1. Responsibilities
2. To be responsible for the support and well-being of a group of key service users allocated from across the team using holistic, person-centred support planning with SMART targets and the recovery star using the recovery approach to enable them to increase independence, maintain their accommodation and enjoy a good quality of life
3. To visit service users for support sessions within their homes or appropriate community locations
4. To devise effective interventions for service users who are ‘hard to engage’
5. To enable the service users to access medical services and the local community mainstream services
6. To ensure that allocated service users have a needs & risk assessment and SMART support plan; which are reviewed at agreed frequencies
7. To minimise unplanned and emergency hospital admissions for mental health relapse. To formulate, implement and review support plans with service users and associated professional participation
8. To liaise effectively with other agencies involved in the support of service users where appropriate
9. To encourage users to have on-going engagement with existing networks including faith based groups and informal sources of support
10. To provide information and advice on benefits, housing and welfare issues to service users
11. To facilitate access to self-management programmes
...