Support Therapy and Reablement (STaR)Information for service users and carers

RDaSH

Older People’s Mental Health Services

This leaflet introduces the North

Lincolnshire integrated support,

therapy and reablement (STaR) team

for older adults. We provide services

for people usually over 65 who

are experiencing difficulties in their

mental health and require a period of

support, therapy and reablement for

a short period of time.

Our service will provide a

comprehensive assessment of your

needs, and where appropriate, timely

support, therapy and reablement.

This includes support with a personal

budget where this is appropriate from

this team. The team also provide

information and signposting to other

agencies and if you choose you can

contact them for support.

Our aim is to work with you to

promote your individual choices

and independence in your local

community in the short term, so that

you will be able to continue with

support if required in the longer term

when the STaR team complete your

support.

What is an integrated support, therapy and reablement team?

The team is a multi-disciplinary team

of mental health professionals who

work with the wider mental health

service for older adults to provide

support for your mental and physical

wellbeing. We work towards a

seamless transition to independence

and engagement to other services

where appropriate.

Team members include:

• Team manager

• Occupational therapist

• Occupational therapy associate

practitioner

• Occupational therapy assistant

• Physiotherapist

• Nursing assistants

• Reablement support officers

• Self-directed support workers

• Administrative support workers.

www.rdash.nhs.uk | 3

4 | Support therapy and reablement

How does the team get to know you?

Most of the referrals to our service

come from other mental health

professionals who you will have

already seen. These include the

community nurse, occupational

therapist, physiotherapist and

consultant psychiatrist involved in

your care. If you and the professionals

feel that you would benefit from the

team’s support and services for your

mental health, they will request a

referral the STaR team.

What happens next?

Once a referral has been accepted, a

member of the team will contact you

or your family / friend to offer to visit

you at home. If you prefer to be seen

elsewhere, we will try to arrange this.

The person who visits may need to

ask you some questions about your

life, interests and what you would

like support to do. We will try to not

to repeat questions you may have

been asked on previous assessments.

However, to help the team to identify

what support, therapy or reablement

would be beneficial to you, we

would like to find out all about

you and how your mental health

problem is affecting your day-to-

day life, so we can support you to

become as independent as possible.

The visit is usually for about an hour

and may include assessments from

occupational therapy / physiotherapy

if this is required from our team.

The assessment and information

gathered at this visit may require the

team to share relevant information

with other agencies who work with

the team. We will ask your permission

to do this as part of the assessment.

Care planning

Following the visit, the team will

discuss the best course of action to

support you. They will then arrange

to discuss the options with you and

start to formulate a care plan. If you

wish to have a family member or

friend to help you with this, please let

us know.

The care plans are person-centred,

which means they are individually

written and agreed with you to

ensure the team is delivering a service

that is beneficial to your mental

wellbeing.

Progress and evaluation

The team who are supporting you,

will ensure that the agreed care plan

is still meeting your agreed outcomes.

If there are any change, for example,

you have already achieved some or all

of the outcomes, then this is the time

to discuss and make any changes to

meet any new outcomes.

www.rdash.nhs.uk | 5

Discharge

Your discharge from the STaR team

will be planned with you and the

mental health professionals involved

in your care. At this point, if you need

signposting to services, the team will

support this process to ensure it is a

seamless transition from the team.

Useful contacts and general information

The integrated community mental

health team operates on a Monday to

Friday basis, excluding public holidays.

Our working hours are 9am to 5pm.

Our contact telephone number is

01724 270363.

Other numbers you may find helpful

Brumby Resource Centre

01724 297979

Freshstart

01724 277906

Age UK

01724 849819

Great Oaks Mental Health Unit

Reception 01724 382000

Laurel Ward 01724 382054

Thank you for taking the time to read

this information leaflet. If you have

any suggestions or comments, please

phone 01724 270363.

6 | Integrated community mental health team for older adults in North Linconshire

RDaSH

We are a smokefree organisation

geta p p r o v e d Design and Print Services

01302 796125 DP7281/10378/03.13

This information is correct at the time of publishing October 2012