#WeMHNs - Monday 12th October 2015 8pm (GMT Standard Time) Involving People In Care Planning- Barriers and Challenges

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Hosted by WeMHNurses using #WeMHNs

Enhancing the Quality of User-Involved care Planning in mental health services.

Our next chat on Monday 12th October 8pm looks at care planning and explores why people continue to feel excluded from involvement in planning their care.

INTRODUCTION

 

Enabling service user involvement in care planning is a principle enshrined by contemporary mental health policy and guidelines and a potentially effective method of improving the culture and responsiveness of mental health services in the UK. Yet despite the consistency of this political rhetoric, the majority of service users and carers continue to feel marginalised in the planning of their care.

 

The reasons underpinning a sustained lack of policy influence on practice are unclear. We sought to address this evidence gap by conducting a systematic synthesis of the barriers and facilitators to service user involvement in care planning in secondary mental healthcare. Our primary aim was to examine how service user involvement is operationalised within mental health services and to establish where, how and why challenges to service user involvement occur.

The findings of this work have directly informed our NIHR funded EQUIP Research Programme. EQUIP stands for ‘Enhancing the Quality of User Involvement in Care Planning. Service users and carers who are part of our research team will participate in our Tweet chat.

DISCUSSION POINTS:

What are your views on supporting service user/carer as researchers?

Do you agree with involving service users and carers in mental health care planning?

Do our findings reflect personal experience?

Why has user involvement taken so long to achieve?

Why do surveys report a low level of satisfaction with care planning involvement?

What one thing would make users and carers feel more involved?

Should carers have the same role as service users in mental health care planning?

Will our research influence practice?

 

This is the link


PAPERLINK: http://bjp.rcpsych.org/content/207/2/104


Thank you to Lindsey Cree and Andrew Grundy for hosting this #wemhns chat.

Please click on the link to read the paper we are going to be looking at: http://bjp.rcpsych.org/content/207/2/104

Absolutely anyone with an interest in the topic can join in using the hashtag #wemhns

We look forward to meeting with you.

 







