Care Planning in Partnership

Module title	Care Planning in Partnership
Module code	PYC3032
Academic year	2024/5
Credits	20
Module staff	Ms Debbie Williams (Convenor)

Duration: Term	1	2	3
Duration: Weeks	10	10	10

Number students taking module (anticipated)	20

Module description

This component enables MHWPs to mobilise resources in collaboration with service users, carers and families – including information, resources within the multi-disciplinary team and beyond in the wider community. It also enables MHWPs to make effective use of clinical supervision and to look after their own wellbeing.

Module aims - intentions of the module

MWHP will develop the skills to draw on local resources, work with multi-disciplinary teams and ensure appropriate information can be given to service users to support recovery. Sound clinical and theoretical principles will underpin hypothesis and MWHP will be able to share decision making with service users. Professional standards will facilitate safe care for those forming the MHWP’s caseload. The MHWP will be able to use supervision with their services to support their own wellbeing and develop reflective practice.

Intended Learning Outcomes (ILOs)

ILO: Module-specific skills

On successfully completing the module you will be able to...

1. Demonstrate ability to give information to service users, families and carers in a helpful way
2. Demonstrate ability to share decision making in practice, based on service user goals;
3. Demonstrate knowledge and understanding of the service users significant relationships and ability to appropriately involve families and carers in care planning with service user consent
4. Demonstrate awareness of the range of resources available to support wellbeing and recovery in the locality served and to inform shared decision making in practice.
5. Demonstrate knowledge and understanding of the roles in multi-disciplinary teams (within primary care teams and mental health community teams) and work effectively in the team.
6. Demonstrate knowledge and understanding of the role of employment support in the team
7. Demonstrate knowledge and understanding of symptom focused and personal recovery/wellbeing models of mental health;
8. Demonstrate knowledge and understanding of diagnosis and formulation, how they differ, limitations and benefits.
9. Demonstrate understanding of the role of medication and the competence in providing accurate information about relevant medications to service users, families and carers;
10. Demonstrate awareness and understanding of the power issues in professional /service user relationships and family and carer relationships.
11. Demonstrate a systematic understanding and critical awareness of, and ability to apply anti-discriminatory practice addressing inequalities of access and outcome across all elements of care planning and delivery of interventions.
12. Demonstrate competence in managing a caseload of people with severe mental health problems efficiently and safely.
13. Demonstrate knowledge of and competence in collaborative care planning within the multi-disciplinary team, with active safety planning (in response to person-centred risk assessment) and safeguarding and with understanding of the impact of this on service user, family and carers;
14. Demonstrate understanding and competence in using care planning tools including DIALOG, alongside other measures to track progress with psychological interventions including Goal Based Outcomes and ReQoL-10.
15. Demonstrate knowledge of, and competence in using clinical information systems and correspondence.
16. Demonstrate knowledge of, and competence in reflexive practice and using clinical skills supervision and caseload supervision to assist the workers delivery of low-intensity psychological interventions.
17. Demonstrate understanding of self-care and wellbeing for staff and teams and evidence this in practice.

ILO: Discipline-specific skills

On successfully completing the module you will be able to...

18. Summarise basic and essential factual and conceptual knowledge of the subject, and demonstrate a critical understanding of this knowledge.
19. Review and evaluate established work and identify some of the strengths and weaknesses of this work.

ILO: Personal and key skills

On successfully completing the module you will be able to...

20. Record accurately interviews and questionnaire assessments using paper and electronic record-keeping systems.
21. Evaluate your strengths and weaknesses, challenge received opinion and develop your own criteria and judgement, and seek and make use of feedback.

Syllabus plan

The module content, module-specific learning objectives, style of delivery and assessment for this module are informed by the National Curriculum for Mental Health and Wellbeing Practitioners – Specialist Adult Mental Health for the training of Mental Health and Wellbeing Practitioners to support the delivery of low intensity CBT. Teaching content will include:

Knowledge Concerning Care Planning in Partnership

Collaborative working and shared decision making
Appropriate involvement of families and carers
Multidisciplinary working and decision making.
Accessing resources.
The roles of associated disciplines.
Personal and symptom recovery.
Formulation and diagnosis.
Power dynamics
Managing a Caseload
Information governance and communication.
Use of supervision.
Self-care/ self & team wellbeing.

Intensive Skills Practice

Use of supervision
Collaborative care planning
Information giving
Personal and symptom recovery.

