Sheltered Housing and Respite Emergency (SHARE)

Why a professional should choose the service

• 98% occupancy for the rehab beds from 1 April 2013 to 31 March 2014
• 90% of staff have, or are working towards, a diploma in Health and Social Care
• In a community patient and care experience survey conducted, 87% of people reported they would be extremely likely or likely to recommend the respite service to family and friends

Support offered

• Assessment of the service user’s health and social needs
• Assessment to identify needs, strengths and goals
• Care Programme Approach (a specific way of reviewing and assessing someone’s needs) care plan/risk assessment
• Frequent review of the care plan and continuous monitoring of risk
• Interventions based on an individualised care plan and personal outcomes and goals
• Provide support and advice to people out of hours who have mental health problems

Outcomes

Short-term rehabilitation:

• Early discharge from inpatient care
• Successful return to the community through the rehabilitation work

Outcomes have been developed within local residential mental health services and include:

• Be healthy/stay safe
• Independence/looking after yourself
• Economic wellbeing
• Relationships
• Enjoyment/achievement/involvement
• Appropriate accommodation

Crisis bed:

• Clients receive intensive support during a crisis situation
• Clients treated in the least restrictive environment
• Reduce the need for hospital admission
• Increase service users’ coping strategies and strength
• Ensure carers’ needs are met during a crisis situation
• Clients signposted to other services which may be able to help further.
• Ensure continuity of care

Respite service:

• People provided with additional support to remain in their own homes
• Reduce the need for hospital admission
• Providing breaks and support for carers
• Increase opportunity for social contact
• Provide 24 hour accommodation to service users receiving electroconvulsive therapy (ECT) treatment

Night support line:

• Provide support and advice to people out of hours who have a mental health problem
• Reduce services users’ vulnerability to crisis
• Support for carers during relapse situation for individuals with mental health problems
• Referral to other services where appropriate

Referrals accepted from:

CMHTs, Consultants, Other Trust services

Referral criteria:

Rehabilitation referrals come from bed management, Elmdale ward on The Dales at Calderdale Royal Hospital or from a residential panel. The assessment and decisions are made regardless of bed availability.

Respite referrals come from the Care Programme Approach coordinators within the community mental health teams.

Clients need to have a Community Care Assessment which identifies the need for respite. If service users are identified as needing respite, a link worker is allocated from SHARE who will work with the service user and other professionals to provide support.

Crisis bed referrals are made to the service through the crisis resolution home treatment team who work between the hours of 8am and 11pm. Elmdale ward provides this service out of hours.

Service users accessing the night support line must live in Calderdale.

Exclusions would include primary substance misuse and learning disability for which specialist services exist, people in need of acute hospital care and people who are actively suicidal. Individuals whose needs cannot be met within three to six months are excluded, as are people who have a recognised organic illness.