FUNCTIONAL FRAMEWORK REVIEW OF GLASGOW CITY SOCIAL CARE SUPPORTS

Overview and emerging findings report

1 Purpose

1.1 This report seeks to refresh and develop a commissioning strategy for comprehensive social care supports, in the context of the move to CHCP geographies and the implementation of the Mental Health Act.

1.2 The report provides a basis for identifying and prioritising service developments and summarises proposals for such developments.

2 Background

2.1 The approach used has been to assess the current position against the functional framework used by the Scottish Framework for Mental Health (1999).

2.2 The “Functional Framework” summarises the functions required of a comprehensive mental health service for all mental health needs and therefore provides a useful framework to assess the current state of “completeness” of local services against this framework. These functions are summarised as:

• Access and information • Needs for individual planning • Meeting needs in crisis • Needs for treatment and support with mental distress • Needs for ordinary living and long term support • Services to promote personal growth and development

2.3 The functional framework is applicable to both Health and Social Care service functions albeit this analysis has focussed only on the social care functions. The emerging findings from this analysis are summarised in section 5 below.

2.4 These findings were informed by two forms of analysis using the functional framework -

1. Description of current services against the detailed categorisation of the functional framework (attached as appendix 2 & 3) 2. Comparative assessment of the balance of spend by function and by CHCP as a way of describing the balance and pattern of spend in each area (attached as appendix 1)

2.5 Both of the above analysis are “work in progress” and will doubtless be subject to further refinement. However, notwithstanding this caveat, the broad pattern of findings is now reasonably clear and described below.

2.6 It is proposed that the document should now be more broadly shared with health and social care partners to provide a structured basis for:

• Checking out the assessment and prioritisation with informed practitioner judgement • Refinement of the assessment and priorities • Informing the detailed development of service models

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3. Glasgow City context issues

3.1 Locally the Scottish Mental Health Framework informed the development of health and social care services as part of the Modernising Mental Health Strategy.

3.2 The historic development of the social care elements of the Framework was closely linked to large hospital closure programmes, resulting in services being constrained to specific parts of the city and mainly tailored to the needs of individuals leaving long stay hospital wards.

3.3 The other major areas of investment in social care and social work services were through the Mental Illness Specific Grant Programme and the training of Mental Health Officers. A comparatively small amount of other social work/care services has been targeted specifically to mental health but the use of generic social work resources, including supporting people funds, is known to be significant, albeit currently only partially quantified.

3.4 The result has been a piecemeal and uneven development of services across the city. The arrangements in relation to the implementation of the new Mental Health and Treatment Act [MHT Act] provides the opportunity to adopt a structured approach to the identification of the major components of a comprehensive social care infrastructure and to conduct a baseline assessment of strengths and weaknesses, areas of deficit, and investment priorities.

3.5 There is local agreement to the development of:

• Integrated health and social care services, including primary and secondary care • Coterminous catchments based on the geographies of CHCPs • Creation of mental health practice teams which form part of an integrated service • Specification for a mental health network • The use of CHCP developments to further the links between service delivery and the broader environmental and community supports which promote mental health

3.6 There are additional responsibilities and powers linked to the implementation of the MHT Act (mainly from April 05) to ensure access to a range of services in the least restrictive environment compatible with effective care, and consistent with the principle of reciprocity.

(The reciprocity principles provide rights of access to an appropriate range of services and support, at the same time as powers of compulsion are used to enable provision of care).

3.7 There are significant additional social care resources of c£1.4m to support the implementation of the MHT Act. Similar issues and funding opportunities are also reflected in the NHS arrangements for implementation and in relation to the Mental Health Act Partnership Funds of £1.4m. Emerging priorities in relation to the Act are reflected in the JLiP MH Act Implementation plan.

Taken together these factors provide a unique and timely opportunity to develop a comprehensive social care infrastructure for mental health services based on the geography of CHCPs.

3.8 These arrangements would need to ensure that each CHCP based service has access to:

• The full range of social care supports which make up the core components of a comprehensive service • Equitable access to core services in each CHCP (taking account of deprivation factors to weight resource allocation to need) • The provision of such services normally being at the level of each CHCP, except where effective/cost effective service delivery is demonstrably better provided to more than one CHCP population or city-wide. It is envisaged that this issue would apply only to a 2 small number of services on an exceptional basis, usually in relation to very specialised services. • CHCP based community development capacity to enhance the links with the broader community and voluntary networks which support social inclusion and provide broader supports to mental health service users as citizens

3.9 There is recognition of the need to review the comprehensiveness of both Health and social care supports. The major focus for the review of the Health elements is via the brief set out in the Mental Health Act Review Process which will assess the degree to which the minimum core components of service are available to ensure equity of access to service supports in all areas.

3.10 Increasingly the findings from these currently separate review processes will be merged to inform the development of joint service responses.

4. Methodology/Approach

4.1 The functional framework review is currently “work in progress”. The review has initially focussed on those budgets which are within the direct control of Health and social care mental health services as these budgets are within our direct control to deploy in response to the review findings.

4.2 The functional framework itself reflects both the full range of mental health needs and also the need for a wide range of social inclusion supports beyond the delivery of specific mental health services, typically, through the broader activities of other local authority services and community and voluntary networks.

4.3 The functional framework analysis can therefore be further developed over time to increasingly reflect and map access to these broader supports, with a view to identifying the degree to which they are in place and highlighting those areas of priority for influencing the deployment of resources held by services and agencies beyond Mental Health Services, whose activities promote mental well being.

4.4 The report is presented as follows:

Main overview report and emerging findings: Appendix 1: Expenditure patterns and balance of services by function and analysed on a city wide and CHCP basis Appendix 2: Detailed completion of functional framework schedules Appendix 3: Detailed functional framework schedules itemising CHCP and city-wide based services and expenditure

4.3 In effect the overview report presents the main findings which are set out from section 5 below.

4.4 Appendices 1, 2, and 3 provide the more detailed schedules which provided the basis for the analysis, but are only required reading for those who wish to follow through the logic from the detailed analysis through to the conclusions in the overview report. It is worthwhile, however, to at least skim read these appendices to get a sense of the methodology of the analysis.

4.5 These more detailed schedules can be further refined and used as a practical tool for ongoing service planning and development with the move to CHCP based geographies.

4.6 The report is currently being circulated to “check out” the areas of assessment and gain a sense of consensus/recognition of the issues. As such, the report has some gaps and will continue to be refined.

3 4.7 The report purports to be no more than a “desktop exercise” at this stage but should provide a structured basis for assessment and prioritisation supplemented by informed practitioner judgements.

5. Emerging Findings

5.1 With the above caveats, the ‘edited highlights’ of the emerging findings on the comprehensiveness of the overall social care infrastructure for each function are summarised below.

5.2 The summary is broken down by each of the 6 functional categories and indicates the main service functions within that category. The description summarises, by exception, the major findings in relation to the position of local services against that function.

5.3 The detailed tables in appendix 2 further describe the needs to which each service function relates.

1. Access and Information

The main service functions within this category are:

1. Access into services 2. Information about the needs of the local population 3. Information about services 4. Prevention/Health Promotion

The main points to note are:

ƒ Range of provision and initiatives but probably not comprehensive ƒ Good initiatives around homelessness ƒ Weaker on development of equitable access and cultural competency of services with regard to ethnic minority issues ƒ Carers support services are underdeveloped ƒ Need for community development supports to enhance the relationship between broader community and voluntary networks and the needs of mental health service users, thereby reducing the barriers to accessing services

2. Needs For Individual Planning

The main service functions within this category are:

1. Individual assessment of need 2. Care planning 3. Maintaining contact

The main points to note are:

ƒ Development of practice teams and the integration process provides the route to address issues of integrated assessment, care planning and use of individual needs assessments to inform broader service planning and delivery ƒ Statutory care planning requirements of MH Act reinforce need to take account of the full range of health and social care support needs, including supports to independent living and personal growth and development. These issues need to be fully reflected in the above development process ƒ Broader issues about the overall design of the integrated service network in terms of core integration principles and their impact on the operational interface between service elements - require to be developed and resolved through the service integration process

4 4. Meeting Needs In Crisis

The main service functions within this category are:

1. Emergency care 2. Emergency care with a significant physical component 3. Step down sub acute care 4. Respite/ asylum

The main points to note are:

ƒ Major service gaps in terms of social care supports to those in crisis ƒ No commissioned social care support services for those in accommodation settings beyond ‘designated accommodation’ places ƒ Need for access to temporary accommodation as crisis respite ƒ Need to consider development of crisis provision perhaps involving: o Commissioning of ‘mental health crisis competent’ specific floating support/outreach services o Provision of designated respite places perhaps linked directly to floating support/outreach service inputs o Need to review and possibly strengthen capacity of supported accommodation providers to manage and support people in crisis within existing accommodation o More formalised links between functionalised Health and social care crisis service and floating support service inputs/ supported accommodation o Access to lower level supports such as 24/7 telephone support and extended hours access to lower level self help groups/ user drop in’s o Consideration of the development of a city wide crisis house as respite for those requiring more intensive inputs and monitoring, to sustain a community respite placement as a valued alternative to in-patient admission

