Page 1 The Managed Care Network Agenda Item 5 for Mental Health - - PowerPoint PPT Presentation

Mental Health Support Networks in Lincolnshire

The Managed Care Network for Mental Health

Adult Scrutiny Committee April 2018

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Agenda Item 5

What do we do?

• The Managed Care Network enables community groups and
• rganisations to start projects that otherwise might fail.
• Groups and organisations across the county provide a variety of

activities including social and friendship groups, formal and informal learning, supported volunteering and community participation activities.

• Members of the network have close links with each other to help

people prevent, manage and recover from mental illness, so that they can enjoy the best possible quality of life.

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How are we different?

The Managed Care Network differs from traditional grant sources by running and maintaining a support network for all groups that have accessed funding as well as key partner organisations who bring value to the network. The network is a platform for sharing good practice, lessons learned and

• ngoing issues. It enables network members to support each other and
• ffer assistance to help ensure the long term sustainability of 3rd sector

projects.

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Wave 7

• 27 Projects across Lincolnshire
• Activity types include;
• Physical Activities
• Social Activities
• Farm therapy
• Mental Health Awareness Raising
• Equine Assisted Learning
• Outdoor activities
• Help For Homeless People
• Projected number of beneficiaries - 2669
• Number of beneficiaries in Q1 - 980

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More help, more quickly, for more people, nearer to home, for less money, with better outcomes.

The Managed Care Network for Mental Health

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Social Determinants

Social determinant factors of poor mental health across Lincolnshire include:

• Social and rural isolation
• Poverty and social exclusion
• Unemployment
• Long Term Health Conditions
• Obesity
• Troubled Families
• Substance misuse
• Health service accessibility
• Housing and homelessness

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System Working: Self Care and Prevention Strategy

• Understanding what is “normal” for an individual helps the development of

personal goals

• Understanding “normal” helps us know the difference between healthy, coping and

struggling

• Offering a range of activities that fit with multi-agency and organisation priorities
• Working with Neighbourhood Teams and voluntary services to understand demand

and gaps in activity across the county

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Health and Social Care

Nottingham University Independent Evaluation 2015

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Achievement of strategic objectives

• The MCN groups are quite evenly spread across the county, with the largest

proportion in the West of Lincolnshire (26%) and the smallest in the South West (11%).

• The MCN offers a wide and varied range of projects.
• 56% Support (e.g. peer support, financial support, access to services, general

advice, family support, support in accessing paid and/ or voluntary work);

• 22% Activity Specific (e.g. fitness, craft, cooking, media activities,

horticulture);

• 11% Training (e.g. education and workshops on mental health, work

experience training);

• 11% Other

Nottingham University Institute of Mental Health

Impact Assessment 2015: Phase 2

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Achievement of strategic objectives

• Limited early evidence of effect on Mental Health service use (noting the

difficulty in attributing direct cause to the MCN)

• Early indication of good cost effectiveness, with quite large numbers helped by

small levels of investment

• Being part of the MCN was a positive experience, and one which helps the

members to offer the Beneficiaries better levels of support than they would if working in isolation.

Nottingham University Institute of Mental Health

Impact Assessment 2015: Phase 2

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?

activities

5

groups and organisations

6

projects

x

6

Sites

?

estimated beneficiaries

Before the MCN

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25

groups and organisations

27

Projects

including 14 countywide projects

35

Sites

980

estimated beneficiaries

Joining the Dots

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Personal Outcomes

Nottingham University Institute of Mental Health

Recovery Star

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Key Opportunities

• Link with health based neighbourhood teams and subsequently

police neighbourhood teams , fire, probation, addiction and housing services– supporting a reduction of demand on authority and health resources.

• Target priority areas with most beneficial impact on social

determinant factors of poor health

• Clear link to Self Care & Prevention Workstream of Lincolnshire

Sustainable Transformation Plan – in collaboration with multiple voluntary sector infrastructure.

• Involvement of commercial sector partners in sustainable future

community support.

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Key Challenges

• Non-recurrent grant funding is not ideal to develop long term

(measurable) sustainable community assets. Further exploration of sustainable community based funding needs to be considered as part of dynamic system change in Lincolnshire.

• Increasing number of people accessing groups with Learning

Difficulties and more severe mental health conditions.

• Growth in self care and prevention services associated with

assumptions about reducing costs in health and authority settings. Not currently aligned with commissioning of voluntary social support groups.

• More work required to stimulate the voluntary sector to provide the

kind of support required to impact on the reduction of social determinant factors – represented by the JSNA.

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Current strategic developments

• Supporting projects to identify the impact on health and authority

services (qualitative and quantitative impact)

• Direct connection with developing GP Federations and

Neighbourhood Teams to impact on activity in communities

• Development with police teams to identify potential group

formations for high intensity users with mental health issues

• Development of skills within the network – supporting all groups

(funded and not funded) to write successful bids for funding (lottery/social funding/comic relief/sports relief/local commercial sector)

• Involvement of local university and commercial sector business and

finance experts acting as additional expert resource to contribute to community development agenda.

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Sports coaching Peer Support & Advocacy Social Activities Mentoring Horticulture Formal & Informal Learning & Recovery College One-to-one Help Parental Mental Health Awareness Help for Homeless People Volunteering Vocational Training Woodland Activities Social Enterprise Information & Social Networking Staying Well small grants Local groups Early onset psychosis support

MCN Activities

Eating & Living Well Physical Activity Promoting Groups Creative writing, Arts & Crafts Money Advice Tranquility Hearing people’s views Performing Arts Relaxation Carers Support Health checks Prompted & Graduated Support Short breaks

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