"Assessment and planning processes promote recovery and take account of the service users' own resources and support structures". | Assessment procedures need to actively engage the individual and their carers or other support organisations, as appropriate, to learn about the nature of the difficulties and what would help most. There should be a focus on the individual's strengths underpinned by the principles of recovery. Approaches should support the individual toward self-awareness, to consider own resources and support systems and focus on solutions. Planning and agreeing support should be a collaborative process at all levels of intervention, including those where risk is identified. Where this is not possible advance statement or crisis plans should be identified to establish the wishes of the service user concerned. Limitations may arise where there is a high level of risk and where compulsory interventions may be necessary. Risk should be openly and honestly discussed by all parties and arrangements for managing risk should be clearly and comprehensively set out. Advance statements and crisis plans should be accessed if available. To engender ownership planned interventions should be agreed (wherever possible) with the service user and their carer. Where possible, interventions should be delivered at the first level of service available and referred to services with more specialist skills as required. Wherever possible, interventions should build on service user's own coping strategies and support networks and promote social inclusion. | Assessments should: Take account of current medication, including effectiveness, side effects, need for access to information or support regarding medication or dosage; Focus on the individual's strengths and on recovery; Are a collaboration between the service user and their carer; Take account of all aspects, including physical health and social environmental factors including relationships, housing and employment status; Ensure alcohol or drug misuse does not compromise planned service response; and Address childcare and needs of other dependants. Interventions should: Take account of the strengths, coping strategies and support networks of the service user and focus on sustained recovery and social inclusion; Support service users to maintain contact with family and community networks; Provide opportunities for service user and carer to explore strategies for preventing recurrence and managing crisis; . Be specified within service plans, including the level and duration of planned intervention. Risk assessments Protocols in place covering Risk Management based on principles of least restrictive alternative and which: - Outline the therapeutic value of risk;
- Ensure all aspects of safety priority;
- Anticipate scenarios where disparity of views arises on care options.
Protocols in place: - on meaningful involvement of service users/carers;
- to ensure advance statements, where they exist, are considered and implemented;
- on child protection policies and procedures with arrangements for links/referrals to child and family support services as required;
- to support individuals who self harm (including substance misuse);
- to link service users with longer-term support to address physical health issues, (e.g. self harm, alcohol and drug misuse services);
- Referral criteria agreed that ensures self-harm (including substance misuse) is not a barrier to appropriate service response;
- Structures in place for contact with specialist pharmacological services.
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