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

1. Personalisation and mental health Mike MurkinDevelopment 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 don�t 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 it�s you on the receiving end? When you are in need of support would you want to be told what�s available or would you rather be asked what works for you?

14. Key Challenges Recognising that we don�t 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 don�t 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 one�s orientation and behaviour from a negative focus on a troubling event, condition or circumstance to the positive restoration, rebuilding, reclaiming or taking control of one�s 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 I�m a freelance artist�. �I used to attend a floristry group at my local day centre. Now I am student of the year and I�m 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 MurkinDevelopment Consultant Personalisation and Mental HealthSouth West Development CentreMallard CourtExpress ParkBristol RoadBridgwaterSomersetTA6 4RN�Tel: 07920711018 �mike.murkin@swdc.org.ukhttp://www.swdc.org.uk/SWDC/en/mental-health/mental-health/personalisation--mental-health/