self assessment project - harrow how it started
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Self Assessment project - Harrow
How it started …….
Telephone ReviewsTelephone Assessments
SELF ASSESSMENTSContext: Govt thrust towards
self care, self management, self assessments
1st step - Research Contacted 3* Authorities – and othersLooked at research and tools conducted by others –
SWISH, Kent onlineDr. Griffiths, Kings CollegeOther authorities willing to share
Overall – not many models to choose from, everyone trialling
Around 20% of authorities who were contacted, do telephone reviews
Usually done on a stable group of people where it is unlikely there will be
substantial changesCould have been receiving services for
some time
Findings …………….Telephone Reviews:
Previous research by Age Concern and Joseph Rowntree indicates OLDER PEOPLE prefer contact meetings
Not applicable for people with communication difficulties, confusion etc.
Appropriate where care package stable and care package is less than 10 hours weekly / less than visits twice daily
Advance notice required so client prepared
Negatives:Safety concerns, might miss somethingNot providing an equitable serviceDeters use of Direct PaymentsUnable to determine FACS eligibility
Findings …………….Telephone Assessments:
3 out of 24 (13%) authorities do telephone assessments, then provide a service2 of the 3 provide low level services, e.g. assistive aids - grab rails1 arranged home care but only short termAll screen first
All followed up with face to face review visit
Self AssessmentsSelf Assessments5 out of 25 authorities (20%) offer self
assessmentsAll 5 provide low level services only, i.e.
simple OT aidsOne authority (N Lincs) did Self
Assessments in the past, but stopped due to low take-up
A further 5 are thinking about it, 3 of them actively pursuing
Overall - Observations and Myths
Social Services generally screen all referrals prior to making an appointment
Self Assessment is the same as self reporting
Telephone AssessmentsPlanned (not necessarily informal)
Carers AssessmentsOften self assessments
Staff say …… Might miss something if they don’t see a person
Modelling – for HarrowSelf Assessment doesn’t mean no face to
face contactSelf assessment gives service users an
opportunity to think about their difficulties and possible solutions in advance of a SW visit
We will trial it for anybody who wishes it (not limiting for low level only)Developing for Disabilities Team as starter
(Can we trust it? How do we validate it?)
So far we have: Choice of 3 models
1. Short (3 + 1 pages) – Bolton / in-house screening / pink
2. Medium (4 pages) – Torbay and hybrid / yellow3. Long – similar to Overview - Southend and
hybrid / cream Hybrid mixture – other authorities, in-house
screening, How Are You, Rapid Assessment, Overview Assessment
Flier (blue) which goes to new service users inviting them to be involved
Not much interest Not always appropriate:
First language not EnglishPhysical issues (fits / child care / prognosis)Learning disability / Residential review out of
BoroughControversial (potential complaint / multi faceted)History of assessmentsMental health issues
Linking in with service user groups and vol orgs
Trialling now ……….
Next stepsContinue to engage service usersEvaluateExtend to other groups, i.e. older peopleFACE introducing an online self
assessment
Big challenge …..We will get there …….
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