The NSHN Forum UK
NSHN Forum Support & On Topic Forums. Some additional boards are viewable to members only => Survivor Room => Topic started by: Lily Kym on January 22, 2014, 09:54:15 PM
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What is a Care plan?
had a cc letter from psychiatrist today - and it mentioned that the letter would be in my care plan? I don't know what one is.
Never had a copy of it, nor heard it mentioned before.
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Care Plan is a form filled in by cc with input from patient. You should see and also sign it to show you agree with it.
Kind of like a contract in a way - what you should do and what cc should do
What to do to decrease your risks
What to do when risks are high
Goals to achieve if necessary ( mine says increase days worked at voluntary job)
What/who to contact in times of crisis
How you manage your risks and how to tell if risk is increasing
Self-care score
Oh and a risk of suicide score!
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I've found that most psych's and GP's don't tell patients about them. They're copied to you and on your record at your GP Practice and CMHT but I've never had either comment on it to me, tell me about it, made me sign anything etc.
I see plenty at work because of my job but again, none of the Doctors speak to patients about them, they just go straight onto your electronic record.
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Thank you Hayley and Sian.
I'm confused.
If they are copied to me, why don't I have it? But then you said they just go on your record?
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Care plans that get sent with cc of psych letters are usually on the first page and are the bit in the black box. They usually say diagnosis: ........ Medication: ............. and about if out of hours call this number ........................
I'm trying to find an example of one but struggling.
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Found one, you got an email I can send a screenshot to?
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definitely don't remember that being on a letter
thank you x
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I get the letter that sian is talking about, I was sent it for years before it suddenly stopped when the psych's secretary changed, so I asked about it and got them again. You can have a copy if you want one but I think some people only send it if you ask. But I think that is only part of it. Im sure you can request to have a copy of your full care plan if you want one...but im not sure exactly what is in it. We write them in conjunction with other pros where I work...but the set up is very different because it is a disabled childrens service. Ours cover everything from medical problems to what kind of story you like at bedtime. I would think adult mh care plans are very different...but essentially it should do what it says on the tin....plan out how they intend to care for you.
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thank you xx
I've asked for copies of all correspondence and psychiatrist, psychologist, gp etc all know this. even my therapist does.
I can't stand NOT knowing stuff.
it's kind of worrying me a little but i'm happier now the message has been passed to my psych asking about it.
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If you are 'registered for CPA' then this might help
http://www.nhs.uk/CarersDirect/guide/mental-health/Pages/care-programme-approach.aspx
But then I dont suppose you would know without the paper with the black box. I was under CAMHS and have a copy of them...I can dig it out and give you the headings if you want
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Im pretty sure everyone under cmht has a careplan. As others have said the correspondance from psych to gp letter has the box with your cco/ lead prof on it,then meds,consultant,diagnosis and risk summary.it also says what care you have either standard or enhanced.
then my letters just report what happened in appointment with psych.
my cco and i have spoken about my careplan and structures i have agreed and comitted too....for example in my care plan i have agreed to phone in before 3pm if i need help...they wont talk to me after that time. Also im restricted to 2 calls a week. Its in my care plan about what some of my triggers are,and some stuff on how to help me in crisis.none of this i have ever seen in writing myself,but talked about.
its on your file on their online system so everyone has access to it tonknow how to best help you.
im like you though i hate not knowing whats said etc.im sure you and i even,could request to see copy of care plan. :hug1:
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Whenever I have asked about anything that anyone has written before the psych has said 'if it is about you, you can always read it'...I am sure that there are very strict guidelines for withholding info and I think even if there was a part they felt you shouldnt read they would have to explain why and give you access to the rest with the exact bit they think you shouldn't read removed. If it is really bugging you...do you think that tou could ask about it?
I also seem to remember there being a thread about care plans on here somewhere. I think it was called something like care plans - you should have one...but I cant find it now
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:banghead:
I remembered there is a search function
http://www.nshn.co.uk/forum/index.php?topic=17332.0
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Care plans are different to normal correspondence
Consist of many pages and you have to be offered a copy and in theory sign the one for your psych file
Its actually called a CPA - care plan approach
Psych always sends a letter to gp when they see you however this is not a care plan in the true meaning of the document