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Melanie Corish, Programme Director, Modernising Mental Health

New Mental H ealth S ervices for Bristol. Melanie Corish, Programme Director, Modernising Mental Health. Modernising Mental Health Services in Bristol. timeline. 2010. 2011 - 2013. May 2013. May – Oct 2014. Autumn 2014. Mental health challenges in Bristol.

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Melanie Corish, Programme Director, Modernising Mental Health

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  1. New Mental Health Services for Bristol Melanie Corish, Programme Director, Modernising Mental Health

  2. Modernising Mental Health Services in Bristol timeline 2010 2011 - 2013 May 2013 May – Oct 2014 Autumn 2014

  3. Mental health challenges in Bristol • Unmet need - access for a diverse population • Historic legacy of poor services • Poor patient experience • Disillusioned staff – poor staff satisfaction scores • Long waiting times • High access criteria • Overstretched crisis services • High caseloads • Over utilisation of inpatient bed capacity • Inpatient rehabilitation model

  4. Mental health challenges in Bristol • Developing recovery focussed model • Addressing holistic needs of individuals with mental health issues • Putting resources in the right parts of the system • Early intervention • Collaboration with the patient • Collaboration with other services • Harnessing the skills and reach of the third sector

  5. Values and Principles • Work with patients to promote resilience and wellbeing and service design and delivery • Be inclusive • Be locally accountable and Bristol focussed • Meet the diverse needs of Bristol’s population • Deliver high quality services regardless of age • Consider the wider context of the patient • Recognise and deal with safeguarding issues • Focus on patient outcomes rather than activity (i.e. results rather than numbers)

  6. Key themes • Responsiveness • Prevention, early intervention, effective care and management • Supporting recovery • Effective emergency care, rapid response, preventing admission and deterioration People who are known to services have: • A point of contact within their local team • An understanding of how to manage their mental wellbeing and when to seek help • A recovery plan that they were involved in developing and that matches their aspirations • An up to date crisis plan The service feels positive, optimistic, caring, supportive, accessible, responsive, personal

  7. Bristol Mental Health System Providers

  8. Key features of the new system • Collaborative, integrated system of specialist providers • System leadership model • Increased resources at the front end: • Assessment and Recovery service, 8am – 8pm 7 days a week with standard appointments within 3 days and same day urgent appointments • Holistic social model • 24-7 Crisis and intensive home treatment service, with single point of access • Psychologically informed throughout the system • New Crisis Sanctuary • For people in emotional crisis and pre crisis • Existing crisis houses • Inpatient redesign • reducing over-utilisation of bed capacity • Implementing best practice

  9. Key features of the new system • Community rehabilitation model • Hub and spoke, residential and community support • Mental health employment service • IPS model, prioritising job retention, finding employment and working with employers • Assertive Engagement service • Working with the most vulnerable in society • Case finding and supporting access to mainstream mental health services • Community Access Support Service • Engaging with diverse Bristol communities, through community groups faith groups etc • Increasing mental health awareness and sharing how to access services • Primary care based dementia wellbeing service • Enabling people in Bristol to live well with dementia from diagnosis to end of life

  10. Modernising Mental Health Services in Bristol timeline 2010 2011 - 2013 May 2013 May – Oct 2014 Autumn 2014

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