Client Stories – Case Study 1
PD is a 30 year old gentleman with a confirmed dual diagnosis of Paranoid Schizophrenia associated with severe substance misuse and had a long history of revolving door admissions and also has a long forensic history.
His risks were considered to be extremely high when unwell / untreated and he has made several serious assaults on members of the general public resulting in prison sentences and transfers to secure mental health services. On his last admission he was referred to the High Intensity Team to manage his care in the community. He was placed on a Community Treatment Order (CTO) to help manage his identified risks.
His OT assessment identified that he had some living skills and placing him in a rehabilitation unit would de-skill him and would not be appropriate. Supported living was identified.
His care coordinator referred him to Next Stage to assist them in securing a tenancy, and for support in maintaining this tenancy.
Due to his chaotic lifestyle and evictions from several homes, he was unable to secure any tenancy with local housing associations and could not obtain references needed for private rented accommodation. Next Stage liaised with My Space to find a suitable property in an area where PD had close family links and support. Next Stage has a Service Level Agreement (SLA) with My Space Housing solutions who are a registered charity, that provide housing and housing related support for vulnerable clients in the community.
Next Stage also provided a robust support package working closely with the care coordinator, managing the risks, monitoring of his mental state daily and management of his oral medication. Social Inclusion was also a big part of his care plan to enable him to re integrate without experiencing feelings of paranoia. He initially was in receipt of 112 hours of 1:1 support a week, and following a successful settled period and compliance with his CTO, Next Stage reduced their input and his package of support has been reduced to 8 hours a day, with a view to reduce further to allow him to live more independently.
PD has had no further hospital admissions, and is now completing a training course in catering and aspires to run his own cafe.
In review if we consider the financial cost of past admissions and pressure on services, we can identify the true cost saving over those years, this also highlights the True Economy and realisation of the Recovery Model.
Client Stories – Case Study 2
FK is a 45 year old lady with a confirmed a diagnosis of Bipolar Affective Disorder and was admitted under a Section 2 of the MHA 1983 to Hollins Park Hospital in November 2013.
She was then discharged following a lengthy stay and whilst an in-patient a package of care with Next Stage was commissioned. FK had a long history of aggressive and violent behaviour and her lifestyle was very chaotic when living in the community unsupported.
Due to her past chaotic lifestyle and evictions from several homes, she was unable to secure any tenancy with local housing associations and could not obtain references needed for private rented accommodation.
Next Stage liaised with My Space to find a suitable property in an area where FK had close family links and support.
The original support package commissioned initially was quite intense, seven days per week from 8am to 6pm plus 8pm – 8.30pm for evening medication support visits. FK required a lot of support with budgeting her money, managing and dispensing her medication, maintaining home and personal hygiene and education around appropriate relationships. There was evidence that FK had several different sexual partners and there was suspicion that they were paying her and she had little insight into her vulnerabilities.
FK was allocated a Key Worker, who still works with her today. Together they formulated a weekly activity planner, care plans and risk assessments; looking at achievable goals to meet in a dedicated timescale using SMART objectives. FK identified that she would like to complete some further education courses relating to floristry and gardening. She enrolled with a local MH support network, and continues to attend this group which has increased her self esteem and confidence.
FK has been with our service for 18 months now and her independence and confidence has grown immensely. She now receives support from 9am – 4pm every day plus evening medication visits. She regularly attends planned trips, meals and events with Next Stage and takes an active part in cleaning her home. There is no longer a concern around unknown males being present in her home. Although FK still requires prompting and advice with regards to her personal hygiene and budgeting, it is a vast improvement and is thanks to the consistent support that she has received, along with her own hard work.
People Who Use The Service Said:
“They empower me and they encourage me to do things. They are there for support now but at first it was more than that”.
“They go with me to appointments and listen and help me to understand it afterwards”.
“I nearly always have the same person coming”.
“I usually have the same person coming in”.
“We sign the paperwork together when they are leaving or at the end of the week”. “The staff help me make my life as uncomplicated as possible, they move at my pace and I dictate the support needed. They have really helped me”.
“I feel safe with the staff”.
“We go out and I feel safe with them at all times”.
What Social Care Professionals Said:
“In my experience I find that they operate really well”. “They work very well with [name] and always keep me informed”.
“They have a good understanding of what I want them to do. They are pretty good and keep us up to date”. And: I find that [named carer] has a really good relationship with my client”.