What is a care plan?

The Trust believes collaboration is essential to recovery focused care planning, therefore service users and their carers or family members are as important in this process as the mental health team that supports them.

A care plan is a jointly agreed, written plan between you and your care co-ordinator or lead professional which outlines your assessed needs, any risks to yourself or others, personal goals and progress towards your recovery.

Your care plan should…

  • include your personal goals towards recovery and self-care as well as treatment and intervention goals
  • include everyone that supports you and detail what that support is
  • be written in plain and simple language
  • include information on what to do in a mental health crisis and manage risks
  • include information on staying well and coping skills in times of difficulty
  • have contact details for local mental health services.

Service users... did you know?

  • you can be involved in developing your care plan
  • you can have a copy of your care plan
  • you should be involved in the review of your care plan at least every 12 months or within 6 months for those on CPA
  • your care plan may include any Advanced Statements or Decisions you have written
  • your preferences about your care co-ordinator or lead professional will be considered and taken into account.

Family, carers and supporters....did you know?

  • you can be involved in the care plan with the service users agreement
  • your views are important, should be considered and taken into account, even if they are different to those of the person you support
  • you can arrange to talk on your own to a care co-ordinator, lead professional or named nurse
  • you are entitled to a carers assessment in your own right.

Staff....did you know?

  • the care plan should be jointly developed with the service user
  • service users are entitled to a copy of their care plan and a copy must be offered
  • carers should be involved in the care plan with the service users agreement
  • you should review the care plan at least every 12 months in collaboration with the service user or within 6 months for those on CPA
  • you should get consent from the service user to share the care plan with everyone involved in their support and recovery.

Care planning reflects the Trust values of:

  • commitment to quality
  • respect
  • involvement
  • wellbeing and teamwork

 

Reference: L830
Version: V2
Date last updated: 12 / 2017
Archive date: 12 / 2020

 

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