This document discusses developing more collaborative approaches to addressing mental health crises through integrated solutions that prevent crises and operate digitally at all times. It recommends moving towards wider collaboration using better data and building professional networks to innovate integrated solutions for preventing mental illness and crisis, reducing service demand.

1. ‘OUTSTANDING’ CQC Inspection 2014
‘HIGHLY COMMENDED’ Positive Practice in Mental Health Awards 2013
www.facebook.com/serenitypartnership
Sgt Paul Jennings
Mental Health Sergeant
WHAT TO DO IN A CRISIS

2. CAN WE SUMMARISE
THIS DOCUMENT
IN ONE SENTENCE?

3. GETTING THE FOUNDATIONS RIGHT: COMMISSIONING FOR
GOOD QUALITY CARE FOR ALL
AND RESEARCH TO DRIVE CHANGE NOW AND IN THE FUTURE
STRENGTHENING THE
TRANSPARENCY AND
, LEVERS AND PAYMENT
REGULATION AND INSPECTION
INSIDE THE NHS, ACROSS GOVERNMENT AND IN WIDER SOCIETY
PREVENTION
7 DAYS A WEEK
INNOVATION
WORKFORCE
DATA REVOLUTION
INCENTIVES
LEADERSHIP
8 CHAPTERS
1
2
3
4
5
6
7
8
FAIR
“Alongside new standards we need to see further innovation in three areas:
• to stimulate between
commissioners and providers to develop , accessible services for all.
• expanding access to to enable more people to receive effective
care and provide greater accessibility and choice.
• a on quality improvement to support staff and patients to
improve care through, with support from
”.
NEW MODELS OF CARE EFFECTIVE COLLABORATION
INTEGRATED
DIGITAL SERVICES
EFFECTIVE USE OF DATA
PROFESSIONAL NETWORKS
SYSTEM WIDE-FOCUS
1
2
3
INNOVATION…..p37

4. PREVENTION
7 DAYS A WEEK
INNOVATION
WORKFORCE
DATA REVOLUTION
INCENTIVES
LEADERSHIP
FAIR
NEW MODELS OF CARE EFFECTIVE COLLABORATION
INTEGRATED
DIGITAL SERVICES
EFFECTIVE USE OF DATA
PROFESSIONAL NETWORKS
SYSTEM WIDE-FOCUS
This document recommends that we:
“MOVE TOWARDS MORE COLLABORATION
IN ORDER TO
FOCUS WIDER, USE BETTER DATA & BUILD NETWORKS
ENABLING US TO
INNOVATE INTEGRATED SOLUTIONS
THAT
PREVENT
MENTAL ILL-HEALTH, MENTAL CRISIS
(AND SERVICE DEMAND)
OPERATING DIGITALLY
WHEREVER POSSIBLE
ALL THE TIME"

5. Specialist support teams for
‘high intensity’ mental health crisis
simCOLLABORATION
WIDER
DATA
NETWORKS
INTEGRATED
SOLUTIONS
PREVENT
DIGITAL
ALL THE TIME

6. HIGH
INTENSITY
COLLABORATION
WIDER
DATA
NETWORKS
INTEGRATED
SOLUTIONS
PREVENT
DIGITAL
ALL THE TIME

7. POLICE
OFFICER
MENTAL
HEALTH
NURSE
PROBATION
EMERGENCY
DEPARTMENT
HOUSING
AMBULANCE
FAMILY AND
FRIENDS
“I can tell a service user that consequence X could happen.
The police SIM tells the same person that consequence X will happen
BUT
We BOTH tell the service user that neither of us want that to happen”
Mental Health SIM trained practitioner
SERVICE
USER
EMPLOYMENT
DRUG AND
ALCOHOL
SERVICES
COLLABORATION
WIDER
DATA
NETWORKS
INTEGRATED
SOLUTIONS
PREVENT
DIGITAL
ALL THE TIME

