https://www.gov.im/categories/health-and- wellbeing/mental-health-and-wellbeing/
A Plan that sets out the broad mental health and wellbeing needs for our Island and advocates a ‘whole person’ approach to mental health and wellbeing.
Recognising that improving mental health is anybody's business Raising the profile and awareness of mental health:- ◦ Improving information ◦ Increasing service user / carer involvement ◦ Changing attitudes to tackle stigma and discrimination Promoting joint working between agencies to promote independent living
Mental health issues are responsible for 22.8% of burden of disease Mental health issues often start early, with 50% of lifetime mental illness (excluding dementia) starting by age 14 and 75% starting by the mid-20s. Mental health issues start at an early age and can have lifetime consequences 1 in 4 people will experience a mental health problem in any given year 1 in 10 children between the ages of 5 and 16 have a mental health problem and many more have behavioural issues Between 1 in 10 and 1 in 15 new mothers experience post-natal depression 1 in 16 people over 65 and 1 in 6 over the age of 80 will be affected by dementia 9 in 10 prisoners have a diagnosable mental health and/or substance misuse problem People with severe and enduring mental illness are estimated to die an average 20 years earlier than the general population, largely due to physical health problems
Mental health issues are responsible for 22.8% of burden of disease Mental health issues often start early, with 50% of lifetime mental illness (excluding dementia) starting by age 14 and 75% starting by the mid-20s. Mental health issues start at an early age and can have lifetime consequences 1 in 4 people will experience a mental health problem in any given year 1 in 10 children between the ages of 5 and 16 have a mental health problem and many more have behavioural issues Between 1 in 10 and 1 in 15 new mothers experience post-natal depression 1 in 16 people over 65 and 1 in 6 over the age of 80 will be affected by dementia 9 in 10 prisoners have a diagnosable mental health and/or substance misuse problem People with severe and enduring mental illness are estimated to die an average 20 years earlier than the general population, largely due to physical health problems
12 a. Increasing the profile of mental health and wellbeing in existing and new polices and strategies across Government, private and third sectors b. Promoting better mental wellbeing and preventing mental ill health c. Establishing collaborative care and treatment across a ‘Stepped - Care Model’ a. Commitment by all sectors to work together to improve mental health and wellbeing b. Ensuring that mental health and wellbeing information is recorded using recognised Data standards and used appropriately
Medical Director (DH) Head of Clinical Director Mental Health Clinical General Business Manager Support Lead Clinical Gov CRHTT/Acute CAMHS Psychological Rehab/Recovery CMHT OPMHS DAT Manager/ Admission Manager Therapies/RMT Manager Manager Manager Manager Lead Nurse Manager Manager CPA & MH Risk & Clinical Consultants MHA Manager Promotion Development Speciality Doctors
Structure presented a number of risks / gaps In some areas limited hours and range of services Heavy reliance on unique, individual roles with ‘single points of failure ’ Some evidence that operational areas were working in silos with no collective responsibility for the Service as a whole
High bed occupancy due to delayed discharges / lack of community alternatives (adult & older persons) High number of PD patients admitted to acute unit Ward areas high risk due to patients having to be admitted for lengthy periods sometimes due to lack of therapeutic community support / treatment pathway Up to 10 day patients attending acute inpatient service every day with no additional resources
Director tor of CGM MH Services PLT Acute te (Finan ance Lead Lead) d) CGM BI & Info o Community ty Governance (HR Lead) d) Lead Board rd Lead d Legi gisl slati ation on Psychol olog ogist st Lead Clinical al GP Mental tal Director tor Health th Lead ad Manag agement t HSCC Accou ountan tant OHR
Formation rmation of MH Management gement Board rd Formation rmation of Partnersh tnership ip Board rd Formation rmation of Profes ofessi sional nal Leader dersh ship ip Team Formation rmation of OAT ATs s Panel el & Policy licy Capital pital Sc Scheme eme - Ma Manann nnan an Cour urt t (h (handed nded over ver) Block ock c ontract with St Andrew’s Healthcare Developm velopment ent of DBT BT
Expan ansi sion on of CAMHS HS (with th 24/7 /7 on call ll) Develo elopm pment ent of Comm mmun unity ity & Wellb llbei eing ng Service ice Clini inical cal Phar armacist macist for Menta tal l Health lth Sp Special cialis ist t Dietit titia ian n appoint intmen ment Safegu eguardi rding ng Lead for Menta tal l Health lth appointed inted Take e Home e Naloxon oxone e Initi itiat ativ ive e (DAT) Couns unselli elling ng pilot t (self lf referra rral) Pilo lot t link nk worker ers s to GP practic tice Advocacy cacy servic ice12 e12 month nth pilot
Bu Built t to NH NHS S Engl glan and d des esign gn standar andard d (HB HBN N 03 03-01) 01) – acute e psy sychiatri hiatric unit 26 beds / 2 wards with ‘swing’ capability 4 d desig signated nated access ss / egr gress ess points nts 4 s secure cure outdo door or space aces
High spec’ fixtures / fittings (e.g. anti - liga gatur ure e door top alarms rms) Pu Publ blic ic space ace (recep eception ion) ) wi with café é & vi visiti ting ng area Se Section ion 13 132 / De 2 / De-es escalati alation on / sec eclus usion on suite te Speci eciali alist st furni rnitur ture e (e.g. g. we weigh ghted ted / sealed) led)
12 month contract (+ extension) 5.5 block beds 6 priority beds Low & medium secure provision CAMHS Set rates Ease pressure at Grianagh Court Added extras (e.g. funded travel) Opportunity to ‘test’ block bed contract against spot purchasing arrangement
Review view & deve velopmen lopment t of care e pathways hways – eg eg eating ing disor sorders ders, person rsonality ality disor sorder, der, depre press ssion ion Relo locati cation on of CAM AMHS HS (Grianagh rianagh Cour urt) t) Relo locati cation on of OPMHS S (Gri rianagh anagh Court) ourt) Comm mmuni unity ty link nk work rkers ers in Pri rimary ary Care re Integration egration of Inpatients atients / Cri risis sis Team Contrac ntract t for r Comm mmuni unity ty Su Support pport Se Servi vice, ce, incl cludin uding devel velopmen pment t of day service rvice
Re Refur urbish bishmen ment t of Geddyn dyn Re Reesht sht – CAM AMHS HS beds s and adult ‘step down’ / delayed layed disch scharg arge e beds Relo locati cation on to Manannan nnan Cour urt t (28/03/17 /03/17) Drug ug & Al Alcoh cohol ol St Strat rategy egy – JSN SNA Deve velopmen lopment t of Next xt St Step / Bruns nswic wick Gard rdens ens Extended ended CMHSA SA (7 day servic rvice) ) Developm velopment ent accommo commodati dation n portf rtfoli olio o
Strategic Plan for Mental Health & Wellbeing becomes the sole responsibility of the Mental Health Service
Safeguarding + mental health =
Safeguarding + mental health = Everybody’s business
Any questions
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