The conference held on February 14, 2008, in London addressed the challenges and opportunities associated with new professional roles in mental health following the implementation of the Mental Health Act. It emphasized the importance of values-based practice, identified key stakeholders, and outlined training needs for various levels of mental health staff to ensure readiness for the legislative changes. The training program aims to provide practical guidance, materials, and support for professionals to successfully transition to their new responsibilities under the act.

1. Conference on the Challenges and Opportunities of the New Professional Roles 14 th February 2008 London Training Issues for Organisations and Individuals Malcolm King National Training Lead 1

2. 9.30 Welcome and Opening Address (Chair) 9.40 The role of values-based practice in implementing the Mental Health Act (Bill Fulford) 9.50 Professional roles policy towards a modern mental health workforce (Janet Davies) 10.10 Roles & responsibilities, challenges and opportunities (Chris Merchant) 10.40 Questions 10.50 Tea Conference Programme 2

3. 11.15 Workshops 1. Developing professional pathways Preparing professionals for the transition & implementation of the Mental Heath Act Developing governance and information sets around the new professional roles Values-based practice for professionals Workforce planning and reviewing staff skillmix 12.30 Lunch 1.30 Training issues for organisations and individuals (Malcolm King) Conference Programme (cont) 3

4. 2.00 Repeat Workshops 3.15 Tea and networking 3.45 Key objectives from today towards implementation (Jim Symington/Bernie O’Hare) 4.15 End Conference Programme (cont) 4

5. Focus on the changes introduced by the Act - clear information for stakeholders Strong practical approach – based on a series of worked cases examples Closely linked with the Code of Practice – worked case examples reflected in brief vignettes in Code of Practice Integrated with BME programme – core set of examples all around BME issues Values-Based approach – case examples illustrate the importance of the Guiding Principals to support balanced decision making within the provisions of the Bill Key Points of the Training Programme 5

6. To offer a framework of training and guidance relevant to all levels of staff within organisations and identify who is responsible for provision; To provide access to appropriate training materials in a variety of appropriate formats in respect of the key changes in legislation, and the implications for new responsibilities and practice; To ensure that any training materials are presented in a practical context that reflects best practice and supports ease of access to all appropriate staff; To involve service users in the design, development and roll out of the training; To secure a consistent approach leading to Act readiness across England . The Aims and Objectives of the Training Planning and Provision 6

7. “ e” Learning Interactive learning materials CD (ROM) Workbooks PowerPoint presentations Learning sets, Web Site DVD’s (Service Users and BME Carers Group) Training materials/ methods to be used 7

8. Pilot Sites to trial materials end of February to March 2008. Train the Trainer events to run May to June 2008 (depending on final code of practice date) Development of Training Materials 8

9. The following stakeholders are involved in the design and development of the programme: Service Users and Carers Department of Health Mental Health Legislation – CoP Team DRE Team, BME Network MHAC, Healthcare Commission Other professional groups: Royal College of Psychiatrists, RCN, MHRT, MHAC,ADSS,GSCC, RCGP, OT College & BPS Trusts and Local Authorities Commissioners Strategic Health Authorities Police Ambulance Trusts Independent and Voluntary Sector Providers Internal – CSIP-Workforce Leads Criminal Justice Stakeholders Stakeholders 9

10. Contents: Foundation Module Guiding Principles Module Module 1 (Coming into Compulsion) Single Definition of Mental Disorder (Key Change 1) Criteria for Detention (Key Change 2) Age Appropriate Services (Key Change 3) Module 2 (Who Makes Decisions?) Broadening Professional Groups (Key Change 4) Nearest Relative (Key Change 5) Advocacy Services (Key Change 6) ECT (Key Change 7) Learning Workbook for Implementation of Mental Health Act 2007 10

11. Contents (cont): Module 3 (Supervised Community Treatment) Supervised Community Treatment (Key Change 8) Module 4 (Ending Compulsion) Mental Health Review Tribunal (Key Change 9) Learning Workbook for Implementation of Mental Health Act 2007 (cont) 11

12. All managers, professionals and practitioners working in mental health services, including professionally qualified and non-professionally qualified staff, third sector staff, who may be working in a variety of roles, for example as managers, as team leaders or in front-line services. Who Needs Training? 12

13. 1. Those clinicians and practitioners who have specific duties and responsibilities in respect of the current legislation: Approved Social Workers Responsible Medical Officers Section 12 Doctors 2. The training will have to address the development needs for the transition from existing roles to new roles and associated new responsibilities CSIP/NIMHE recommends 4 levels (or types) of training 13

14. 3. The wider mental health workforce who provide mental health services to patients subject to compulsion. 4. The workforce who are not specialist mental health service providers, but who have inter-related involvement with patients for whom compulsion is an issue e.g. Accident and Emergency, Police, third sector providers etc. The training should be designed to support competent practice within the revised legislation framework for mental health. CSIP/NIMHE recommends 4 levels (or types) of training (cont) 14

15. Transitional Training Transitional arrangements have been specified within the legislation and supporting directions and regulation for existing mental health professionals: ASW to AMHP: existing ASWs will transfer to AMHPs and will be approved in accordance with their existing approval / re-approval time scales as ASWs. Once this date is reached they will have to be re-approved as AMHPs within the agreed time scales. All existing ASWs should access training in readiness to undertake their statutory responsibilities as AMHPs in accordance with the Mental Health Act 2007 15