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 #WeMHNs transcript

 
@WeMHNurses
12 October 2015 20:00
Evening all and welcome to #wemhns.
@MrsGracePoole
12 October 2015 20:01
RT @WeMHNurses: Evening all and welcome to #wemhns.
@xtraspirit
12 October 2015 20:01
RT @WeMHNurses: Evening all and welcome to #wemhns.
@JohnBaker_Leeds
12 October 2015 20:01
RT @VanessaLGarrity: Don't miss tonight's #wemhns chat on Planning Care together http://t.co/VnYwtg1KCr Promises to be a good one :)
@JohnBaker_Leeds
12 October 2015 20:01
RT @WeMHNurses: Signed a care plan recently? Tokenism? #wemhns chat tonight at 8pm
@WeMHNurses
12 October 2015 20:02
If you want to say hello, that's fine...#wemhns
@VanessaRNMH
12 October 2015 20:02
Hello #WeMHNs Looking forward to tonight's chat ??
@WeMHNurses
12 October 2015 20:02
Housekeeping...professional, listen, contribute, kindness, ask #wemhns
@MrsGracePoole
12 October 2015 20:02
RT @WeMHNurses: Housekeeping...professional, listen, contribute, kindness, ask #wemhns
@Woolpacks
12 October 2015 20:03
@WeMHNurses hello from Sheffield. Tweetdeck keeps freezing so fingers crossed #WeMHNs
@WeMHNurses
12 October 2015 20:03
Housekeeping ....we are not expecting a fire alarm...#WeMHNs
@SuzanneShoker1
12 October 2015 20:04
RT @DonnaJKemp: #WeMHNs Tweetchat tonight 8pm Enhancing the Quality of User-Involved Care Planning in MH services https://t.co/zafDQhNFqk
@WeMHNurses
12 October 2015 20:04
This evening we are very pleased to welcome Lindsey @xtraspirit and Andrew @acgrundy to help us through this chat. #wemhns
@WeMHNurses
12 October 2015 20:05
@xtraspirit and @acgrundy are part of a MH research team...#wemhns http://t.co/laGw71WdAO
@MCR_mhgroup
12 October 2015 20:05
RT @WeMHNurses: If you want to say hello, that's fine...#wemhns
@WeMHNurses
12 October 2015 20:05
Please make sure you use the hashtag #wemhns so that we can see what you’re saying...
@JessicaBlakema1
12 October 2015 20:06
#wemhns tuning in to learn & gain new understanding in prep for role and module 4 assignment #andersonprog @NHSLeadership
@Woolpacks
12 October 2015 20:07
@WeMHNurses written on the back of my hand ;-) #WeMHNs
@xtraspirit
12 October 2015 20:07
RT @WeMHNurses: @xtraspirit and @acgrundy are part of a MH research team...#wemhns http://t.co/laGw71WdAO
@MCR_mhgroup
12 October 2015 20:07
RT @JessicaBlakema1: #wemhns tuning in to learn & gain new understanding in prep for role and module 4 assignment #andersonprog @NHSLeaders…
@WeMHNurses
12 October 2015 20:07
We are talking about planning care tonight. The policy drivers/rhetoric say shared decisions, but this doesn't seem to be happening? #wemhns
@acgrundy
12 October 2015 20:07
Hi @WeMHNurses really excited to be part of the discussion this evening! #WeMHNs #equipmh #research
@MrsGracePoole
12 October 2015 20:08
RT @JessicaBlakema1: #wemhns tuning in to learn & gain new understanding in prep for role and module 4 assignment #andersonprog @NHSLeaders…
@WeMHNurses
12 October 2015 20:08
First question coming up: #wemhns
@WeMHNurses
12 October 2015 20:08
What is the purpose of the care plan? #WeMHNs
@VanessaRNMH
12 October 2015 20:09
RT @WeMHNurses: First question coming up: #wemhns
@standrebe
12 October 2015 20:09
RT @WeMHNurses: First question coming up: #wemhns
@anbobola
12 October 2015 20:09
RT @WeMHNurses: First question coming up: #wemhns
@menoftech
12 October 2015 20:09
RT @WeMHNurses: First question coming up: #wemhns
@PennyBee3
12 October 2015 20:09
Hello #WeMHNs. Joining the team for the chat.
@VanessaRNMH
12 October 2015 20:09
@acgrundy @WeMHNurses Great to have you with us ;) #wemhns
@UCLanMH
12 October 2015 20:10
RT @WeMHNurses: What is the purpose of the care plan? #WeMHNs
@VanessaRNMH
12 October 2015 20:10
Interesting first question! #wemhns https://t.co/nz2ePoDny4
@MarkOneinFour
12 October 2015 20:10
#mentalhealth folks: pitch in tonight about care planning. Got read #WeMHNs. Do we really have shared decisions? https://t.co/dEV0xHefsu
@kennygibsonnhs
12 October 2015 20:10
@WeMHNurses #wemhns we need veterans & families engagement so we can fix their services - they are worth it http://t.co/VPOneo45GA
@VanessaRNMH
12 October 2015 20:11
RT @MarkOneinFour: #mentalhealth folks: pitch in tonight about care planning. Got read #WeMHNs. Do we really have shared decisions? https:…
@Jones23Emma
12 October 2015 20:11
To work towards recovery with shared SMART goals #WeMHNs #nu2224 @uclanmh https://t.co/9dCD44v4oY
@Tiswas_Tony
12 October 2015 20:11
@WeMHNurses As a patient I'd like it to cater for me as an individual and what needs I have so it can be effective. #WeMHNs
@rararougemakeup
12 October 2015 20:11
@WeMHNurses to often acculturation can develop in wards that results in care being based on professional presumption & not pt fback #wemhns
@DonnaJKemp
12 October 2015 20:11
'Evening @WeMHNurses dipping in and out #wemhns will try to keep up
@JohnBaker_Leeds
12 October 2015 20:12
RT @MarkOneinFour: #mentalhealth folks: pitch in tonight about care planning. Got read #WeMHNs. Do we really have shared decisions? https:…
@Tiswas_Tony
12 October 2015 20:12
@WeMHNurses Sadly not seen my care plan for 16 months, have no idea what decisions are made re my treatment. #WeMHNs
@xtraspirit
12 October 2015 20:12
RT @MarkOneinFour: #mentalhealth folks: pitch in tonight about care planning. Got read #WeMHNs. Do we really have shared decisions? https:…
@mhldnurse_amy
12 October 2015 20:12
@WeMHNurses To facilitate consistency in approach regarding identified need based on agreement between individual and care provider. #wemhns
@MCR_mhgroup
12 October 2015 20:12
RT @Tiswas_Tony: @WeMHNurses As a patient I'd like it to cater for me as an individual and what needs I have so it can be effective. #WeMHNs
@AlresfordBear
12 October 2015 20:12
@WeMHNurses Narrative construction. #wemhns
@MrsGracePoole
12 October 2015 20:13
@PennyBee3 hi Penny #WeMHNs
@WeMHNurses
12 October 2015 20:13
RT @AlresfordBear: @WeMHNurses Narrative construction. #wemhns
@VanessaRNMH
12 October 2015 20:13
#wemhns Not good enough . How can we improve this? https://t.co/SjG0ZQGKXQ
@kennygibsonnhs
12 October 2015 20:13
@WeMHNurses #wemhns let's involve patients and carers with the therapeutic benefits of social media http://t.co/nxG3cJzhQV
@Woolpacks
12 October 2015 20:13
@WeMHNurses whoever the care plan belongs to - service users, carers #WeMHNs
@xtraspirit
12 October 2015 20:13
RT @Tiswas_Tony: @WeMHNurses As a patient I'd like it to cater for me as an individual and what needs I have so it can be effective. #WeMHNs
@WeMHNurses
12 October 2015 20:13
@xtraspirit how did you find out about the care plan? #wemhns
@WeMHNurses
12 October 2015 20:13
