Abstract
Aims and methodSupporting self-management is a core ambition of progressive mental health services, but little is known about how to achieve this. Support time and recovery (STaR) workers are routinely taught the Wellness Recovery Action Plan (WRAP). This study explores their capacity to support self-management using WRAP.ResultsThe audited STaR trainees had introduced an average of nine service users each to WRAP. There was a trend for those with personal experience of mental illness to introduce more clients to WRAP and even more so for those who had used WRAP themselves. Qualitative analysis suggested a range of factors that may mediate whether people engage with self-management or not.Clinical implicationsThe capacity of STaR workers and others to support people in self-management may depend on more than knowledge of self-management methods and having personal experience of mental health problems and services. Important factors may also include specific experience of the methods introduced, ongoing training, accountability and supervision.
Highlights
Support time and recovery (STaR) workers are routinely taught the Wellness Recovery Action Plan (WRAP). This study explores their capacity to support self-management using WRAP
The audited STaR trainees had introduced an average of nine service users each to WRAP
We hypothesised that people with STaR training who had personal experience of using WRAP, and worked as peers, would be more able to offer that support to others
Summary
The initial audit showed that only one person (2%) had been properly assessed. The re-audit demonstrated that the use of the Mental Capacity Act 2005 assessment form ensured correct assessment. The direct responsibility of the clinician performing a procedure has subtly changed under the Act; this decision maker has to take responsibility for the decision even if he seeks advice from another professional (such as a psychiatrist) when assessing the patient’s capacity This change makes it a requirement for all clinicians to be able to assess, describe and document capacity with regard to the specific procedures. When confronted with an individual requiring a surgical procedure for instance, the Mental Capacity Act requires that the consenting doctor fully assesses the person before deciding upon a specific course of treatment. This assessment process is clearly described within the Act and essentially consists of two stages
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