Goals

a. To lift my mood

b. To increase my motivation

c. To increase my level of self-care and for me to carry out my Activities of Daily Living (AOL’s) independently

d. For me to learn and understand the role of medication

For me to learn and understand the importance of consistently taking my medication
For me to seek staff support with any questions or when I’m in distress
To prepare me for discharge

Things the staff will do to help me are….

To constantly assess for me for any thoughts of self-harm I may have
To prompt me with my self-care, when I need it
To encourage me to participate in ward activities and to attend occupational therapy
To prompt me to have adequate diet and fluids, and to use fluid balance and/ or diet intake charts if necessary
To prompt me to spend time in the communal area’s and reduce the amount of time I spend alone
To give me information, and help me learn and understand about the medication I take for my low mood
To give me information, and help me learn and understand about the importance of taking my prescribed medication consistently
To utilise cognitive approaches to my challenge negative thinking

Things that I know help me are…..

Notes for my carers….

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.