Learning activities and teaching methods (given in hours of study time)

Scheduled Learning and Teaching Activities	Guided independent study	Placement / study abroad
65	90	45

Details of learning activities and teaching methods

Category	Hours of study time	Description
Scheduled Learning and Teaching	25	Practical classes these will be used to develop clinical competencies in collaborative care planning through tutor supervised small group role-play
Scheduled Learning and Teaching	12	Lectures
Scheduled Learning and Teaching	18	Seminars these will be led by the tutor and address a range of important topics covered in the module
Scheduled Learning and Teaching	10	Tutorials these will take the form of small group sessions led by the tutor
Guided independent study	30	Reading and preparation for seminars and/or flipped classroom delivery model
Guided independent study	30	Undertaking structured reflective blogging of care planning practice with colleagues during workplace role-play or service user work
Guided independent study	30	Develop an understanding of service related clinical protocols, policies and procedures to inform practice, and develop knowledge of role and care planning systems.
Placement	20	Within the workplace, caseload supervision will be provided any qualified Mental Health professional with training and experience working with adults with severe mental health problems by any suitably qualified team member. Clinical skills supervision will be provided by supervisors meeting criteria outlined in the latest edition of National Curriculum for Mental Health and Wellbeing Practitioners (2024). They must be a qualified psychological professional within the current taxonomy of occupations, with training and experience working with adults with severe mental health problems, and an extensive understanding of using interventions based on cognitive behavioural therapy principles in clinical practice with this client group. Clinical skills supervisors must evidence competences in the areas covered by the MHWP curriculum and have attended MHWP supervisor training. Clinical skills supervisors should observe full sessions delivered by each trainee, and routinely and regularly use recorded clips to support
Placement	25	Programme members will be employed by their NHS Trusts as trainee MHWPs where they will work 3 - 5 days a week over the year. In this time they will accumulate a minimum of 80 contact hours with service users within an adult community mental health service (of which 40 hours should be specifically delivering low intensity interventions 15 should be assessment, and 25 should be delivering care planning in partnership). Up to 10 hours of the logged intervention hours may be guided self-help group work, co-facilitated with appropriately qualified staff. Reading and preparation around adaptations to practice, and preparation for clinical scenarios should be done within placement time.

Formative assessment

Form of assessment	Size of the assessment (eg length / duration)	ILOs assessed	Feedback method
A portfolio of collaborative care plans developed with service users, demonstrating effective use of available resources of information, team members, and wider community/networks.	Not specified. A sample care plan to be shared in care planning group tutorial	1-21	Oral
A Case Report via presentation detailing care planning with a service user, linked to relevant theories of mental health and intervention	25 minute group presentation.	1-21	Oral
Successful completion of the following practice outcomes, to be assessed by means of a practice outcomes portfolio and supervisor report: Demonstrates competence in the mobilisation of appropriate resources with service users. Demonstrates high quality use of clinical information systems and effective correspondence. Demonstrates effective use of clinical skills supervision, caseload supervision and self-care	Not specified. Workplace supervisors (both clinical skills and caseload supervisors), and programme member will contribute to the practice outcomes document.	1-21	Oral

Summative assessment (% of credit)

Coursework	Written exams	Practical exams
50	0	50

Details of summative assessment

Form of assessment	% of credit	Size of the assessment (eg length / duration)	ILOs assessed	Feedback method
A portfolio of collaborative care plans developed with service users, families and carers, demonstrating effective use of available resources of information, team members, and wider community/networks in planning appropriate care, to access the most helpful community and professional resources available. This should include planning care for a minimum of 3 of the MHWP interventions with 3 different service users. The 6 key elements of care planning should be included along with a short reflection detailing key learning from providing care planning/keyworking for each service user under supervision (this assessment must be passed; failure in this assessment will lead to failure in the module and the programme).	50	6 care plans relating to a minimum of 3 different service users on the trainees caseload for at least 3 different MHWP interventions The Portfolio should include: Copy of care plan/s relating to interventions Copy of care plan/s relating to person-centred risk assessment and safety planning Copy of relevant supervision record/s and actions Word Count: Up to 1000 [500 words for rationale (including formulation and link to relevant theory), 500 word reflection detailing key learning]	1-21	Written
A Case Report via a case presentation detailing care planning with a service user, linked to relevant theories of mental health and intervention. There must be evidence of appropriate consideration of / engagement with carers and families. (this assessment must be passed; failure in this assessment will lead to failure in the module and the programme).	50	25 minutes powerpoint presentation including reference list.	1-21	Written
Successful completion of the following practice outcomes, to be assessed by means of a Clinical practice outcomes portfolio and supervisor report and is pass/fail only: 1): Demonstrates competence in the mobilisation of appropriate resources with service users 2) Demonstrates high quality use of clinical information systems and effective correspondence. 3) Demonstrates effective use of clinical supervision and self-care. Also demonstrates minimum number of required practice hours (of which 40 hours should be specifically delivering low intensity interventions,15 should be assessment, and 25 should be delivering care planning in partnership; and minimum number of hours of supervision, 20 caseload supervision and 20 clinical skills supervision). The Clinical practice Outcomes Portfolio should also include evidence that all teaching sessions for this module have been attended and learning outcomes have been assessed and passed for this module. This assessment must be passed; failure in this assessment will lead	0	Not specified. Workplace supervisors (both clinical skills and caseload supervisors), and programme member will contribute to the Practice outcomes portfolio document.	1-21	Written and oral

