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Mental Health
  Day Service
Transformation
โ€˜Better lives for
people in
Leedsโ€™
Welcome
Setting the scene:
โ–ก National picture
โ–ก Leeds picture
โ–ก Commissioning
โ–ก Recent developments
โ–ก Proposed model
โ–ก Next steps
โ–ก Timelines
National Picture:
โ–ก From Segregation to Inclusion โ€“ 2006
   Says that day services should be community services that involve service users
  in delivery


โ–ก Putting People First โ€“ 2007
  A Shared vision to transform adult care services


โ–ก No Health without Mental Health - 2011
  A cross government document looking at mental health for children to older
  people
Leeds picture:
โ–ก One in four people will experience a mental health
  problem at some point in their life

โ–ก Investment in Adult Social Care mental health day
  services is 1.5 m

โ–ก Investment in voluntary mental health day services is
  1.5 m

โ–ก Adult Social Care - 3 segregated building bases and a
  Community Alternatives Team. Monday โ€“ Friday
  mainly office hours some weekend and evening work
Leeds picture continued:

โ–ก Currently approx 340 people on the books as
  attending the three day centres: Lovell Park,
  Stocks Hill & The Vale

โ–ก Currently approx 320 people access Community
  Alternatives Team

โ–ก Budget Context โ€“ more for less
โ–ก 30k one year start up funding for an Information &
  Advice Service and Befriending Service
Commissioning themes
 ๏‚ง Recovery focussed
 ๏‚ง Information and Access
 ๏‚ง Peer Support
 ๏‚ง Employment
 ๏‚ง Creative Solutions
 ๏‚ง BME Communities
Adult Social Care Commissioning
๏‚ง   Welcoming

๏‚ง   Respectful

๏‚ง   Person Centred

๏‚ง   Innovative

๏‚ง   Challenging

๏‚ง   Passionate

๏‚ง   Aspiring/Inspiring
Why we need to change:
โ–ก We cannot always demonstrate that people are
  supported to recovery

โ–ก Some groups feel excluded
โ–ก Our system is not fair to everyone โ€“ some people
  receive duplicate services, others have to wait to
  receive services

โ–ก Services across Leeds are not well co-ordinated
Recent developments :
โ–ก Service user reviews/consultations took place during
  2011

โ–ก Staff events held in December 2011 and May 2012
โ–ก The Mental Health Advisory Board have been meeting
  regularly

โ–ก The Progress Group have been meeting regularly
โ–ก Initial briefings around Charging Review
โ–ก Visits to co-located services
โ–ก Establishment of The Panel
Recent developments :
โ–ก Involvement & Engagement Strategy
โ–ก Dedicated development officers
โ–ก Revised support and risk management plans โ€“
  Outcomes Star

โ–ก Service reviews
The proposed model:

โ–ก Safe spaces/Peer support
โ–ก Staff led recovery groups
โ–ก User led recovery groups
โ–ก One to one support
โ–ก Support pathways through the acute services
โ–ก Signposting to other services
We also need to:
โ–ก Involve the people who use services more
โ–ก Work in partnership with others
โ–ก Enable better access to information
โ–ก Support people to access mainstream services
  wherever possible

โ–ก Consider the needs of carers, families and young
  people
Asset Bases:
โ–ก Lovell Park โ€“ a central โ€˜hubโ€™
  A welcoming multi purpose space, co-working and
  hosting with other Agencies, office base, safe space,
  group space/meeting space, drop-in social space,
  information source, links to other facilities

โ–ก Stocks Hill โ€“ share the space with health
  colleagues/voluntary sector colleagues

โ–ก The Vale โ€“ seek alternative base/s in the South of
  the City
ASC Mental Health Recovery Service
      West                                                                    South

    Staff led recovery groups
    User led recovery groups
                                     Central Hub                            Staff led recovery groups
                                                                             User led recovery groups
       One to one support                                                      One to one support
    Safe spaces/Peer support                                                Safe spaces/Peer support
       Support pathways                                                         Support pathways
     through acute services                                                   through acute services

  Signposting to other services                                            Signposting to other services



                                  Signposting/Information Service - TBC


                                  Peer Support/Befriending Service - TBC


                            Volunteering/Employment Service โ€“ Health/MIND


                              Self Directed Support through personal budgets
Other considerations:

โ–ก FACS Eligibility
  Will apply to new users of the service


โ–ก Charging Review
  Four hours per week non-chargeable


โ–ก Move on Policy
  Ability to re-enter services within a twelve month period
Outcomes:
โ–ก A service that meets the needs of existing service
  users and those most in need in the city

โ–ก โ€˜Better Livesโ€™ for people - A more personalised
  approach

โ–ก More flexible service
โ–ก A greater emphasis around โ€˜Recoveryโ€™
โ–ก A positive experience from the service
The way forward:
Seek the views and suggestions from all stakeholders
What do you think about the model ?

What else do you think would be useful ?

Do you think anything else should be included ?

What else do you want to know at this stage ?

Would you like to play a part in making the changes happen ?

