Living Well & Support Plan

Recovery & Support PlanWhat is the Recovery & Support Plan?This is your personalised Recovery & Support Plan. The idea is that you use this with your care team to plan your care and support. This is also the document to use if your care and support is offered through the Care Programme Approach (CPA) or if you are in receipt of a Personal Budget or Personal Health Budget.The plan includes sections to help you think about what you can do to meet your personal goals and stay well. It is also an opportunity for you to let others know how they can best support you. You may wish to have a friend, carer, key worker or perhaps an advocate help you to complete the plan. This plan should be about your own ideas and experiences, so try to come up with responses on your own before asking someone else for suggestions. This plan is owned by you. However, you may wish to share it with your carer, friends or relatives. Your mental health worker will input this information into your care plan and upload it to your electronic record.Service user and carer informationMaking good choices depends on having the right information at the right time. We aim to share information with you so you can be fully involved in decisions about your treatment and care. This includes information about our services, mental health conditions, treatment and care, wellbeing, medication, your rights and responsibilities and on practical issues such as housing, benefits, activities, local support groups, education and employment. Please ask your mental health practitioner for further details/leaflets (a good starting point for service users and carers is the leaflet called ‘information for patients and carers: what you can expect from us’ or look on the patients' and carers' pages of the SLaM website www.slam.nhs.ukA Freeform Recovery & Support PlanYou may wish to write, audio/video record or draw your plan in your own style. If so, try to include as many/all of the questions within your freeform plan. If your support worker or care coordinator feels there is something missing that should be in there, they’ll discuss this with you and then you could decide to include it in your freeform plan on your behalf.Recovery & Support Plan (SLaM) 1 Your Name: Date:Did anyone help you complete this form?Who? (name/s & organisation/s):Recovery & Support Plan (SLaM) 2 Recovery & Staying WellThe terms ‘recovery’ and ‘staying well’ mean different things to different people. Think about what these words mean to you.There is no right or wrong answer. If you don’t have any ideas just now, you can come back to this section later.Against some of the questions are some suggestions to help you think about your answerWhat is important to me?Think about:  who you are  the important people in your life  your culture  your interests  your likes and dislikes  your lifestyle  your hopes for the futureRecovery & Support Plan (SLaM) 3 What does staying well mean to me?How do I know when I am well? Try to describe yourself when you’re feeling well…When I am well I am…….What do I see as my strengths?Recovery & Support Plan (SLaM) 4 What, if anything, would I like to be different in my life?How will I stay in control and safe?Think about:  who you might want with you during a meeting with a benefits worker  who you’d like to help you manage your money  how you are involved in decisions if others help you to make themRecovery & Support Plan (SLaM) 5 What supports me to communicate more easily with others?Think about:  things you find hard talking about  how people can support you in a conversation  times when anxiety makes it harder for you to talk or write about thingsRecovery & Support Plan (SLaM) 6 What I do / am going to do each day to stay wellThis section is for you to think about things you do to stay well and to ensure you stay safe. This is a record of things you can do everyday to help keep yourself feeling all right. Writing these down can be a good way of keeping them in mind and also helping you to notice any changes to your routine. Some examples:  Eat three healthy meals  Take prescribed medications  Participate in paid or unpaid employment  20 minutes of relaxation / meditation  Go for a walk  Meet up with a friend  Call a friend or neighbour  Plan a pleasurable activity  Receive a visit from my personal assistant  Attend a support group  Go to bed by ... and wake by …  Go for a bike rideWhat I Do Time/s Why I Do ItEg. Go to the Lambeth Alternative Therapies Clinic for 30mins/week Acupuncture helps me to relax. The therapist, who’s a good acupuncture friend of mine now, also helps me to think about some of the things