people lives communitiespeople lives communities
How SDS has worked in other places
Supporting people with mental health p...
people lives communities
What are things like now for people with mental
health problems?
Self-Directed Support works: evi...
people lives communities
Choice and control in Scotland
People using Direct Payments as a proxy for this
37% people with p...
people lives communities
What are things like now? (2)
2.3m people with a mental health condition are
on benefits or out o...
people lives communities
NHS Care Plan (in England):
54% „definitely‟ had views taken into account
42% said plan „definite...
people lives communities
Put it another way…
people lives communities
Evidence SDS works
people lives communities
Evidence SDS works
people lives communities
70%+ of people with mental health problems:
Being as independent as they want
Getting the support...
people lives communities
West Sussex:
DPs process that supported discharges from
residential care
Encouraging evidence tha...
people lives communities
Personal Assistants? Well, a little bit
What people spend their money on
people lives communities
Leisure activities / socialising / holidays / breaks
Assistance with everyday tasks
Gym membershi...
people lives communities
Being creative…
people lives communities
Information
Promoting eligibility
Range of support services
Paperwork
Positive staff roles
Self-D...
people lives communities
SDS works especially well for fluctuating
conditions
Flexibility
Tailoring support
Advance Direct...
people lives communities
Good evidence they enable better outcomes
They need:
Adequate funding
Clear referral mechanisms
P...
people lives communities
Personalisation means change for everyone
For people who use services and their families
For peop...
people lives communities
Personalisation isn‟t a zero-sum power game
It‟s a win-win
It empowers users
It empowers staff
Wo...
people lives communities
Self-Directed Support for people with
mental health problems works
It‟s better than what most peo...
people lives communities
Contact
Rich Watts, MH Programme Lead
T: 01225 789135
E: rich.watts@ndti.org.uk
Twitter: @rich_w
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Self-Directed Support in Scotland for people with mental health problems, 1 April 2014

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A presentation for Outside the Box's Getting There project, to support the launch of Self-Directed Support in Scotland.

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Self-Directed Support in Scotland for people with mental health problems, 1 April 2014

  1. 1. people lives communitiespeople lives communities How SDS has worked in other places Supporting people with mental health problems to live the lives they want Paisley, 1 April 2014
  2. 2. people lives communities What are things like now for people with mental health problems? Self-Directed Support works: evidence What works to make it happen: practice Overview
  3. 3. people lives communities Choice and control in Scotland People using Direct Payments as a proxy for this 37% people with physical/sensory impairments 24% people with learning disabilities 19% frail older people 5% people with mental health conditions What are things like now? (1)
  4. 4. people lives communities What are things like now? (2) 2.3m people with a mental health condition are on benefits or out of work Non-disabled people is approx. 79% Disabled people is approx. 48% Depression is approx. 26% Other forms of mental health conditions (e.g. phobias) was 13% Only 8% of adults with serious mental health problems in employment This proportion is actually decreasing (UK figures)
  5. 5. people lives communities NHS Care Plan (in England): 54% „definitely‟ had views taken into account 42% said plan „definitely‟ set out their goals Of these, 44% said NHS MH services „definitely‟ helped them start achieving these goals What are things like now? (3)
  6. 6. people lives communities Put it another way…
  7. 7. people lives communities Evidence SDS works
  8. 8. people lives communities Evidence SDS works
  9. 9. people lives communities 70%+ of people with mental health problems: Being as independent as they want Getting the support they want Being supported with dignity and respect 60%+ of people with mental health problems: Physical health Mental wellbeing Control over important things Control over support Less than 10% reported a negative impact on any area of their life Evidence SDS works
  10. 10. people lives communities West Sussex: DPs process that supported discharges from residential care Encouraging evidence that residential care admissions reduced Florida: People spent significantly less time in psychiatric inpatient and criminal justice settings People spent significantly higher number of days in the community (compared to inpatient or forensic settings) than in the year before Similar findings in other places Evidence SDS works
  11. 11. people lives communities Personal Assistants? Well, a little bit What people spend their money on
  12. 12. people lives communities Leisure activities / socialising / holidays / breaks Assistance with everyday tasks Gym memberships / exercise-related Computing / IT Therapeutic services Travel Education / skills Volunteering “Pooling” arrangements What people spend their money on
  13. 13. people lives communities Being creative…
  14. 14. people lives communities Information Promoting eligibility Range of support services Paperwork Positive staff roles Self-Directed Support, not process-led support or service-led support Making SDS work
  15. 15. people lives communities SDS works especially well for fluctuating conditions Flexibility Tailoring support Advance Directives Understand the reality of risk, not the perception Making SDS work
  16. 16. people lives communities Good evidence they enable better outcomes They need: Adequate funding Clear referral mechanisms Promotion – internal and external Promotion of credibility Making SDS work – ULOs
  17. 17. people lives communities Personalisation means change for everyone For people who use services and their families For people who work in services For people who provide services For people who commission services And for you! Often missed Personalisation affects everyone
  18. 18. people lives communities Personalisation isn‟t a zero-sum power game It‟s a win-win It empowers users It empowers staff Workforce – key point
  19. 19. people lives communities Self-Directed Support for people with mental health problems works It‟s better than what most people currently get People have made it work Many of the issues and problems are considerably reduced in practice Work in partnership, together Summary
  20. 20. people lives communities Contact Rich Watts, MH Programme Lead T: 01225 789135 E: rich.watts@ndti.org.uk Twitter: @rich_w

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