5. Needs For Treatment And Support With Mental Distress

The main service functions within this category are:

1. Time limited treatment of less severe mental health problems 2. Specialist time limited treatment for people with severe mental health problems 3. Long term personal, practical and emotional support to people with severe and long term problems living in the community 4. Accommodation continuum

The main points to note are:

ƒ Social care supports to those with less complex mental health needs are differentially available across the city and are significantly under-developed; albeit the planned development of such social care supports, as part of the development of primary care support roll out in 2004/05, should substantially address this issue. ƒ Shared care arrangements for those with complex needs, but not ‘severe and enduring mental health problems’, require to be formalised between primary, secondary and social care partners to ensure an appropriate response to those with complex needs; eligibility criteria and protocols for such arrangements require to be jointly agreed between Health and social care and adopted on a consistent and city wide basis ƒ Long term personal, practical and emotional supports are available through supported accommodation and supported living arrangements but require significant further development

5 6. Needs For Ordinary Living And Long Term Support

The main service functions within this category are:

1. Treatment and support of people with long standing and recurrent symptoms 2. Active rehabilitation 3. Specialist treatment and support of a small group of people with long term complex mental health problems who are unable to adequately use existing services (i.e. assertive outreach group)

The main points to note are:

ƒ Supported accommodation/living arrangements do provide a significant range of supports but require review in terms of: o Capacity development and targeting o Allocations process o Range of accommodation models and matching of service responses to needs in the context of changing user cohorts o Significant social care resources support maintenance/ ongoing support but are uneven geographically and the focus of such support requires clarification ƒ Social care supports, linked to assertive outreach, are well developed in the east of the city but require extension on a city wide basis – high priority area linked to MHT Act requirements ƒ CMHT capacity regarding assertive outreach is currently variable and requires addressing to ensure consistent response capacity in each CMHT ƒ Proposals for a rehabilitation strategy in conjunction with NHS have been developed but outstanding implementation, pending funding source being identified ƒ Need to establish models of social care support services beyond designated supported accommodation places to all accommodation arrangements

7. Services to promote personal growth and development

The main service functions within this category are:

1. High support setting for occupational activities 2. Assessment and preparation for work 3. Training and education 4. Low support work setting 5. Open employment 6. Ongoing support in open employment 7. Informal support to service users 8. Leisure and recreational activities, including adult education 9. Support with welfare benefits 10. Advocacy

The main points to note are:

ƒ Significant range of services and local developments with a relatively high spend in this area ƒ Need to ensure access and allocation to such services is consistent with service access framework principles and, in the case of complex needs, is via care planning and care management processes, as currently the use of such resources appears less well targeted ƒ Geographic inequity issues, in part being addressed by change of catchments to improve equity of access to existing services ƒ Links between the current provision and the equal access strategy require further development but providers are committed to this process ƒ Issues of integrating work issues into care planning requires strengthening

6 ƒ Development of advocacy forms part of the planned developments associated with MHT Act implementation ƒ Need for community development supports to enhance the relationship between the broader community and voluntary networks and the needs of mental health service users, and the promotion of mental well being

6. Implications for Service Development and Investment priorities

6.1 The summary above identifies:

High priorities for additional investment and service development: Funding stream Social care supports to crisis: MH Act funds

Social care supports to assertive outreach: MH Act funds

Social care supports to less complex clinical primary care strategy funds needs:

Continued supported accommodation Modernising Mental Health strategy funds expansion:

Temporary respite places: reconfiguration of existing capacity

Advocacy development: MH Act funds

Development of crisis house: currently unfunded

High priorities for review:

• Cultural competency and access issues • Development of accommodation with supports strategy and capacity development • Current configuration of supported accommodation • Formalising use of purchased services within the context of care planning based referral and allocation processes, consistent with service access framework principles • Development of a strategic framework for local implementation of the National Mental Health And Well Being Strategy • Development of carers supports (may possibly become high priority for additional funding)

6.2 The above summary has highlighted the major service functions that require early action. The detailed appendices have identified a range of areas requiring further development. However, it is likely that this further development is most appropriately undertaken within the emerging CHCPs as part of the migration of existing service arrangements, to establish the CHCP based mental health service.

7. Comparative pattern of spend by function and by CHCP

7.1 The table on the page below has summarised the pattern of spend by function and by CHCP.

7.2 The main conclusions from this analysis are:

1. Most CHCPs have some elements of most of the functions in place 2. No CHCP has the major elements of all the functions in place 3. The major service gaps confirm the findings summarised in section 5 above and include • Social care supports to people in crisis (‘meeting needs in crisis’) • Assertive outreach social care supports (‘needs for ordinary living and long term support’) 7 • Social inclusion and problem solving/practical supports for people with more common mental health needs, mostly seen in primary care (‘needs for treatment and support with mental distress’)

7.3 In terms of the pattern of spend and equity of access to the core functions in each CHCP the main conclusions are set out in the table below and from paragraph 7.6.

7.4 It should, however, be noted that the analysis relates to a future configuration of services, whereas the drivers of historic expenditure have been to area populations and long stay re- provision cohorts, rather than the needs of the subsequent community based populations which would reflect local patterns of need. Finally, the analysis is based on populations which have not yet been adjusted for deprivation factors, albeit this further refinement of the analysis will be developed.

7.5 So, the comments below need to be understood in the context of setting a future agenda, rather than any implied criticism of previous arrangements which were necessarily driven by a range of other factors.

8 Patterns of Spend by Functions and by CHCP

Function North West East South South Total Average Range % Comments East West Spend Spend of variat GCC Per Head spend ions (minimum Adult popn per in components in £’s Head range place) adult % £’000s £’000s £’000s £’000s £’000s £’000s popn (equality issues) £’s 1 Access to Major components information 204 237 188 139 181 949 2.24 1.72 63 in place; modest equity issues. to Additional advocacy 2.80 via MH Act developments 2 Needs for Does not yet include individual 33 103 46 37 33 252 .060 0.46 130 practice teams; can planning then be made more to equitable 1.06 3 Meeting Components not in needs in 0 0 0 000 00 0 place; address crisis based on equitable spend of MH Act developments 4 Needs for Inadequate primary treatment 15 20 20 156 202 412 0.97 0.20 1250 care/ social care and support supports; address with mental to equity via primary distress 2.79 care supports investment of £500k 5 Needs for Inadequate floating ordinary 291 228 376 513 85 1492 3.52 1.17 441 support and living and assertive outreach; long term to address equity support 6.33 issues via MH Act developments 6 Services Significant spend to promote 280 597 392 194 442 1905 4.49 2.40 156 but access and personal equity issues require growth and to addressing developme 6.15 nt Overall CHCP Total spend 823 1184 1022 1040 942 5011 11.81 10.17 28 variation is low, community but level of supports to differences in 13.04 balance of spend between functions is unlikely to reflect local need and is unacceptably wide 7 Significant variation; Supported 2268 3226 1828 1527 1469 10317 24.29 18.19 83 but in part reflects accomodati historic re-provision on to cohort as much as 33.23 local population As above but Total spend 3090 4410 2851 2566 2410 15328 36.10 28.36 60 skewed by spend (inc on supported supported to accommodation accommod 45.43 ation)

Note: % variation in range is the % difference between the highest and lowest figures in the range

9 7.6 Conclusions:

1. Overall variation of spend per head of circa 30% between CHCP’s 2. Variation in CHCP spend per head rises to 60% when the major spend on Supported Accommodation is included – (this reflects an 80% variation in CHCP spend per head on supported accommodation; to some extent an understandable product of distortion of catchments to meet the needs of historic re-provision population - but may need reconfiguration to more closely match community need of subsequent cohorts) 3. Even larger variations between CHCPs are related to the pattern of spend between the various functions which may be more related to opportunistic developments than to variations in local needs 4. Such variations in spend suggest that the migration to CHCPs will need to be accompanied by a reconfiguration of existing services as part of the establishment of the core elements of the functions of a comprehensive social care infrastructure, without which, moves towards equity of access are likely to be constrained 5. In the case of the significant planned investments in primary care social supports; crisis, assertive outreach and deployment of practice team resources, there are significant opportunities to factor in need and equity issues within the pattern of investment and for the migration of existing services to be factored into these arrangements.

7.7 More specifically the figures suggest:

• Range of supported accommodation places per 1000 population from 0.4 to 1.2 = 200% difference between highest and lowest places by CHCP (also significant unit price differences between CHCPs) • Practice team expenditure relates to a ‘needs for individual planning’ category and is currently not reflected in the schedule and should address the major deficits in this category • No dedicated social care supports service for meeting needs in crisis in any CHCP, albeit some elements may be included in the needs for ordinary long term supports for some CHCPs only • Functions with less than 100% variation in spend per head between the highest and lowest spending CHCPs are: o Access and information 65% o Supported accommodation 83% o Total CHCP spend (excluding supported accommodation) 28% o Total CHCP spend (including supported accommodation) 60% • Functions with greater than 100% variation in spend per head in each CHCP are: o Needs for individual planning 135% o Needs for treatment and support with mental distress 1250% o Needs for ordinary living and long term support 441% o Services to promote personal growth and development 156%

7.8 This level of variation of spend per head between the functions is most unlikely to reflect local variations in needs and will require to be addressed as part of the establishment of a CHCP based social care infrastructure.

