1. 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

2. 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

3. 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

4. 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

6. 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

7. 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

8. 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

9. 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

10. 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