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THE SERVICES Schedule 2 Part 1: Service Specifications Mandatory headings Sections 1-3. Mandatory but detail for local determination and agreement. Optional headings Sections 4-6. Optional to use, detail for local determination and agreement. Subheadings for local determination and agreement] SERVICE SPECIFICATION Service/ Care Dudley Community Development Workers -CDWs pathway/ Cluster Commissioner Lead Elaine Woodward Provider Lead Paul Singh Period 1st April 2010 to 31st March 2013 Date of Review March 2010 1. Purpose 1.1 Policy context The role of Community Development Worker (CDW) for mental health in Black and Minority Ethnic (BME) communities was introduced in 2004 as one of the key developments of the Governments programme for Delivering Race Equality in Mental health care in England. The CDW role and model was first identified in Inside Outside (2003) where the model would work to tackle mental inequalities by influencing the commissioning and delivery of services. The Government’s Delivering Race Equality in Mental Health Action Plan (DRE) (DH 2005) is part of an integrated approach to mental health service development and was developed to enable Mental Health Services to deliver improved Mental Health care and treatment to people from BME communities in England. It aims to achieve equality and tackle discrimination in mental health service provision for BME communities, including the Irish, Travelers, and Asylum Seekers and Refugees. 1.2 Local strategic context Dudley Joint Mental Health Strategy 2010-3 1.3 Aims and objectives of the service The community development models aim to work on the assumption of working to reform services from the inside of the mental health system, which would work to make changes in tandem with developments on the outside by engaging communities. Key to the model of community development are the engagement approaches and strategies working on the inside of communities which are integral to the whole community development model and strategy. The Community Development Worker Team and the Equality & Diversity Lead, by working with BME communities in Dudley, aim to: Recognise Race Equality and Community Cohesion in building stronger communities – seeking to tailor actions to the needs and circumstances of different communities, in different places, which lends itself to creating unity & to securing the wider public health of the population. Tackle health inequalities and improve access to community services, including culturally appropriate Mental Health services for BME Communities. Promote social inclusion and equality to build capacity in respect of BME sensitive services. Eliminate unlawful discrimination and promote equality of opportunity. Promote good relations between people of different racial groups. Close the ‘health gap’ tackling inequalities in health requires a focus on improving the health of those people who fair worst. 2. Service Scope 2.1 Service user groups covered (including care clusters, where relevant) The core of the CDW's role is to work with and support communities, including the BME community and voluntary sector, to help build capacity within them, and ensure that the views of the communities are taken into account by statutory Services. The CDW’s will provide holistic support to: Black and Minority Ethnic Communities; Black and Minority Ethnic Children and Young People; Black and Minority Ethnic Older People; Refugee and Asylum Seekers, Eastern European migrants, Gypsy’ Irish and Traveler communities. 2.2 Exclusion criteria There is no exclusion criteria identified 2.3 Geographical population served All communities who are using or may use Mental Health services, within the Borough of Dudley, commissioned by Dudley NHS 2.4 Service description/ care package- overview ie what is provided - assessment - care planning - interventions etc CDW’s role : STEP 1- ACCESS Facilitator Helping people find pathways through mental health service/Sign posting Addressing language and other barriers Reviewing services and identifying gaps Identifying what is currently being provided to communities What are the heath care risks to communities What are risks to communities of not having the risks met Having a robust evidence base for what is happening in the community and how they are accessing the communities based on an inside/outside approach. Support providers to identify and review pathways for communities STEP 2 – CHANGE AGENT seek community capability to develop innovative practice To increase the communication between community and statutory sector Ensure local champions and key stakeholders involvement To increase the communication between voluntary sector and statutory sector agencies Highlight risks of appropriate changes are not being made Influence dialogue between voluntary and statutory sector. Seek out capabilities of communities in advocating for new and innovative practices Review and identify new providers to take up services provision which are more appropriate to communities needs. STEP 3 – SERVICE DEVELOPER Advising on training and education of staff Highlight the importance of culture in service systems and practice Develop joint working between statutory and community services Understanding healthcare needs and the importance of culture in services systems and practices Engaging with clinical champions and service leaders Reviewing services and identifying gaps Indentifying what is currently being provided to communities Feed information into commissioning cycle Supporting provider development i.e. Race equality cultural competency Training and delivery. Feed the information into Mental Health Partnership Board(LITS) and Action Plans Feed into Local strategic plans (LSPs) and Local Area Agreements (LAA) STEP 4 – CAPACITY BUILDER Developing socially inclusive BME communities Engaging in the establishment of community leadership Assist in the development of community organisations Identify stakeholders in the community – users, carers, leaders, faith leaders Assist voluntary and community sector agencies into engaging in communicating processes Assist voluntary and community sector agencies to be contract compliant and Gain a clearer picture of organisations who have the capacity to deliver services to directly influences the type and how services can be commissioned. Work to develop socially inclusive communities Assist the development of community organisations i.e. Community Interest Companies (CICs). 3. Service Delivery 3.1 Location of service The Base for the CDW’s will be in the Netherton Health Centre. However the CDW’s will cover all Community venues across the Borough of Dudley 3.2 Days/ hours of operation Monday to Friday 9-5 but with flexibility to meet the needs of the community, which will include evening and week-end work. 3.3 Referral processes Referrals can be made through, CMHT’s, CAMHS’s, IAPT, GP’s, Social Services, Public Health Teams, voluntary sector including Dudley MIND; Rethink and also self referrals can be made to the CDW team in Dudley. The CDW Team has a referral system and process in place. All referrals are recorded with any identified action. 3.4 Response times No specific response time, however, to ensure best practice and in accordance to identified care pathway. The CDW’s are contactable during the day on phone or email. 3.5 Care pathways (where applicable to meet each care cluster) 3.6 Discharge process Not applicable 3.7 Training/ Education/ Research activities Research will be undertaken to ensure all team is aware of the communities with the Borough of Dudley and any issues of health inequalities. The CDW team will have an ongoing training, development and education programme. This will be set by the Equality & Diversity Lead accordingly. The Equality & Diversity Lead has identified a number of training activities such as: Mental Health First Aid; Race Equality Culture Capability Training, Leadership and personal development training.
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