Other ways you can let us know what you thinkโ€ฆ.
Timelines:

โ–ก September โ€“ November 2012 share this
    model with all stakeholders
โ–ก   December โ€“ feedback the response to the consultation to
    service users, staff, leadership team and members
โ–ก   January 2013 โ€“ report to Executive Board recommending
    the way forward
โ–ก   February 2013 โ€“ begin to implement the new service
    model

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Presentation - Mental Health Day Services Transformation

  • 1. Mental Health Day Service Transformation
  • 4. Setting the scene: โ–ก National picture โ–ก Leeds picture โ–ก Commissioning โ–ก Recent developments โ–ก Proposed model โ–ก Next steps โ–ก Timelines
  • 5. National Picture: โ–ก From Segregation to Inclusion โ€“ 2006 Says that day services should be community services that involve service users in delivery โ–ก Putting People First โ€“ 2007 A Shared vision to transform adult care services โ–ก No Health without Mental Health - 2011 A cross government document looking at mental health for children to older people
  • 6. Leeds picture: โ–ก One in four people will experience a mental health problem at some point in their life โ–ก Investment in Adult Social Care mental health day services is 1.5 m โ–ก Investment in voluntary mental health day services is 1.5 m โ–ก Adult Social Care - 3 segregated building bases and a Community Alternatives Team. Monday โ€“ Friday mainly office hours some weekend and evening work
  • 7. Leeds picture continued: โ–ก Currently approx 340 people on the books as attending the three day centres: Lovell Park, Stocks Hill & The Vale โ–ก Currently approx 320 people access Community Alternatives Team โ–ก Budget Context โ€“ more for less โ–ก 30k one year start up funding for an Information & Advice Service and Befriending Service
  • 8. Commissioning themes ๏‚ง Recovery focussed ๏‚ง Information and Access ๏‚ง Peer Support ๏‚ง Employment ๏‚ง Creative Solutions ๏‚ง BME Communities
  • 9. Adult Social Care Commissioning ๏‚ง Welcoming ๏‚ง Respectful ๏‚ง Person Centred ๏‚ง Innovative ๏‚ง Challenging ๏‚ง Passionate ๏‚ง Aspiring/Inspiring
  • 10. Why we need to change: โ–ก We cannot always demonstrate that people are supported to recovery โ–ก Some groups feel excluded โ–ก Our system is not fair to everyone โ€“ some people receive duplicate services, others have to wait to receive services โ–ก Services across Leeds are not well co-ordinated
  • 11. Recent developments : โ–ก Service user reviews/consultations took place during 2011 โ–ก Staff events held in December 2011 and May 2012 โ–ก The Mental Health Advisory Board have been meeting regularly โ–ก The Progress Group have been meeting regularly โ–ก Initial briefings around Charging Review โ–ก Visits to co-located services โ–ก Establishment of The Panel
  • 12. Recent developments : โ–ก Involvement & Engagement Strategy โ–ก Dedicated development officers โ–ก Revised support and risk management plans โ€“ Outcomes Star โ–ก Service reviews
  • 13. The proposed model: โ–ก Safe spaces/Peer support โ–ก Staff led recovery groups โ–ก User led recovery groups โ–ก One to one support โ–ก Support pathways through the acute services โ–ก Signposting to other services
  • 14. We also need to: โ–ก Involve the people who use services more โ–ก Work in partnership with others โ–ก Enable better access to information โ–ก Support people to access mainstream services wherever possible โ–ก Consider the needs of carers, families and young people
  • 15. Asset Bases: โ–ก Lovell Park โ€“ a central โ€˜hubโ€™ A welcoming multi purpose space, co-working and hosting with other Agencies, office base, safe space, group space/meeting space, drop-in social space, information source, links to other facilities โ–ก Stocks Hill โ€“ share the space with health colleagues/voluntary sector colleagues โ–ก The Vale โ€“ seek alternative base/s in the South of the City
  • 16. ASC Mental Health Recovery Service West South Staff led recovery groups User led recovery groups Central Hub Staff led recovery groups User led recovery groups One to one support One to one support Safe spaces/Peer support Safe spaces/Peer support Support pathways Support pathways through acute services through acute services Signposting to other services Signposting to other services Signposting/Information Service - TBC Peer Support/Befriending Service - TBC Volunteering/Employment Service โ€“ Health/MIND Self Directed Support through personal budgets
  • 17. Other considerations: โ–ก FACS Eligibility Will apply to new users of the service โ–ก Charging Review Four hours per week non-chargeable โ–ก Move on Policy Ability to re-enter services within a twelve month period
  • 18. Outcomes: โ–ก A service that meets the needs of existing service users and those most in need in the city โ–ก โ€˜Better Livesโ€™ for people - A more personalised approach โ–ก More flexible service โ–ก A greater emphasis around โ€˜Recoveryโ€™ โ–ก A positive experience from the service
  • 19. The way forward: Seek the views and suggestions from all stakeholders What do you think about the model ? What else do you think would be useful ? Do you think anything else should be included ? What else do you want to know at this stage ? Would you like to play a part in making the changes happen ? Other ways you can let us know what you thinkโ€ฆ.
  • 20. Timelines: โ–ก September โ€“ November 2012 share this model with all stakeholders โ–ก December โ€“ feedback the response to the consultation to service users, staff, leadership team and members โ–ก January 2013 โ€“ report to Executive Board recommending the way forward โ–ก February 2013 โ€“ begin to implement the new service model