Social Inclusion Mental Health Strategy - PowerPoint

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					 Social Inclusion &
Mental Health Strategy

           Jane Williams
Social Inclusion Lead – Leeds PCT
             June 2008
“ Social exclusion is about more than
  income poverty. It is a short–hand term for
  what can happen when people or areas
  have a combination of linked problems,
  such as unemployment, discrimination,
  poor skills, low incomes, poor housing,
  high crime and family breakdown. These
  problems are linked and mutually
  reinforcing”
Cabinet Office – Social Exclusion Task Force 2008
                People with MH Problems
• Only 24% in employment – highest % of those on incapacity benefit
• Are at more than double the risk of losing their job
• Three times more likely to be in debt
• 83% identified stigma as key cause of social exclusion
• 1 in 4 tenants with mh problems had serious rent arrears
• Young adults with first episodes will experience disruption to
  education and employment prospects
• Estimated cost £77 billion per year in care costs, economic losses
  and premature death. Earlier intervention to keep people in work
  and maintain social contacts could reduce these costs
• Severe mental health problems ( 1 in 200) – associated with poor
  social outcomes. Depression and anxiety (1 in 6) – with highest
  rates found among socially disadvantaged groups.

ODPM (2004) Mental Health and Social Exclusion report
              National Drivers
•   Social Exclusion and MH Report      2004
•   Reaching Out – Action Plan for SE   2006
•   NSIP – Mental Health                2005
•   SHIFT & Moving People
•   Choosing Health                     2005
•   Modernisation of Day Services -     2005
•   Pathways to Work rolled out -       2007/8
•   PSA 16 – Social inclusion           2007
•   Working for a Healthier Tomorrow    2008
                     In Leeds
• 13,500 people on incapacity benefit due to mental ill
  health
• Leeds has one of lowest employment rates in the
  region
• Health inequalities reflected by some of most deprived
  Super Output Areas in the country.
• Up to 9,000 people in contact with secondary mh
  services
• Up to 195,000 people contacting their GP with a
  common mental health problem (17% of adult
  population)
• 82% of enquiries into CAB service in mental health
  setting was debt related ( 2007/8)
 Mental Healthcare in 21st Century
• Recovery focussed
• Promote Social inclusion – and work actively to reduce
  stigma and discrimination
• Care packages – should work across healthcare, social
  care, housing and employment
• People should be active agents in their care –
  personalised.
• Healthcare system has wider responsibility to promote
  health as well as treat illness. This includes influencing
  formulation and delivery of social and economic policies
  relating to training, education and employment
                       Why ?
  “People do not recover in isolation.
Recovery is closely associated with social
   inclusion and being able to take on
 meaningful and satisfying social roles
 within local communities rather than in
          segregated services”
Sainsbury’s Centre for Mental Health Making Recovery a Reality
                          March 2008
            Local Strategy
• Will follow the key themes set out in
  national SE report and driven by NSIP
• Build on Leeds State of Readiness Report
  2005 and Action Plan
• Supports delivery of other local priorities
• Has multi-agency ownership and support
• Will focus on specific changes in focus
  and capacity building
  What are we focussing on
                             To achieve this we must work
                              across services and include
  Improved social                context and attitudes
inclusion for people in
 contact with primary     • Housing & Neighbourhoods
 care and secondary       • Volunteering, training &
                            employment
     mental health        • Financial Inclusion
       services           • Anti-stigma and discrimination
                          • Leisure, Arts, and Physical
                            Health
                              Protective Factors

          Structural & Policy
                                                                        Community
          Improve opportunities
          Income and equality             Physical Health &
                                          Emotional Well Being
                                                                        Primary Care
Community                            Work
                                                               Money
Social support, networks,
participation, access to                                                Secondary Care
services, activities,               Social            Life
resources
                                    Networks        Domains
                                                              Housing
        Individual                                                      Long Term Care
        Self esteem,                 Learning & Leisure
        coping skills, life
        skills, physical
        health
                                                   Family & Friends
                Vision