RT @Woolpacks: @WeMHNurses whoever the care plan belongs to - service users, carers #WeMHNs
@SteWeatherhead
12 October 2015 20:14
RT @MarkOneinFour: #mentalhealth folks: pitch in tonight about care planning. Got read #WeMHNs. Do we really have shared decisions? https:…
@NicNikkiNicola
12 October 2015 20:14
RT @JohnBaker_Leeds: If you do nothing else today think about care planning! great #wemhns chat tonight @WeMHNurses facilitated by @xtraspi…
@mhldnurse_amy
12 October 2015 20:14
@WeMHNurses For an individual to express what is important to them regarding need. #wemhns
@VanessaRNMH
12 October 2015 20:14
RT @kennygibsonnhs: @WeMHNurses #wemhns let's involve patients and carers with the therapeutic benefits of social media http://t.co/nxG3cJz…
@kennygibsonnhs
12 October 2015 20:14
#wemhns @WeMHNurses - we need mindfulness with MH patients and carers to underpin involvement http://t.co/3GjMtwVT5Z
@WeMHNurses
12 October 2015 20:14
@Woolpacks sometimes wonder if the care plan belongs to other 'powers'....#wemhns
@AlresfordBear
12 October 2015 20:14
@Jones23Emma @UCLanMH @WeMHNurses What is Recovery? Does it have a finite measure. #wemhns
@MCR_mhgroup
12 October 2015 20:14
RT @Woolpacks: @WeMHNurses whoever the care plan belongs to - service users, carers #WeMHNs
@VanessaRNMH
12 October 2015 20:15
@kennygibsonnhs @WeMHNurses Great illustration of the point! #wemhns
@WeMHNurses
12 October 2015 20:15
Did anyone explain what a care plan is? #wemhns
@bernie_hughes
12 October 2015 20:15
RT @kennygibsonnhs: #wemhns @WeMHNurses - we need mindfulness with MH patients and carers to underpin involvement http://t.co/3GjMtwVT5Z
@SeanSaid_
12 October 2015 20:15
@WeMHNurses Vehicle for aiding good communication around person approach. #WeMHNs
@MrsGracePoole
12 October 2015 20:15
RT @MarkOneinFour: #mentalhealth folks: pitch in tonight about care planning. Got read #WeMHNs. Do we really have shared decisions? https:…
@MCR_mhgroup
12 October 2015 20:15
RT @WeMHNurses: @Woolpacks sometimes wonder if the care plan belongs to other 'powers'....#wemhns
@Woolpacks
12 October 2015 20:15
@WeMHNurses hmm guess that's why we are having this chat. #WeMHNs
@MrsGracePoole
12 October 2015 20:15
RT @mhldnurse_amy: @WeMHNurses For an individual to express what is important to them regarding need. #wemhns
@VanessaRNMH
12 October 2015 20:15
RT @AlresfordBear: @Jones23Emma @UCLanMH @WeMHNurses What is Recovery? Does it have a finite measure. #wemhns
@Tiswas_Tony
12 October 2015 20:15
@VanessaLGarrity @WeMHNurses Should all staff who work with MH patients understand what the Mental Capacity Act is? And do they? #WeMHNs
@JessicaBlakema1
12 October 2015 20:15
RT @MarkOneinFour: #mentalhealth folks: pitch in tonight about care planning. Got read #WeMHNs. Do we really have shared decisions? https:…
@MrsGracePoole
12 October 2015 20:15
RT @SeanSaid_: @WeMHNurses Vehicle for aiding good communication around person approach. #WeMHNs
@rararougemakeup
12 October 2015 20:15
@WeMHNurses to develop realistic, patient centred goals and to get the MDT singing from the same hymn sheet #WeMHNs
@kennygibsonnhs
12 October 2015 20:16
#wemhns @WeMHNurses - all MH patients & cares need to be empower & involved fully in the 'winter-readiness' http://t.co/U2EqFsjExT
@AlresfordBear
12 October 2015 20:16
@mhldnurse_amy @MrsGracePoole @WeMHNurses If it meets thresholds *looks at camera* #wemhns
@MrsGracePoole
12 October 2015 20:16
RT @rararougemakeup: @WeMHNurses to develop realistic, patient centred goals and to get the MDT singing from the same hymn sheet #WeMHNs
@VanessaRNMH
12 October 2015 20:16
@Tiswas_Tony @WeMHNurses I can't speak for everywhere but mandatory in some areas . Needs to be part of Physical Health Nursing too #wemhns
@Jones23Emma
12 October 2015 20:17
What ever it means to the service user ?? #individual #recovery @UCLanMH #nu2224 #WeMHNs https://t.co/DPHCq1wJkm
@tadhg50
12 October 2015 20:17
@WeMHNurses I liken a CP to a scaffolding- necessary to have in place temporarily until the structure is safe/sound #WeMHNs
@acgrundy
12 October 2015 20:17
@WeMHNurses It's really important to have a shared understanding of purpose - sometimes professional views do not match user views #WeMHNs
@AlresfordBear
12 October 2015 20:17
@Jones23Emma @UCLanMH @WeMHNurses It aint all about me. Tell that tae IDS lol. #wemhns
@UCLanMH
12 October 2015 20:17
RT @Jones23Emma: To work towards recovery with shared SMART goals #WeMHNs #nu2224 @uclanmh https://t.co/9dCD44v4oY
@MrsGracePoole
12 October 2015 20:17
RT @tadhg50: @WeMHNurses I liken a CP to a scaffolding- necessary to have in place temporarily until the structure is safe/sound #WeMHNs
@WeMHNurses
12 October 2015 20:18
Effective care planning is what? #wemhns
@dtbarron
12 October 2015 20:18
@Tiswas_Tony That's not acceptable @WeMHNurses #WeMHNs
@Victoria___R
12 October 2015 20:18
RT @WeMHNurses: This evening we are very pleased to welcome Lindsey @xtraspirit and Andrew @acgrundy to help us through this chat. #wemhns
@VanessaRNMH
12 October 2015 20:18
@kennygibsonnhs @WeMHNurses Agee.Nothing like a good picture ?? #wemhns
@AlresfordBear
12 October 2015 20:18
@Jones23Emma @UCLanMH @WeMHNurses It aint all about the individual if it is consolidated and explored by established Colleges. #wemhns
@BPDFFS
12 October 2015 20:18
It's meant to be a coproduced plan deciding what your care will be unfortunately often the care you want isn't available #wemhns WeMHNurses
@VanessaRNMH
12 October 2015 20:19
RT @WeMHNurses: Effective care planning is what? #wemhns
@4AdsthePoet
12 October 2015 20:19
RT @VanessaLGarrity: Interesting first question! #wemhns https://t.co/nz2ePoDny4
@VanessaRNMH
12 October 2015 20:19
RT @tadhg50: @WeMHNurses I liken a CP to a scaffolding- necessary to have in place temporarily until the structure is safe/sound #WeMHNs
@Woolpacks
12 October 2015 20:19
and part of care programme approach #WeMHNs https://t.co/2e0qQyKRiV
@JohnBaker_Leeds
12 October 2015 20:19
RT @Tiswas_Tony: @WeMHNurses Sadly not seen my care plan for 16 months, have no idea what decisions are made re my treatment. #WeMHNs
@dtbarron
12 October 2015 20:19
@kennygibsonnhs @WeMHNurses Perhaps more HCPs need to understand the benefit and shared learning? #WeMHNs
@Tiswas_Tony
12 October 2015 20:19
@VanessaLGarrity @WeMHNurses It should be mandatory for all staff to have a basic understanding. #WeMHNs
@acgrundy
12 October 2015 20:19
@WeMHNurses This is an important part of the process of involving users/carers, care planning terms/processes need to explained #WeMHNs
@CatalyseC
12 October 2015 20:20
RT @tadhg50: @WeMHNurses I liken a CP to a scaffolding- necessary to have in place temporarily until the structure is safe/sound #WeMHNs
@xtraspirit
12 October 2015 20:20
