https://www.gov.im/categories/health-and- - - PowerPoint PPT Presentation

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 Mental Health Clinical General Manager Clinical Gov Manager/ Lead Nurse CRHTT/Acute Admission Manager Rehab/Recovery Manager CMHT Manager OPMHS Manager DAT Manager CAMHS Manager Psychological Therapies/RMT Manager Consultants Speciality Doctors CPA & MHA Manager MH Promotion Risk & Clinical Development Business Support Lead Clinical Director

 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

• f 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

Board rd

Director tor of MH Services PLT Lead BI & Info

• Governance

Lead Legi gisl slati ation

• n

Lead GP Mental tal Health th Lead ad HSCC OHR Manag agement t Accou

• untan

tant Clinical al Director tor Lead d Psychol

• log
• gist

st CGM Community ty (HR Lead) d) CGM Acute te (Finan ance Lead) d)

 Formation

rmation of MH Management gement Board rd

 Formation

rmation of Partnersh tnership ip Board rd

 Formation

rmation of Profes

• fessi

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

• ck contract with St Andrew’s Healthcare

 Developm

velopment ent of DBT BT



Expan ansi sion

• n 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

• xone

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

• r 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

• n / sec

eclus usion

• n 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

• n of CAM

AMHS HS (Grianagh rianagh Cour urt) t)

 Relo

locati cation

• n of OPMHS

S (Gri rianagh anagh Court)

• urt)

 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

• n to Manannan

nnan Cour urt t (28/03/17 /03/17)

 Drug

ug & Al Alcoh cohol

• l 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

• lio

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