[startgroup] Re: SV: Re: START
- From: Kåre Nonstad <kaarenonstad@xxxxxxxxxxx>
- To: startlist startlist <startgroup@xxxxxxxxxxxxx>
- Date: Sun, 19 Jul 2009 20:44:34 +0200
Hi Mike
You missed a wonderful dinner and a very enjoyable START meeting
8 minutes allways sounded like speed dating to me. Exciting and fun in its own
way, but hardly results on which to plan your (our anyones) future.
On our two highest security wards: one month backwards, one month forwards,
allways taking risk history into consideration. Lower security ward, where
patients and circumstances are expected to be more stable: Three months. This
fall, I am considering putting a little squeeze on: No changes in security
level ladder upwards if the last START is older than 6 weeks on our high
security wards. Should create some interesting dynamics.
We really have to look into You and Geraint coming to Trondheim. I am sure some
fishing could be arranged.
Kåre
From: mj.doyle1@xxxxxxxxxxxx
To: startgroup@xxxxxxxxxxxxx
Subject: [startgroup] Re: SV: Re: START
Date: Sat, 18 Jul 2009 17:10:42 +0100
Hi Kare
Yes, I was disappointed about not being able to stay longer in Edinburgh, but
new role has placed a number of restrictions on my time. In any case I believe
the conference went very well. At least next year I won't be expected to nip
back to the office after a day!
Our original form takes about 25 minutes the first time, although extended
format with evidence boxes etc takes 1 hour +.
I guess there may be a threshold at which the START becomes impractical as a
'brief clinical guideline'. Many staff mistake the 'short term' aspect as
meaning it takes a short time to complete and I seem to recall some mention in
the early days that it could be done in 8 minutes!
I am also interested to hear what time period people use to rate items; e.g.
previous week, month, 2-months etc., as this is obviously crucial to the rating
and dynamic nature of the tool.
Thanks for your response.
Mike
----- Original Message -----
From: Kare.Nonstad@xxxxxxxxx
To: startgroup@xxxxxxxxxxxxx
Sent: Wednesday, July 15, 2009 10:05 AM
Subject: [startgroup] SV: Re: START
Hi Mike. Sorry You had to leave Edinburgh so soon. Isn`t it allways tempting to
try to make a good thing do even more? I have had to curb my enthusiasm
repeatedly in my ideas to make the START jump trough flaming rings etc. I like
Your model, though. There is a need for developing some kind of meta-model
concerning our branch of psyciatry.
We probable are a chatty bunch here in Trondheim, as in my experience, a START
meeting takes about an hour, maybe one and a half if we do the treatment plan
in the same meeting. This is in the beginning of the patients stay, after a
couple of STARTs, we usually make it in approx. 45 minutes. Maybe we should
look into this.
Kåre
Fra: startgroup-bounce@xxxxxxxxxxxxx [mailto:startgroup-bounce@xxxxxxxxxxxxx]
På vegne av Mike Doyle
Sendt: 14. juli 2009 22:30
Til: startgroup@xxxxxxxxxxxxx
Emne: [startgroup] Re: START
Thanks Chris, Sarah and Steve for your helpful responses.
I think the items are ideal areas for consideration when assessing strengths
and risks, but also for the assessment of physical, psychological, social and
political needs. As you know we are piloting the START to do this as part of
applying the health career model.
Initial feedback was good but the e-proforma we used (which included evidence
boxes, formulation and intervention sections), was felt to take too long and
many never fully completed it. In a sense we 'overcooked' the process as
previous version was broadly welcomed! Therefore, attempting to make
adjustments to make the process more efficient and practically useful. Will
feedback to the group in due course.
Another query; on average how long do people find the START takes to complete?
Thanks again.
Mike
----- Original Message -----
From: christopher webster
To: startgroup@xxxxxxxxxxxxx
Sent: Friday, July 10, 2009 5:52 PM
Subject: [startgroup] Re: START
Hi Mike,
Not sure I can add much. But, obviously, the HCR-20 provided a
platform for us.And having a couple of senior, very experienced,nurses
(Mary-Lou and Connie) made the essential difference. Somewhat later, as I
explained in a paper given at the Montreal IAFMHS meeting on our joint behalf,
I realized that a dictionary of synonyms and antonyms could have saved us some
work. I really do,though, believe that the only way to set up an SPJ device
that has any hope of working is to establish a small group of colleagues
willing to work together assiduously until the task is done. It is not a task
for a committee and it is not a task for an individual person. It should, of
course, be a topic to be studied and researched in its own right.
Thanks, Roger, for getting this going! Cheers(We should be a
formidable presence in Vcvr) Chris.
----- Original Message -----
From: Mike Doyle
To: startgroup@xxxxxxxxxxxxx
Sent: Thursday, July 09, 2009 4:15 PM
Subject: [startgroup] START
Nice one Roger!
Looking forwarwd to networking with alll on the list.
First query; where did the 20 items of the START come from?
Thanks
Mike
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