NFMHS Mission and Vision
Here at the NFMHS we have a Mission Statement that guides us in everything we do. This Mission Statement is
"The National Forensic Mental Health Service exists to effectively deliver therapeutically a secure, safe and humane environment, within which, all who live, work and visit are encouraged to participate responsibly in a positive and structured way. The service ethos is to provide the specialist skills of a multidisciplinary team in offering an active programme of assessment, intervention and rehabilitation to service users through individually tailored care plans which are reviewed on an ongoing basis."
Our Ethics and Guiding Principles
The NFMHS is a tertiary mental health service and an integral part of the HSE. As such it is guided by the principles of medical ethics and the professional codes of the nursing and allied health professions.
- Respecting the autonomy of the individual, ensuring the individual is notified of proposed decisions and is entitled to make representations (MHA S4(2).
- Acting in the best interests of the person at all times and to do no harm, with due regard being given to the interests of other persons who may be at risk of serious harm (MHA Section 4(1)). Decision makers shall have regard to the welfare and safety of all persons detained and to the public interest (CL(I)A 2006 S11(2)).
- Respecting confidentiality
- Respecting dignity, bodily integrity, privacy and autonomy (MHA Section 4(3)).
- Ensuring that all decisions made are in accordance with justice, with respect for rights and responsibilities as defined by law.
- All decision making accountable for reasonableness.
As a national service with unique statutory responsibilities, the NFMHS must be able to accommodate any level of need for mental health treatment in conditions of therapeutic security, no matter how serious the risk or grave the challenge to the safe delivery of treatment.
Our Model of Care
Our model of care is based on peer-reviewed literature, seminal research in the mental health space and service specific international and national recommendations.
Our model of care is reflective of the objective of mental health care in ensuring the facilitation of the recovery and reintegration of the service user into their community. The facility itself is a therapeutic agent and must promote, dignity, personal respect and be restorative. The design objectives are to comply with best practice standards for high secure and medium secure facilities to create a high quality secure living environment for patients and staff.
7 Pillars of Care
The current clinical model of service in the Central Mental Hospital is based around 7 Pillars of care. These are listed below and will be used as guiding pillars for the new service in NFMHS. Each pillar focuses on a specific element of patient care. Care plans are built around the pillars, with many or all of the pillars founding the care base.
Pillar 1 Physical treatment: Patients are encouraged to engage in a variety of physical activity. This ranges from gym machines, stretching, football, walking groups, yoga and fitness classes.
Pillar 2 Illness, insight wellness and recovery: Illness insight is essential to maintaining a focus on the recovery process. When a patient comes in initially and during their stay in CMH there are regular assessments/ risk assessments to ensure the right care plan is in place. Wellness and recovery are focused on through mental health education, mental health commission related activities and 1:1 sessions with staff across the MDT.
Pillar 3 Drugs and Alcohol: When patients have had links to drugs and alcohol this pillar encompasses appropriate assessment, Education and Aftercare. There is also the additional benefit of after care plans and support groups such as Alcoholics Anonymous.
Pillar 4 Offending Behaviour: Any potentially harmful behaviour is assessed through this pillar. This behaviour is then examined and assistance given through family therapy or cognitive behavioural therapy.
Pillar 5 Psychosocial Occupational and rehabilitation: Patients are promoted to develop independent living skills. These include ward chores, activities of daily living and unit based cooking sessions.
Pillar 6 Education, Occupational Creativity: Education and occupation are large parts of the patients’ days. There is a wide array of educational activities available, including current affairs groups, music sessions, class based learning and computer classes. Patients are also encouraged to use their natural creativity through activities such as musicals, quiz groups, band practice, pet therapy and art activities.
Pillar 7 Family and Social Networking: Family and social involvement is heavily encouraged. Examples of family related networks include family visits both hospital based and home based. Additional to this are social networks such as the Irish Advocacy Network, transitional leave and community meetings.