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Partnership Forum 2nd September 2015
Interim Independent ChairRochdale Borough Safeguarding Adults Board
Welcome
Andy Searle
The Forum is organised by the Rochdale Borough Safeguarding Adults Board (RBSAB).
There is a Forum meeting three times a year.
The meetings have a different focus each time.
They are open to EVERYONE with an interest in Adult Safeguarding.
You don’t have to attend every meeting – you can just dip in and out when the subject interests you.
What is the Partnership Forum?
RBSAB Newsletter
As well as the Partnership Forum, we also publish a quarterly newsletter, and we’re always happy to carry safeguarding information from other organisations.
Today’s meeting is to look at mental health services in the Rochdale borough.
We have a series of presentations from a variety of agencies operating in the area.
Overview of today’s session
We’ll be hearing from: Rochdale Boroughwide User Forum
MIND Recovery Republic Samaritans Healthy Minds Pennine Care
Overview of today’s session
Introduce yourself to someone at your table you don’t know.
Explain who you are, the organisation or group you are with, what it is your organisation does and your specific role within it.
60 seconds max.
Then move on to another person and repeat the process.
Speed networking
Rachel Ginnelly
Rochdale Boroughwide User Forum
RBUFRochdale BoroughwideUser Fo
Mick AyrtonVoice Programme Coordinator
Rachel GinnellyChief Officer
RBUFRochdale BoroughwideUser Fo
Rochdale Boroughwide User Forum
RBUFRochdale BoroughwideUser Fo
Rochdale Boroughwide User Forum
“Our mission is to bring communities together from across the borough in a cooperative effort to ensure that, in every aspect of health and social care, the needs and views of people with mental health issues and their carers are taken into account by those who purchase or provide services.”
Key facts• Small local charity (5 staff)• Established in 2006• Service User led
oiceatRBUF
Collecting and representing the views of service users to service commissioners and providers
Helping people to recover through volunteering, involvement and peer support
Better Together Project
Listento the experiences, views and comments of service
users
Talkto service
commissioners and providers
Influencethe design of services
Informand feedback to service users on service changes
Improve
Services for everyone
oiceatRBUF
Better Together Project
• Adults with mental health issues will report feeling less isolation account of their engagement with monthly Open Forums
• Adults with mental health issues will report improvements in self-confidence and general wellbeing through participation in Better Together Involvement groups.
• Adults with mental health issues who become Better Together Project volunteers will improve their work-related skills
• Open Forum Planning• Events Planning• News Letter• Website and Social Media• Marketing and Publicity (MAPIG)• Therapeutic gardening group• Training and Development
Involvement Groups
• Meeting Representatives• Administration• IT Support and social media• Reception• Outreach support• Building maintenance
Volunteering roles
RBUFRochdale BoroughwideUser Fo Peer Led Activity Groups
• Poetry Appreciation Group•Crafts 4 Wellbeing• Wellbeing Group Chat• Jammin’ 4 Wellbeing•Therapeutic gardening group•Literacy
Contact details
Telephone: 01706 521279Email: [email protected]: www.rbuf.org.ukAddress: Rochdale Boroughwide User Forum
142 Drake StreetRochdaleOL16 1PU
RBUFRochdale BoroughwideUser Fo
Rochdale Boroughwide User Forum
RBUFRochdale BoroughwideUser Fo
Anyquestions?
Penny Strickett
Rochdale and District MIND
Rochdale & District Mind
Rochdale and District Mind is a user led Mental Health Charity which is affiliated to National Mind and was established in 1988.
From humble beginnings, starting with a small Mental Health Advocacy service, we now employ over forty members of full time/ part time staff
We are one of the largest Local Mind Associations (LMA) in the North West.
