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/ 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

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

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

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
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
Review and identify new providers to take up services provision which are
more appropriate to communities needs.

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)

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

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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