#WeMHNs how can #carers get involved if no one informs them of a care plan?
@VanessaRNMH
12 October 2015 20:20
RT @Woolpacks: and part of care programme approach #WeMHNs https://t.co/2e0qQyKRiV
@rararougemakeup
12 October 2015 20:20
@WeMHNurses marrying the clinical expertise of the practitioner and the expert knowledge and lived experience of our patients #WeMHNs
@VanessaRNMH
12 October 2015 20:20
RT @Tiswas_Tony: @VanessaLGarrity @WeMHNurses It should be mandatory for all staff to have a basic understanding. #WeMHNs
@xtraspirit
12 October 2015 20:20
RT @Tiswas_Tony: @VanessaLGarrity @WeMHNurses It should be mandatory for all staff to have a basic understanding. #WeMHNs
@AlresfordBear
12 October 2015 20:20
@acgrundy @WeMHNurses Depends of it has resources and is co-produced. #wemhns
@rararougemakeup
12 October 2015 20:20
RT @dtbarron: @kennygibsonnhs @WeMHNurses Perhaps more HCPs need to understand the benefit and shared learning? #WeMHNs
@AlresfordBear
12 October 2015 20:21
@acgrundy @WeMHNurses Otherwise it is a tool of power, potentially. #wemhns
@dtbarron
12 October 2015 20:21
@AlresfordBear @Jones23Emma @UCLanMH @WeMHNurses Its what the individual says it is, and it moves/changes #WeMHNs
@Woolpacks
12 October 2015 20:21
@xtraspirit @WeMHNurses sorry to hear that. Does the ward have a carers champion you can talk to or carers group? #WeMHNs
@WeMHNurses
12 October 2015 20:21
RT @xtraspirit: #WeMHNs how can #carers get involved if no one informs them of a care plan?
@NicNikkiNicola
12 October 2015 20:21
This is a great response. Partnership is key! I am a cyp st/n but recognise the importance of this chat. #WeMHNs https://t.co/Y8xoVCQoX1
@MrsGracePoole
12 October 2015 20:21
RT @xtraspirit: #WeMHNs how can #carers get involved if no one informs them of a care plan?
@AlresfordBear
12 October 2015 20:22
@dtbarron @Jones23Emma @UCLanMH @WeMHNurses That has its challenges in advocating for resources. #wemhns
@VanessaRNMH
12 October 2015 20:22
RT @xtraspirit: #WeMHNs how can #carers get involved if no one informs them of a care plan?
@JohnBaker_Leeds
12 October 2015 20:22
RT @xtraspirit: #WeMHNs how can #carers get involved if no one informs them of a care plan?
@BPDFFS
12 October 2015 20:22
@WeMHNurses I've had useless care plans and brilliant ones depends who's doing them and I find them a bit invasive #WeMHNs
@VanessaRNMH
12 October 2015 20:22
RT @narnill: This is a great response. Partnership is key! I am a cyp st/n but recognise the importance of this chat. #WeMHNs https://t.co…
@AlresfordBear
12 October 2015 20:22
@dtbarron @Jones23Emma @UCLanMH @WeMHNurses It also allows it to become a never ending interpretative cash cow. #wemhns
@mhldnurse_amy
12 October 2015 20:22
@dtbarron @kennygibsonnhs @WeMHNurses ...and how to actually develop a care plan. Lack of training in this area in pre-reg nursing. #wemhns
@WeMHNurses
12 October 2015 20:23
Does it make a difference if meeting takes place in your home or in clinical setting? #wemhns
@BPDFFS
12 October 2015 20:23
@PennyBee3 it does indeed !!! #WeMHns
@WeMHNurses
12 October 2015 20:23
#WeMHNs https://t.co/A00LihpbVD
@dtbarron
12 October 2015 20:23
@WeMHNurses @Woolpacks What does 'belong' mean in that context ? #WeMHNs
@acgrundy
12 October 2015 20:24
@AlresfordBear @WeMHNurses Totally agree, care plan needs to be co-produced - but users/carers need info or they are disempowered #WeMHNs
@Woolpacks
12 October 2015 20:24
@mhldnurse_amy @dtbarron @kennygibsonnhs @WeMHNurses you should have opportunity on placement to do care plans with mentors #WeMHNs
@WeMHNurses
12 October 2015 20:24
#WeMHNs https://t.co/HmK78XYjzm
@DonnaJKemp
12 October 2015 20:24
RT @WeMHNurses: #WeMHNs https://t.co/A00LihpbVD
@Woolpacks
12 October 2015 20:25
@xtraspirit that is difficult. At very least your son should have named nurse you can talk to #WeMHNs
@AlresfordBear
12 October 2015 20:25
@acgrundy @WeMHNurses Of course. Being given info may lead to disempowerment as well #wemhns
@dtbarron
12 October 2015 20:25
@AlresfordBear @Jones23Emma @UCLanMH @WeMHNurses Very true, but that doesn't mean we shouldn't stand by our values #WeMHNs
@MarkOneinFour
12 October 2015 20:25
Do go have a look at the discussion about care plans in #mentalhealth over at the #WeMHNs hashtag. Really, really important
@AlresfordBear
12 October 2015 20:25
@dtbarron @Jones23Emma @UCLanMH @WeMHNurses Depends what they are. #wemhns
@mhldnurse_amy
12 October 2015 20:25
@Woolpacks @dtbarron @kennygibsonnhs @WeMHNurses Agree. RN's on placement should facilitate this. #wemhns
@Woolpacks
12 October 2015 20:26
@WeMHNurses but should have preceptorship #WeMHNs
@AlresfordBear
12 October 2015 20:26
@dtbarron @Jones23Emma @UCLanMH @WeMHNurses Values are fine. But if the arent accountable in parity..... #wemhns
@dtbarron
12 October 2015 20:26
@AlresfordBear @Jones23Emma @UCLanMH @WeMHNurses No-one said it was easy #recovery #WeMHNs
@MarkOneinFour
12 October 2015 20:26
RT @BPDFFS: @WeMHNurses I've had useless care plans and brilliant ones depends who's doing them and I find them a bit invasive #WeMHNs
@mhldnurse_amy
12 October 2015 20:26
@WeMHNurses Depends on individual preference... #wemhns
@CatalyseC
12 October 2015 20:26
RT @MarkOneinFour: Do go have a look at the discussion about care plans in #mentalhealth over at the #WeMHNs hashtag. Really, really impor…
@JohnBaker_Leeds
12 October 2015 20:27
RT @MarkOneinFour: Do go have a look at the discussion about care plans in #mentalhealth over at the #WeMHNs hashtag. Really, really impor…
@Girl_Interrupt_
12 October 2015 20:27
@WeMHNurses its used to discharge duty of care in this area, sorry but true #WeMHNs
@hale_millicent
12 October 2015 20:27
@MarkOneinFour @WeMHNurses collaboration in care is vital between professionals meeting the needs of clients & carers #WeMHNs
@WeMHNurses
12 October 2015 20:27
RT @MarkOneinFour: Do go have a look at the discussion about care plans in #mentalhealth over at the #WeMHNs hashtag. Really, really impor…
@WeMHNurses
12 October 2015 20:27
Signed a care plan recently? #WeMHNs
@dtbarron
12 October 2015 20:27
@AlresfordBear @Jones23Emma @UCLanMH @WeMHNurses Personally not a fan of colleagues, wards or 'thing' with title #recovery #WeMHNs
@AlresfordBear
12 October 2015 20:27
@mhldnurse_amy @WeMHNurses I agree. #wemhns
@JohnBaker_Leeds
12 October 2015 20:28
Great discussion about care planning by @acgrundy & @xtraspirit follow #WeMHNs now!
@Dearest_Someone
12 October 2015 20:28
RT @WeMHNurses: Does it make a difference if meeting takes place in your home or in clinical setting? #wemhns
@xtraspirit
12 October 2015 20:28
#WeMHNs I think the medical jargon gets in the way, it's intimidating
@Dearest_Someone
12 October 2015 20:28
