Friday 17 th April 2015 The Hilton Hotel, Templepatrick Welcome and - - PowerPoint PPT Presentation

Friday 17th April 2015 The Hilton Hotel, Templepatrick

Welcome and introductions

Ricky Irwin, OFMDFM

What Is Collaborative Design

• Working in partnership with key stakeholders to

shape the best possible Service Delivery Model;

• Working in conjunction with users, providers and

professionals to design a more responsive, fit-for- purpose and efficient service.

Victims & Survivors Collaborative Design Approach

Victims Sector

Collaborative Design Process

COLLABORATIVE DESIGN WORKSHOPS Open discussion and bringing all of the information together to identify overall priorities Identify emerging key priorities / themes DIALOGUE AND PARTNERSHIPS CREATING SOLUTIONS TOGETHER Over the coming months we plan to hold a series of workshops to allow us to discuss possible ideas for consultation COLLABORATIVE WORKING Moving forward with our shared vision as partners, with a mutual understanding that we are all committed to delivery. Everyone has a vital role to play.

To discuss and identify initial key priorities for:  Victims Support Programme  Individuals Needs Programme  Mental Trauma Services

Objective For Collaborative Design Workshop

VICTIMS SUPPORT PROGRAMME

MARGARET BATESON Interim CEO Victims and Survivors Service

12 Recommendations 7 Key Areas

Monitoring and Evaluation MIS Strategic Allocation Partnership and Collaboration Eligibility Long Term Sustainability Evidence Based Practise

INDIVIDUAL NEEDS PROGRAMME JOHN BEGGS CVS Secretary

“Promoting awareness of matters relating to the interests of victims and survivors”

Individual Needs Programme - Introduction

• Highlight some of the key recommendations of the

RSM Evaluation and Independent Assessment

• Status Quo maintained 2015/16 with focus this year:

pilots on Personalised Budgets/Caseworkers, Eligibility and Assessment process

• Hear

your views

• n

these today to inform development of policy advice and future co-design workshops

Individual Needs Programme - Context

• 4 packages of support and 6 schemes derived from NIMF

and CNA

• VSS integral role on set-up in administering schemes

based on INR’s and historical levels of uptake/demand and funding

• Independent

assessment raised particular concern around assessment process and INR suspended in-year

• RSM Evaluation of 2013/14 highlights c.4,000 individuals

benefited and £4.4m spent on addressing individuals needs

• RSM identified that key issues were growing demand

and eligibility checks, assessing needs and demonstrating impact

RSM Recommendation 7: OFMDFM, CVS and VSS pilot personalised budgets

• The pilot should be reviewed and inform a decision on the use of

personalised budgets for future service delivery

RSM Recommendation 8: OFMDFM, CVS and VSS should pilot a case worker approach

• Whereby individuals are assigned to a dedicated member of VSS

staff, alongside the personalised budget pilot in 2015/16

• This should enable consistency in individuals’ contact with VSS
• The pilot should be reviewed and inform future delivery

Personalised Budgets/Caseworkers: Action to date

• Study trip to Warrington March 2015 to evolve

concept into practical advice for service delivery

• Currently developing advice for a pilot
• Implement with sample of individuals and evaluate

later in the year

RSM Recommendation 2: Assess potential in Outsourcing Client Assessment

• OFMDFM,

CVS and VSS should conduct an assessment of the feasibility of outsourcing the assessment process to a multi disciplinary third party

• Any

new assessment tool should complement processes already in place in Health & Social Care

Independent Assessment: Recommendations 20 and 21

• Recommendation 20

We recommend the new assessment process takes a comprehensive approach to assessing need, in consultation with groups, the Forum and CVSNI

• Recommendation 21

We recommend a triage approach to needs assessments so that those who need simpler assessments can be managed separately from those with more complex needs

• Subsequent follow-up reviews on the Assessment process last

year concluded that the proposed Health & Wellbeing Process was still not appropriate and that victims need to have confidence in an assessment process that is still not agreed and settled

Assessment Process: Action to date

• WKM carried out initial consultations in March and proposing

simplified needs assessment form and guidance on structure conversation and managing risk with individuals

• Key issues to be addressed around who carries out and

training to ensure sensitive and consistent approach to new assessments

• Currently developing advice for a pilot to run parallel with

personalised budgets

• Implement with sample of individuals and evaluate later in

the year

RSM Recommendation 1: Develop Code of Practice to inform eligibility checks

• Initial client screening to be carried out by both funded
• rganisations and VSS;
• In order to provide a consistent approach, a Code of Practice

should be developed, agreed and applied by all parties;

• The

Code

• f

Practice should clearly articulate agreed responsibilities, processes and protocols relating to risk management and clearly define programme eligibility;

• Compliance

with Code

• f

Practice should be regularly monitored and controlled.

