FINAL DRAFT Tayside Mental Health and Wellbeing Strategy 1
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FINAL DRAFT Tayside Mental Health and Wellbeing Strategy 1 Contents Page Acknowledgement: ............................................................................................................. 4 Collective Service User Statement .................................................................................... 5 About the strategy .............................................................................................................. 7 SECTION 1 - MENTAL HEALTH AND WELLBEING STRATEGY ..................................... 10 1. Introduction ............................................................................................................ 10 2. Strategic Context .................................................................................................... 11 3. Independent Inquiry - Trust and Respect ............................................................. 12 4. Mental Health - A Public Health Priority ................................................................ 17 5. Tayside Population ................................................................................................. 23 6. Human Rights and Independent Advocacy .......................................................... 28 7. Protecting People in Tayside - Police Scotland ................................................... 29 8. Protecting Children and Young People’s Mental Health ...................................... 31 9. Adult Protection ..................................................................................................... 32 10. Transitions .............................................................................................................. 34 11. Quality Improvement and Mental Health ............................................................... 35 12. Leadership and Culture in Mental Health ............................................................. 36 13. Mental Health Governance in Tayside .................................................................. 38 14. Communication & Engagement – Our Inclusive Approach ................................. 39 15. Third Sector Organisations ................................................................................... 40 16. The Importance of Carers ...................................................................................... 42 17. Independent Advocacy organisations across Tayside ........................................ 43 SECTION 2 – WHOLE SYSTEMS MODEL FOR MENTAL HEALTH ................................. 45 1. Life Course Model .................................................................................................. 45 2. Service Model in Mental Health ............................................................................. 46 3. Secondary Care Mental Health Services ............................................................... 50 4. Psychological Therapies in Mental Health............................................................ 54 SECTION 3 - TAYSIDE MENTAL HEALTH AND WELLBEING PROGRAMME ................ 56 1. Good Mental Health for All ..................................................................................... 58 2. Primary Care and Community Mental Health Services ........................................ 66 3. Specialist Mental Health Services Project ............................................................ 70 4. Mental Health of Children and Young People ....................................................... 79 5. Mental Health and Wellbeing of People with Learning Disabilities ..................... 83 6. Older Peoples Mental Health ................................................................................. 86 7. Workforce Strategy for Mental Health ................................................................... 89 8. Mental Health and New Technologies ................................................................... 93 9. Medicines and Mental Health ................................................................................. 94 FINAL DRAFT Tayside Mental Health and Wellbeing Strategy 2 SECTION 4 – DELIVERING THE STRATEGY ................................................................... 98 1. Delivering Whole System Change ......................................................................... 98 2. Evaluation - Measuring Success of the Strategy ................................................. 99 3. Funding the Strategy ............................................................................................ 100 4. Implementing of the Strategy (2020-2025) .......................................................... 102 APPENDIX 1 Suicide Statistics ...................................................................................... 103 APPENDIX 2 Bio-Psycho-socio-environmental model ................................................. 106 FINAL DRAFT Tayside Mental Health and Wellbeing Strategy 3 Acknowledgement: People from across Tayside have come together to co-create this ground-breaking mental health and wellbeing strategy. It sets out our collective ambitions for building a mental health service that meets lifelong needs and supports our dedicated workforce. It is thanks to the dedication, time and capacity, patience, innovation and courage of all stakeholders throughout Tayside that we have truly co-created this strategy during this very challenging time for everyone as a result of restrictions put in place for our safety around the COVID-19 global pandemic. PLEASE NOTE: Feedback on the first draft stated that the strategy is too long and this is acknowledged. However this registers, represents and values the many contributions received. This version has taken this into consideration in the layout and structure to tell the story end to end. The final co-production stage with the strategy group and communications and engagement group will take this into consideration. The Strategy is set out as follows: Section 1 – Mental Health and Wellbeing Strategy Section 2 – Whole Systems Model for Mental Health Section 3 – The Tayside Mental Health and Wellbeing Change Programme Section 4 – Delivering of the Mental Health and Wellbeing Strategy “I am immensely grateful to all the patients, families, carers, people with lived experience, voluntary and third sector organisations who have bravely offered their experience of using mental health supports services in the development of our shared vision. "This plan wouldn’t be what it is without the input of staff who are skilled, trained and resilient in the face of adversity and yet remain passionate about mental health improvement. "This strategy is an opportunity to raise the profile of mental health in Tayside and your feedback will help it to develop further. Be kind but be fierce as your voice is needed now more than ever before. You can make a difference by owning this strategy and promoting it to deliver change which, when supported and resourced, will result in longer term sustainable improvement. "My sincere thanks to all contributors for maintaining the momentum and keeping mental health a priority in Tayside”. Kate Bell, Interim Director, Mental Health and Learning Disability (December 2020) FINAL DRAFT Tayside Mental Health and Wellbeing Strategy 4 Collective Service User Statement To deliver this strategy and to reshape how we all work to support mental health in Tayside in the spirit of Listen, Learn and Change, here is what has been shared by service users, their families and carers. As service users and representatives of third sector organisations and to honour the voice of people with lived experience, the following promise will be further developed for the final strategy as acceptance criteria for mental health supports and services in Tayside. I want to do everything possible to try and avoid the default of status quo, or toothless recommendations without change. I want to be listened to and believed by those treating me I would like my physical and mental wellbeing to have equal consideration I would like those treating me to be consistent and known faces I require my human rights to be respected, protected and fulfilled in all aspects of my care and treatment I would like my family and carers to be part of my care planning at all stages of my care, with information shared to help me make the decision that are right for me I would like to be treated when I require support, where I want it and I want to be in control of my treatment I would like ALL services to provide me with support that is empowering to my wellbeing and not judgmental of my mental health condition and circumstances I would like medication to be a last resort but if it is necessary then a plan must be made available, as early as possible, to reduce my dependence I would like the right support at the right time I would like the emphasis to be on all my needs and not just my medical needs I would like to have access to a peer supporter across all services (in-patient and community) to assist me to navigate my movement from one service to another and through the sometimes confusing layers of the health and social care systems If I am homeless I would like access to services the same as everyone else I would like the future services to consider my rights, safety and be truly person- centred first. I would like to be treated as close to home and my community as possible. If I have to go into hospital, I would like the facility to be modern and aesthetically conducive to my recovery Signatories: Brook Marshall, Chief Executive