7.9 Each CHCP requires access to all of the core service elements for the six main service functions. Additionally, each CHCP will need the freedom to prioritise and adapt local investment in response to local needs, albeit with substantially lower variations between CHCPs than those described above. The implications for achieving equity of access to core components in all CHCPs will therefore require: • Some existing services to migrate into the context of the major building blocks and core components of CHCP social care supports – further work will be required to clarify the detail of such migration arrangements • New investment will need to be differential to support ‘levelling up’/equitable access • Some services may need to adjust catchments to a wider geography as part of a ‘levelling across’ process

10 • For areas such as assertive outreach, crisis services and primary care social care supports, some CHCPs have no developed service but these areas are prioritised for development using Mental Health Act funds and other funding sources. • Further work to refine the analysis to reflect needs adjusted allocations, possibly using the ‘Combined Index of Psychiatric Need’.

“Health Warnings” on interpreting the analysis

7.10 The caveats summarised below need to be taken into account in interpreting the analysis:

• Historic deployment of supported accommodation may reflect historic continuing care re-provision cohorts so distorting expected distribution • Historic area based service configurations may explain some of the mismatches in expenditure patterns increasingly based on CHCP geographies • Planned primary care mental health supports of £0.5m not yet reflected • Planned advocacy developments of c£250k not yet reflected • Further planned supported accommodation capacity increases not yet reflected • Categorisation and proportionate splits between categories is sometimes ambiguous/ overlapping between functions 4 and 5; the broad convention is primary care supports = 4; practical supports and assertive outreach =5; supported accommodation reflected as a separate category given the scale of spend, albeit actually category 5 • Some crisis supports may be captured in category 5 and under reflected • Geographic apportionment between CHCPs may require further refinement • Separate schedule of pan CHCP/city wide supports assumes even split between CHCPs and may require some adjustment.

8. Next Steps

8.1. The findings summarised in the report will be used in a variety of ways. The detail of the next steps is still being developed but is likely to involve:

• Broader circulation of this document for comment and refinement • Development of detailed service specifications and operational implementation arrangements for those areas identified as high priorities in section 6 • Development of migration plans for existing services into CHCPs, in the context of the functional framework service functions (possibly involving a form of purchased services review) • Exploration of development of similar format for NHS services to complete the Functional Framework analysis, thereby developing a comprehensive baseline for CHCP mental health service developments • Further CHCP based development of service functions beyond those identified in section 6, but reflected in the more detailed analysis and appendices.

Doug Adams Joint Head of Mental Health (Planning) Mark Feinmann Joint General Manager (Operational lead for GCC Mental Health) Carol Heron Principal Officer, Joint Mental Health Commissioning Team

8.10.04

Appendix 1: Detailed completion of functional framework schedules Appendix 2: Detailed functional framework schedule itemising CHCP and city wide services and functions

11 APPENDIX 1 Functional Framework for Mental Health : Applied GCC wide Table 1. Access and Information Service Function/Description of Need Current service responses Identified deficits and priorities Function Access into Factors which make access to services a particular issue may • MH Commissioning Team is represented • Issue of equitable access to city services include: on the Homelessness Partnership wide services to be addressed • The presence of groups who have not traditionally sought Commissioning Group help, such as the homeless, refugees and members of • Only operates in relation to ethnic minority communities • GAMH Homeless Support Project GAMH services provides drop-in /advice/info services • The transient nature of the population, which means many • Low uptake of services from are not aware of local facilities and have no GP • GAMH Ethnic Minority Project funded minority ethnic communities through MISG to facilitate access to requires further review • The presence of many individuals who do not speak services English • Consult Stirling University • All service specifications stress the need research to consider MH needs • Access to services may need to be facilitated by active to provide services in an inclusive and of asylum seekers identification and outreach culturally sensitive manner • Need for community • People services to seek them out and maintain contact, • NSF Charlie Reid Centre funded through development supports to possibly through ‘advertising’ in well-used places. People MISG provides City Centre Drop-in and reduce barriers of access to with multiple needs (eg homeless people) will need to be Café services and work with broader targeted. Access for people who do not speak English community and vol sector must be taken into account. • SWS provides an Interpreting Service networks to improve MH and promote well being Information Health and local authority commissioners need up-to-date, high SWS Carefirst information system records details • Requires further work to about the needs quality, qualitative and quantitative information about the of people in receipt of services. reconcile information from of the local population. health and social care systems population and to use information to inform planning and delivery – to be undertaken as part of integration process

• Currently undertaken on piecemeal basis as part of service development process

• Work on movement to CHCP boundaries will involve use of needs assessment analysis to inform workload and resource deployment • Consider updating of 1999 needs analysis

12 Information People need to know about the range of local statutory and • SWS produce information leaflets for people • Further opportunities exist as part about services independent sector services and how to access them. with MH problems and their carers with contact of development of integrated addresses and telephone nos. Also includes services, to produce a service contact nos. for the major MH Vol Orgs. guide across sectors

• Telephone support helplines via Breathing • Requires consideration of other Space and GEMS. information supports such as use of web pages etc • Some projects have been developed to provide support to carers. • Carers’ developments are piecemeal and will require further development Prevention/ People need to ‘look after’ their mental health and may need help Wide range of current activity including: Local work to be undertaken to Health to do this in the form of social supports, helping services, develop local strategy for Promotion opportunities for engagement in community activities, opportunity • Mental health first aid - network of trainers implementation of national strategy for skills development and for listening, solace and reflection in the • Asist suicide prevention - network of for mental health and well being. face of challenging experiences. trainers

Sustained work aimed at raising general awareness of mental • Stress Centres The scale, comprehensiveness health is required, including a focus on positive steps that can be • Anti-stigma projects and activity (such as and complexity of all the above taken to enhance mental well being as well as recognising mental PMA in Greater Easterhouse) (plus a great deal not listed distress and mental illness. • Healthy Living Centres (some of which here) emphasises the vital

have specific programmes focused on importance of close connection Further sustained work is required to reduce the stigma associated mental wellbeing) with the emerging health with mental ill health which can act as a barrier to accessing • Community Health Projects support and also as a form of social exclusion, including within the improvement structures, teams, sphere of employment. • Community Action Teams (run by Culture planning and resources of and Leisure Services) CHCPs. It will be the task of the • Arts and creative projects and initiatives Health Improvement Teams of • Sports, activity and leisure initiatives CHCPs to have a structured • Community cafes and community food means of engaging with initiatives initiatives such as those listed • Credit unions and money advice initiatives above in order to strengthen this • Parent support initiatives capacity and to widen access to • Family centres and family learning centres these opportunities; therefore • Mediation services functional mapping, gap analysis • Victim support services and targeted investment to • Volunteering projects and wide range of strengthen the network of social volunteering opportunities supports needs to closely • Befriending schemes coordinate with the CHCP - HI teams and, in turn, with central • Respite schemes investment streams and health • Carers' support improvement resources in such • Environmental / social action projects areas

13 • Other local community engagement (such as local committee work, eg. in regeneration issues, community councils) • Exercise referral schemes (now available via all GP practices in Greater Glasgow - well defined mental health benefits) • Libraries, learning centres, local economic initiatives and adult training initiatives

Table 2. Needs for Individual Planning Service Function Function/Description of Need Current service responses Identified deficits and priorities Individual Individual assessment and review of health, physical and social • Creation of Mental Health Practice Further work via process of Assessment of care needs and needs associated with race, gender and, for Teams now provides dedicated capacity development of single shared need some, social deprivation. • Development of Single shared assessment and implementation of Assessment MHO standards as core of integration process Care Planning The assessment should indicate what statutory, independent • Care management protocol agreed Integration process and MH Act sector and community responses are required, including development process needs to housing, employment and leisure services. Care planning should • MHO standards also reflect such ensure these issues are addressed incorporate primary care. A named worker should assess, lead requirements in care planning process and reflected in their development care planning and co-ordinate access into services. and likely to be reflected in detail of MH work Act statutory care plan requirements Maintaining Service users who are homeless, or who have chaotic lifestyles • Homelessness Strategy includes plans Currently such supports have been Contact because of substance abuse and/or mental illness, easily lose for infrastrucure for individuals with provided primarily in East Glasgow touch with services. Some may need constant ‘assertive chaotic lifestyles reflecting higher levels of outreach’ in order to maintain contact/ tracking of vulnerable homelessness and deprivation. people • Current MH tender for outreach/floating support service for homeless people However there is a need to extend with mental health problems will be access to such supports city wide. operational before end of the year. Review service and consider • Safe, Sound and Supported Service extending or commissioning of new operates in the east of the city. service for each CHCP.

