Outcome Measurement

Our expert clinical team has a specific set of clinical measures and processes that allow us to maintain a detailed and objective view of the service user’s recovery journey.

Initial Assessment Period
Within the first 2-4 weeks we assess and plan to produce the following:

  • Personalised timetable of activity
  • Baseline Physical Health Monitoring assessment and associated care plan

Within the first 8 weeks of admission we complete an effective baseline assessment of need through completion of:

  • Model Of Human Occupation Screening Tool (MOHOST)
  • Recovery goal planning interview
  • Recovery Star
  • Personal, social, developmental and psychiatric history assessment

In addition to this we continue to provide:

  • Treatment and psychoeducation regarding benefits of continued treatment
  • Additional support for physical health needs, which would include promoting healthy lifestyle choices through
  • Offering a nutritionally balanced, portion controlled Menu has been devised with a Nutritionist to ensure it is balanced and healthy
  • And any other person-specific interventions that are clearly identified as necessary prior to admission

Initial CPA Review
At 8 weeks, we convene a multi-disciplinary CPA review to develop and negotiate an appropriate plan of care founded on the baseline assessments, routine observations and contacts.

Ongoing treatment, assessment and measurement
We offer an MDT review every 3 weeks to discuss progress and review care plans.
At 3 months, we convene a further multi-disciplinary CPA review to appraise the efficacy and appropriateness of the care plans, and to develop and negotiate any changes to plans.
Following this, CPA reviews are routinely convened every 6 months, unless there is a significant change in circumstances which necessitates an earlier review.

The following assessment tools, alongside any person-specific assessments, are completed prior to each CPA review:

  • Recovery Star
  • Model Of Human Occupation Screening Tool (MOHOST)
  • Quality of Life assessment
  • Recovery Goal Planning Interview
  • Residential Rehabilitation Engagement Scale

All activities are tailored to individual needs and wishes based on the assessments completed during the initial assessment period, prior to CPA reviews and using the SAFE (Shared Assessment, Formulation and Education) approach to develop detailed, supportive care plans in partnership with service users.

The SAFE approach delivers:

  • an integrative model for understanding risk and problematic behaviour.
  • shared risk assessment and management processes using the START risk assessment tool.
  • approaches to reducing team and carer barriers to effective care.
  • a formulation-driven strategy for managing complex and challenging behaviours.

Involving the whole team in delivery of the SAFE approach affords the clinical multi-disciplinary team the opportunity to develop plans for promoting safety, as opposed to plans that are focused around ‘managing’ and ‘preventing’ risky behaviours.

Short-Term Assessment of Risk and Treatability (START) assessments and person-specific clinical formulations are completed and reviewed annually as a minimum and more frequently if required.