ESSENTIAL SUPPORT OUTREACH SERVICE
The service is designed to increase the capacity of individuals to sustain their independence within the community and to assist them to develop the skills required for this.

It aims to:

  • Minimise hospital admission and support client following discharge from hospital.
  • Reduce tenancy breakdown
  • Increase access to local community resource
  • Promote social engagement and activity;
  • Increase access to training, employment and other meaningful activities
  • Coach people to maximise their income and manage their financial affairs
  • Coach people to deal with providers of goods and services by telephone, letter or face to face
  • Assist people to access and communicate with other agencies including health services, social services, benefit agencies and family support services

Referral to the service can be from Health and Social Care services, Housing professionals, other professionals or by self referral.

Support can be offered for a maximum of two years. It could be short term intervention for a few months to set up a tenancy or a longer process of coaching in everyday skills until confidence builds to a point where a greater degree of autonomy is achieved.


OUR POTENTIAL SERVICE USERS ARE PEOPLE WHO ARE
:
Leaving residential care or supported housing to live independently.
Being discharged following hospital admission.
Experiencing problems in managing their tenancy or dealing with financial matters.
Require support in improving daily living skills/ home management skills.
Require assistance in accessing other forms of support but are not sure how to do this.

WHY ESSENTIAL SUPPORT?
We have over 15 years of specialist mental health experience gained in partnership with our sister company Randall Care Homes Ltd. Furthermore we also work in partnership with multi disciplinary Community Mental Health Teams, Social Services, GPs, family/carers, advocates and other appropriate professionals to ensure the person we are supporting is able to maintain and develop a network of support, and have access to the support they require. This approach to developing individually tailored packages of mental health and housing support helps prevent placements breaking down, crises and hospital admissions.Our local knowledge of mainstream and specialist services in the community enable us to signpost people on to activities, resources and other sources of support and information, where necessary.Our skilled and committed team work 1:1 with people to support them to identify their wishes and draw up a goal-orientated individual support plan to develop the necessary skills and confidence to live more independently. Wherever possible this will include move-on to more independent accommodation, and a reduction or ending of specialist support.

The journey to enablement
Essential are committed to the principles of person centred care. This means we believe that everyone has the ability to learn or regain the ability to be in charge of their own life, to ' self actualise'. We understand recovery to be a person’s individual journey to a life that has personal meaning and fulfillment for them, and includes living with and managing any symptoms or difficulties that exist.The Essential multidisciplinary Staffing team receive training and supervision to ensure their practice embodies recovery-based values, and that we retain the hope and belief that the people we support are able to live their lives as they wish, and recover control. This approach enables people to have the central role in designing their lives and their support, and to have support from staff to use tools such as Wellness Recovery Action Plans or the PATH planning model, should they wish.The work that we do with our clients is by its very nature outcome based, allowing for personal goal setting that is measurable in the short , medium and longer term, helping to create a constant sense of achievement.

“Never let yesterdays disappointments over shadow tomorrows dreams” - unknown

The support is provided by home visits and can include:


For those living at home-

  • Advice and guidance with form-filling, claiming benefits and grants
  • Liaison with other support, training or employment agencies
  • Support with budgeting and daily living skills
  • Access to other services, e.g. addiction support and talking therapy
  • Access to social activities
  • Links to Day Services and mainstream facilities
  • Help with moving on to living independently and finding work/training

The person will develop an action plan, through the use of the Recovery Star, with their Independent Living Worker which is reviewed on a regular basis. The plan is goal and recovery focused.The Mental Health Outreach service provides mental health support and housing-related support to people in their homes. This can form part of a package of support to assist someone moving from residential care or hospital into a supported housing placement. Mental Health Outreach support can also be put in place as short term extra support to help someone through a crisis and avoid a hospital admission or placement breakdown.


The mental health support could include:

  • Emotional support and guidance in creating and maintaining coping strategies
  • Assistance in devising a recovery plan
  • Motivational interventions to support self efficacy and empowerment
  • Encouragement and support to access other services, e.g. alcohol / substance misuse
  • Encouragement and support to develop or expand social networks
  • Encouragement to access community resources and reduce social exclusion
  • Encouragement to manage their medication and maintain contact with their CPN
  • Accompany service user to appointments, shops, banks ,social events etc with the future goal of attending alone
  • Practical coaching in daily living skills such as cooking, cleaning, budgeting, personal hygiene
  • Referral to other specialist services


The housing-related support could include:

  • Advice and guidance with form-filling, claiming benefits and grants
  • Liaison with other support, training or employment agencies
  • Support with budgeting and daily living skills
  • Access to other services, e.g. addiction support and talking therapy
  • Access to social activities
  • Help with moving on to living independently and finding work/training
  • Help with connecting utilities
  • Support with moving into new accommodation and setting up the home

Service Users will work with their PSA to identify the areas in which they need support, and set and monitor progress towards targets through an Individual Support Plan. This work will link with CPA and Wellness Recovery Action Plans.The amount of support each person receives varies depending on their individual needs. There are regular reviews to discuss the type and amount of support with a view to reducing the amount of support over time.The length of support will vary from person to person but is typically from 1 month onwards. The support is flexible with delivery and sensitive to disengagement. The support can respond quickly to someone in crisis, thereby preventing a breakdown in their housing. We would promote a Multi Disciplinary Team approach depending on their mental condition.


Rates:

Monday- Friday (8am- 8pm) £18.00 per hour
Weekends & Weekdays (8am-8pm) £22.00 per hour
Bank Holidays £28.00 per hour

Outreach Support