8. COLLABORATION
WIDER
DATA
NETWORKS
INTEGRATED
SOLUTIONS
PREVENT
DIGITAL
ALL THE TIME

9. COLLABORATION
WIDER
DATA
NETWORKS
INTEGRATED
SOLUTIONS
PREVENT
DIGITAL
ALL THE TIME

10. 15 month Pilot
COLLABORATION
WIDER
DATA
NETWORKS
INTEGRATED
SOLUTIONS
PREVENT
DIGITAL
ALL THE TIME

11. COLLABORATION
WIDER
DATA
NETWORKS
INTEGRATED
SOLUTIONS
PREVENT
DIGITAL
ALL THE TIME

12. COLLABORATION
WIDER
DATA
NETWORKS
INTEGRATED
SOLUTIONS
PREVENT
DIGITAL
ALL THE TIME

13. SPECIALIST SUPPORT FOR
HIGH INTENSITY MENTAL HEALTH CRISIS
Developing a National Research Network
Sergeant 20261 Paul Jennings
Mental Health Sergeant, Hampshire Constabulary
Clinical commentary by Vicki Haworth (Mental Health Innovation Lead, IOW NHS Trust)
Supported by
version 9.0
serenity
“We only introduce a police officer when we think it would be helpful”
“The NHS no longer manages these risks alone”
“Mental Health teams no longer work blind”
“A fresh start for all”
“Service users understand that all risks and behaviours are discussed”
“A more consistent approach towards behavioural responsibility”
“Our use of hospital admissions has changed”
“We say ‘It could’ – police say ‘It will’”
“A fighting chance to avoid criminal justice sanctions”
“Better support inside the criminal justice system”
“We are now working upstream”
“A police presence in our team has so many other benefits”
“The police can adopt less controlling responses”
CHAPTER 6: What NHS staff say about SIM

14. SPECIALIST SUPPORT FOR
HIGH INTENSITY MENTAL HEALTH CRISIS
Developing a National Research Network
Sergeant 20261 Paul Jennings
Mental Health Sergeant, Hampshire Constabulary
Clinical commentary by Vicki Haworth (Mental Health Innovation Lead, IOW NHS Trust)
Supported by
version 9.0
serenity
“I have got more sorted out in the time I have been with
SIM than the whole time in hospital”
ANDREW
Supported by SIM team since Nov 2015

15. COULD OUR IT
SYSTEMS AND
BUILDINGS TALK TO
EACH OTHER?
COULD EVERY
CALLER IN CRISIS
ACCESS THE SAME
SERVICES
REGARDLESS OF
POSTCODE?
COULD WE
MANAGE CRISIS
‘CAPACITY’ BY THE
HOUR?
HOW COLLABORATIVE
COULD OUR CRISIS
RESOURCES BE?
COULD WE MAKE
‘CRISIS RESPONSE’
A
PROFESSIONAL
SKILL THAT GETS
ENHANCED PAY?
WHY DON’T CRISIS
CALLS GET A MH
AMBULANCE ON
BLUE LIGHTS?
COULD OUR
EXPERTISE GO
UPSTREAM INTO
COMMUNITY
PREVENTION?
HOW COLLABORATIVE
COULD OUR CRISIS
EXPERTISE BE?
COULD WE MAP
ALL CRISIS
DEMAND AND
INTEGRATE
CALL MNGT?
COULD CRISIS
SUPPORT BE
ACCESSED AS
24/7 DYNAMIC
KNOWLEDGE?
HOW COLLABORATIVE
COULD OUR CRISIS
RESPONSE BE?
COULD WE
DEVELOP
‘PLACE OF SAFETY’
RESOURCES IN
THE COMMUNITY?
COULD STUDENTS
BE TRAINED TO
THINK BEYOND
THEIR OWN
SERVICE?
DO WE SELECT THE
VISIONARY
THINKERS WHEN
WE RECRUIT
STAFF?
HOW COLLABORATIVE
COULD OUR CRISIS
THINKING BE?
COULD OUR STAFF
BE ENCOURAGED
TO SPEAK &
WORK BEYOND
THEIR PAY GRADE?
ARE WE TRAINING
OUR ‘EXPERTS’?
WITH REAL
QUALIFICATIONS?
HOW COLLABORATIVE
COULD OUR
USE OF SERVICE USERS
BE?
COULD WE PAY
FORMER SERVICE
USERS TO MENTOR
25% OF OUR LIVE
CASES?
DO WE CONSIDER
THEM TO BE OUR
FUTURE
EMPLOYEES?
COLLABORATION
WIDER
DATA
NETWORKS
INTEGRATED
SOLUTIONS
PREVENT
DIGITAL
ALL THE TIME

16. “Imagination shared
creates
collaboration.
Collaboration
creates
community.
Community
inspires
change.”
Terry Tempest Williams
Author