RT @xtraspirit: #WeMHNs how can #carers get involved if no one informs them of a care plan?
@Dearest_Someone
12 October 2015 20:28
RT @WeMHNurses: Did anyone explain what a care plan is? #wemhns
@xtraspirit
12 October 2015 20:28
RT @JohnBaker_Leeds: Great discussion about care planning by @acgrundy & @xtraspirit follow #WeMHNs now!
@DonnaJKemp
12 October 2015 20:28
@WeMHNurses was that seen or signed a care plan recently? #WeMHNs Does signing make a difference?
@MrsGracePoole
12 October 2015 20:28
RT @xtraspirit: #WeMHNs I think the medical jargon gets in the way, it's intimidating
@UCLanMH
12 October 2015 20:29
Definitely #collaborative #nu2224 #WeMHNs @WeMHNurses https://t.co/3l663gKXfd
@Dearest_Someone
12 October 2015 20:29
@WeMHNurses I had my care plan orchestrated pretty much straight away! #wemhns
@dtbarron
12 October 2015 20:29
@AlresfordBear @Jones23Emma @UCLanMH @WeMHNurses That's should have been 'colleges' #autocorrect #duh #WeMHNs
@AlresfordBear
12 October 2015 20:29
@hale_millicent @MarkOneinFour @WeMHNurses Depends on power and pluralistic relationships. #wemhns
@Dearest_Someone
12 October 2015 20:29
RT @JohnBaker_Leeds: Great discussion about care planning by @acgrundy & @xtraspirit follow #WeMHNs now!
@punc15becs
12 October 2015 20:29
@WeMHNurses surely the most important thing is that the meeting takes place where the patient feels most comfortable #wemhns
@AlresfordBear
12 October 2015 20:29
@xtraspirit And power. #wemhns
@Dearest_Someone
12 October 2015 20:29
RT @MarkOneinFour: Do go have a look at the discussion about care plans in #mentalhealth over at the #WeMHNs hashtag. Really, really impor…
@Dearest_Someone
12 October 2015 20:30
RT @MarkOneinFour: #mentalhealth folks: pitch in tonight about care planning. Got read #WeMHNs. Do we really have shared decisions? https:…
@AlresfordBear
12 October 2015 20:30
@DonnaJKemp @WeMHNurses Not really. If the resources arent there. #wemhns
@dtbarron
12 October 2015 20:30
@AlresfordBear @Jones23Emma @UCLanMH @WeMHNurses Personally not a fan of colleges, wards or 'thing' with title #recovery #WeMHNs
@WeMHNurses
12 October 2015 20:30
RT @punc15becs: @WeMHNurses surely the most important thing is that the meeting takes place where the patient feels most comfortable #wemhns
@WeMHNurses
12 October 2015 20:30
@dtbarron @AlresfordBear @Jones23Emma @UCLanMH duh indeed! #wemhns
@MCR_mhgroup
12 October 2015 20:31
#WeMHNs what about young carers, are they included in the care plan?
@AlresfordBear
12 October 2015 20:31
@dtbarron @Jones23Emma @UCLanMH @WeMHNurses No one said it actually had a defined point of completion or effort level either. #wemhns
@Woolpacks
12 October 2015 20:31
very important point #WeMHNs https://t.co/MsI1g8oApG
@WeMHNurses
12 October 2015 20:31
@DearestSome oh *looksglum* were you asked? #wemhns
@WeMHNurses
12 October 2015 20:31
RT @xtraspirit: #WeMHNs I think the medical jargon gets in the way, it's intimidating
@BPDFFS
12 October 2015 20:31
I've been asked to take part in this but no one called me back hmm and aren't the researchers real? ; ) #WeMHNs http://t.co/eADM67TFdb
@cuthbertable
12 October 2015 20:32
RT @MarkOneinFour: Do go have a look at the discussion about care plans in #mentalhealth over at the #WeMHNs hashtag. Really, really impor…
@JessicaBlakema1
12 October 2015 20:32
RT @xtraspirit: #WeMHNs I think the medical jargon gets in the way, it's intimidating
@acgrundy
12 October 2015 20:32
Yes, things like 'CPA', 'risk assessment', even 'care planning' and 'care plans' rarely get explained in a user/carer-friendly way #WeMHNs
@WeMHNurses
12 October 2015 20:32
Who has ever written on care plan...as a goal 'X will be concordant with medication' ? #WeMHNs
@MCR_mhgroup
12 October 2015 20:33
RT @BPDFFS: I've been asked to take part in this but no one called me back hmm and aren't the researchers real? ; ) #WeMHNs http://t.co/eA…
@WeMHNurses
12 October 2015 20:33
Q via @xtraspirit What would you like to see on a care plan? #wemhns
@JohnBaker_Leeds
12 October 2015 20:33
RT @WeMHNurses: Who has ever written on care plan...as a goal 'X will be concordant with medication' ? #WeMHNs
@dtbarron
12 October 2015 20:33
@tadhg50 @WeMHNurses @mhldnurse_amy @kennygibsonnhs Not sure process is always unique, content should be #WeMHNs
@Jones23Emma
12 October 2015 20:34
Exactly #recovery is ongoing and still being explored ?? #nu2224 #WeMHNs @WeMHNurses @UCLanMH https://t.co/w4M0sikOAe
@DonnaJKemp
12 October 2015 20:34
@tadhg50 @WeMHNurses does some of that depend on the setting? if co-produced then implicit that its agreed...#WeMHNs
@Dearest_Someone
12 October 2015 20:34
@WeMHNurses just realised I'm confused! I've had assessments/told what my therapy will be but not sure about care plan?! #wemhns
@AlresfordBear
12 October 2015 20:35
@Jones23Emma @WeMHNurses @UCLanMH @dtbarron But if it is individualised. Does it exist as a singular explored concept. #wemhns
@acgrundy
12 October 2015 20:35
@DonnaJKemp @WeMHNurses I have refused to sign an inpatient care plan in the past: I was not involved, so it made no sense to me #WeMHNs
@AlresfordBear
12 October 2015 20:35
@Jones23Emma @WeMHNurses @UCLanMH @dtbarron Still being explored by neo-liberalism mair like. #wemhns
@Woolpacks
12 October 2015 20:35
@xtraspirit @WeMHNurses it can be and language used should be the words of the person the care plan belongs to not professionals #WeMHNs
@xtraspirit
12 October 2015 20:35
#WeMHNs Crisis help, who to contact, Names of those who make decisions about his care.. https://t.co/mc1MFKOsDt
@tadhg50
12 October 2015 20:36
@dtbarron @WeMHNurses @mhldnurse_amy @kennygibsonnhs I think process is unique (not task!). Each will bring something new #WeMHNs
@WeMHNurses
12 October 2015 20:36
What about the language of care plans? #wemhns
@JohnBaker_Leeds
12 October 2015 20:36
RT @xtraspirit: #WeMHNs Crisis help, who to contact, Names of those who make decisions about his care.. https://t.co/mc1MFKOsDt
@MrsGracePoole
12 October 2015 20:36
@DearestSome @WeMHNurses sadly too common #WeMHNs
@MrsGracePoole
12 October 2015 20:36
RT @xtraspirit: #WeMHNs Crisis help, who to contact, Names of those who make decisions about his care.. https://t.co/mc1MFKOsDt
@AlresfordBear
12 October 2015 20:37
@Jones23Emma @WeMHNurses @UCLanMH @dtbarron If it is ongoing how can it have a fixed measure of effort as described to obtain it. #wemhns
@xtraspirit
12 October 2015 20:37
#WeMHNs confidentiality is a massive issue!
@hale_millicent
12 October 2015 20:37
@WeMHNurses Seen..Concordant? Not a fan of this. Do we deliver/facilitate care to? for? or with "X" #WeMHNs
@tadhg50
12 October 2015 20:37
@Woolpacks @xtraspirit @WeMHNurses if collaborative surely can be both? #WeMHNs
