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My Shared Pathway campaign Using art as a vehicle to promote Recovery and Wellbeing

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A group of service users and staff from the Edenfield Centre, entered and won a bid for financial support from “GMW Dragon’s Den”* to fund an art project. Their aim was to raise awareness of Recovery and My Shared Pathway and improve understanding for service users, their carers and staff. Art was introduced throughout the unit to help promote the recovery agenda and highlight individual steps service users can take to facilitate their discharge.

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The project has two distinct elements: Recovery Map The Recovery Map was designed as a collaborative focal point for the My Shared Pathway Campaign. It highlights the importance of the recovery mantra, and engages service users, carers and staff to share their thoughts and feelings about the recovery journey. It is now displayed within the AFS. Floor Stencils The floor stencils were designed to reflect the pathway that service users are on, and the goals and outcomes they are working towards. By displaying the recovery journey very visually throughout the centre; service users, staff and carers are given the opportunity to reflect on how much progress has been made, and what the next steps need to be.

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At the heart of this project is the Recovery Map, which is a piece of art created from an Ordnance Survey Map of the Lake District. This was chosen because the wards in the Edenfield Centre are named after places in the area. The recovery mantra was stencilled onto the map, and the artwork was developed further during a collaborative session with service users, carers and staff. The group was asked to share their thoughts and feelings about the recovery journey and add them to the map on a Post-It note. The completed map was then used as a key talking point for World Mental Health Day.

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Outcome Plans and Progress – Pathway Steps My Mental Health Recovery Stopping My Problem Behaviours Getting Insight Recovery From Drug And Alcohol Problems Making Feasible Plans Staying Healthy My Life Skills My Relationships

Floor Stencils

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This part of the project introduced a form of street art to the Edenfield Centre. Statements and quotes that reflect the needs and aims of service users were stencilled onto walls and floors in one of the courtyards. The stencilled pathway steps answer the following guiding questions: ‘Where am I now?’, ‘Where do I want to get to?’, How do I get there?’ and ‘How can I tell how I’m doing?’.


The art project was designed with positive clinical outcomes in mind. It works to improve user and carer engagement within the service as well as to raise awareness of what the Edenfield Centre aims to offer service users: the support to engage therapeutically in their own recovery and clinical pathway.

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Introduction What is My Shared Pathway? This is a new way of planning your recovery pathway through Secure & Forensic Services. It is being used in Forensic and Secure Services across England and Wales and has been developed with the assistance of service users. My Shared Pathway has been developed to help ensure that you stay in hospital only as long as you need to.

What is an outcome? This is something that tells us how you are doing in a particular area of your life, such as your mental health. The Milestones to Recovery have been included in the workbook on My Outcome Plans to help with identifying where you are now and where you want to be. What will it involve? This will involve working together with your care team using the following two workbooks to work through a set of questions which will help you to discuss your needs with staff and agree goals.

1) A  shared understanding This is about you: The events which led to you being admitted to hospital, your mental health and what your needs are and what information you might want. 2) M  y Outcomes Plans and Progress This is about finding out how you are doing in a particular area of your life such as your mental health recovery and helps us to know how your treatment in hospital is going. We will follow four Pathway Steps to help us monitor your progress and set plans for the future. These Pathway Steps are:

» Where am I now? » Where do I want to get to?

» How do I get there? » How can I tell how I’m doing?

Pathway Pointers In order to help you with working through My Outcomes Plans and Progress there are some questions provided called ‘pathway pointers’. These can be used to work on the eight areas with assistance from your primary nurse or with someone who you feel comfortable with from the ward or the clinical team.

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My Outcomes Plans and Progress This part of My Shared Pathway is divided into eight outcome areas: A. My Mental Health Recovery Focuses on supporting you to understand and manage your mental health difficulties and cope with stress.

D. Recovery From Drug and Alcohol Problems. Focuses on any drug and alcohol problems you may have and the interventions to manage this while in hospital and on discharge. E. Making Feasible Plans Focuses on ensuring you have adequate plans once discharged from secure care.

B. Stopping My Problem Behaviours Focuses on my problem behaviours and what may influence these, interventions to reduce risky behaviours and on how these risks can be managed in the future.

F. Staying Healthy Focuses on effective management of physical health.

C. Getting Insight Focuses on how much understanding and acceptance of your mental health and risk behaviour there is and the link between them.

H. My Relationships Focuses on relationships with family, peers and the clinical team and addresses the issues of inappropriate sexual behaviour should this be needed.

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G. My Life Skills Focuses on supporting meaningful and varied activity including self-care.

The process for using My Outcomes Plans and Progress will be: • With the support of your primary nurse you will score your progress using the outcome scales to review what progress you have made in achieving the therapeutic objectives in Milestones to Recovery. (Where am I now?) • The clinical team will score your progress using the outcome scales, review progress made against achieving the therapeutic objectives in Milestones to Recovery and develop a draft Outcome Plan identifying therapeutic objectives to focus on. (Where do I want to get to? How can I tell how I am doing?)

• With the support of the primary nurse and other members of the clinical team you will review the draft Outcome Plan and agree how the objectives will be achieved (How can I get there?) • Prior to the next CPA/ Pathway meeting, the process will be repeated and achievements noted. • Copies of the outcome framework including the Summary Outcome Plan will be kept in your Recovery Folder and as a document in the Care Co-ordination Review on ICIS which will be updated at least annually.


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Contact the Trust Greater Manchester West Mental Health NHS Foundation Trust Bury New Road Prestwich Manchester M25 3BL Telephone Email Website

0161 773 9121 communications@gmw.nhs.uk www.gmw.nhs.uk

“GMW Dragon’s Den” bid: Using art as a vehicle to raise awareness of Recovery and My Shared Pathway Bid team: Alan Shepley, ward manager of Grasmere Ward, Edenfield Centre AFS, and service user representatives. Art direction and photography: Alan Shepley Brochure Editorial and design: Astrid Johnson and service users AF, PH, AO and ND for SMaRT Design & Print (SMaRT Socially-Minded & Responsible Trading™. That’s SMaRT!), a social enterprise operating for First Step Trust. First Step Trust (FST) provides work and training opportunities for people with mental health issues or other disadvantages including drug and alcohol recovery problems or a history of offending. At the Edenfield Centre FST is running a shop, a painting and decorating business, a car valeting service and a graphic design studio. Patients from the Edenfield Centre are taking part in the work as workforce members. First Step Trust. Charity No: 1077959. Date June 2013

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GMW NHS My Shared Pathway brochure 2013