self-directed support in scotland for people with mental health problems, 1 april 2014
DESCRIPTION
A presentation for Outside the Box's Getting There project, to support the launch of Self-Directed Support in Scotland.TRANSCRIPT
people lives communitiespeople lives communities
How SDS has worked in other places
Supporting people with mental health problems
to live the lives they want
Paisley, 1 April 2014
people lives communities
What are things like now for people with mental health problems?
Self-Directed Support works: evidence
What works to make it happen: practice
Overview
people lives communities
Choice and control in ScotlandPeople using Direct Payments as a proxy for this
37% people with physical/sensory impairments
24% people with learning disabilities
19% frail older people
5% people with mental health conditions
What are things like now? (1)
people lives communities
What are things like now? (2)
2.3m people with a mental health condition are on benefits or out of work
Non-disabled people is approx. 79%Disabled people is approx. 48%
Depression is approx. 26%Other forms of mental health conditions (e.g. phobias) was 13%
Only 8% of adults with serious mental health problems in employment
This proportion is actually decreasing
(UK figures)
people lives communities
NHS Care Plan (in England):54% ‘definitely’ had views taken into account
42% said plan ‘definitely’ set out their goalsOf these, 44% said NHS MH services ‘definitely’ helped them start achieving these goals
What are things like now? (3)
people lives communities
Put it another way…
people lives communities
Evidence SDS works
people lives communities
Evidence SDS works
people lives communities
70%+ of people with mental health problems:Being as independent as they wantGetting the support they wantBeing supported with dignity and respect
60%+ of people with mental health problems:Physical healthMental wellbeingControl over important thingsControl over support
Less than 10% reported a negative impact on any area of their life
Evidence SDS works
people lives communities
West Sussex:DPs process that supported discharges from residential careEncouraging evidence that residential care admissions reduced
Florida:People spent significantly less time in psychiatric inpatient and criminal justice settingsPeople spent significantly higher number of days in the community (compared to inpatient or forensic settings) than in the year before
Similar findings in other places
Evidence SDS works
people lives communities
Personal Assistants? Well, a little bit
What people spend their money on
people lives communities
Leisure activities / socialising / holidays / breaks
Assistance with everyday tasks
Gym memberships / exercise-related
Computing / IT
Therapeutic services
Travel
Education / skills
Volunteering
“Pooling” arrangements
What people spend their money on
people lives communities
Being creative…
people lives communities
Information
Promoting eligibility
Range of support services
Paperwork
Positive staff roles
Self-Directed Support, not process-led support or service-led support
Making SDS work
people lives communities
SDS works especially well for fluctuating conditions
Flexibility
Tailoring support
Advance Directives
Understand the reality of risk, not the perception
Making SDS work
people lives communities
Good evidence they enable better outcomes
They need:Adequate funding
Clear referral mechanisms
Promotion – internal and external
Promotion of credibility
Making SDS work – ULOs
people lives communities
Personalisation means change for everyoneFor people who use services and their families
For people who work in services
For people who provide services
For people who commission services
And for you!Often missed
Personalisation affects everyone
people lives communities
Personalisation isn’t a zero-sum power game
It’s a win-winIt empowers users
It empowers staff
Workforce – key point
people lives communities
Self-Directed Support for people with mental health problems works
It’s better than what most people currently get
People have made it work
Many of the issues and problems are considerably reduced in practice
Work in partnership, together
Summary
people lives communities
Contact
Rich Watts, MH Programme LeadT: 01225 789135
Twitter: @rich_w