GOVERMENT Regulators: CQC HCPC NHS Clinical Commissioning Groups Mental Health Trusts Local Authorities Local Authority Commissioners Social Services Community based services for mental health

MENTAL HEALTH FUNDING SYSTEM  Health  Local Authority /social services  Cost

“No health without Mental Health”

National Institute of clinical excellence. N.I.C.E.

IAPT Step one Step two Step three Step four & five

IAPT Funding  2008/09 – £33 million  2009/10 – £70 million  2010/11 – A further £70 million Total 173 million  2012 – Over £400 million invested to increase access to NICE-Approved Psychological therapies and extend IAPT services to children and young people

Complex Needs (Spot Purchasing)  Private Hospitals  Residential Care  Day Services

Personalisation agenda “Putting people first”

Personal Budgets Some ways individuals spend their personal budgets are:  Getting help with cooking, shopping and cleaning  Having short breaks or a holiday  Leisure activities, e.g. an art class or a walking group

 Having driving lessons  Buying specialist or computer equipment to make like easier  Buying membership of a gym or sports club  Finding a job or learning new skills  Having an aromatherapy massage or other alternative therapy – mind website. Personal Budgets

Assessment of need “FACS”  Low  Moderate  Substantial  Critical

Outcome Assessment IAPT Key performance indicators (KPI’s):  patient health questionnaire  generalised anxiety disorder assessment questionnaire  phobia screening questions  disorder specific measures  work and social adjustment scale  employment questions Outcome studies:  IAPT three year report (DOH, 2012)  Mukuria et al. (2013) Cost-effectiveness of an Improving Access to Psychological Therapies Services. British Journal of Psychiatry

Outcome Assessment Personal Budgets- Department of Health  Patient Choice empowers and strengthens partnerships between users, patients and clinicians.  Active and Intelligent commissioning is the key to success.  Cost effectiveness

EU Mental Health Strategy Green Paper European Commission (2005) "Improving the mental health of the population: Towards a strategy on mental health for the European Union“

The establishment of a strategy on mental health at EU-level would add value by:  Creating a framework for exchange and Cooperation between Member States  Helping to increase the coherence of actions in different policy sectors  To open up a platform for involving stakeholders including patient and civil society organizations into building solutions EU Mental Health Strategy

The Commission proposes that an EU-strategy should focus on the following aspects :  Promote the mental health of all  Address mental ill health through preventive action  Improve the quality of life of people with mental ill health or disability through social inclusion and the protection of their rights and dignity; and  Develop a mental health information, research and knowledge system for the EU. EU Mental Health Strategy

Department of Health (2009) New horizons: “Towards a share vision for mental health” UK Mental Health Strategy

Key themes of the strategy are:  Prevention and public mental health:  Tackling stigma  Early Intervention  Personalized care  Multi-agency commissioning/collaboration  Innovation  Value for money UK Mental Health Strategy

Proposals For European Planning 2013 – 20  A exploration of the various models of treatment across a section of EU countries.  Research investigating diagnosis specific treatment models that have proved to be effective taking into account patient experience, carers and professionals.  Exploring the development of an integrative approach towards the treatment of mental health and other associated disorders in which social and health care models can be integrated in more efficiently.