on my mindWho Has Agreed This? (Check all that apply) Service user  SLaM Staff g  Family/Friend/Carer  Other (Please specify below)Recovery & Support Plan (SLaM) 7 Changes and Early Signs – Contingency PlanningHave there been any changes you have noticed during the period before becoming unwell? These might be changes in your feelings, thoughts or behaviour. You may also have developed coping strategies that seem to help or identified things to avoid. Some examples include: Go for a walk, Plan a pleasurable activity, Practice relaxation techniques, Leave the room if things are too tense, Find a distraction, Visit friends or family, Take a break from stressful activities, Tell someone you trust.Some Examples:  Feeling unmotivated and having no energy  Feeling anxious, agitated or restless  Racing thoughts, disturbing dreams  Spending more time alone or not going out  Changes in sex drive  Dwelling on thoughts or worries  Changes in sleeping  Increased use of alcohol / drugs  Feeling irritated or easily frustrated  Suspicious, worrying or unusual thoughts  Feeling confused or distracted  Hearing things that others don’t  Unable to cope with everyday tasks  Feeling irritated or easily frustrated  Changes in eating  Difficulty making decisions  Missing appointments  Racing thoughts, disturbing dreamsChange / Early Sign What Helps What Makes Things WorseEg. I don’t go to work more than a coupe of Some to give me a call and check in on how Someone making an unannounced visit at my flat days in a row without calling someone I’m doingWho Has Agreed This? (Check all that apply) Service user  SLaM Staff g  Family/Friend/Carer  Other (Please specify below)Recovery & Support Plan (SLaM) 8 Life Events and TriggersYou might have noticed problems or stresses in your life at a time when you started to feel unwell, perhaps just before your most recent contact with mental health services. Some of these may be triggers for you, meaning they might cause an increase in your symptoms or distressing experiences. You may wish to provide further details about some of these events or triggers. Then think about what things help you to cope with them.Think about: Relationships: Work, Housing and Finances: Legal/Forensic:  Death of loved one or pet  Losing my job  Sentence or Court Case  Family friction, stress, arguments  Going on sick leave  Probation  Feeling frustrated with others  Moving home  Immigration Issues  Prejudice or discrimination  Getting into debt or getting a big bill  Being a suspect or victim of a crime  Becoming isolated or lonely  Problems with housing, eviction notice  Being judged, criticised or put down  Changes to my benefits or financial support  Things that remind me of abandonment Trigger Coping StrategyEg. Someone who’s currently supporting me to leave or handover their Someone to give me a fair amount of notice of to any change in the support role to a colleague without telling me way I’m supportedWho Has Agreed This? (Check all that apply) Service user  SLaM Staff g  Family/Friend/Carer  Other (Please specify below)Recovery & Support Plan (SLaM) 9 What You Can Do In a CrisisThis section is to help you to think about what you and others should do if you become unwell. This is called a Crisis Plan. If you wish, this section can also serve as an advance statement (speak to your mental health worker for more info). If you already have written advance directive/decision, you should attach it to this document.Getting Help from Others: You may find that one of the things you need to do for yourself in a crisis is to ask for help and support from other people. This section provides an opportunity for you to let them know about your preferences and wishes regarding support and treatment. It is important to write these down, as you may find it difficult to make your wishes known in the midst of a crisis Who can you contact (or others contact for you) should you become unwell? (eg: Carer friends, family members, care co-ordinator, member of faith group, your personal assistant or a peer supporter)Name Relationship Contact DetailsWho Should Do What: Now let’s consider who might support you and how they can help. Recovery & Support Plan (SLaM) 10 Are there things others can do to help reduce your symptoms or make you more comfortable? Note: you may need to ask the people on this list whether they can help in this way.What Needs to be Done Who’s Agreed to Do thisEg. I want to be supported to stay in my home and have a better night’s My GP, me, my brother sleep Who Has Agreed This? (Check all that apply) Service user  SLaM Staff g  Family/Friend/Carer  Other (Please specify belowRecovery & Support Plan (SLaM) 11 Things others might do (or did in the past) that would not help or make things worse (including people I don’t want contacted):What I want my supporters to do if I’m a danger to myself or othersTypes of support have worked in the pastPreferred Medications and WhyRecovery & Support Plan (SLaM) 12 Are there any unacceptable medications and / or treatments?Personal budgetDoes you have a personal budget?Yes – If yes, go to Goals, Aspirations and Personal BudgetsNo – If no, go to Goals and AspirationsRecovery & Support Plan (SLaM) 13 Goals, Aspirations & Personal BudgetIndicative BudgetThis section is where you describe your goals, aspirations and how you plan to use your personal budget to help you achieve them – the details that come together to support you make changes in your life, the things you feel will help you to live the life you want to.1) Describe what a personal goal is, and how you’ll know when you’ve achieved it. 2) You then need to describe how you plan to achieve your goal, including any support you might receive 3) Mention who will provide the support/service/activity 4) If there’s a cost associated with the goal, you need to say whether it’s an ongoing cost or one off for the year 5) You then have to detail how the cost is broken down, see the example below 6) Calculate the total cost for the yearPersonal Goal What I’m going to do Support Provided By Cost Type How will this cost Cost Calculation Total (including any (Ongoing or one be managed Cost/annum support I need) off) Eg. Feel more Someone to help me Personal Assistant Ongoing Third Party £10 x 3/week £1560 confident to be part of my local about my community ability to meet new people and my fitness levelTotal Personal Budget (from above costs) £Recovery & Support Plan (SLaM) 14 Goals and AspirationsThis section is where you describe your goals and aspirations – the details that come together to support you make changes in your life, the things you feel will help you to live the life you want to.1) Describe what a personal goal is, and how you’ll know when you’ve achieved it. 2) You then need to describe how you plan to achieve your goal, including any support you might receive 3) Mention who will provide the support, if anyPersonal Goal What I’m going to do Support Provided ByEg. Feel more confident Someone to help me to join the Vital Link Peer Support about my ability to meet new Brockwell Park tennis club people and my fitness levelTotal Cost: £Recovery & Support Plan (SLaM) 15 Sometimes there may be disagreement about what's in your plan or other comments. Please describe below:Comments: Recovery & Support Plan (SLaM) 16 Agreement & SignaturesInformation and Sharing:I agree that the information in this plan can be shared with the other organisations that are involved in providing me with supportPersonal Health Budget:I agree to use my Personal Health Budget solely for the support and services agreed in this planI agree to keep all records of expenditure (receipts and/or a journal) and to produce them when asked by the council, NHS or it's agent(s)My Recovery & Support PlanThis is my Recovery & Support Plan. I was involved in writing it and I understand what’s in it.My Name Signature & DateCarer Signature & DateStaff Completing Signature & DateManager Signature & DateDate support plan signed off at panel:This Support plan will be reviewed no later than: Recovery & Support Plan (SLaM) 17 Outcomes and Panel – For Care Coordinators OnlyMatching Outcomes against the Personal Goals described in the Recovery Support Plan will help you and panel members think about how a personal budget is making difference to someone’s recovery. This information will be used during all personal budget reviewsComplete the outcomes below for all personal goals that have personal budget funding against ThemGoal 1Eg. To learn new computing skills and find employment Outcome6. To achieve economic well-being and have access to work and/or benefits as appropriateSummary (incl. support, risk, risk management)For Reena to meet with her personal assistant for 2 hours each week discover where togain new computer skills, explore where she can sue these in employment and then to be supported to find employment/vocational support.Recovery & Support Plan (SLaM) 18 CPADo you meet CPA criteria?Section 117Are you on/need to remain on section 117 aftercare (please see sect. 117 policy)? Yes  NoFinally please indicate here that the service has been offered a copy of their plan Yes  No Tick if offered to service user Recovery & Support Plan (SLaM) 19

Living Well & Support Plan

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