Our ValuesOpen - We reach out to anyone who needs us
Together - We're stronger in partnerships
Responsive - We listen, we act
Independent - We speak out fearlessly
Unstoppable - We never give up
Our History
Our Mission
We provide advice and support to empower anyone experiencing a mental health problem. We campaign to improve services, raise awareness and promote understanding
Our Vision
We won’t give up until everyone experiencing a mental health problem gets both support and respect
The Mind Network
Outcome tools
WEMWBS CORE
WEMWBS is an outcome tool which our organisation uses to measure the enhance wellbeing of our service users across our Community services.
Core is an outcome tool used by our Psychological services to monitor the progress of service users engaging with therapeutic interventions.
All people accessing our services (excluding Advocacy) are
assigned a Wellbeing worker who will undertake an initial assessment regular reviews with all service users.
Independent AdvocacyWe specialise in Independent Mental Health Advocacy (IMHA) in Rochdale and BuryGeneric mental health advocacy for people on CPA in Rochdale and BuryIndependent Mental Capacity Advocacy (IMCA) – Rochdale only
Aims and objectivesThe aim of independent advocacy in all its forms is to ensure that people are not deprived of their rights through lack of information, lack of resources or lack of someone to speak up for them.
We aim to empower people by supporting them to express their views and concerns, to access information and services, to defend their rights and to explore their choices and options. We aim to promote self advocacy through all of our work.
Referrals are made direct to the Advocacy service
The Open Mind Team
The Open Mind Service is the gateway to our organisation (Non-advocacy).
Access routes across the boroughEach person is assigned their own Wellbeing worker Tailored to meet the needs of that person. Plans are reviewed with the individual periodically.
Referrals to the Open Mind Team can be made through professionals, partner agencies or by the person themselves. Open Mind outcomes are measured using WEMWBS during the initial assessment and throughout regular review meetings.
This helps to measure the progress of the person and ensure that they are happy with their development whilst engaging with Rochdale and District Mind’s services.
Wellbeing ServicesCommunity Wellbeing Services offer a range of recovery focused services for people experiencing mental distress. These services are offered at the Mind centre and other venues in the borough and include:Facilitated Self Help Coping with Life Living Life to the Full Beating the Blues Issue specific support groups ( anxiety, depression, LGBTQ, BME, )
Wellbeing Activities Creative Writing Complimentary Therapies Tai Chi Relaxation Arts 4 Wellbeing Physical Activities Project Daylight Therapy
Information ServiceInformation Help Line., Email To provide a single point of access for information on mental health and health related issues.Information outreach and foldersTo relieve the pressure on local services.To improve access and choice for peopleTo increase awareness of and uptake of the services availableA member of THA & MHHP.Telephone 01706-752338E-mail – [email protected] Directory of local, regional and national organisations supporting mental health and wellbeing.www.rochdalemind.org.ukwww.wellbeingrochdale.info
BME Health & Wellbeing TeamOur BME H&W Team works hard to promote cultural diversity, reduce stigma and prejudice especially for people experiencing mental distress in the BME Community.The BME team have many services which offer support to people from BME Communities.
•BME Wellbeing Workers•Outreach work in the community •We hold a number of BME events each year •ROCAF Project•Shifa Family Link Dementia Project•Listen Up Project –children and young people•Media and Stigma Group-Campaigns i.e. PND•BME Health and Wellbeing Forum
Comple@t
These projects aim to offer service users an opportunity to gain real work experience, training in preparation for them to move on into mainstream volunteering, work and education.
Two internet Cafes in Middleton Town Centre, the Nye Bevan Centre in Rochdale.
The projects offer skills and work based training opportunities. Along with this other areas of training is offered in such things as customer services, food safety and first aid.
Average 6-12 months on programme.
Growth Project
Horticultural wellbeing project over 4 interconnecting allotment sites close to town centre.
The project is run in partnership with Hourglass Ltd
Skills, training in preparation for them to move on into mainstream volunteering, work and education.
Social network/contact
Improve physical health wellbeing
Non stigmatising setting
Runs Weds/Thurs
Psychological Services2 part time staff - Psychological Services Co-ordinator one part time Counsellor and some admin support.
