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Personalisation and mental health Mike Murkin Development Consultant Personalisation and Mental Health March 2011

What is personalisation?. Personalisation means thinking about care and support services in an entirely different way. This means starting with the person as an individual with strengths, preferences and aspirations. They drive the process of identifying their needs and aspirations and makin

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Personalisation and mental health Mike Murkin Development Consultant Personalisation and Mental Health March 2011

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    1. Personalisation and mental health Mike Murkin Development Consultant Personalisation and Mental Health March 2011

    2. What is personalisation?

    3. Personalisation is more than direct payments and personal budgets It supports a wider perspective in addressing mental health issues

    4. Mental health left on the sidelines... Mental health is perceived as lagging behind. Left playing in the garden whilst the grown ups get on with business in the house.

    5. Progress in the West Country Progress is variable Often people dont realise how successful they have been.

    6. Personalisation has a different emphasis within mental health It focuses more on issues Related to social inclusion and links with the recovery agenda Our vision is of a future where people with mental health problems have the same opportunities to work and participate in the community as any other citizen

    7. Personalisation [The Policy Direction/Approach] Self-directed support/Right to Control [The System] Individual budgets [combining funding sources] Personal budget [single funding source] Provided Services Direct payments

    8. Direct Payments and Personal Budgets Direct payments: One of a range of options for people getting a personal budget. Direct payments are cash payments paid directly to the person, for them to buy their own support, rather than have their support delivered by the council. Personal budget: A clear, up-front allocation of money that a person with mental health needs can use to design and purchase support to meet their social care needs.

    9. Where have we come from and where are we going to within mental health? [A personal view of changes in prevailing themes!] From Robin Murray-Neill

    10. Some examples of using direct payments and personal budgets Buying a mobile phone, artists materials, a bike, a dog or chickens Driving lessons/buying a car Gym membership

    11. Some examples of using direct payments and personal budgets Playing in a band Employing personal assistants during a crisis to avoid hospital admission

    12. Some examples of using direct payments and personal budgets Employing someone to manage a small enterprise (six people together) Renting a workshop (two people together) Hiring an art teacher (four people together) Participating in and running an independent leisure, sport and social group (twenty people together)

    13. What about when its you on the receiving end? When you are in need of support would you want to be told whats available or would you rather be asked what works for you?

    14. Key Challenges Recognising that we dont always speak the same language and we get miscommunication

    15. Key challenges Realising there are competing priorities for different organisations

    16. Key challenges Organisations are often moving at a different pace on issues and organisational change and refocusing is very hard and takes time

    17. Key challenges A duplication of paperwork and assessments There are a variety of different systems in place the way we do it here IT systems dont connect or talk to each other

    18. Key challenges Managing risk Risk aversion V Enablement

    19. Key challenges

    20. Key challenges Encouraging user led demand

    21. Key challenges At a time of change for commissioners there is a need to move from long term commissioning and block contracts that provide a one size fits all approach- whilst realising this can be uncomfortable for providers

    22. Key challenges Encouraging user-led demand

    23. Key challenges Resources in a time of economic crisis and a squeeze on public services.

    24. Key challenges Need for clear leadership across organisations

    25. How to address the challenges Developing a common language What does recovery mean for an individual? a process of changing ones orientation and behaviour from a negative focus on a troubling event, condition or circumstance to the positive restoration, rebuilding, reclaiming or taking control of ones life. NIMHE Guiding Statement on Recovery (January 2005)

    26. How to address the challenges Promoting enablement, recovery and self directed support through the approaches we take and the language we use Not outcomes, goals and targets but Dreams, hopes and aspirations

    27. How to address the challenges Ensuring a fit between CPA and personalisation The heart of personlisation is person centred planning, however complex or simple

    28. How to address the challenges Connecting CPA and personalisation paperwork (both outcome focussed) Searching for IT solutions and connectivity

    29. How to address the challenges

    30. How to address the challenges Moving from investment in large block contracts to imaginative, flexible, bespoke, commissioning that is outcome focussed and centres on meeting individual needs

    31. How to address the challenges Ensuring we join up our thinking about commissioning and that we commission from mental health providers based on user driven outcomes.

    32. How to address the challenges No easy answers to the resource headache but... A universal Resource Allocation System has benefitted mental health in some areas It has seen access to resources tied up in employment, regeneration, sport, leisure, adult education The cost of packages has reduced and has enabled better recovery

    33. How to address the challenges By managing risk. Reducing the difficulties that chaotic lifestyles, fluctuating illness and erratic behaviour can cause in accessing self directed support. By addressing safeguarding and other concerns through use of the Mental Capacity Act and safeguarding guidance.

    34. How to address the challenges Ensure appropriate approaches to leadership. Develop an interagency action plan.

    35. Personalisation presents a real challenge

    36. We need to learn together This is a new direction We will learn together on the journey

    37. We need to learn together Lots and lots of questions (and a few answers). There is a clear sense of direction and the journey is underway for everyone.

    38. Capture and promote success stories and examples of change. This stimulates demand. Success breeds success Celebrate the journey

    39. It can make a real difference

    40. It can make a real difference A year ago I was a day centre attendee and now Im a freelance artist. I used to attend a floristry group at my local day centre. Now I am student of the year and Im starting my own business.

    41. Finding out more information about personalisation and mental health Web page as part of the SWDC site to share resources. http://www.swdc.org.uk/SWDC/en/mental health/mental-health/personalisation mental-health/

    42. Mike Murkin Development Consultant Personalisation and Mental Health South West Development Centre Mallard Court Express Park Bristol Road Bridgwater Somerset TA6 4RN Tel: 07920711018 mike.murkin@swdc.org.uk http://www.swdc.org.uk/SWDC/en/mental-health/mental-health/personalisation--mental-health/

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