Secondary Mental Health Input and the NSNO Pilot中学生心理健康的输入和一氧化氮净排放率试验.pptVIP

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2018-06-24 发布于四川
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Secondary Mental Health Input and the NSNO Pilot中学生心理健康的输入和一氧化氮净排放率试验.ppt

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Secondary Mental Health Input and the NSNO Pilot中学生心理健康的输入和一氧化氮净排放率试验

Secondary Mental Health Input and the NSNO Pilot Learning to tackle inequalities, address mental health and help prevent rough sleeping. Background Need for statutory mental health input had been anticipated. Camden and Islington NHS Foundation Trust approached in December 2010. Islington’s then Homeless Mental Health Service, ARC, was obvious host. Proposed Model Training and information re emergency pathways. Telephone availability at specific times Monday-Friday. Agreement that assessment should be possible within 3 days – not necessarily with a psychiatrist. Foundation Trust Concerns That need would be higher than that funded (equivalent to 0.5 wte post). Acute admissions of people without local connections. Community Services were in state of flux already. Level of Activity over 6 months 61 face-to-face assessments. Most have involved a psychiatrist. Written up – normally in the form of a report focussed on appropriate outcome for that individual e.g. around ongoing needs or vulnerability in terms of Housing Act 2006. Activity continued… 20% cases, individuals have been seen more than once. 3 people have been admitted to hospital informally. 5 people have been detained under the Mental Health Act 1983. Who have we been asked to see? Wide range of needs, including acutely unwell, dual diagnoses, people with recent trauma. Have not seen those who could be; Reconnected without fresh assessment and/ or managed by team without concern. - A less resourced and active NSNO would have led to many more referrals. Quantifying the activity. The professional time been equivalent to: - 0.1 Band 6 Mental Health Worker - 0.3 Senior Social Worker / AMHP - 0.2 Psychiatrist But…… Challenge 1. Host? ARC has been decommissioned – Now input is “hosted” by the local CMHT. CMHT itself is going to lose role – “intake” function taken on by a borough wide service. Will that larger service have capacity to respond in time scale needed and will it have expertise? Challenge 2. A