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  1. 1. MENTAL HEALTH FUNDING SYSTEM Health Local Authority /social services Cost
  2. 2. “No health without Mental Health”
  3. 3. National Institute of clinical excellence. N.I.C.E.
  4. 4. IAPT Funding  2008/09 – £33 million  2009/10 – £70 million  2010/11 – A further £70 million Total 173 million  2012 – Over £400 million invested to increase access to NICE-Approved Psychological therapies and extend IAPT services to children and young people
  5. 5. Complex Needs (Spot Purchasing) Private Hospitals Residential Care Day Services
  6. 6. Personalisation agenda “Putting people first”
  7. 7. Personal Budgets Some ways individuals spend their personal budgets are: Getting help with cooking, shopping and cleaning Having short breaks or a holiday Leisure activities, e.g. an art class or a walking group
  8. 8. Having driving lessons Buying specialist or computer equipment to make like easier Buying membership of a gym or sports club Finding a job or learning new skills Having an aromatherapy massage or other alternative therapy – mind website. Personal Budgets
  9. 9. Assessment of need “FACS” Low Moderate Substantial Critical
  10. 10. Outcome Assessment IAPT Key performance indicators (KPI’s): patient health questionnaire generalised anxiety disorder assessment questionnaire phobia screening questions disorder specific measures work and social adjustment scale employment questions Outcome studies: IAPT three year report (DOH, 2012) Mukuria et al. (2013) Cost-effectiveness of an Improving Access to Psychological Therapies Services. British Journal of Psychiatry
  11. 11. Outcome Assessment Personal Budgets- Department of Health Patient Choice empowers and strengthens partnerships between users, patients and clinicians. Active and Intelligent commissioning is the key to success. Cost effectiveness
  12. 12. EU Mental Health Strategy Green Paper European Commission (2005) "Improving the mental health of the population: Towards a strategy on mental health for the European Union“
  13. 13. The establishment of a strategy on mental health at EU-level would add value by:  Creating a framework for exchange and Cooperation between Member States  Helping to increase the coherence of actions in different policy sectors  To open up a platform for involving stakeholders including patient and civil society organizations into building solutions EU Mental Health Strategy
  14. 14.   The Commission proposes that an EU-strategy should focus on the following aspects :  Promote the mental health of all  Address mental ill health through preventive action  Improve the quality of life of people with mental ill health or disability through social inclusion and the protection of their rights and dignity; and  Develop a mental health information, research and knowledge system for the EU. EU Mental Health Strategy
  15. 15.  Department of Health (2009) New horizons: “Towards a share vision for mental health”        UK Mental Health Strategy
  16. 16. Key themes of the strategy are: Prevention and public mental health: Tackling stigma Early Intervention Personalized care Multi-agency commissioning/collaboration Innovation Value for money UK Mental Health Strategy
  17. 17. Proposals For European Planning  2013 – 20 A exploration of the various models of treatment across a section of EU countries.  Research investigating diagnosis specific treatment models that have proved to be effective taking into account patient experience, carers and professionals. Exploring the development of an integrative approach towards the treatment of mental health and other associated disorders in which social and health care models can be integrated in more efficiently.