Details of re-assessment (where required by referral or deferral)

Original form of assessment	Form of re-assessment	ILOs re-assessed	Timescale for re-assessment
Portfolio of collaborative care plans.	Portfolio of collaborative care plans.	1-21	Four weeks from the date that feedback was provided
Case Report	(i) Same as the original assessment via case presentation or (ii) in certain circumstances, a written report addressing areas failed in the presentation may be requested.	1-21	Four weeks from the date that feedback was provided
Clinical practice outcomes Portfolio document	Clinical practice outcomes Portfolio document	1-21	Four weeks from the date that feedback was provided

Re-assessment notes

Three assessments are required for this module. In all cases re-assessment will be the same as the original assessment. Where you have been referred/deferred for any form of assessment detailed above you will have the opportunity to retake within four weeks from the date that feedback was provided.

If you pass re-assessments taken as a result of deferral, your re-assessment will be treated as it would be if it were your first attempt at the assessment and the overall module mark will not be capped.

If you pass re-assessments taken as a result of referral (i.e. following initial failure in the assessment), the overall module mark will be capped at 40%.

If you fail re-assessments taken as a result of referral (i.e. following initial failure in the assessment), you will be failed in the module.

Indicative learning resources - Basic reading

Basic reading:

Bennett-Levy, J., Thwaites, R., Haarhoff, B. & Perry, H. (2015). Experiencing CBT from the inside out: A self-practice/self-reflection workbook for therapists. Guilford.
Doody, O., Butler, M.P., Lyons, R., & Newman, D. (2017). Families’ experiences of involvement in care planning in mental health services: An integrative literature review. Journal of Psychiatric and Mental Health Nursing, 2017, 24, 412–430
Farrand, P. (2020). Low-intensity CBT skills and interventions. SAGE.
Gurtner, C., Schols, J.M.G., Lohrmann, C., Halfens, R.J.G, & Hahn, S. (2020). Conceptual understanding and applicability of shared decision making in psychiatric care: An integrative review. J Psychiatr Ment Health Nurs. 2021;28:531–548.
Hall, A., Wren, M., & Kirby, S. (2013) - Care Planning in Mental Health: Promoting Recovery, 2nd Edition
Hansson, K.M., Romøren, M., Weimand, B., Heiervang, K.S., Hestmark, L., Landeweer,E.G.M., & Pedersen, R. (2022). The duty of confdentiality during family involvement: ethical challenges and possible
solutions in the treatment of persons with psychotic disorders. BMC Psychiatry 22:812. https://doi.org/10.1186/s12888-022-04461-6
Hem MH, Molewijk B, Weimand B & Pedersen R (2023) Patients with severe mental illness and the ethical challenges related to confidentiality during family involvement: A scoping review. Front. Public Health 10:960815. doi: 10.3389/fpubh.2022.960815
Menear M, Girard A, Dugas M, Gervais M, Gilbert M, Gagnon M-P (2022) Personalized care planning and shared decision making in collaborative care programs for depression and anxiety disorders: A systematic review. PLoS ONE 17(6): e0268649. https://doi.org/10.1371/journal.pone.0268649
Silverman, J., Kurtz, S. and Draper, J. (2005). Skills for communicating with patients. Radcliffe.
Papworth, M., Marrinan, T. (2019). Low intensity cognitive behaviour therapy: A practitioner's guide. Sage.
Person Centred Care/Coalition for Collaborative Care/Medical directorate (2016). NHS England Personalised Care & Support Planning Handbook - Core Information
Lovell, K. and Richards, D. (2008). A recovery programme for depression. Rethink. Wainwright, L.D., Glentworth, D., Haddock, G., Bentley, R., & Lobban, F. (2015). What do relatives experience when supporting someone in early psychosis? Psychology and Psychotherapy: Theory, Research, and Practice. 88, 105–119

Wider reading:

Westbrook, D., Kennerley, H., & Kirk, J. (2007) An introduction to cognitive behaviour therapy: Skills and applications SAGE.

Indicative learning resources - Web based and electronic resources

https://vle.exeter.ac.uk/

Indicative learning resources - Other resources

Key words search

Mental Health Wellbeing Practitioners, MHWP, low intensity, cognitive behavioural therapy, common mental health problems, secondary care, evidence based psychological therapies, clinical competency, care planning

Credit value	20
Module ECTS	10
Module pre-requisites	None
Module co-requisites	PYC3031 Engagement and assessment with people with severe mental health problems and PYC3033 Wellbeing-focused psychologically informed interventions for severe mental health problems
NQF level (module)	6
Available as distance learning?	No
Origin date	17/02/2022
Last revision date	20/09/2024