restraint and Seclusion Toolkit Fact Sheet 4: Personal Prevention Plans. Adelaide: SA Health; 2018
- Stirling C, Aiken F, Dale C, Duxbury J. Reducing restrictive practices checklist. Restraint Reduction Network; 2016
- Sydney Local Health District. Are you or your carers worried about a recent change in your condition?. SLHD; 2018
- Western Sydney Local Health District. REACH - Adults. WSLHD; 2019