   People with mental health problems in
Leeds will be socially included by enjoying
   the same opportunities, activities and
 services that will enable them to live the
life they choose; without fear of stigma or
              discrimination.
                        Objectives
1. To remove the barriers to the    3. People experiencing mental
   use of universal provision by       health problems in Leeds will
   supporting services to be as        receive personalised support
   open and inclusive as possible      from mental health services
   and embrace the involvement         that contributes to their
   of people with mental health        recovery.
   problems
                                    4. A city wide partnership will
2. Organisations and individuals       ensure services work across
   will have access to training        public and private sector
   and self help to improve their      boundaries and increases
   understanding of mental             understanding of shared
   health issues and which             priorities to reduce the
   promotes well being for all.        potential for exclusion
               Year One Priorities - 1
                                              3.   Improved outcomes in
1. User Involvement                                secondary care
•   extend user involvement in this worth
    through the network of existing user      •    Agree social inclusion and recovery
    group                                          outcome measures in contracts for
                                                   all secondary mental health services
•   support the development of user led
    initiatives in self directed support,
                                              4.   Housing
    innovation and training.
2. Vocational support and                     •    establish baseline data to comply
                                                   with PSA 16 requirements
    employment                                •    improve links to housing agencies
•   Ensure systems in place for delivery of        and link workers to improve
                                                   discharge arrangements for in-
    baseline data on employment rates to           patients
    support PSA 16.                           •    strengthen links to housing providers
•   Support delivery of Employment                 to improve their understanding and
    Consortium’s Vocational Strategy               support of mental health
            Year One Priorities - 2
5. Financial Inclusion                   7. Governance & Promotion
•   Ensure equal and timely access to    •   Build a governance structure to
    debt and money advice and                deliver the action plan providing
    preventative financial literacy          ownership, delivery and guidance
    support                                  shared across agencies
•   review recommendations made in       •   Members of the strategy group to
    National Mind report “ In the red”       provide leadership of the issues
•   increase the take up of direct           within their own organisations
    payments.

6. Reducing Stigma and
   Discrimination
•   Support the delivery of Mental
    Health First Aid
•   increase access to mental health
    awareness training for employers
          Keys to Success
• Partnership approach
• Reducing stigma surrounding mental
  health
• Build bridges between agencies
• Focus on attitudinal changes
• Understand how exclusion occurs
• Keep talking and information flowing
                   Structure
                 Leeds Initiative
               Narrowing the Gap
            Healthy Leeds Partnership
                 Priority Groups


    Social Inclusion & MH Strategy Group
Housing & Neighbourhoods      Financial Inclusion
Leisure & Arts Reducing Stigma Vocational Strategy
                          By 2011
• Adoption of socially inclusive outcome measures in mental health
  services
• Recovery focussed services as a standard
• Reduction in number of people on incapacity benefit due to mental ill
  health
• Increased number of people with mental heath problems in
  employment
• Increased number of people with mental health problems in settled
  accommodation
• Routine access to standardised mental health awareness training for
  employers and service providers
• Innovations in arts and leisure developments
• Reduction in number of people with mental health problems with
  debt problems
• 1000 people trained in Mental Health First Aid
                        What Next?
• Social Inclusion Strategy – draft out for consultation and then agreed
  by Group
• Strategy Group – meet quarterly - next one November
• Sub Group leads to work on priorities through the action plan
    –   Arts & Leisure – Victoria Betton - LPFT
    –   Promoting Well Being – Pauline Bispham – PCT
    –   Housing & Neighbourhoods - Anne Sherriff- Re’new
    –   Financial Inclusion – Jo Rowlands – Leeds City Council
    –   Vocational Strategy – Alison Lowe – Employment Consortium
• Extend membership of sub groups widely across agencies ( not just
  mental health)
• Extend user involvement through existing network of groups
  connected to services etc.