Name:______________                         Care Plan Number: 4

 

Care Plan: Engagement

 

 

Goals

 

  1. To encourage me to engage with staff in worthwhile therapeutic activities

 

Things the staff will do to help me are….

 

  1. To engage me in daily contact, if I refuse this will be recorded on the daily contact sheet with my reason for refusal, if I give one
  2. If daily contact refused, this should be re-allocated to the next shift
  3. To record the outcome of the daily contact in the patient notes
  4. To attempt to ascertain the reason the patient is not willing to engage with staff and record and hand-over appropriately
  5. If refusal to engage is coupled with self-isolation, then to be assessed and placed on appropriate level of observation
  6. To be approached by different staff members, as the patient may find someone they are more willing to engage with
  7. To explain to the patient the benefits of engaging with staff, for example; we can help them with problems that they tell us about and work together to find solutions
  8. To attempt to utilise knowledge of the patients interests/ background as a starting point to engagement
  9. To utilise observation levels as an opportunity for therapeutic relationship building and engagement

 

Things that I know help me are…..

 

  1.  
  2.  
  3.  
  4.  

 

In implementing the above interventions, utilise the 10 commitments of the Tidal Model, particularly:

6 Be transparent. Work together with the person to help them understand what is being done and why, in order to build their confidence

7 Use the available toolkit. The person is more aware of what helps them than the helper. Help them to examine ‘their story’ and use what has helped them in the past.

8 Craft the step beyond. Work together with the person to determine a joint appreciation of what needs to be done ‘now’.

 

 

Utilize the three ‘domains’ in implementing and evaluating the above interventions. (See over page for information on the domains).

The Three Domains

The Tidal Model focuses on the process by which the person was, metaphorically, 'washed ashore', 'risks drowning' or is otherwise 'marooned' by their life problems. The process of care is based on an integration of understanding of the person's present and future needs across the three domains of personhood.

 

The World domain - or lived-experience - is the centrepiece for an in-depth, collaborative, and holistic, exploration of the person's need for understanding. From this emerges an appreciation of what needs to be done - by the person and others - to address current problems of living, and to move towards a more complete experience of mental health.

 

The Self domain represents the location for the person's need for emotional and physical security. In the context of people in great mental distress, this often represents the heart of the necessary 'care plan', since without emotional and physical security, it is impossible to begin to address the subtleties of the lived-experience within the World domain.  

 

The Others domain represents the person's existing and potential relations with the social world - family, friends, community and culture. This domain also includes the person's relationship with the professional support agencies that might offer help in times of crisis. 

 

This triangulation emphasises the reciprocity of the three domains; one is no more important than the other, but synergistically generates the concept of the 'unique individual' who is like no other person.