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SRI 2: Promoting recovery focused service delivery

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Monday, 31 October 2011
On 31st October, Michael Matheson MSP, Minister for Public Health, officially launched the Scottish Recovery Indicator 2 (SRI 2) – the tool designed by the Scottish Recovery Network to help mental health services deliver recovery focused practice.

sri2_logo_smlA free, live webcast was available and filmed footage of the event will be on the SRN website shortly.

The SRI 2 is a comprehensive, evidence based service development process that:
  • Encourages managers, staff, service users, carers and other stakeholders to work in partnership towards recovery focused services.
  • Supports learning and reflection leading to measurable improvement.
  • Helps with the problem-solving, teamwork, communication, values and skills required to support recovery.
  • Helps services to celebrate success and good practice as well as make improvements.
  • Helps services sustain the improved standards of performance, achievement, and success.
  • Supports commitment to equality of experience and outcomes.
  • Elicits and values service user reported outcomes and experiences.
SRI 2 is the revised and enhanced Scottish Recovery Indicator, itself based originally on the New York State Office for Mental Health’s Recovery Oriented Practices Index


Working in association with web developer and Joomla co-founder, Brian Teeman, the Scottish Recovery Network have enhanced the SRI to produce the more compact and user friendly SRI 2. SRN Director, Simon Bradstreet, explains:

Since it was first piloted in 2008, the SRI has been used by over 150 mental health services in Scotland but we’ve been listening carefully to feedback from people using the system and as a result have simplified and improved the tool in a way which stays true the original approach and values. The power in the SRI approach is in the conversations it generates in teams.

As the current mental health strategy consultation demonstrates, the tool has continued support from the Scottish Government as a practice tool for embedding recovery approaches within services. Hugh Masters, Nursing Officer for Mental Health & Learning Disabilities Nursing at the Scottish Government explains:

"Take up of the original tool was patchy across Scotland so now that the tool has been simplified and improved what we want to see is much better engagement across the country and across service types and providers."


PIRAMHIDS case study on SRI shows that the process of completing the tool is a helpful and a positive experience for services. Quotes from users of the tool can be found throughout this article, and as one staff nurse notes:

"... audit tools usually identify deficits and do not recognise good practice, but the SRI is different, I’ve never felt more valued or motivated in my entire nursing career."

The SRI 2 tool recognises that staff and services are very busy and that time is a precious commodity. It has been designed to meet the objectives of a number of important policy drivers and initiatives including:
A recent submission to PIRAMHIDS describes some of these policy initiatives link to the SRI process.

The SRI 2 is also designed in accordance with the values and best practice as exemplified by Realising Recovery and the new 10 Essential Shared Capabilities, updated for 2011.

sri2_quote3A brochure accompanying the tool clearly sets out the framework of the SRI 2 recovery indicators and reflective statements. These demonstrate how straightforward and logical the structure of SRI 2 is.

sri2_processframework
At the heart of the framework are the ten indicators of recovery focused practice.

sri2_10indicators
Each indicator is considered and discussed against evidence from six different data sources:
  • Assessments
  • Care Plans
  • Service Info
  • Service Provider
  • Service User
  • Informal Carer
sri2_6infosources

Each row of the indicator table contains a rating agreement against a series of affirmative statements that provide an average score for each indicator.

sri2_rating

SRI project lead, William Ellis explains:

SRI 2 provides a framework for gathering information and feedback from a range of sources and stakeholders – including service providers, users and informal carers – and compares this against ten recovery indicators. It supports teams to reflect on all aspects of policy and practice, strengths and weaknesses and helps them develop action plans that lead to continuous improvement and increased service user and carer satisfaction.

Alongside this framework sits the Process flowchart that takes the user through the easy to follow steps of the SRI 2.

sri2_flowchart

For more information visit the SRI 2 website.



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