@JohnBaker_Leeds
12 October 2015 20:37
RT @xtraspirit: #WeMHNs confidentiality is a massive issue!
@BPDFFS
12 October 2015 20:37
@WeMHNurses @xtraspirit I'd like to see hopes aspirations on there and a plan as how to get there not just takes med x go walking #wemhns
@MCR_mhgroup
12 October 2015 20:37
RT @xtraspirit: #WeMHNs Crisis help, who to contact, Names of those who make decisions about his care.. https://t.co/mc1MFKOsDt
@mhldnurse_amy
12 October 2015 20:37
@WeMHNurses No, but, I have seen an individual request for this to be added to Staying Safe plan. #wemhns
@MCR_mhgroup
12 October 2015 20:37
RT @WeMHNurses: What about the language of care plans? #wemhns
@dtbarron
12 October 2015 20:38
@tadhg50 @WeMHNurses @mhldnurse_amy @kennygibsonnhs Depends on what is meant by process - we use standard forms ergo not unique #WeMHNs
@mhldnurse_amy
12 October 2015 20:38
@WeMHNurses No, but have heard an individual ask for this to be added to Staying Safe plan. #wemhns
@AlresfordBear
12 October 2015 20:38
@acgrundy What is a user/carer friendly way? #wemhns
@acgrundy
12 October 2015 20:38
@WeMHNurses Sadly, 'concordance' was the 1st goal/priority in a care plan I was given, not exactly recovery-focussed or aspirational #WeMHNs
@MCR_mhgroup
12 October 2015 20:38
RT @tadhg50: @Woolpacks @xtraspirit @WeMHNurses if collaborative surely can be both? #WeMHNs
@AlresfordBear
12 October 2015 20:39
@acgrundy If we explore this through person centredness and individuality. #wemhns
@Dearest_Someone
12 October 2015 20:39
@MrsGracePoole @WeMHNurses I'm going to ask tomorrow! Slightly confused now haha, I may have been given it/but might not be clear! #WeMHNS
@tadhg50
12 October 2015 20:39
@WeMHNurses Ah now! Language. Whose language? 'I think I hear what your saying....' V.important to discuss #WeMHNs
@MCR_mhgroup
12 October 2015 20:39
RT @xtraspirit: #WeMHNs confidentiality is a massive issue!
@WeMHNurses
12 October 2015 20:39
Research from @equipresearch suggests process is as important (and more important to users and carer) as a well written care plan. #wemhns
@Woolpacks
12 October 2015 20:40
@tadhg50 @xtraspirit @WeMHNurses think if it's personalised it should be in the language the service user is comfortable with #WeMHNs
@DonnaJKemp
12 October 2015 20:40
@acgrundy @WeMHNurses 'refused to sign' oft written statement = I didn't involve the person #wemhns
@WeMHNurses
12 October 2015 20:41
Care plans are often focused on risk? #WeMHNs
@MCR_mhgroup
12 October 2015 20:41
#WeMHNs not medical lingo ?? https://t.co/GFnL3MnVlJ
@WeMHNurses
12 October 2015 20:41
@Woolpacks @tadhg50 @xtraspirit how do we know what that is? #wemhns
@acgrundy
12 October 2015 20:42
@AlresfordBear just without all the jargon, but without patronising. #WeMHNs
@Lauren_OT
12 October 2015 20:42
@WeMHNurses in a language which the pt / SU understands not full of medical jargon etc and adapted if specific communication needs #WeMHNs
@WeMHNurses
12 October 2015 20:42
Ever gone into 'your' CPA review and there's a bunch of people you've never met?....#wemhns
@Jones23Emma
12 October 2015 20:42
RT @WeMHNurses: Care plans are often focused on risk? #WeMHNs
@CartmellHannah
12 October 2015 20:42
RT @WeMHNurses: Ever gone into 'your' CPA review and there's a bunch of people you've never met?....#wemhns
@VanessaRNMH
12 October 2015 20:43
RT @WeMHNurses: Ever gone into 'your' CPA review and there's a bunch of people you've never met?....#wemhns
@Woolpacks
12 October 2015 20:43
@WeMHNurses @tadhg50 @xtraspirit by spending time with the person, get to know them, checking out things with them #WeMHNs
@AlresfordBear
12 October 2015 20:43
@PennyBee3 @MrsGracePoole @SeanSaid_ @WeMHNurses Both. #wemhns
@MalJones47
12 October 2015 20:43
RT @MarkOneinFour: Do go have a look at the discussion about care plans in #mentalhealth over at the #WeMHNs hashtag. Really, really impor…
@MrsGracePoole
12 October 2015 20:43
RT @DonnaJKemp: @acgrundy @WeMHNurses 'refused to sign' oft written statement = I didn't involve the person #wemhns
@VanessaRNMH
12 October 2015 20:43
RT @WeMHNurses: Care plans are often focused on risk? #WeMHNs
@MrsGracePoole
12 October 2015 20:43
RT @WeMHNurses: Ever gone into 'your' CPA review and there's a bunch of people you've never met?....#wemhns
@MCR_mhgroup
12 October 2015 20:43
#WeMHNs totally agree! https://t.co/EaFNVIM3zD
@MrsGracePoole
12 October 2015 20:43
RT @acgrundy: @AlresfordBear just without all the jargon, but without patronising. #WeMHNs
@MrsGracePoole
12 October 2015 20:43
RT @Woolpacks: @WeMHNurses @tadhg50 @xtraspirit by spending time with the person, get to know them, checking out things with them #WeMHNs
@xtraspirit
12 October 2015 20:43
RT @Woolpacks: @WeMHNurses @tadhg50 @xtraspirit by spending time with the person, get to know them, checking out things with them #WeMHNs
@AlresfordBear
12 October 2015 20:44
@acgrundy The simplification of jargon and words can also be a tool of power I think. #wemhns
@VanessaRNMH
12 October 2015 20:44
That's a sad reflection of culture at its worst #wemhns https://t.co/zu6chfJrwx
@UCLanMH
12 October 2015 20:44
RT @WeMHNurses: Care plans are often focused on risk? #WeMHNs
@VanessaRNMH
12 October 2015 20:44
RT @mhldnurse_amy: @WeMHNurses No, but have heard an individual ask for this to be added to Staying Safe plan. #wemhns
@acgrundy
12 October 2015 20:44
@WeMHNurses Yes, and that kind of language can be stigmatising/traumatising. I prefer 'safety planning', sounds much more nurturing. #WeMHNs
@AlresfordBear
12 October 2015 20:44
@acgrundy Nullifies argument and debate. As well as not respecting self expression. #wemhns
@WeMHNurses
12 October 2015 20:44
Replace 'risk' with 'safety' ? #WeMHNs
@laurafcarroll
12 October 2015 20:44
@WeMHNurses Some environments require intensive & robust care plans to manage, minimise & reduce risk #WeMHNs
@tadhg50
12 October 2015 20:45
@JessicaBlakema1 @WeMHNurses Often the prof is engaged in managing risk on behalf of the org ergo risk minimisation ( org) #WeMHNs
@Woolpacks
12 October 2015 20:45
@WeMHNurses hope that is only part of plan. Talk about being safe, achieving goals #WeMHNs
@Jones23Emma
12 October 2015 20:45
RT @WeMHNurses: Replace 'risk' with 'safety' ? #WeMHNs
@VanessaRNMH
12 October 2015 20:45
Talking about the language of 'Risk' #wemhns https://t.co/CbsN40J2Nj
@xtraspirit
12 October 2015 20:45
#WeMHNs one carers i spoke to, her hubby had a stroke, not recorded on #mentalhealth care plan
@MCR_mhgroup
12 October 2015 20:46
RT @laurafcarroll: @WeMHNurses Some environments require intensive & robust care plans to manage, minimise & reduce risk #WeMHNs
@WeMHNurses
12 October 2015 20:46
If you are new to chats, don’t panic – just follow the bit that interests you. #wemhns