Large team of volunteer Counsellors (approx 27) •BACP Accredited •Our Counsellors offer individual Person centred therapy.•Therapy groups • Range of languages within team i. e. Urdu, Bengali, Punjabi, Polish.•Sessions offered in Heywood and Middleton•Tuesday evening sessions
Preferred provider with Salford University and Oldham College Our aim is to continue to provide a service that is committed to serving the needs of an ever changing community, that is fair, ethical and approachable.
VolunteeringPeople who use the services we provide and others who give their time through volunteering are involved at every level through out the organisation including:-
•Admin support•Reception Duties•Board of Trustees•Peer Support initiatives including Literacy Champions and Peer Advocacy•Group Facilitation•Provision of specialist activities i.e. Tai Chi and Aromatherapy.•Volunteers can expect:-•To be treated as an equal member of the staff team•Out of pocket expenses•Access to training opportunities •Regular supervision •Gain Experience•Use existing skills•Empowerment
Service User Involvement
Policy developed with reference to good practice guidance:
Implementation of the Policy:
Involving service users and volunteers is at the heart of ourorganisation.
The commitment requires all Trustees, staff and volunteers to encourage and support user involvement
Rochdale and District Mind is committed to ensuring progress towards meaningful service user involvement in all aspects of our work.
Discovery team
Peer support
Reward and Recognition- Payment of expenses
Thank you for your time. Any questions please?
Mental Capacity Act 2005
The Role of the Independent Mental Capacity Advocate (IMCA)
• The Mental capacity Act 2005 was implemented in 2007. It created the role of the Independent Mental Capacity Advocate (IMCA)
• The aim of the IMCA service is to provide independent safeguards for people who lack capacity to make certain important decisions
• The IMCA safeguard will provide the person with someone who is on their side so that there is never a closed relationship between the decision maker and the person who lacks capacity. (1-287MCA)
Eligibility1. Does the person have an impairment that could affect their
capacity?
2. Does this mean that the person is unable to make a specific decision when they need to?
3. The responsibility for determining the mental capacity of the person is that of the decision maker, not the IMCA (Mental Capacity Act 2005)
4. Where appropriate the IMCA can challenge the outcome of the capacity test.
“Appropriate family or close friends”
• “Willing”
They want to be consulted• “Able”
They are physically able to be consulted• “Acting in best interests”
Unless there is evidence of behaviour to show otherwise. Not simply because they disagree with the decision
(MCA COP 10.79)
There are only 4 types of decisions that an IMCA can be involved in. These come under two categories…..
Mandatory: • Serious medical treatment• Long term change in residence
Discretionary:• Adult protection cases• Care reviews
What types of serious medical treatment decisions?
It is impossible to define a set of standards that serious medical treatment must adhere to in order to fall into the category, but a few examples are listed below;
• Chemotherapy and surgery for cancer• Electro-convulsive therapy• Therapeutic sterilisation• Major amputations• Termination of pregnancy. (MCA Code of Practice)
Involving IMCA’s in adult protection cases
• It is alleged that the person is or has been abused or neglected by another person.
• It is alleged that the person is abusing or has abused another person.
• In adult protection cases, access to IMCA’s is not restricted. People who lack capacity who do have family and friends are still entitled to have IMCA support.
What does the IMCA do?• Meet, support and represent the person in the decision
making process.• Ascertain the person’s past and present wishes, feelings,
values and beliefs where possible.• Evaluate information, including the right to access and
copy relevant records and assessments • Ascertaining what alternative courses of action are
available in relation to the person.• Obtaining a further medical opinion where treatment is
proposed and the advocate thinks that one should be obtained.
• Consult with others involved in the person’s life. (Mental Capacity Act 2005)
Continued…
• Ensure the basic principles and best interest checklist in the Mental Capacity Act are being followed.
• Prepare a report which the “decision maker” must consider when making the decision.
• Challenge the decision on behalf of the person where necessary.
