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MENTAL HEALTH FUNDING SYSTEM

MENTAL HEALTH FUNDING SYSTEM. Health Local Authority /social services Cost. “No health without Mental Health”. National Institute of clinical excellence. N.I.C.E. IAPT Funding. 2008/09 – £33 million 2009/10 – £70 million 2010/11 – A further £70 million Total 173 million

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MENTAL HEALTH FUNDING SYSTEM

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  1. MENTAL HEALTH FUNDING SYSTEM Health Local Authority /social services Cost

  2. “No health without Mental Health”

  3. National Institute of clinical excellence. N.I.C.E.

  4. IAPT Funding • 2008/09 – £33 million • 2009/10 – £70 million • 2010/11 – A further £70 million Total 173 million • 2012 – Over £400 million invested to increase access to NICE-Approved Psychological therapies and extend IAPT services to children and young people

  5. Complex Needs (Spot Purchasing) • Private Hospitals • Residential Care • Day Services

  6. Personalisation agenda “Putting people first”

  7. Personal Budgets Some ways individuals spend their personal budgets are: • Getting help with cooking, shopping and cleaning • Having short breaks or a holiday • Leisure activities, e.g. an art class or a walking group

  8. Personal Budgets • Having driving lessons • Buying specialist or computer equipment to make like easier • Buying membership of a gym or sports club • Finding a job or learning new skills • Having an aromatherapy massage or other alternative therapy – mind website.

  9. Assessment of need “FACS” • Low • Moderate • Substantial • Critical

  10. Outcome Assessment • IAPT • Key performance indicators (KPI’s): • patient health questionnaire • generalised anxiety disorder assessment questionnaire • phobia screening questions • disorder specific measures • work and social adjustment scale • employment questions • Outcome studies: • IAPT three year report (DOH, 2012) • Mukuria et al. (2013) Cost-effectiveness of an Improving Access to Psychological Therapies Services. British Journal of Psychiatry

  11. Outcome Assessment • Personal Budgets- Department of Health • Patient Choice empowers and strengthens partnerships between users, patients and clinicians. • Active and Intelligent commissioning is the key to success. • Cost effectiveness

  12. EU Mental Health Strategy Green Paper European Commission (2005) "Improving the mental health of the population: Towards a strategy on mental health for the European Union“

  13. EU Mental Health Strategy The establishment of a strategy on mental health at EU-level would add value by: • Creating a framework for exchange and Cooperation between Member States • Helping to increase the coherence of actions in different policy sectors • To open up a platform for involving stakeholders including patient and civil society organizations into building solutions

  14. EU Mental Health Strategy The Commission proposes that an EU-strategy should focus on the following aspects : • Promote the mental health of all • Address mental ill health through preventive action • Improve the quality of life of people with mental ill health or disability through social inclusion and the protection of their rights and dignity; and • Develop a mental health information, research and knowledge system for the EU.

  15. UK Mental Health Strategy Department of Health (2009) New horizons: “Towards a share vision for mental health”

  16. UK Mental Health Strategy  Key themes of the strategy are: • Prevention and public mental health: • Tackling stigma • Early Intervention • Personalized care • Multi-agency commissioning/collaboration • Innovation • Value for money

  17. Proposals For European Planning 2013 – 20 A exploration of the various models of treatment across a section of EU countries. Research investigating diagnosis specific treatment models that have proved to be effective taking into account patient experience, carers and professionals. Exploring the development of an integrative approach towards the treatment of mental health and other associated disorders in which social and health care models can be integrated in more efficiently.

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