@DonnaJKemp
12 October 2015 20:46
@WeMHNurses I wld want to recognise myself in my C/P; I wouldnt want an off the peg plan with 'monitoring' and 'stable' mentioned #WeMHNs
@WeMHNurses
12 October 2015 20:46
We will be pulling the whole thing together at the end. #wemhns
@HealthUKTD
12 October 2015 20:46
RT @WeMHNurses: Ever gone into 'your' CPA review and there's a bunch of people you've never met?....#wemhns
@Jones23Emma
12 October 2015 20:46
Are we restricted with language? Ask what the service user would prefer? #WeMHNs #nu2224 @UCLanMH ?? https://t.co/IpaqlvcOYd
@WeMHNurses
12 October 2015 20:47
We can plan until we are blue in the face...#wemhns
@AlresfordBear
12 October 2015 20:47
@WeMHNurses Thank you. #wemhns
@WeMHNurses
12 October 2015 20:47
but...How or who checks to ensure implementation of the care plan? #wemhns
@hale_millicent
12 October 2015 20:47
Explanation is key.It should based on/for the individual. jargon has its place.. here? mayb no #WeMHNs @WeMHNurses https://t.co/VtELRjVjj7
@AlresfordBear
12 October 2015 20:47
@Jones23Emma @UCLanMH @WeMHNurses And then develop ideas around it accordingly to commodify. #wemhns
@MCR_mhgroup
12 October 2015 20:47
#WeMHNs yep too risk averse, worried about org rather than patient https://t.co/pP7UySk5eL
@tadhg50
12 October 2015 20:48
@WeMHNurses But that is not the 'fault' of the prof! Damned if we do, damned if we don't! Risk is dynamic and hard to capture! #WeMHNs
@DonnaJKemp
12 October 2015 20:48
@WeMHNurses replace 'risk' with 'safety' in writing care plans but more importantly in the way we think #WeMHNs
@WeMHNurses
12 October 2015 20:48
RT @MHcarers: #WeMHNs yep too risk averse, worried about org rather than patient https://t.co/pP7UySk5eL
@Jones23Emma
12 October 2015 20:48
Has to be meaningful ?? useable #WeMHNs #nu2224 @UCLanMH https://t.co/XPuSBqQlGg
@AlresfordBear
12 October 2015 20:49
@WeMHNurses I dinnae mean to be cheeky. Just put it down to critical discourse. #wemhns
@DonnaJKemp
12 October 2015 20:49
@Jones23Emma @UCLanMH I like that :) #WeMHNs
@xtraspirit
12 October 2015 20:49
RT @MHcarers: #WeMHNs yep too risk averse, worried about org rather than patient https://t.co/pP7UySk5eL
@VanessaRNMH
12 October 2015 20:49
@DonnaJKemp @WeMHNurses Totally. How do we get the cynics and Nay Sayers on board ?#wemhns
@Woolpacks
12 October 2015 20:49
@WeMHNurses good point. Is it only checked at the next CPA review which could be in 12 months? #WeMHNs
@acgrundy
12 October 2015 20:49
@AlresfordBear that's an interesting point! I also think there's a place for user/carer forums in helping people navigate process #WeMHNs
@tadhg50
12 October 2015 20:49
@MHcarers @JessicaBlakema1 @WeMHNurses Hi and disagree to appoint. Profs are serving several 'masters' NMC, SUs, Carers, Org etc #WeMHNs
@laurafcarroll
12 October 2015 20:50
@WeMHNurses We collectively review & evaluate care plans as a MDT at the patients monthly individual care review meeting #WeMHNs
@allofmcr
12 October 2015 20:50
RT @MHcarers: #WeMHNs yep too risk averse, worried about org rather than patient https://t.co/pP7UySk5eL
@allofmcr
12 October 2015 20:50
RT @laurafcarroll: @WeMHNurses Some environments require intensive & robust care plans to manage, minimise & reduce risk #WeMHNs
@WeMHNurses
12 October 2015 20:50
I learnt this from @equipresearch Good care planning = engage, explain, involve, assess, plan implement, review. #wemhns
@WeMHNurses
12 October 2015 20:50
RT @DonnaJKemp: @WeMHNurses replace 'risk' with 'safety' in writing care plans but more importantly in the way we think #WeMHNs
@WeMHNurses
12 October 2015 20:51
RT @VanessaLGarrity: @DonnaJKemp @WeMHNurses Totally. How do we get the cynics and Nay Sayers on board ?#wemhns
@mhldnurse_amy
12 October 2015 20:51
@WeMHNurses Named Nurse but should be empowering ppl to evaluate efficacy & implementation too, as well as forum to express findings.#wemhns
@DanBeale1
12 October 2015 20:51
RT @MarkOneinFour: #mentalhealth folks: pitch in tonight about care planning. Got read #WeMHNs. Do we really have shared decisions? https:…
@DonnaJKemp
12 October 2015 20:51
@Woolpacks @WeMHNurses excellent question; review as you say but there is something about integrity, trust and the relationship #wemhns
@Woolpacks
12 October 2015 20:51
@WeMHNurses as community staff shouldwe be care plan aware at all contacts #WeMHNs
@hale_millicent
12 October 2015 20:51
RT @MHcarers: #WeMHNs yep too risk averse, worried about org rather than patient https://t.co/pP7UySk5eL
@tweetseeker_GOS
12 October 2015 20:52
RT @Woolpacks: @WeMHNurses as community staff shouldwe be care plan aware at all contacts #WeMHNs
@UCLanMH
12 October 2015 20:52
RT @Jones23Emma: Are we restricted with language? Ask what the service user would prefer? #WeMHNs #nu2224 @UCLanMH ?? https://t.co/Ipaqlvc…
@jrw999
12 October 2015 20:52
MH patients continue to be a challenge pre-hospital and out-of-hours, care plans must be accessible, available day and night #WeMHNs
@robynmcintosh90
12 October 2015 20:52
RT @DonnaJKemp: @WeMHNurses replace 'risk' with 'safety' in writing care plans but more importantly in the way we think #WeMHNs
@Lauren_OT
12 October 2015 20:52
RT @WeMHNurses: I learnt this from @equipresearch Good care planning = engage, explain, involve, assess, plan implement, review. #wemhns
@robynmcintosh90
12 October 2015 20:52
RT @WeMHNurses: I learnt this from @equipresearch Good care planning = engage, explain, involve, assess, plan implement, review. #wemhns
@UCLanMH
12 October 2015 20:52
RT @Jones23Emma: Has to be meaningful ?? useable #WeMHNs #nu2224 @UCLanMH https://t.co/XPuSBqQlGg
@WeMHNurses
12 October 2015 20:52
RT @Woolpacks: @WeMHNurses good point. Is it only checked at the next CPA review which could be in 12 months? #WeMHNs
@tadhg50
12 October 2015 20:52
@WeMHNurses @equipresearch Rogers- authenticity, congruence and Unconditional +ve regard. Hard to be and do! #WeMHNs
@AlresfordBear
12 October 2015 20:52
@acgrundy And funding as well. #wemhns
@acgrundy
12 October 2015 20:53
@WeMHNurses Accountability is really important in implementation. #WeMHNs
@DonnaJKemp
12 October 2015 20:53
@DaviesGill14 @WeMHNurses I think so, framing positively and increasing opportunities for self management #wemhns its a less judging convo
@BPDFFS
12 October 2015 20:53
Last thought on care plans you get one put it in a drawer forget about it it's not mentioned until next review it needs to stay live #wemhns
@punc_jmg
12 October 2015 20:53
@WeMHNurses Think often care plans are presented to the pt as finished pieces for approval rather than collaborative functional docs #weMHNs
@WeMHNurses
12 October 2015 20:53
