The intervention and ending phase prioritises revision of unhelpful and risky behaviours, implementing symptom management strategies and increasing opportunities for independence and self-management.
Therapeutic relationships remain central the care process as the relational security and secure attachment base developed during early phases of care are therapeutic tools to maximise recovery opportunities. Measures and scales will be reviewed to provide accurate progress reports but the focus in this phase of care increasingly shifts towards the person using Vestige services leading the care journey, with MDT support, in preparation for ending.
Care plans, risk management plans and positive behaviour support plans will be used to inform relapse prevention and crisis management interventions. Endings will be in the spotlight in order to reduce the predictable risk of abandonment and rejection schemas being activated as discharge approaches.
Vestige will work closely with statutory, community and voluntary organisations to support the early discharge process.