• Resolve disputes locally as far as possible before making use of statutory procedures.
• In certain cases the IMCA may want to apply to the Court of Protection.
( Mental Capacity Act 2005)
What does the IMCA not do:
• We don’t assess capacity (but if we don’t agree with an assessment we can challenge).
• Get involved in purely financial decisions, unless they are part of safeguarding measures.
• Do not make decisions but do feed into the decision making process.
Please note:
The IMCA service you use is the one based where the person is geographically located at the time of the referral.
Except…….in DoLS cases.
Deprivation of Liberty Safeguards (DoLS)
• The Deprivation of Liberty Safeguards (DoLS) are part of the Mental Capacity Act 2005.
• They aim to make sure that people in care homes, hospitals and supported living are looked after in a way that does not inappropriately restrict their freedom.
(Alzheimer's Society)
The Acid Test
1. Is the person subject to continuous supervision and control?
2. Is the person free to leave? The person may not be saying this or acting on it, but the issue is about how staff would react if the person did try to leave.
Deprivation of Liberty Process
Supervisory Body to arrange the following 6 assessments to take place which need to be met.
1. 18 and over2. Suffering from a mental disorder3. Lacking capacity for the decision to be accommodated in the
hospital or care home. 4. No decision previously made to refuse treatment or care, or
conflict relating to this such as LPA5. Not ineligible for the DoLS6. The person needs to be deprived of their liberty, in their best
interests.
Thank you
Any Questions?
Carl Cruise
Recovery Republic
Building Recovery in Communities
Carl Cruise,Development Officer
2nd September 2015
Recovery Republic
Inside the Recovery Republic
Aims of the Republic
To improve the wellbeing of its citizens
To have fun To be self sustaining
Social Prescribing?
Social prescribing aims to help people with socially complex conditions e.g. depression, persistent pain and even failure to cope with life
Professionals suggest people with these conditions visit Recovery Republic in the sound knowledge they are giving their clients a practical “hands up”
It is believed that social prescribing has the potential
to transform modern healthcare, it enables both clinical and social elements to be taken into account therefore not just treating the clinical origins but actually getting to the social roots of the problems.
Focus of treatment
Focus of recovery
Disorders of mood
Wellbeing
More of one is less of the other
Wellbeing and affective disorder: reciprocal relatives
www.5w2w.org
Working in partnership
Big Life, Rochdale and District Mind, Groundwork, Oldham and Rochdale, Let’s Talk partners ( Gaddum Centre, Communitea, Rochdale Women’s Welfare, Petrus Community, Rochdale Connections Trust, LGBT Youth NW), Heywood Job Centre Plus, Rochdale CVS, WEA (Workers Educational Association), RBH (Rochdale Borough Wide Housing), RMBC, Community Champions, IAPT (Improving Access To Psychological Therapies), RBUF (Rochdale Borough Wide User Forum), Music Street, Heywood Township, Alcohol and Narcotics Anonymous, SMART, Money Advice Service, Making Spaces (Heads Together), Veterans in community’s (VIC) and Heywood Children’s Charity: Little Monkeys.
Promoting Positive Mental Health in Heywood
Do you suffer from mental health issues, Stress,
Depression, Anxiety,
Use Anti Depressants
Rochdale & District Mind & Recovery Republic are working together to deliver mental health services in the Heywood community.
If you would like to access these services
Rochdale Mind can offer people with mental health issues an assessment locally at Recovery Republic or at another convenient community space in Heywood. If you feel you have mental health concerns you are welcome to speak to us. You can download a self referral form from our website at www.rochdalemind.org.uk or pick one up from the Recovery Republic reception at 63-65 York Street. Heywood. Lancashire, OL10 4NR . Recovery Republic are running a variety of wellbeing activities in Heywood such as Art Therapy, Pilates, Cycling, Relaxation and Mindfullness for Stress Release, Gardening, Social Groups, Music Workshop, CBT, Courses, Call in at reception at 63-65 York Street. Heywood. Lancashire, OL10 4NR to find out more. Or Ring Recovery Republic on 01706 622722
To refer to any Mind service in Heywood please contact:
Open Mind Team Tel: 01706 752352 or
The Recovery Republic, 63-65 York St, Heywood Tel: 01706 622722
For further general information contact: Information in Mind Service
Tel: 01706 752338 Email: [email protected]
Social Café Connecting with people and being
socially active is essential for our wellbeing.