• Limited access to low level drop in Consider extension of access to user supports (need to check resource managed out of hours drop-in centre provision, etc) services

14 Table 3. Meeting Needs in Crisis Service Function Function/Description of Need Current service responses Identified deficits and priorities Emergency Care People in crisis need early identification/immediate response and • There are no designated social care • Need to develop specifications for a may need: accommodation; 24 hour observation; prolonged responses to emergency/crisis needs. range of crisis/emergency services assessment; medication; respite from/for family; problem Current responses depend on care which can provide flexible responses solving/advice; counselling; company; rest and safety; stress manager’s ability to access provided and relief; help with self-care; detoxification/ relief from responsibility. purchased services to construct a care plan. • Review models in operation elsewhere

Women/Black people may prefer a segregated service • Design of rehab services is under discussion • Services developed need to provide with proposals developed emergency support to service users in For people with severe long term needs, appropriate service their own homes as well as respond to settings may be different for those without a substantial • Early identification of problems should the need to get away from the home psychiatric history. The needs of long-term users in crisis are improve with the development of specialized often not well met on acute admission units. They need to keep MH care management. • Requires review of the capacity of close links with ordinary routines and living environments. Their existing supported accommodation/ medical treatment is probably well established and may be a • An outreach/floating support service is being living with supports services, and routine, if lengthy, process. However, the maintenance of developed for homeless people with mental extension of access to temporary independent living skills through this period is a major need. health problems which will be configured to accommodation and possibly Therefore, early identification of and response to crisis is provide additional supports in crisis development of crisis house essential if these long-term users are to have maximum accommodation opportunity of maintaining independent living. • A ‘natural breaks’ model of respite is being piloted. One of the functions of the service • Need to evaluate pilot and commission was to minimize the occurrence of crisis. a respite service which fits with the new crisis/emergency services Emergency care Those who, in addition to the needs above, have a significant • Development of co-morbid addictions • Primarily requires access to NHS with significant physical problem include people who have harmed themselves, inpatient and partial hospitalisation services supports rather than social care physical people who need treatment for a medical condition and also supports component have a mental health problem, and people who need acute • Health and social care services for people detoxification. with A.R.B.D. being developed. • Issue of where care/case management sits to be resolved • Access to liaison psychiatry and self harm services ‘Step-Down’/ Sub- People not posing risk to themselves or others and/or are not • Currently no social care responses. • Primarily requires access to NHS Acute Care deemed to need emergency admission, but still require active supports rather than social care treatment and high levels of observation and support. supports Respite/Asylum People may need respite from their current domestic situation • Limited access to such services • Build into specification for because of intensive environmental stress resulting in a Crisis/Emergency Services disruption of usual social roles. These are individuals who can • Glasgow has a more stable social networks care for themselves with minimum assistance, but would be at structure than many inner city/ urban areas • Need to extend access to temporary risk of admission without some short-term support. Needs for this but nevertheless significant proportions of the accommodation with supports and also form of care are likely to be greater in inner city areas where population live alone. possibly the development of crisis there are few community supports or stable social networks. house provision

15

Table 4. Needs for Treatment and Support with Mental Distress Service Function Function/Description of Need Current service responses Identified deficits and priorities Time-limited People who require short-term treatment for psychological Some services provide counselling These services are not uniform treatment of less distress but can maintain independent living without significant across the city and provide varying severe mental difficulty. There are also a range of services which provide standards/levels of care. health problems low to medium levels of community support, including groupwork, relaxation therapies etc. All require to be reviewed in the context of new specification for Development of primary care mental health Primary Care Infrastructure supports, including social care elements of this, will address historic deficits from roll out citywide during 2004/05. Service specification for social care supports in development for implementation 2004/05 Specialist time- People with needs significant enough to disrupt their day to day GAMH Intensive Home Support Services operate GAMH type service is not available in limited treatment social functioning, although they can maintain personal safety in North, West and South East of the city. each CHCP area or even across the for people with and live independently. Usually specialist treatment and support NHS developments in this area include whole of any CHCP area, nor is it severe mental are required. Diagnoses associated with such needs include depression, self-help and group work pilots; easily accessible due to capacity health problems agoraphobia, major depression, post-traumatic stress disorder, development of capacity of primary care mental issues. obsessive compulsive disorder and eating disorders. This group health supports and later planned developments has traditionally been referred to secondary services. They may in relation to community eating disorder and The service is currently being now fall outside the ‘severe and long term’ criteria, but their perinatal services. reviewed by GAMH and the MH needs can rarely be dealt with within primary care. Commissioning Team. Social care supports are required to support needs beyond the health care treatment Review of social care infrastructure interventions needs to include services provided directly by SWS and establish a model of service for each CHCP which is consistent, whether provided, purchased or a mixture of both, according to local circumstances. Long term People with severe, long term problems, living in unstaffed A range of supported living arrangements, in A detailed review of designated personal (practical supported housing or independently need to maintain/learn skills different models of care, available from housing supported accommodation is required and emotional) in cooking, shopping, self care, housework, budgeting, using key support only to full 24 hour registered supported to establish it meets support to people community resources, such as the shops, local transport, the accommodation. Contracting arrangements/ norms/benchmarks and that the with severe and Post Office; help in overcoming social isolation, emotional provider organisational arrangements appear in balance of registered/unregistered, long term support and long term monitoring possibly for many years. some cases to be inflexible in the deployment of high, medium and low support levels problems living in resources between service areas. are meeting the corresponding the community needs. Significant funding of social care supports for such ‘maintenance functions’, albeit uneven Outcome of review must deliver a geographic spread and possible need to review system capable of responding to

16 focus and targeting of this function changing and fluctuating needs.

Development of social care supports to crisis, assertive outreach and primary care mental health functions can all provide access to such supports and are a high priority

Consider the development of an outreach/floating support service similar to that for homelessness. Accommodation Needs to be a long-term strategic approach to provision of a A range of supported living arrangements, in As above. (District-wide co- range of accommodation along ’24-hour staffed – support in own different models of care, available from housing ordination of home’/’independent sector – statutory sector’ continuums. Other support only to full 24 hour registered supported Accommodation strategy now out of housing provision than those requiring intensively staffed care, people need accommodation. date as a result of housing stock for people referred tenancies with sufficient support, separately provided, to live in transfer and formation of from specialist their own home and to choose who lives with them. Accommodation strategy for MH has been Communities Scotland. services) developed with GCC Accommodation Strategy needs to be reviewed in this context.

Table 5. Needs for Ordinary Living and Long Term Support Service Function Function/Description of Need Current service responses Identified deficits and priorities Treatment of, and Some individuals have long-term distressing symptoms such as Providers, in partnership with commissioners, Need to clarify nature of social care support with, long hearing voices and/or loss of drive and motivation. Such people are developing more skills in being able to supports and review/ develop standing and and their families and friends need to be helped to cope with maintain individuals with severe MH problems to capacity of existing providers recurrent these symptoms and periods of crisis, when they worsen, need remain in supported accommodation services. symptoms to be managed with as little disruption as possible to Development of social care supports independent functioning. GAMH Carers Support Project operates citywide. as part of crisis services development will also support such needs Users may have long-term symptoms, due to a long in-patient admission and/or the chronic debilitating effects of their mental illness. Support should be offered in peoples’ homes, other than to stabilize severe self-neglect or cope with extreme anti- social/violent behaviour. Active People who have lost important independent living skills may Rehabilitation takes place in all supported living Needs to be considered in the context Rehabilitation need a medium-term intervention, aimed at helping them regain arrangements. of the review of supported these. The focus should usually be on supporting people in their accommodation services which own environment, with in-patient rehabilitation only rarely Highly supported and group living supported should take account of the need for indicated. accommodation models are available from which accommodation ring-fenced for individuals can move on to more independent rehabilitation and service users own living. accommodation where levels of support can be flexible according to Discussions are ongoing with major providers fluctuating needs. about appropriate models for their services in the context of ongoing reconfigurations.

17

Rehabilitation models currently under discussion. Co-ordination of rehabilitation services needs to be considered as part of Rehab. Strategy and review of supported accommodation. Specialist A small sub-group of service users are characterized by chaotic Homelessness Outreach/floating support service Needs of this group should be treatment and life style, anti-social behaviour, difficulty in forming relationships currently subject to tender. included as part of specification for support of a small and high risk of homelessness: medication may be of limited development of social care supports group of people value. Services have often had great difficulty meeting their NSF Charlie Reid Centre provides an acceptable to assertive outreach and social care with long term and needs, leading to mutual mistrust. This group may be difficult to interface with services for this group. crisis/emergency services. complex mental keep track of and often do not attend the usual service settings. health problems They require specialist treatments, immediate support in their In essence those requiring assertive outreach Requires extension to citywide who are unable to frequent crisis, high levels of practical support and help support. Currently capacity of CMHTs is variable coverage adequately use integrating into their local communities. They may only accept in relation to assertive outreach functions and existing services services from a small group of staff whom they know well. They social care supports are primarily developed only Need to review previous proposals for need a service which is assertive in maintaining contact and within East Glasgow extension of Charlie Reid Centre offers a highly structured ‘total service’, including long term and Services. short term crisis residential care, so that these individuals need not access other services where they may risk ending up in a locked ward

Table 6. Services to Promote Personal Growth and Development Service Function Function/Description of Need Current service responses Identified deficits and priorities High support Some individuals can only find a meaningful occupation in a NSF Charlie Reid Centre offers a range of Geographic coverage/access is setting for highly supported setting with staff with significant knowledge of activities, including access to external partial and needs to ensure more occupational mental illness. There is generally some flexibility about usual educational and training courses delivered on the equitable access citywide activities work expectations. May include other types of support such as premises. social outings and creative non-work activities. Need to consider issues of citywide 2 Clubhouses covering west and east of the city. access to this model.

