OT indicative care packages for mental health Payment by Results

Mental health Payment by Results (PbR) has been recently introduced into mental health services in England and means providers are paid for packages of care rather than block contacts

Mental health service users are categorised into 20 care clusters according to their need using an adapted HoNOS assessment tool (Health of the Nations Outcome Scales) (Garnham et al 2010, Lee et al 2011).

Collaboration between eight mental health trusts with Queen Margaret University, Edinburgh and University of Illinois at Chicago has resulted in the development of 19 occupational therapy care pathways for working age adult and older people’s services. These are not intended to be prescriptive but provide a clinical tool for local mental health services seeking to build clinical engagement in the PbR process. They set out potential OT assessment, interventions and outcomes for service users in each of the clusters. They do not sit in isolation but inform the development of integrated care pathways. Occupational therapists are encouraged to pilot the care packages and use them strategically within their organisations. They will also be of interest to managers, commissioners and other professionals seeking to develop similar pathways (DH 2011, Morley et al 2011).

Download Occupational Therapy Care Packages in Mental Health

Download Occupational Therapy Care Clusters

Authors of care packages

Mike Garnham, Professional Lead Occupational Therapist, South West Yorkshire NHS Foundation Trust
Mary Morley, D.OccT FCOT Director of Therapies, South West London and St Georges Mental Health NHS Trust
Kirsty Forsyth, Ph.D. FCOT Professor of Occupational Therapy, Queen Margaret University, Edinburgh
Sun Wook Lee, PhD, OTR/L Post-doctoral Associate, Post-doctoral Research Associate, University of Illinois at Chicago
Renee R. Taylor, Ph.D. Professor, University of Illinois at Chicago College of Applied Health Sciences Department of Occupational Therapy
Gary Kielhofner, Ph.D. Professor, University of Illinois at Chicago College of Applied Health Sciences Department of Occupational Therapy

References
Department of Health (2011) Payment by Results Mental Health Factsheet No. 15 March 2011. Gateway reference 15828. London:DH. Available at: www.dh.gov.uk/en/Managingyourorganisation/NHSFinancialReforms/DH_4137762
Garnham M, Morley M, Forsyth K, Lee SW, Taylor R, Kielhofner G (2010) Occupational therapy care packages in mental health. Available at: www.uic.edu/depts/moho/othermohorelatedrsrcs.html
Lee SW, Morley M, Taylor RR, Kielhofner G, Garnham M, Heasman D (2011) the development of care pathways and packages in mental health based on the Model of Human Occupation Screening Tool. British Journal of Occupational Therapy. 74 (6), 284-294
Morley M, Garnham M, Forsyth K, Lee SW, Taylor RR, Kielhofner G (2011) Developing occupational therapy indicative care packages in preparation for mental health payment by results. Mental health Occupational Therapy, (16) 1, 15-19