Are you feeling isolated from other people?Want to connect more with people in the community?Come and meet and have a chat with others who have similar experiences and issues.
Volunteers at Recovery Republic run a social café every Wednesday from 12:30 to
3:30pm
Soup & bread £1.50Tea & Coffee FREE
Interested?Please contact Recovery Republic
on 01706 622722 or Alice on 07766 140 904
Or call in and talk to reception
Counselling and befriending services
Let's Talk - a new wrap around support service across
Let's Talk - a new wrap around support service across
Rochdale, Heywood & MiddletonLet's Talk - a new wrap around
support service across
Big Life Centres
Pathways Rochdale
Pathways offers a confidential and personalised service to everybody within the Rochdale borough. We will do a full assessment with you and then agree the steps that we are going to take together to help you to manage and deal with your concerns.
In travelling from substance misuse to recovery all the evidence shows that the more help you get, the more likely you are to succeed. You don’t need to make big leaps to tackle your worries. Small steps can lead to a great journey of rediscovery.
We see people in Heywood, (here at the Recovery Republic), Middleton, Rochdale and the Pennines in a location that is convenient to you and respects your confidentiality.To access Pathways, please contact Renaissance. They will make an appointment to see you and then direct you into the Pathways service if it’s the right service for you.
Phil: “Most noticeable changes”
Confidence Self-discipline Decisiveness Ambassadorial role Concern for others
Recovery Republic – next steps?
Dr James McCready
Rochdale, Oldham and District Samaritans
TALKING ABOUT
SAMARITANS
78% OF CALLERS ARE NOT
SUICIDAL
OUR CALLERS
Ajit Rughoo
Healthy Minds
HMR Healthy Minds
Main Rochdale Office: 01706 261940
www.penninecare.nhs.uk/healthyminds
Quick introductions
Ajit Rughoo: Service Lead
Saiqa Naz: Cognitive Behavioural Therapist
Aims of the session
To introduce you the Healthy Minds Service
To discuss the different treatments we offer within the service
To discuss our referral process
What is Healthy Minds
Improving access to Psychological therapies
In five years is now the most referred to service in for mental health in the Borough between 80 to 90% of all referrals at SPOE go to Healthy Minds
This is a great achievement in a short space of time
Specialised service to treat all those with mild to severe common mental health problems such as depression and different anxiety disorders.
Creating better futures by….
Improving access
Offer more choice
Least restrictive and enabling clients to recovery
High volume service
Time limited
Early referral is key
Promoting groups and workshops is key
2014/15
Sources of referrals
Referrals accepted
What we offerOffer choice of treatment options, most of which are available in the evenings.
STRESS CLASS
This workshop designed at teaching people techniques to recognise and manage stress.
Duration : 6 weeks. Each sessions lasts 1hour 30 mins
MANAGING LOW MOOD
Teaches people to manage low mood using CBT informed techniques
Duration: 6 weeks. Each session lasts up to 2hours
What we offer cont..
ANGER WORKSHOP
Very brief workshop teaching people tools for managing their anger. There is a follow up session two weeks later.
Duration: 2 sessions for 2.5hrs
MINDFULNESS
Mindfulness-based Cognitive therapy- for those who have experienced 3 or more episodes of depression, but currently feel okay.
Duration: 8 weeks for 2hrs
Mindfulness-based stress reduction- for those with a range of problems including physical health issues and stress.
Duration- 8 weeks for 2.5hrs
What we offer cont..