Helping people find their way around the process....#wemhns https://t.co/sDT5VLAqyS
@WeMHNurses
12 October 2015 20:53
RT @acgrundy: @WeMHNurses Accountability is really important in implementation. #WeMHNs
@VanessaRNMH
12 October 2015 20:53
#wemhns Might be a good idea for people accessing services to be involved in the design questions for care plan audits in clinical areas
@WeMHNurses
12 October 2015 20:53
RT @DonnaJKemp: @DaviesGill14 @WeMHNurses I think so, framing positively and increasing opportunities for self management #wemhns its a les…
@Woolpacks
12 October 2015 20:53
@DonnaJKemp @WeMHNurses I would like to think so #WeMHNs
@MrsGracePoole
12 October 2015 20:54
RT @VanessaLGarrity: #wemhns Might be a good idea for people accessing services to be involved in the design questions for care plan audits…
@xtraspirit
12 October 2015 20:54
#WeMHNs and we haven't even raised the issue of #confidentiality Will this be another tweetchat subject please? @WeMHNurses
@TrinaWh
12 October 2015 20:54
RT @xtraspirit: #WeMHNs Crisis help, who to contact, Names of those who make decisions about his care.. https://t.co/mc1MFKOsDt
@NursingEmma
12 October 2015 20:54
RT @DonnaJKemp: @WeMHNurses replace 'risk' with 'safety' in writing care plans but more importantly in the way we think #WeMHNs
@walkamileuk
12 October 2015 20:54
RT @WeMHNurses: Ever gone into 'your' CPA review and there's a bunch of people you've never met?....#wemhns
@patmmc2
12 October 2015 20:54
RT @MarkOneinFour: #mentalhealth folks: pitch in tonight about care planning. Got read #WeMHNs. Do we really have shared decisions? https:…
@DaviesGill14
12 October 2015 20:54
@DonnaJKemp @WeMHNurses I agree collaboration and giving the person a voice and choice fundamental #wemhns
@MCR_mhgroup
12 October 2015 20:54
RT @xtraspirit: #WeMHNs and we haven't even raised the issue of #confidentiality Will this be another tweetchat subject please? @WeMHNurses
@WeMHNurses
12 October 2015 20:54
We have a scant 6 mins to sum up what we can take away from this...#wemhns
@JohnBaker_Leeds
12 October 2015 20:54
RT @xtraspirit: #WeMHNs and we haven't even raised the issue of #confidentiality Will this be another tweetchat subject please? @WeMHNurses
@MCR_mhgroup
12 October 2015 20:55
RT @xtraspirit: #WeMHNs one carers i spoke to, her hubby had a stroke, not recorded on #mentalhealth care plan
@WeMHNurses
12 October 2015 20:55
Care planning –whose care plan is it anyway? http://t.co/2chmR9YBQr #wemhns
@MCR_mhgroup
12 October 2015 20:55
RT @Woolpacks: @WeMHNurses @tadhg50 @xtraspirit by spending time with the person, get to know them, checking out things with them #WeMHNs
@Jones23Emma
12 October 2015 20:55
We have a whole module #nu2224 @UCLanMH based on #collaborative #careplanning students-the future workforce #WeMHNs https://t.co/4ceSbufboT
@JohnBaker_Leeds
12 October 2015 20:55
@xtraspirit @WeMHNurses confidentiality massive issue for service users & carers it should be another chat #WeMHNs
@MCR_mhgroup
12 October 2015 20:55
RT @JohnBaker_Leeds: Great discussion about care planning by @acgrundy & @xtraspirit follow #WeMHNs now!
@MCR_mhgroup
12 October 2015 20:55
RT @xtraspirit: #WeMHNs I think the medical jargon gets in the way, it's intimidating
@DonnaJKemp
12 October 2015 20:56
@VanessaLGarrity @WeMHNurses CQUINS make stuff happen but this is more culture #WeMHNs service user feedback v compelling reason to change
@VanessaRNMH
12 October 2015 20:56
RT @Jones23Emma: We have a whole module #nu2224 @UCLanMH based on #collaborative #careplanning students-the future workforce #WeMHNs https…
@WeMHNurses
12 October 2015 20:56
RT @DonnaJKemp: @VanessaLGarrity @WeMHNurses CQUINS make stuff happen but this is more culture #WeMHNs service user feedback v compelling r…
@Jones23Emma
12 October 2015 20:56
RT @WeMHNurses: Care planning –whose care plan is it anyway? http://t.co/2chmR9YBQr #wemhns
@MCR_mhgroup
12 October 2015 20:56
RT @Tiswas_Tony: @VanessaLGarrity @WeMHNurses It should be mandatory for all staff to have a basic understanding. #WeMHNs
@tadhg50
12 October 2015 20:56
@punc_jmg @WeMHNurses Agree! CPs should be a dynamic,living document and alter-able in changing circumstances #WeMHNs
@TrinaWh
12 October 2015 20:57
@xtraspirit #WeMhns they should make it easier to be able to contact the Crisis Teams , very difficult to get through
@xtraspirit
12 October 2015 20:57
RT @TrinaWh: @xtraspirit #WeMhns they should make it easier to be able to contact the Crisis Teams , very difficult to get through
@VanessaRNMH
12 October 2015 20:57
@DonnaJKemp @WeMHNurses It's not enough . Often people writing audits often part of an entrenched culture #wemhns
@TrinaWh
12 October 2015 20:57
RT @xtraspirit: #WeMHNs confidentiality is a massive issue!
@tadhg50
12 October 2015 20:57
@JohnBaker_Leeds @xtraspirit @WeMHNurses Agreed John #WeMHNs
@MCR_mhgroup
12 October 2015 20:57
RT @TrinaWh: @xtraspirit #WeMhns they should make it easier to be able to contact the Crisis Teams , very difficult to get through
@UCLanMH
12 October 2015 20:57
RT @Jones23Emma: We have a whole module #nu2224 @UCLanMH based on #collaborative #careplanning students-the future workforce #WeMHNs https…
@DonnaJKemp
12 October 2015 20:57
Oh that makes my heart sing :) #wemhns #CPAgeek https://t.co/rkMS8FpYCh
@WeMHNurses
12 October 2015 20:58
We can do that. No problem #WeMHNs https://t.co/8t2HlOUWXf
@xtraspirit
12 October 2015 20:58
RT @JohnBaker_Leeds: @xtraspirit @WeMHNurses confidentiality massive issue for service users & carers it should be another chat #WeMHNs
@UCLanMH
12 October 2015 20:58
RT @WeMHNurses: Care planning –whose care plan is it anyway? http://t.co/2chmR9YBQr #wemhns
@WendyNealy
12 October 2015 20:58
RT @WeMHNurses: Care planning –whose care plan is it anyway? http://t.co/2chmR9YBQr #wemhns
@VanessaRNMH
12 October 2015 20:58
@JohnBaker_Leeds @xtraspirit @WeMHNurses Good idea #wemhns We will come back to that :) #wemhns
@tadhg50
12 October 2015 20:58
RT @WeMHNurses: We can do that. No problem #WeMHNs https://t.co/8t2HlOUWXf
@acgrundy
12 October 2015 20:58
@WeMHNurses #WeMHNs Thanks for plugging our revised model: engage, explain, involve, assess, plan, implement, review @Care_Plan #equipmh
@MCR_mhgroup
12 October 2015 20:58
RT @JohnBaker_Leeds: @xtraspirit @WeMHNurses confidentiality massive issue for service users & carers it should be another chat #WeMHNs
@WeMHNurses
12 October 2015 20:58
In another world/silo. #wemhns https://t.co/xzD7eiMAOp
@VanessaRNMH
12 October 2015 20:59
RT @WeMHNurses: In another world/silo. #wemhns https://t.co/xzD7eiMAOp
@VanessaRNMH
12 October 2015 20:59
@PennyBee3 @DonnaJKemp @WeMHNurses Is that something you can share openly? #wemhns




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