(163) Personalisation & Integration ( Cambridge, January 2011)

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achieving meaningful integration in mental health services

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  • (163) Personalisation & Integration ( Cambridge, January 2011)

    1. 1. Personalisation & Integration Cambridge January 2011© Simon Duffy. Rights Reserved. Full copyright details at www.centreforwelfarereform.org
    2. 2. Four Questions1. What is personalisation?2. What does it mean for people with mental health problems?3. Is integration important?4. How should we fund mental health supports?
    3. 3. 1. Personalisation
    4. 4. Personalisation Model from Personalisation in Mental Health by Simon Duffy
    5. 5. 1. A positive focus on the person - their real wealth2. An equal and productive relationship with the professional - coproduction3. A commitment to positive outcomes and citizenship
    6. 6. Real Wealth from A Fair Start by Pippa Murray
    7. 7. Coproduction by Simon Duffy cited in A Fair Start by Pippa Murray
    8. 8. Community Support & Health Care From Personalisation in Mental Health by Simon Duffy
    9. 9. From Keys to Citizenship by Simon Duffy
    10. 10. 2. Mental Health
    11. 11. These findings [better long-term outcomes for schizophrenia in developing countries] still generate some professional contention and disbelief, as they challenge outdated assumptions that generally people do not recover from schizophrenia and that outcomes for western treatments and rehabilitation must be superior. However, these results have proven to be remarkably robust, on the basis of international replications and 15-25 year follow-up studies. Explanations for this phenomenon are still at the hypothesis level, but include: 1. greater inclusion or retained social integration in the community in developing countries, so that the person retains a role or status in the society; 2. involvement in traditional healing rituals, reaffirming community inclusion and solidarity; 3. availability of a valued work role that can be adapted to a lower level of functioning; 4. availability of an extended kinship or communal network, so that family tension and burden are diffused, and there is often less negatively expressed emotion in the family.Quote from Alan Rosen cited in Turning the World Upside Down by Nigel Crisp
    12. 12. Type of Purchase Amount % of Transportation 7526.72 (£) 13% Total Computers and accessories 6899.95 12% Dental services 6662.59 11% Medication management services 4897.87 8% Psychotropic medications 4890.33 8% Mental health counselling 4864.18 8% Housing 4133.59 7% Massage, weight control, smoking 3017.13 5% Utilities cessation 1968.77 3% Travel 1721.13 3% Equipment 1615.88 3% Clothing 1423.27 2% Food 1390.25 2% Crafts 1361.35 2% Licenses/ certification 1253.35 2% Entertainment (movies, eating out) 1216.12 2% Vision services 1127.47 2% Furniture 640.44 1% Non-mental health medical 515.24 1% Camera and supplies 477.47 1% Education, training, materials 394.22 1% Haircut, manicure, make up lessons 336.43 1% Pet ownership 330.93 1% Supplies and storage 282.12 <1% Other 8.26 <1% Total 58,965.40 100%Research cited in Active Patient by Vidhya Alakeson
    13. 13. Tapered Control in Personalisation in Mental Health by Simon Duffy
    14. 14. Organisational Structures from Personalised Support by Julia Fitzpatrick
    15. 15. 3. Integration
    16. 16. From Women at the Centre (forthcoming) by Simon Duffy & Clare Hyde
    17. 17. From Women at the Centre (forthcoming) by Simon Duffy & Clare Hyde
    18. 18. From Women at the Centre (forthcoming) by Simon Duffy & Clare Hyde
    19. 19. From Women at the Centre (forthcoming) by Simon Duffy & Clare Hyde
    20. 20. Personalised Pathway from A Fair Start by Pippa Murray
    21. 21. 4. Funding
    22. 22. Total Place Commissioning from Personalisation in Mental Health by Simon Duffy
    23. 23. Local Authority Well-being or ‘Social Care’ Resources Independence Improved clinicalNHS Resources Medical services outcomes Welfare Improved mental ‘what works’ funding health
    24. 24. From Women at the Centre (forthcoming) by Simon Duffy & Clare Hyde
    25. 25. Different Funding Systems in Health Care from Personalisation in Mental Health by Simon Duffy
    26. 26. Individual Budget from Personalisation in Mental Health by Simon Duffy
    27. 27. From Resource Allocation in Mental Health by Simon Duffy
    28. 28. 1. Status quo - 2 systems2. Tidy up & rationalise, but 2 systems3. One system - but with two funding streams4. Just one system, with real joint funding
    29. 29. • Health-social care distinction will not hold when people seek solutions that work• Mental health is sufficiently coherent to have its own system - but not coherent enough to have two!• Political situation creates interesting opportunities - creative havoc in local government and PCTs• Risk of increased tension and incoherence - the imperative to personalise will fail without greater rigour
    30. 30. Contact Details The Centre for Welfare Reform The Quadrant, 99 Parkway Avenue, Parkway Business Park Sheffield, S9 4WG T +44 114 251 1790 M +44 7729 7729 41 admin@centreforwelfarereform.org Get a free subscription at: www.centreforwelfarereform.org© Simon Duffy. Rights Reserved. Full copyright details at www.centreforwelfarereform.org

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