FEMALE SURVISORS GROUP- new group
For those who have been sexually assaulted in childhood. Largely user led with facilitators present. Helps manage the impact of abuse on current lives and looks at coping strategies.
Duration: 10 weeks
1-2-1 therapy
Step 2- Psychological Wellbeing practitioners. Face to face or telephone. Brief therapies pack sent to the client. 80% of the clients seen here
Step 3- CBT or Counselling
Step 4- Psychology
The Future – Continue to improve access and deliver social value
Community Projects/Drop in sessions we have recently completed-
Petrus
Golden mosque
Groundwork
Rochdale sixth form College
Middleton college
Rochdale police
Deeplish Community Centre
How to refer
Can be referred by GP/ other health professional. Referral sent to SPOE at Birch Hill Hospital.
Introduced self referral pathway – patients can refer to the HMR Healthy Minds Service directly by submitting online referral at www.penninecare.nhs.uk/healthyminds
By calling us on 01706 261940
Current waiting times before first contact- approximately 6 weeks
Any further questions?
Stan Boaler
Pennine Care
COMMUNITY MENTAL HEALTH SERVICES
1) Community Mental Health Teams
• Current model – 3 sectorised teams, 2 operating from Sudden Resource Centre and 1 from Hanson Corner (Heywood & Middleton).
• Multi-disciplinary teams with staff from a range of professional backgrounds.
• Focus on complex mental health needs and risks within serious/enduring mental disorder.
• Offer holistic assessment of health and social care needs.
• Formulations and delivery of individualised care plan with focus on Recovery and supporting optimum level of functioning.
• Carers Assessments.
• Commitment towards meeting the social care agenda; personalisation to increase service user choice, social inclusion to improve wellbeing.
• Physical health monitoring.
• Employment/Education.
• Redesigns necessary to address increasing demand and make the best use of existing resources.
• Principles – Assessment & Short term input, Active Care Co-ordination, Wellness & Recovery (working with 3rd sector provision).
• Township/neighbourhood aligned.
2) Early Intervention Team
• 1st episode psychosis (14-35 years).
• Multi-disciplinary approach.
• Close liaison with schools, colleges, Children’s Services.
• New Access targets to expand current provision for timely allocation and appropriate therapeutic input.
3) Criminal Justice Mental Health Team
• Teams based in each of the 5 boroughs of Pennine Care footprint:
• Offer mental health/forensic and risk assessments for those on periphery of offending or have committed offence.
• Offer specialise advice in courts, Probation, CPS, prisons, MAPPA etc.
• Ensure offenders with a mental disorder/vulnerability receive fair justice – diversion and liaison.
• Joint working with CMHTs re management of high risk individuals.
Access/RAID and Home Treatment Team
• Access Team – Hours: 8a.m. – 9p.m. seven days. Tel: 01706 676179. Offers a single point of access into mental health services. Screens all referrals daily and signposts to most relevant team. Dedicated Consultant Psychiatrist input .
• Can provide same day/urgent or priority assessments.
• RAID Team – 24/7 tel: 0161 778 2933 can accept direct referrals from emergency department triage for people presenting with mental health needs. Following assessment provides follow up or signposts to most relevant service.
• Ward consultations for people post deliberate self harm attempts.• Street Triage – 24/7 telephone triage police/NWAS
• Home Treatment Team – 8a.m. – 9p.m. seven days. Tel: 01706 676164. • Robust gatekeeping of all referrals into secondary care mental health
services. • Can offer support in least restrictive way by offering interventions at home
or in the community for people in mental health crisis.• Dedicated Consultant Psychiatrist input.
Questions?
Don’t forget to complete your evaluation forms
please.The next Partnership
Forum will be on 2nd November.We will be focusing on Trafficking
and Modern Slavery.
Details will be on www.safeguarding4rochdale.com
Thanks for attending today
Information on adult safeguarding can be found at
www.safeguarding4rochdale.com
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