Mental Health Crisis Care Concordat

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Kristina Lambert
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1 Mental Health Crisis Care Concordat We commit to work together to improve the system of care and support so people in crisis because of a mental health condition are kept safe and helped to find the support they need whatever the circumstances in which they first need help and from whichever service they turn to first. We will work together with local organisations, to prevent crisis happening whenever possible through prevention and early intervention. We will make sure we meet the needs of vulnerable people in urgent situations. We will strive to make sure that all relevant public services support someone who appears to have a mental health problem to more towards Recovery. Jointly we hold ourselves accountable for enabling this commitment to be delivered across England February 2014

2 Dr Peter Aitken Hon Associate Professor NIHR CLAHRC for the South West Peninsula Crisis Care Concordat Chair, Faculty of Liaison Psychiatry, RCPYSCH Acute Care Pathway Approaches to Assessment & Management

3 Mental Health Crisis Care Concordat Association of Ambulance Chief Executives Association of Chief Police Officers Association of Directors of Adult Social Services Association of Directors of Children s Services Association of Police and Crime Commissioners British Transport Police Care Quality Commission College of Emergency Medicine College of Policing The College of Social Work Department of Health Health Education England Home Office Local Government Association Mind NHS Confederation NHS England Royal College of General Practitioners Royal College of Nursing Royal College of Paediatrics and Child Health Royal College of Psychiatrists

4 Behavioural disturbance? Violent and aggressive Confused and wandering Impaired communication No capacity and in crisis Threat to self or others

5 Mad? Known to mental health services Care program approach Clear relapse signature Personal wellness, recovery action plan

6 Bad? Known offence Known offender Probation MAPPA / MASHnet

7 Bloodied? Head injury Lacerations and bleeding Intoxicated Self-poisoned

8 Sad? Vulnerable adult or child Life crisis Homeless Intellectual disability

9 Mad, Bad, Bloodied and Sad Nobodies business Who should lead Where should assessment and care be based How should they be transported safely

10 How is the concordat organised? Access to support before crisis point Urgent and Emergency Access to Crisis Care The right quality of treatment and care when in crisis Recovery and staying well, and preventing future crisis

11 Mental Health Timely support to first responders Support to accident and emergency and acute hospitals Prediction and prevention of relapse Plans for people who frequently use the pathway

12 Parity of Esteem An expansion of crisis response and home treatment teams An adequate liaison psychiatry service for every hospital with an emergency department Support for addictions and justice pathways

13 Outcomes we all need Reduced use of custody Reduced use of Section 136 Improved facilities for mental health care in emergency departments Safe control and restraint in every setting. Safe adequate transport

14 This is every agencies business Mentally ill people need to be treated Offenders need to meet the law Injured people need emergency medical & surgical care Vulnerable people need to be made safe

Thank you This is not easy in the face of significant behavioural disturbance We have made a commitment for our agencies to work together when ever these

15 Thank you This is not easy in the face of significant behavioural disturbance We have made a commitment for our agencies to work together when ever these factors co-occur in the same person We aim to minimise inappropriate use of custody and section 136 of the MHA We look forward to your local declarations and plans

16 Mental Health Crisis Care Concordat We commit to work together to improve the system of care and support so people in crisis because of a mental health condition are kept safe and helped to find the support they need whatever the circumstances in which they first need help and from whichever service they turn to first. We will work together with local organisations, to prevent crisis happening whenever possible through prevention and early intervention. We will make sure we meet the needs of vulnerable people in urgent situations. We will strive to make sure that all relevant public services support someone who appears to have a mental health problem to more towards Recovery. Jointly we hold ourselves accountable for enabling this commitment to be delivered across England February 2014

Mental health and crisis care. Background

Mental health and crisis care. Background briefing February 2014 Issue 270 Mental health and crisis care Key points The Concordat is a joint statement, written and agreed by its signatories, that describes what people experiencing a mental health