MENTAL TRAUMA SERVICES SIOBHAN O’NEILL UUJ

Mental Health

The Commission proposed in the CNA (2012); “The Commission would encourage the consideration of

developing a trauma focused coordinated service network by OFMDFM and DHSSPS. Based on the model of a managed clinical network, the development of a trauma focused coordinated service network could deliver a comprehensive regional trauma service . . .”

The Impact of the Conflict on Mental Health

• Over 30 years of violence has resulted in over 3,500 deaths

and over 35,000 injuries, therefore there are few individuals within society who have not been affect either directly or indirectly;

• Four out of ten people in the region have experienced a

traumatic event and we have one of the highest recorded rates

• f PTSD in the world;
• Approximately 40% of people with a mental disorder receive
• treatment. However that means that potentially 60% of the

population (or up to 127,800 adults) with mental health problems linked to the Troubles have not received treatment to date;

The Impact of the Conflict on Mental Health

• In comparison to the UK average, mental health needs in NI

are 25% higher;

• As a result of the conflict young people in NI face a higher risk
• f mental ill health in comparison to young people in both

England and Scotland;

• The Commission’s Troubled Consequences Report found

evidence for a profound and enduring impact of conflict-related trauma on individuals and families and wider society in Northern Ireland;

The Impact of the Conflict on Mental Health

• The report revealed that an estimated 39% of the adult

population (almost 524,000 individuals) have experienced at least one conflict-related traumatic event during their lifetime. Meanwhile, the research team commented that an estimated 18,000 individuals who had a conflict related experience had met the criteria for posttraumatic stress disorder (PTSD);

• The economic cost of not effectively addressing the enduring

psychological needs of individuals and communities affected by the conflict was also highlighted. Research conducted by the Ulster University team indicated that the total annual direct costs among individuals with 12 month PTSD associated with the conflict was an estimated £46.7 million (year on year);

The Impact of the Conflict on Mental Health

• The most recent research ‘Towards A Better Future: The Trans-

generational Impact of the Troubles on Mental Health (2015)’ which was undertaken by Ulster University Indicated that 14% of the adult population have mental health problems directly related to the Troubles (this equates to around 213,000 adults)

• The report noted that traumatic experiences and exposure to

violence can lead to adverse mental health and other consequences not only for the person themselves, but also on a trans-generational cycle which impacts upon the well-being of subsequent generations of children and grandchildren

The Impact of the Conflict on Mental Health

• Many of the services currently offered by the statutory and

non-statutory sectors to address the mental health needs of those affected by the Troubles match the recommended interventions for people with mild to moderate mental disorders

• Statutory services (and some non-statutory services) also

provide a range of treatments for people with moderate to severe mental health problems and functional impairment. There is significant concern however, about the level of unmet need of c.60% and the potential for the trans-generational transmission of the impact of the conflict’s legacy

Evidence from the VSS

• Evidence from the INR’s (883 clients) showed that:
• 72% of clients presented with severe (53%) or moderate

anxiety (19%);

• 68% of clients presented with severe (49%) or moderate

depression (19%);

• 94% of clients presented with trauma symptoms.

Independent Assessment Report (2014): Recommendation 23:

• We recommend that where victims and survivors are identified

as requiring acute psychological and psychiatric interventions, then protocols with statutory health services must be in place and are subject to monitoring and evaluation. This should be a priority for consideration by CVSNI, OFMDFM, DHSSPS and the Health and Social Care Board advising the VSS;

The Stormont House Agreement December 2014

‘The Commission for Victims and Survivors’ recommendation for a comprehensive Mental Trauma Service will be implemented. This will operate within the NHS but will work closely with the Victims and Survivors Service (VSS), and other organisations and groups who work directly with victims and survivors’.

NEXT STEPS

 This is the first in a series of workshops on the Victims and

Survivors Collaborative Design Process;

 We plan to hold more workshops focused on the key priorities

which you have identified today and will be in contact with you shortly with the arrangements;

 We will also continue with our engagement across the Victims

Sector to help inform this process.

Thank you

We have a number of suggestion boxes located at the exit if anyone would like to provide further input/suggestions to inform the collaborative design programme. Also you can contact us at any time on: Telephone : 028 9052 0096 Or by sending information /queries to the e-mail address :

vscdp@ofmdfmni.gov.uk

1.00pm: Finish with buffet lunch