Mental Health Support Networks in Lincolnshire Page 1 The Managed Care Network Agenda Item 5 for Mental Health Adult Scrutiny Committee April 2018
What do we do? • The Managed Care Network enables community groups and Page 2 organisations to start projects that otherwise might fail. • Groups and organisations across the county provide a variety of activities including social and friendship groups, formal and informal learning, supported volunteering and community participation activities. • Members of the network have close links with each other to help people prevent, manage and recover from mental illness, so that they can enjoy the best possible quality of life.
How are we different? The Managed Care Network differs from traditional grant sources by Page 3 running and maintaining a support network for all groups that have accessed funding as well as key partner organisations who bring value to the network. The network is a platform for sharing good practice, lessons learned and ongoing issues. It enables network members to support each other and offer assistance to help ensure the long term sustainability of 3 rd sector projects.
Wave 7 • 27 Projects across Lincolnshire Page 4 • Activity types include; • Physical Activities • Social Activities • Farm therapy • Mental Health Awareness Raising • Equine Assisted Learning • Outdoor activities • Help For Homeless People • Projected number of beneficiaries - 2669 • Number of beneficiaries in Q1 - 980
The Managed Care Network for Mental Health More help, more quickly, Page 5 for more people, nearer to home, for less money, with better outcomes.
Social Determinants Social determinant factors of poor mental health across Lincolnshire include: • Social and rural isolation Page 6 • Poverty and social exclusion • Unemployment • Long Term Health Conditions • Obesity • Troubled Families • Substance misuse • Health service accessibility • Housing and homelessness
System Working: Self Care and Prevention Strategy Page 7 • Understanding what is “normal” for an individual helps the development of personal goals • Understanding “normal” helps us know the difference between healthy, coping and struggling • Offering a range of activities that fit with multi-agency and organisation priorities • Working with Neighbourhood Teams and voluntary services to understand demand and gaps in activity across the county
Health and Social Care Nottingham University Independent Evaluation 2015 Page 8
Nottingham University Institute of Mental Health Impact Assessment 2015: Phase 2 Achievement of strategic objectives • The MCN groups are quite evenly spread across the county, with the largest proportion in the West of Lincolnshire (26%) and the smallest in the South West Page 9 (11%). • The MCN offers a wide and varied range of projects. • 56% Support (e.g. peer support, financial support, access to services, general advice, family support, support in accessing paid and/ or voluntary work); • 22% Activity Specific (e.g. fitness, craft, cooking, media activities, horticulture); • 11% Training (e.g. education and workshops on mental health, work experience training); • 11% Other
Nottingham University Institute of Mental Health Impact Assessment 2015: Phase 2 Achievement of strategic objectives Page 10 • Limited early evidence of effect on Mental Health service use (noting the difficulty in attributing direct cause to the MCN) • Early indication of good cost effectiveness, with quite large numbers helped by small levels of investment • Being part of the MCN was a positive experience, and one which helps the members to offer the Beneficiaries better levels of support than they would if working in isolation.
Before the MCN ? activities 5 groups and organisations Page 11 6 projects x 6 Sites ? estimated beneficiaries
Joining the Dots 25 groups and organisations 27 Page 12 Projects including 14 countywide projects 35 Sites 980 estimated beneficiaries
Nottingham University Institute of Mental Health Personal Outcomes Recovery Star Page 13
Key Opportunities • Link with health based neighbourhood teams and subsequently police neighbourhood teams , fire, probation, addiction and housing Page 14 services – supporting a reduction of demand on authority and health resources. • Target priority areas with most beneficial impact on social determinant factors of poor health • Clear link to Self Care & Prevention Workstream of Lincolnshire Sustainable Transformation Plan – in collaboration with multiple voluntary sector infrastructure. • Involvement of commercial sector partners in sustainable future community support.
Key Challenges • Non-recurrent grant funding is not ideal to develop long term (measurable) sustainable community assets. Further exploration of sustainable community based funding needs to be considered as part of dynamic system change in Lincolnshire. Page 15 • Increasing number of people accessing groups with Learning Difficulties and more severe mental health conditions. • Growth in self care and prevention services associated with assumptions about reducing costs in health and authority settings. Not currently aligned with commissioning of voluntary social support groups. • More work required to stimulate the voluntary sector to provide the kind of support required to impact on the reduction of social determinant factors – represented by the JSNA.
Current strategic developments • Supporting projects to identify the impact on health and authority services (qualitative and quantitative impact) • Direct connection with developing GP Federations and Page 16 Neighbourhood Teams to impact on activity in communities • Development with police teams to identify potential group formations for high intensity users with mental health issues • Development of skills within the network – supporting all groups (funded and not funded) to write successful bids for funding (lottery/social funding/comic relief/sports relief/local commercial sector) • Involvement of local university and commercial sector business and finance experts acting as additional expert resource to contribute to community development agenda.
MCN Activities Short breaks Performing Arts Carers Support Hearing people’s views Relaxation Peer Support & Advocacy Social Activities Awareness Sports coaching Mentoring Formal & Informal Learning & Recovery College Page 17 Volunteering Parental Mental Health Horticulture Help for Vocational Training One-to-one Help Homeless People Prompted & Graduated Support Woodland Activities Information & Social Networking Early onset Staying Well Local groups Social Enterprise psychosis support small grants Eating & Living Well Creative writing, Promoting Groups Money Advice Physical Activity Tranquility Health checks Arts & Crafts
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