GCC Land Services Woodwork Project Sylvia/Mark F to ref to extensive current work in this area re equal The Coach House Trust provides a highly access, etc supported work/training and occupational environment.

Assessment and People who have spent a significant amount of time out of work Should be considered in line with preparation for may need help determining their interests and skills in relation to Equal Access to Employment work work and will need an assessment of work-related skills such as Strategic Developments job seeking, application forms, interviews, and also inter- personal skills, self-care and personal safety skills in relation to 1. Work Development Team work, a review of medication which may affect particular jobs, 2. Flourish House help with childcare, attention paid to known sources of work- 3. The Coach House Trust related stress, etc. A work plan details support/training needs to 4. SAMH/ESF achieve potential. 5. Scotia Clubhouse 18

Training/Education Support to identify interests and develop sufficient confidence to 1. Work Development Team Should be considered in line with undertake recognized training (eg NVQs) or education through 2. Flourish House Equal Access to Employment Adult Education 3. The Coach House Trust Strategic Developments 4. SAMH/ESF 5. Scotia Clubhouse Low support work Work environment mostly conforms to usual work expectations. 1. Work Development Team Should be considered in line with setting Other workers may or may not have a mental illness but there is 2. Flourish House Equal Access to Employment a level of understanding about mental health problems which 3. The Coach House Trust Strategic Developments provides support for service users. Adaptation of the 4. SAMH/ESF workplace/way of working may assist users to hold down a job. 5. Scotia Clubhouse (eg Transitional employment via Clubhouse etc) Open employment Self employment or work in an unsupported setting where 1. Work Development Team Should be considered in line with colleagues may/may not know about psychiatric history. This will 2. Flourish House Equal Access to Employment require active outreach into the employment market to identify 3. The Coach House Trust Strategic Developments appropriate work settings and work with local employers to 4. SAMH/ESF encourage recruitment of ex-users. 5. Scotia Clubhouse Ongoing support Recognition that ongoing support may be necessary for both 1. Work Development Team Should be considered in line with in open worker and employer in order to sustain open employment. 2. Flourish House Equal Access to Employment employment 3. The Coach House Trust Strategic Developments 4. SAMH/ESF 5. Scotia Clubhouse Informal support People need informal support, social contact, and access to staff A number of services offer drop-in/informal social Requires review to ensure equitable for service users without having to make a prior appointment. Particularly those contact, welfare benefits and housing advice access/ geographic coverage who are socially isolated or who require help with independent including a number of user led Link Clubs living, need a welcoming place where they can ‘drop’ in to meet other users and staff, have a meal and perhaps gain access to specialist advice on issues such as welfare benefits and housing problems – eg low level ‘drop ins’. Leisure and Users should have access to the usual range of leisure activities Pilot ‘Natural Breaks’ service – facilitating Service requires to be evaluated to recreational including hobbies, adult education, cultural pursuits and simpler individualized leisure activity plans. inform decisions about future activities, including activities such as going for walks. Activities should be commissioning. Adult Education appropriate to their cultural background, occur at the usual time Designated Supported Accommodation Services for the activity (eg. theatre visits in the evening) and be offered in provide support to access cultural and leisure To be considered in context of the usual setting. activities. detailed review of designated supported accommodation. Users may need support to gain in confidence to use local A number of projects offer facilitated access to leisure facilities. Low incomes may be a difficulty. cultural and leisure activities

19

Support with Vast majority of users will be on welfare benefits. Their claims Service Level Agreement for Practice Teams. Need to review future relationship to Welfare Benefits may be complex and they will require specialist help to ensure Almost all community services offer welfare SWS Welfare Rights Services in that they are receiving their full entitlement. benefits advice. context of integration.

Advocacy Users may need support to exercise choice in their lives, to be All purchased and provided services are listened to and to be treated as an individual with the same rights expected to facilitate this and service and responsibilities as most ordinary citizens. specifications detail this.

Advocacy services are under review as part of the implementation plan for the new MH Act and planned developments of advocacy have been agreed.

20 NORTH CHCP (Adult Population = 73,000)

COMMUNITY SUPPORT SERVICES AVAILABLE

Function Service Name Provider Address Description Main Functions Estimated % 1. Access North Glasgow Mental GCC Social 94 Red Road, One to one client 1. Access and 1 = 30% and Health Service Work Balornock, support, resource information see also information Glasgow, G21 library, relaxation 5. Needs for 5 = 30% = 40% 4PH group, ordinary living (Springburn) befriending, and long term assistance with support daily living skills 6. Services to promote personal growth and development GAMH Units 13,14,15 Day care, 1. Access and 1 = 30% Hydepark befriending, information North Service Business information/advice 5. Needs for see also Centre, 60 and some ordinary living 5 = 30% Mollinsburn outreach and long term 6 = 40% Street, support Glasgow, G21 6. Services to 4SF promote personal growth and development 2. Needs for 2. Needs for 2 = 0% Individual Individual Planning Planning 3. Meeting 3. Meeting 3 = 0% Needs in Needs in Crisis Crisis 4. Needs for 4. Needs for 4 = 0% treatment treatment and and support support with with mental mental distress distress 5. Needs for GAMH Units 13,14,15 Intensive home 5. Needs for 5 = 100% ordinary Hydepark support to people ordinary living living and North Service Business with severe and and long term long term Centre, 60 enduring mental support support Mollinsburn health problems Street, Glasgow, G21 4SF 21 Function Service Name Provider Address Description Main Functions Estimated % North Glasgow Mental GCC Social 94 Red Road, One to one client 1. Access and 5 = 30% Health Service Work Balornock, support, resource information Glasgow, G21 library, relaxation 5. Needs for see also 4PH group, ordinary living (Springburn) befriending, and long term 1 = 30%) assistance with support 6 = 40% daily living skills 6. Services to promote personal growth and development GAMH Units 13,14,15 Day care, 1. Access and 5 = 30% Hydepark befriending, information North Service Business information/advice 5. Needs for see also Centre, 60 and some ordinary living 1 = 30% Mollinsburn outreach and long term 6 = 40%) Street, support Glasgow, G21 6. Services to 4SF promote personal growth and development Richmond 2nd Floor, 26 Support 5. Needs for North Central Support Fellowship Park Circus, individuals with ordinary living Service Glasgow G3 their housing, and long term 6AP social, personal support and emotional needs; assisting individuals to live in their own homes and maintain their own tenancies & encouraging social inclusion in their communities. North Glasgow Housing SAMH Housing Support 5. Needs for 54 (Hours) Support provision within ordinary living an individuals and long term home covering 21 support prescribed daily living tasks

22 Function Service Name Provider Address Description Main Functions Estimated % 6. Services North Glasgow Mental GCC Social 94 Red Road, One to one client 1. Access and 6 = 40% to promote Health Service Work Balornock, support, resource information see also personal Glasgow, G21 library, relaxation 5. Needs for 1 = 30%) growth and 4PH group, ordinary living 5 = 30%) development (Springburn) befriending, and long term assistance with support daily living skills 6. Services to promote personal growth and development GAMH Units 13,14,15 Day care, 1. Access and 6 = 40% Hydepark befriending, information North Service Business information/advice 5. Needs for see also Centre, 60 and some ordinary living 1 = 30%) Mollinsburn outreach and long term 5 = 30%) Street, support Glasgow, G21 6. Services to 4SF promote personal growth and development North Glasgow Housing SAMH Housing Support 5. Needs for Support provision within ordinary living an individuals and long term home covering 21 support prescribed daily living tasks

DESIGNATED SUPPORTED ACCOMMODATION PLACES AVAILABLE

Function Service Name Provider Address Description Main Functions Number of Places 5. Needs Batson Supported 5. Needs for 7 (Registered) for accommodation ordinary living ordinary The Mungo for people with and long term 6 (Housing living Foundation mental health support Support) and long problems term support

23 Function Service Name Provider Address Description Main Functions Number of Places Carbeth Supported 5. Needs for accommodation ordinary living 13 Registered) The Mungo for people with and long term (*being Foundation mental health support reconfigured) problems 1 (Supported Living) Keppochhill MH Loretto Supported 5. Needs for 2 accommodation ordinary living for people with and long term mental health support problems Buccleuch Street Richmond Supported 5. Needs for 8 Fellowship accommodation ordinary living for people with and long term mental health support problems Maryhill SAMH Supported 5. Needs for 13 (Registered) accommodation ordinary living for people with and long term 2 (Supported mental health support Living) problems Barmulloch Loretto Highly supported 5. Needs for 6 Supported accommodation ordinary living Living for people with and long term 4 Supported mental health support Accommodation problems Hawthorn Street Loretto Unregistered 5. Needs for 2 medium ordinary living supported and long term accommodation support for people with mental health problems

24

WEST CHCP (Adult Population = 97,060)

COMMUNITY SUPPORT SERVICES AVAILABLE

Function Service Name Provider Address Description Main Functions Estimated % 1. Access GAMH 32 Mansfield Day care, 1. Access and 1 = 20% and Street, Partick befriending, information information West Service information/advice 6. Services to see also and some promote 6 = 80% outreach personal growth and development 2. Needs for Drumchapel Mental Health GCC Social Arndale Centre, Currently funds 2. Needs for 2 = 100% individual Community Support Project Work Kinfauns Drive, an MHO post individual planning Drumchapel, planning Glasgow 3. Meeting 3. Meeting 3 = 0% needs in needs in crisis crisis 4. Needs for 4. Needs for 4 = 0% treatment treatment and and support support with with Mental mental distress Distress 5. Needs for GAMH Unit 11, 14 & Intensive home 5. Needs for 5 = 100% ordinary 15, 32 Mansfield support to people ordinary living living and West Service Street, with severe and and long term long term Glasgow, G11 enduring mental support support 5QP health problems Glasgow West Support Richmond 2nd Floor, 26 Support 5. Needs for Service Fellowship Park Circus, individuals with ordinary living Glasgow, G3 their housing, and long term 6AP social, personal support and emotional needs; assisting individuals to live in their own homes and maintain their own tenancies & encouraging social inclusion in their communities.

