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Personalisation in Mental Health

Published in association with ADASS (the Association of Directors of Adult Social Services) YHIP (Yorkshire & Humber Improvement Partnership) and CPPP (the Care Pathways and Packages Project), the model set out in this new report provides a radical new framework for future innovation and development in mental health services. In particular the model sets out how:

  • People with mental health problems can take more control over their support and treatment, by using budgets to purchase appropriate support or other systems where appropriate.
  • Health and social care services can come together to allocate resources within an integrated system that will be less confusing for people with mental health problems.
  • Service providers can offer more flexible support by giving people more control of who supports them, when and how.

This new model is now going to form the basis of a programme of testing and development within the Yorkshire & Humber region. 

Voices

Theresa Smith of the Shoestring Theatre Company said:

“This gives the hope that we can have a mental health system that truly meets the needs of the people that have to use it.”

Jen Kilyon of Empathy with Carers said:

“Personalisation has the potential to revolutionize the mental health system, but people have to be brave, and think outside the box and learn how to manage risk and uncertainty.”

Jonathan Phillips, Director of Director Adults Health and Social Care Services in Calderdale said:

“Its time to combine and integrate the latest developments in health and social care. If we develop an integrated model, built upon personalisation, we will become more effective and efficient.”

Steven Michael, Chief Executive of the South West Yorkshire Partnership Foundation Trust said:

“The the real and lived experience of people with mental health problems must become the heart of all our work.

The author, Simon Duffy, Director of the Centre for Welfare Reform said:

“This new model offers a progressive and practical system for healing the gulf that has grown up between social care and health services in the wake of Thatcher’s 1992 reforms. This new approach should cut through the bureaucracy and give power and control back to people with mental health problems themselves.”

Summary of the innovation

In outline the report sets out a model for a future system in which:

1. Total Place Commissioning - bringing together all the resources of a local area in order to improve mental health for all, rather than just funding an historically defined pattern of services

2. Prevention - focusing resources on preventing or reducing need, rather than just responding to crises

3. Individual Funding - shifting resources away from block, and towards individual funding, and using a shared framework that brings together NHS and local authorities

4. Self-Directed Support - enabling people to design their own support and take more control over their own lives

5. Co-production - professionals working in partnership with people, offering different levels of support to fit individual need

6. Community-Based Support - developing an infrastructure for support which encourages peer support, accessible information, making better use of existing services and communities

7. Outcomes-Focus - defining and agreeing the goals we want to achieve as a society and enabling people to define positive outcomes that matter to them

Although these may seem like commonsense improvements to the current system they are a huge step forward - 

The Report: Personalisation in Mental Health

Author: Simon Duffy

Publisher: Centre for Welfare Reform, in association with ADASS, YHIP & CPPP

Publication date: 13th May 2010

Available at: 

www.centreforwelfarereform.org and www.yhip.org.uk and www.cppconsortium.nhs.uk

Contacts

Simon Duffy (Co-Editor and Director of the Centre for Welfare Reform)

Simon is Director of the Centre for Welfare Reform. He founded and led Inclusion Glasgow and In Control and is the author of Keys to Citizenship. In 2008 he was awarded the RSA’s Prince Albert Medal for his work on personalisation. 

The Centre for Welfare Reform

The Centre for Welfare Reform is an independent research and development network. Its aim is to transform the current welfare state so that it supports citizenship, family & community. It works by developing and sharing social innovations and influencing government and society to achieve necessary reforms.

ADASS - The Association of Directors of Adult Social Services

The Association of Directors of Adult Social Services (ADASS) represents all the directors of adult social services in England.

YHIP - Yorkshire and Humberside Improvement Partnership

The Yorkshire & Humber Improvement Partnership is a  regional initiative dedicated to improving health and social care outcomes for Yorkshire and Humber. 

CPPP - Care Pathways and Packages Project

The Care Pathways & Packages Project (CPPP) is a consortium of organisations in the Yorkshire & Humber and North East SHA areas who are working together to develop National Currencies and Local Tariffs for Mental Health Payment by Results.