Goals

a. To minimise the risk I pose to myself through the use of appropriate interventions, observations and environment

b. To lift my mood

c. To increase my motivation

d. To increase my level of self-care and for me to carry out AOL’s independently

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

For me to learn and understand the importance of concordance with medication
For me to seek staff support with any questions or when I am in distress
To prepare me for discharge

Things the staff will do to help me are….

To constantly assess the level of risk I pose to myself
To nurse me on an appropriate level of observation
To encourage me to engage with staff, particularly when I am in distress
To encourage me to self-care, giving minimal prompting when necessary
To encourage me to engage in ward activities and occupational therapy
To prompt me to take adequate diet and fluids, and to use fluid balance and/ or diet intake chart if necessary to record my intake
To utilise cognitive approaches to challenge my negative thinking
To prompt me to spend time in communal area’s and minimise self-isolation
To give me information about, and help me learn and understand my prescribed medication
To give me information about, and help me learn and understand the importance of consistently taking my medication, as prescribed

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.