25 Function Service Name Provider Address Description Main Functions Estimated % 6. Personal Allarton Community Balshagray Recreational 6. Personal 6 = 100% growth and Integrated Day Care Parish Church facilities, lunches, growth and development Project Crossreach Hall, Broomhill tuck shop, development Cross, Glasgow support and advice Work Development Team To be decided Co-ordinates 6. Personal 6 = 100% employment growth and related activities development and provides links to health and social care to providers of employment related activities. Ensures clients are supported and assisted to sustain their individual goals GAMH 32 Mansfield Day care, 1. Access and 6 = 80% Street, Partick befriending, information West Service information/advice 6. Services to see also and some promote 1 = 20%) outreach personal growth and development West Glasgow Housing SAMH 55 Kirkton Housing Support 5. Needs for 5 = 100% Support Avenue, provision within ordinary living Glasgow G13 an individuals and long term 3SA home covering 21 support prescribed daily living tasks

26

DESIGNATED SUPPORTED ACCOMMODATION PLACES AVAILABLE

Function Service Name Provider Address Description Main Functions Number of Places 5. Needs Allarton Medium Supported 5. Needs for 19 for accommodation ordinary living ordinary Crossreach for people with and long term living mental health support and long problems term support Allarton High Highly supported 5. Needs for 5 accommodation ordinary living Crossreach for people with and long term mental health support problems Fairhome Fairhome Care Highly supported 5. Needs for 10 Group accommodation ordinary living for people with and long term mental health support problems West End Richmond Supported 5. Needs for 10 Fellowship accommodation ordinary living for people with and long term mental health support problems Woodside Richmond Supported 5. Needs for 11 Fellowship accommodation ordinary living for people with and long term mental health support problems Drumchapel Supported SAMH Highly supported 5. Needs for 9 Accommodation accommodation ordinary living for people with and long term mental health support problems SAMH Highly supported 5. Needs for 8 accommodation ordinary living Ledmore Supported for people with and long term Accommdation mental health support problems

27 Function Service Name Provider Address Description Main Functions Number of Places Drumchapel Supported SAMH Supported 5. Needs for 3 living accommodation ordinary living for people with and long term mental health support problems West End SAMH Supported 5. Needs for 15 accommodation ordinary living for people with and long term mental health support problems MMH (Modernising Mental Turning Point Supported 5. Needs for 2 Health) accommodation ordinary living for people with and long term mental health support problems

28 EAST CHCP (Adult Population = 100,529)

COMMUNITY SUPPORT SERVICES AVAILABLE

Function Service Name Provider Address Description Main Functions Estimated % 1. Access Ruchazie Mental Health GCC Social NE Area Team, Weekly home 1. Access and 1 = 20% and Project Work 1 Ruchazie visiting service, information information Place, Glasgow, befriending, life 5. Needs for see also G33 3HA styles, drop-in, ordinary living 5 = 20% info/advice and long term 6 = 60%) support 6. Services to promote personal growth and development 2. Needs for 2. Needs for 2 = 0% individual individual planning planning 3. Meeting 3. Meeting 3 = 0% needs in needs in crisis crisis 4. Needs for 4. Needs for 4 = 0% treatment treatment and and support support with with mental mental distress distress 5. Needs for Safe Sound and Supported GCC Social 34 Blyth Road, Assertive 5. Needs for 5 = 100% ordinary Work Glasgow, G33 Outreach ordinary living living and 4QS and long term long term support support GAMH 23 McPhail Assertive 5. Needs for 5 = 100% Street, Outreach ordinary living East Service Bridgeton, and long term Glasgow G40 support 1DN

29 Function Service Name Provider Address Description Main Functions Estimated % Ruchazie Mental Health GCC Social NE Area Team, Weekly home 1. Access and 5 = 20%) Project Work 1 Ruchazie visiting service, information Place, Glasgow, befriending, life 5. Needs for see also G33 3HA styles, drop-in, ordinary living 1 = 20%) info/advice and long term 6 = 60%) support 6. Services to promote personal growth and development Alexandra Richmond 94 Duke Street, Housing 5. Needs for Fellowship Glasgow G4 Support ordinary living 0UW provision within and long term an individuals support home covering 21 prescribed daily living tasks Housing Support Glasgow Richmond 94 Duke Street, Housing 5. Needs for East Fellowship Glasgow G4 Support ordinary living 0UW provision within and long term an individuals support home covering 21 prescribed daily living tasks 6. Services Easterhouse and Barlanark GCC Social 34 Blyth Road, One to one 6. Services to 6 = 100% to promote Day Care Project Work Glasgow, G33 support for promote personal 4QS individuals, personal growth growth and access to art, and development education, development training and recreational activities, mental health development workshops, advice and information

30 Function Service Name Provider Address Description Main Functions Estimated % Work Development Team To be decided Co-ordinates 6. Personal 6 = 100% employment growth and related activities development and provides links to health and social care to providers of employment related activities. Ensures clients are supported and assisted to sustain their individual goals Ruchazie Mental Health GCC Social NE Area Team, Weekly home 1. Access and 6 = 60% Project Work 1 Ruchazie visiting service, information Place, Glasgow, befriending, life 5. Needs for see also G33 3HA styles, drop-in, ordinary living 1 = 20% info/advice and long term 5 = 20% support 6. Services to promote personal growth and development

DESIGNATED SUPPORTED ACCOMMODATION PLACES AVAILABLE

Function Service Name Provider Address Description Main Functions Number of Places 5. Needs Tollcross (Wellshot Rd) Loretto Highly supported 5. Needs for 8 for accommodation ordinary living ordinary for people with and long term living mental health support and long problems term support Dennistoun Loretto Supported 5. Needs for 2 accommodation ordinary living for people with and long term mental health support problems

31 Function Service Name Provider Address Description Main Functions Number of Places Inverleith Penumbra Highly supported 5. Needs for 9 accommodation ordinary living for people with and long term mental health support problems Oakley Terrace Richmond Highly supported 5. Needs for 8 Fellowship accommodation ordinary living for people with and long term mental health support problems Brisbane SAMH Highly supported 5. Needs for 5 accommodation ordinary living for people with and long term mental health support problems Glasgow East End SAMH Supported 5. Needs for 21 accommodation ordinary living for people with and long term mental health support problems Easterhill (Medium) SAMH Supported 5. Needs for 10 accommodation ordinary living for people with and long term mental health support problems Easterhill (High) SAMH Highly supported 5. Needs for 5 accommodation ordinary living for people with and long term mental health support problems Calvay Project Turning Point Supported 5. Needs for 8 accommodation ordinary living for people with and long term mental health support problems

32 SOUTH EAST CHCP (Adult Population = 81,006)

COMMUNITY SUPPORT SERVICES AVAILABLE

Function Service Name Provider Address Description Main Functions Estimated % 1. Access 1. Access and 1 = 0% and information information 2. Needs for Natural Breaks Richmond 31-33 Corkerhill Respite service 2. Needs for individual Fellowship Place, Glasgow, offered to the individual planning G52 1RU carer and family planning members’ 6. Services to relieving them of promote their caring role personal growth for short periods and development 3. Meeting 3. Meeting 3 = 0% needs in needs in crisis crisis 4. Needs for Community Care GCC Social South East Area Drop in and 4. Needs for 4 = 50%) treatment Partnership Project Work Team home supports treatment and and support (Castlemilk) support with see also with mental mental distress 5 = 50%) distress 5. Needs for ordinary living and long term support 5. Needs for GAMH Home support 5. Needs for 5 = 100% ordinary and day care ordinary living living and South East Service programme and long term long term support support GAMH 23 McPhail Intensive home 5. Needs for 5 = 100% South East Service Street, support to ordinary living Bridgeton, people with and long term Glasgow, G40 severe and support 1DN enduring mental health problems Community Care GCC Social South East Area Drop in and 4. Needs for 5 = 50% Partnership Project Work Team home supports treatment and (Castlemilk) support with see also mental distress 4 = 50%) 5. Needs for ordinary living and long term support 33 Function Service Name Provider Address Description Main Functions Estimated % Castlemilk Service Richmond 31-33 Corkerhill Support 5. Needs for Fellowship Place, Glasgow, individuals with ordinary living G52 1RU their housing, and long term social, personal support and emotional needs; assisting individuals to live in their own homes and maintain their own tenancies & encouraging social inclusion in their communities.

