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Together Manager to help develop NICE guideline for moving on from inpatient settings

Posted on 28, May 2015

Helen Van Ristell, Clinical Implementation Manager at Together, has been chosen by the NICE Collaborating Centre for Social Care (NCCSC) to join the Guideline Committee (GC) responsible for developing a guideline surrounding the transition between inpatient mental health settings and community or residential settings. The guideline will act as a basis for quality standards and provide recommendations on what works in terms of both effectiveness and cost effectiveness of interventions and services.

Helen, a qualified occupational therapist, was selected on the basis of her extensive background, knowledge and experience in the area of care and support provision. With over ten years’ experience working with people in high and low secure settings and rehabilitation hospitals, Helen is acutely aware of the poor transitions that often occur between inpatient mental health settings and the community, the negative effects this has on people using the services and their families, as well as the key issues affecting transitions. As part of the GC Helen will use her experience and knowledge to review evidence, identify considerations for implementation of the guideline, formulate recommendations and write the guideline itself.

Helen is the Clinical Implementation Manager for Together’s Clinical and Recovery-Focused Accommodation Services (CaRFAS). She is currently opening our first CaRFAS project in Wellingborough. The CQC-registered accommodation service is for adults (aged 18-65 years) who experience severe mental distress. Residents have multiple and complex needs and are entering the service from high-level support and secure settings or as an alternative to hospital admission. The service is based on a combination of six essential elements with support delivered by recovery workers, clinicians and Peer Supporters through both one-to-one and group work. This blend of elements is designed to support individuals to transition to the community and to become equipped to live more independently in the longer-term.

Helen Van Ristell, Clinical Implementation Manager at Together said: “I have seen firsthand the issues affecting transitions between inpatient mental health settings and the community. One of the main issues is a lack of integrated and collaborative working between mental health and social care services. For example, delays in transferring people from inpatient settings may mean they remain in hospital unnecessarily and during this time they may become dependent on inpatient care and lose coping skills on discharge.

I will use my experience to contribute to the guideline and hope that the recommendations we make will improve outcomes for people using these services, including reducing delayed transfers from inpatient mental health settings.”

For further information and updates on the guideline please visit the NICE website.