16. Existing ASWs already have a framework for refresher training which examines case law and practice updates, (Draft Regulations/ have stipulated a minimum of 18 hours per year for AMHPs). It is recommended that two days of the refresher training is used as transitional training. The time frame for this training is critical in order to avoid a delay in training and preparation for lawful practice. It is important to ensure that all ASWs are trained in the new legislation prior to implementation. Transitional Training (cont) 16

17. ASW Transitional Training Specialist Training Module (AMHP) All ASWs have access to specialist training materials provided by CSIP. This will be available in a variety of formats including E Learning and work based. This training is designed to underpin any training procured by individual organisations and provide an ongoing reference for practitioners. This training is not mandatory but is recommended as best practice in order to prepare this group of professionals to carry out their legal responsibilities . 17

18. RMO to Responsible Clinician All existing RMOs will transfer to Approved Clinicians following the introduction of the Act. Existing RMOs will be approved for a period of three years in accordance with the regulations. Recommendation All RMOs should attend a one day workshop. The workshop will be on the MH Act 2007 and consideration should be given to joint training with ASWs. In the interests of capacity and financial resources, and to take advantage of joint training opportunities to improve practice, we would recommend that transition training for RMOs is incorporated with ASW transition training. Time frame: Attend 1 day training workshop by end of September 2008 18

19. Specialist Training Module (RMO transition to AC) All RMOs will have access to specialist training materials provided by CSIP/NIMHE. This will be available in a variety of formats including e-learning and work based. This has utility for immediate training and for ongoing training and reference purposes. Time frame: Available by May 2008 19

20. Recommendation All Section 12 doctors have access to specialist training materials provided by CSIP. This will be available in a variety of formats including e-learning and work-based learning. Section 12 Doctors The role and responsibilities of Section 12 doctors remains unchanged in the main. However, Section 12 doctors will need to have a clear understanding of the changes introduced by the Mental Health Act 2007. 20

21. Recommendation Attendance at one day training; Mental Health Act Administrators Workbook, to be provided by CSIP to support the ongoing needs of this significant staff group. Mental Health Act Administrators MH Act administrators will need to have a clear understanding of the impact of the Act upon their roles and responsibilities. There will be a need to ensure that this professional group have access to appropriate training and supportive materials. 21

22. This group will need to be aware of the changes within the legislation and any new responsibilities. Recommendation Attendance at one day training: To be delivered regionally Mental Health Hospital Managers and Non exec Specialist Module: This will be available in a variety of formats including E Learning and work based CSIP. Issues: Ensure that this training is in place within a suitable time frame. This is new training and additional training Hospital Managers and Trust non-Executives 22

23. Recommendation Basic Awareness module for non mental health specialist practitioners, available in various formats. Issues: Consistent mechanisms to ensure awareness of training need, access and record keeping of training completed are needed. Training Department responsibilities vary between organisations (training planning, PDP, appraisals). Other non-specialist Mental Health Workers and Health and Social Care workers in universal care settings Individuals working in mental health services who need a working knowledge and understanding of the MH Act 2007, this will include non-mental health specialist managers, social workers, nursing staff in certain settings, General Practitioners and residential care staff. It is also important to recognise that there are other multi agency groups of staff who will require a basic awareness of the changes. This will include police, ambulance housing and third sector providers 23

24. AMHPs: Refresher training for ASWs is established in accordance with the Regulations. Refresher training already exists for ASWs and this should continue merely transferring to AMHP refresher training. Refresher Training 24

25. Refresher Training (cont) Approved Clinicians: Those RMOs transferred to ACs at the time of implementation will have to be formally re-approved after three years. New ACs will be approved for a period of five years. This group of professionals will be required to demonstrate possession of relevant competencies. As with existing models of refresher training, we would recommend that this group have access to training during the period of re-approval. This training should be provided by commissioned training from the SHAs and could be interlinked with Section 12 doctor trainings. Section 12 doctors are also required to undergo refresher training prior to re-approval. 25

26. An e-learning module being developed with BMJ (learning) endorsed by the RCGP with a hard copy workbook. General Practitioners and Primary Care Staff 26

27. The Approved Clinician & Sec 12 – the role and training requirements 28 ROLE TRAINING MEDIC PROF QUAL + SEC 12 MEDIC + APPROVED CLINICIAN PROF QUAL + SEC 12 + AC NON MEDIC PROF QUAL + AC INITIAL MEDICAL ASSESSMENT FOR DETENTION AUTHORISED FOR APPOINTED AS RESPONSIBLE CLINICIAN

28. LONDON 14 th February 2008 LEEDS 26 th February 2008 BRISTOL 5 th March 2008 BIRMINGHAM 8 th May 2008 NEWCASTLE-UPON-TYNE 29 th April 2008 LIVERPOOL date to be decided Three extra Conferences to be organised as current Conferences oversubscribed by 500 One Day Conferences on the Challenges and Opportunities of the New Professional Roles 29

29. Five one-day Conferences Looking at their roles and responsibilities under the new legislation. – dates to be decided Non-Executive Directors and Mental Health Managers 30

30. Six one-day Conferences Looking at their roles and responsibilities under the new legislation – dates to be decided Mental Health Administrators 31

31. Help facilitating two-day Conference other Conferences planned this year including staff from the Commission Mental Health Act Commission 32

32. Seven Conferences for members of the MHRT with sessions from the Training Team and lawyers from the MHRT’s to be run from March to May Mental Health Review Tribunal 33

33. Contact: Malcolm King National Training Lead [email_address] 34