6. Services Natural Breaks Richmond 31-33 Corkerhill Respite service 2. Needs for to promote Fellowship Place, Glasgow, offered to the individual personal G52 1RU carer and family planning growth and members’ 6. Services to development relieving them of promote their caring role personal growth for short periods and development

DESIGNATED SUPPORTED ACCOMMODATION PLACES AVAILABLE

Function Service Name Provider Address Description Main Functions Number of Places 5. Needs Cassiltoun SAMH Highly supported 5. Needs for 15 for accommodation ordinary living ordinary for people with and long term living mental health support and long problems term support Cassiltoun Housing Support SAMH Housing Support 5. Needs for 101 (Hours) provision within ordinary living an individuals and long term home covering support 21 prescribed daily living tasks

34 Function Service Name Provider Address Description Main Functions Number of Places Moffat St Loretto Supported 5. Needs for 2 accommodation ordinary living for people with and long term mental health support problems Butterbiggins Medium Richmond Supported 5. Needs for 5 Fellowship accommodation ordinary living for people with and long term mental health support problems Butterbiggins High Richmond Highly supported 5. Needs for 5 Fellowship accommodation ordinary living for people with and long term mental health support problems Govanhill The Mungo Highly supported 5. Needs for 6 Foundation accommodation ordinary living for people with and long term mental health support problems Ardencraig Loretto Highly supported 5. Needs for 4 accommodation ordinary living for people with and long term mental health support problems Benthall Street Richmond Supported 5. Needs for 6 Fellowship accommodation ordinary living for people with and long term mental health support problems

35

SOUTH WEST CHCP (Adult Population = 72,272)

COMMUNITY SUPPORT SERVICES AVAILABLE

Function Service Name Provider Address Description Main Functions Estimated % 1. Access GAMH 78 Victoria Day care, 1. Access and 1 = 20% and Road, Glasgow, befriending, information information South West Service G42 7AA information/advice 6. Services to see also promote 6 = 80%) personal growth and development 2. Needs for Natural Breaks Richmond 31-33 Corkerhill Respite service 2. Needs for individual Fellowship Place, Glasgow, offered to the individual planning G52 1RU carer and family planning members’ 6. Services to relieving them of promote their caring role personal growth for short periods and development 3. Meeting 3. Meeting 3 = 0% needs in needs in crisis crisis 4. Needs for Govan Mental Health GCC Social 10 Summertown Individual support 4. Needs for 4 = 100% treatment Community Support Team Work Road, Glasgow work, group work, treatment and and support G51 2LY counselling, user support with with mental group mental distress distress 5. Needs for Pollok Housing Support Richmond 31-33 Corkerhill Housing Support 5. Needs for 5 = 100% ordinary Fellowship Place, Glasgow, provision within ordinary living living and G52 1RU an individuals and long term long term home covering 21 support support prescribed daily living tasks

36 Function Service Name Provider Address Description Main Functions Estimated % 6. Personal Work Development Team To be decided Co-ordinates 6. Personal 6 = 100% growth and employment growth and development related activities development and provides links to health and social care to providers of employment related activities. Ensures clients are supported and assisted to sustain their individual goals GAMH 78 Victoria Day care, 1. Access and 6 = 80% Road, Glasgow, befriending, information South West Service G42 7AA information/advice 6. Services to see also promote 1 = 20% personal growth and development Natural Breaks Richmond 31-33 Corkerhill Respite service 2. Needs for Fellowship Place, Glasgow, offered to the individual G52 1RU carer and family planning members’ 6. Services to relieving them of promote their caring role personal growth for short periods and development

DESIGNATED SUPPORTED ACCOMMODATION PLACES AVAILABLE

Function Service Name Provider Address Description Main Function Number of Places 5. Needs Arden Supported 5. Needs for 3 for accommodation ordinary living ordinary The Mungo for people with and long term living Foundation mental health support and long problems term support

37 Function Service Name Provider Address Description Main Function Number of Places Arden Supported 5. Needs for 1 accommodation ordinary living The Mungo for people with and long term (Supported Foundation mental health support Living) problems 5 Victoria Court Richmond Supported 5. Needs for 19 Fellowship accommodation ordinary living for people with and long term mental health support problems Richmond Supported 5. Needs for 10 Fellowship accommodation ordinary living Elliston Drive for people with and long term mental health support problems Bellahouston SAMH Highly 5. Needs for 9 (Registered) Supported and ordinary living Supported and long term 6 (Supported accommodation support Living) for people with mental health problems South West SAMH Supported 5. Needs for 9 (Registered) accommodation ordinary living for people with and long term 2 (Supported mental health support Living) problems South West Housing SAMH Housing Support 5. Needs for 123 (Hours) Support provision within ordinary living an individuals and long term home covering support 21 prescribed daily living tasks Pollok Project Carr-Gomm Highly 5. Needs for 8 (Househillmuir Road) Scotland Supported ordinary living accommodation and long term for people with support mental health problems

38 CITYWIDE (Adult Population = 424,730)

COMMUNITY SUPPORT SERVICES AVAILABLE

Function Service Name Provider Address Description Main Estimated % or Functions overall service functions 1. Access Mental Health Legal Legal Services Brown & Co Legal advice and 1. Access and 1 = 100% And Representation Project Agency Solicitors, 3rd assistance to information Information Floor, Fleming people with MH House, problems. Glasgow, G3 Glasgow Integrated Carr-Gomm 1480 Paisley Short term social 1. Access and Services Road West, care supports information Glasgow, G52 offering 2. Needs for 1SP individuals individual practical and planning emotional 3. Meeting support across 3 needs in crisis functions: 4. Needs for Common MH treatment & problems, support with Assertive mental distress Outreach and Crisis services Circles Advocacy Circles Network Charing Cross Provides 1. Access and 1 = 100% UK Centre, 8 independent information Woodside advocacy to Crescent, people with Glasgow mental health difficulties who have committed offences Carers Support Project GAMH The Big Issue Information, 1. Access and 1 = 40%) Building, Room advice, general information 3 & 4, 71 Oxford support and 5. Needs for see also Street, Glasgow representation, ordinary living 5 = 30%) some training and long term 6 = 30%) and capacity support building activities 6. Services to promote personal growth and development

39 Function Service Name Provider Address Description Main Estimated % or Functions overall service functions Charlie Reid Centre NSF 19 Elmbank Drop in, 1. Access and 1 = 30% Street, community café, information Glasgow, G2 advice/info, 4. Needs for see also 4PB carers support, treatment and 4 = 20% counselling, support with 5 = 20% advocacy, group mental distress 6 = 30%) work 5. Needs for ordinary living and long term support 6. Services to promote personal growth and development Alzheimers Younger Alzheimer Oxford Street, Home support, 1. Access and 1 = 30%) Persons Project Scotland: Action Glasgow outreach, info information on Dementia services, 5. Needs for see also counselling, ordinary living 5 = 70%) carers support, and long term day care support Community Services for Alzheimers Oxford Street, Home support, 1. Access and 1 = 30%) younger people with Scotland Glasgow information and information dementia advice plus carer 5. Needs for see also support to under ordinary living 5 = 70%) 65’s with and long term dementia support Community Services for Scottish CSV Offices, Info and advice 1. Access and 1 = 30%) younger people with Huntington's 236 Clyde plus support for information Huntington's disease Association - Street, Glasgow people with 4. Needs for see also Glasgow Huntingtons and treatment and 4 = 70%) Advisory their carers support with Service mental distress Barlinnie Mental Health GCC Social Social Work Assessment and 1. Access and 1 = 30% Project - Open Doors Work Unit, HM Prison, risk assessment, information Barlinnie, Lee counselling and 2. Needs for see also Ave, Glasgow support, group individual 2 = 40% work services, planning 4 = 30%) participation in 4. Needs for multi-disciplinary treatment and meetings, pre- support with release planning mental distress

40 Function Service Name Provider Address Description Main Estimated % or Functions overall service functions 2. Needs for The Access Project GCC Social Centenary Diversion or 2. Needs for 2 = 100% individual Work House, 100 identification of individual planning Morrison Street, people with MH planning Glasgow, G5 problems coming 8LN to the attention of the Criminal Justice Service. Intensive needs led assessment, carer info and support, welfare rights, liaison with medical staff, housing and benefits agency. Glasgow Integrated Carr-Gomm 1480 Paisley Short term social 1. Access and Services Road West, care supports information Glasgow, G52 offering 2. Needs for 1SP individuals individual practical and planning emotional 3. Meeting support across 3 needs in crisis functions: 4. Needs for Common MH treatment & problems, support with Assertive mental distress Outreach and Crisis services Barlinnie Mental Health GCC Social Social Work Assessment and 1. Access and 2 = 40% Project - Open Doors Work Unit, HM Prison risk assessment, information Barlinnie, Lee counselling and 2. Needs for see also Ave, Glasgow support, group individual 1 = 30% work services, planning 4 = 30%) participation in 4. Needs for multi-disciplinary treatment and meetings, pre- support with release planning mental distress

