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Haringey mental health enablement update
Presentation and discussion on developing a community mental health network We are preparing to recommission / re-procure community support services for people with mental health conditions. This is linked to developments in NHS, social care and housing services. We are also connecting it to reducing stigma and discrimination and strengthening communities Tim Miller: Mental Health Enablement Lead
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Haringey Now Estimated 35,000 people with anxiety or depression
3,300 people known to GPs with psychosis or bipolar Unknown number with other severe long term conditions Around 2,000 service users per year in VCS/community recovery services (including double-counts – we don’t know how many people access support) £1.1m contract spending per year
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Enablement and Commissioning intentions
Commissioning Activity / Intentions New primary care mental health service(s) Strengthened Recovery College Integrated IAPT IPS / employment pathway Early Intervention in Psychosis – more family support and psychological therapies Supported Housing Building community capacity and strengths Reduce inefficiencies and duplications Integrate whenever possible Enablement Live - Housing and home Love – Relationships; self esteem Do - Meaningful activities; work
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Enablement Champions & User/Carer views
A selection of what “live, love, do” support should look like to Haringey’s service uses and carers Values and Behaviours Social and Community Being listened to Having choices Having good relationships with others, including with professionals and carers Being understood and respected Being able to self-care and look after your physical needs Learn about your illness Attend peer groups and share experiences / peer support and mentoring Meet people, make friends, build relationships Having help or support with the “basics”; money, accommodation, food Financial advice, housing issues Confidence building Support, help or lessons on how to cook Volunteering in the community Leisure or other activities Having a place to go to “a hub” Using community venues that are non-stigmatising – finding ‘safe’ places Having a place to go in a crisis Place[s] to get face to face / telephone advice Explain E Champs Explain VCS conference and ongoing dialogue with providers and partners
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Vol Sector & Community Support
Primary / Community Mental Health Assessment Brief interventions Relapse support Depot / clozapine clinic Holistic, personal, recovery focus Rapid access Building capacity and capability Based in Locality [GP] Hubs? Home Treatment Crisis Response In-patients Community teams BEH MHT (inc Social Work) Vol Sector & Community Support Therapeutic activities Recovery College Housing support services Specialist advice Community life Education Employment Talking therapies Self management Physical health care Other NHS Buddying and accompanying Shared experience networks Practical help Social groups Peer Support Support Worker MH Nurse Peer support GP
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Expected ‘Network’ Services
1. Access/information; social prescribing; support for self management 2. Activities and brief interventions, including support, advocacy and wellbeing 3. Community Development & Community Assets 4. Peer support
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Supported Housing Review Decisions
A review of the supported housing pathway for mental health Pilot a “Psychologically Informed Environment” for women with mental health conditions and experience of trauma Develop an access and assessment service to provide a more comprehensive and streamlined gateway into support
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Key factors The detailed design of services
How to shape services to behave as a network – what will change the way organisations and services work together, based around people who use those services? How to contract and procure – e.g. one contract, lots, separate contracts
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Way Forward A follow-up workshop with community providers to input
Further engagement with users and carers Secure a commissioning agreement for the final model Enter into procurement into the more detailed design of services and review models of consortium working
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