41 Function Service Name Provider Address Description Main Estimated % or Functions overall service functions 3. Meeting Glasgow Integrated Carr-Gomm 1480 Paisley Short term social 1. Access and Needs in Services Road West, care supports information Crisis Glasgow, G52 offering 2. Needs for 1SP individuals individual practical and planning emotional 3. Meeting support across 3 needs in crisis functions: 4. Needs for Common MH treatment & problems, support with Assertive mental distress Outreach and Crisis services 4. Needs for Community Services for Scottish CSV Offices, Info and advice 1. Access and 4 = 70% treatment younger people with Huntington's 236 Clyde plus support for information and support Huntington's disease Association - Street, Glasgow people with 4. Needs for see also with mental Glasgow Huntingtons and treatment and 1 = 30%) distress Advisory their carers support with Service mental distress Barlinnie Mental Health GCC Social Social Work Assessment and 1. Access and 4 = 30%) Project - Open Doors Work Unit, HM Prison risk assessment, information Barlinnie, Lee counselling and 2. Needs for see also Ave, Glasgow support, group individual 1 = 30% work services, planning 2 = 40% participation in 4. Needs for multi-disciplinary treatment and meetings, pre- support with release planning mental distress Charlie Reid Centre NSF 19 Elmbank Drop in, 1. Access and 4 = 20% Street, community café, information see also Glasgow, G2 advice/info, 4. Needs for 1 = 30% 4PB carers support, treatment and 5 = 20% counselling, support with 6 = 30% advocacy, group mental distress work 5. Needs for ordinary living and long term support 6. Services to promote personal growth and development

42 Function Service Name Provider Address Description Main Estimated % or Functions overall service functions Glasgow Integrated Carr-Gomm 1480 Paisley Short term social 1. Access and Services Road West, care supports information Glasgow, G52 offering 2. Needs for 1SP individuals individual practical and planning emotional 3. Meeting support across 3 needs in crisis functions: 4. Needs for Common MH treatment & problems, support with Assertive mental distress Outreach and Crisis services Group Attendance Support GAMH 12 Annfield Short term group 4. Needs for 4 = 100% Services Place, Glasgow work treatment & G31 9EP support with mental distress 5. Needs for Alzheimers Younger Alzheimer Oxford Street, Home support, 1. Access and 5 = 70% ordinary Persons Project Scotland: Action Glasgow outreach, info information see also living and on Dementia services, 5. Needs for 1 = 30%) long term counselling, ordinary living support carers support, and long term day care support Community Services for Alzheimers Oxford Street, Home support, 1. Access and 5 = 70% younger people with Scotland Glasgow information and information dementia advice plus carer 5. Needs for see also support to under ordinary living 1 = 30%) 65’s with and long term dementia support Community Services for Turning Point Maryhill Road, 15 day places for 5. Needs for 5 = 50%) younger people with Glasgow under 65’s to ordinary living dementia or Huntington's gain support, and long term see also disease - Differently the activities, and support 6 = 50%) Same Project carer respite 6. Services to promote personal growth and development

43 Function Service Name Provider Address Description Main Estimated % or Functions overall service functions The Coach House Trust The Coach Belmont Lane, Community 5. Needs for 5 = 50% House Trust Kelvinbridge, based training ordinary living Glasgow and employment and long term see also initiatives and support 6 = 50%) emerging Social 6. Services to Firms promote personal growth and development Carers Support Project GAMH The Big Issue Information, 1. Access and 5 = 30% Building, Room advice, general information 3 & 4, 71 Oxford support and 5. Needs for see also Street, Glasgow representation, ordinary living 1 = 40% some training and long term 6 = 30% and capacity support building activities 6. Services to promote personal growth and development Charlie Reid Centre NSF 19 Elmbank Drop in, 1. Access and 5 = 20% Street, community café, information see also Glasgow, G2 advice/info, 4. Needs for 1 = 30% 4PB carers support, treatment and 4 = 20% counselling, support with 6 = 30% advocacy, group mental distress work 5. Needs for ordinary living and long term support 6. Services to promote personal growth and development

44 Function Service Name Provider Address Description Main Estimated % or Functions overall service functions 6. Services Woodwork Project - GCC Land Daldowie, Provide a 6. Services to 6 = 100% to promote Training for Employment Services Hamilton Road, rehabilitative promote personal City Wide Glasgow base for clients, personal growth growth and support client in and development sustaining development community placements to reduce hospital admission, support clients in gaining suitable employment, counselling, training Glasgow Link Support GCC Social The Anvil User Clubs. Co- 6. Services to 6 = 100% Project Work Centre, 81 ordinator promote Salamanca employed to personal growth Street, develop. Co- and Glasgow, G31 ordinates link development 5BA clubs citywide. Scotia Clubhouse GAMH Scotia Rehabilitation 6. Services to 6 = 100% Clubhouse, service for promote Duke Street, people who personal growth Glasgow experience long and term mental development health problems. Work and training opportunities in line with the Clubhouse model Flourish House Flourish House 23-25 Ashley Rehabilitation 6. Personal 6 = 100% Road, Glasgow service for growth and G3 6DR people who development experience long term mental health problems. Work and training opportunities in line with the Clubhouse model

45 Function Service Name Provider Address Description Main Estimated % or Functions overall service functions Community Services for Turning Point Maryhill Road, 15 day places for 5. Needs for 6 = 50% younger people with Glasgow under 65’s to ordinary living dementia or Huntington's gain support, and long term see also disease - Differently the activities, and support 5 = 50% Same Project carer respite 6. Services to promote personal growth and development The Coach House Trust The Coach Belmont Lane, Community 5. Needs for 6 = 50% House Trust Kelvinbridge, based training ordinary living Glasgow and employment and long term see also initiatives and support 5 = 50% emerging Social 6. Services to Firms promote personal growth and development Charlie Reid Centre NSF 19 Elmbank Drop in, 1. Access and 6 = 30% Street, community café, information Glasgow, G2 advice/info, 4. Needs for see also 4PB carers support, treatment and 1 = 30% counselling, support with 4 = 20% advocacy, group mental distress 5 = 20% work 5. Needs for ordinary living and long term support 6. Services to promote personal growth and development

46 Function Service Name Provider Address Description Main Estimated % or Functions overall service functions Carers Support Project GAMH The Big Issue Information, 1. Access and 6 = 30% Building, Room advice, general information 3 & 4, 71 Oxford support and 5. Needs for see also Street, Glasgow representation, ordinary living 1 = 40% some training and long term 5 = 30% and capacity support building activities 6. Services to promote personal growth and development

DESIGNATED SUPPORTED ACCOMMODATION PLACES AVAILABLE

Function Service Name Provider Address Description Main Functions Number of Places 5. Needs Say Women Say Women Bell Street (HQ) 2 supported 5. Needs for 2 for accommodation ordinary living ordinary places for and long term living sexually abused support and long women with term mental health support problems Riverside Mental Health Talbot 892 Govan Residential 5. Needs for 5 Project Association Road, Glasgow, services to ordinary living G51 3AF homeless and long term people with support mental health and alcohol problems Barmulloch Loretto Specialist 5. Needs for 4 (Registered) supported ordinary living accommodation and long term 2 (Supported for people with support Living Alcohol Related Brain Damage Tollcross (Wellshot Road) Loretto Specialist 5. Needs for 4 supported ordinary living accommodation and long term for people with support Alcohol Related Brain Damage

47 Function Service Name Provider Address Description Main Functions Number of Places Ardencraig Loretto Specialist 5. Needs for 4 supported ordinary living accommodation and long term for people with support Alcohol Related Brain Damage Midway Turning Point 3

Huntly Lodge Richmond Medium 5. Needs for 11 Fellowship supported ordinary living accommodation and long term for people with support Mental Health problems

Designated Housing Support Only (City-Wide) Services Function Service Name Provider Address Description Main Functions Number of hours of support 5. Needs Penumbra Tenancy Support Penumbra Strathclyde Housing Support 5. Needs for 170 for Business provision within ordinary living ordinary Centre, 120 an individuals and long term living Carstairs St, home covering support and long Dalmarnock 21 prescribed term Glasgow, G40 daily living tasks support 4JD

Queens Cross East Project Queens Cross 840 Garscube Housing Support 5. Needs for 301 Housing Road, Glasgow provision within ordinary living Association G20 7ET an individuals and long term home covering support 21 prescribed daily living tasks Calvay Housing Support SAMH Housing Support 5. Needs for 246 provision within ordinary living an individuals and long term home covering support 21 prescribed daily living tasks

48 Function Service Name Provider Address Description Main Functions Number of hours of support Housing Support Services GAMH 12 Annfield Housing Support 5. Needs for Place, Glasgow provision within ordinary living G31 9EP an individuals and long term home covering support 21 prescribed daily living tasks Group Attendance Support GAMH 12 Annfield Services Place, Glasgow G31 9EP

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