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
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
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
Behavioural disturbance? Violent and aggressive Confused and wandering Impaired communication No capacity and in crisis Threat to self or others
Mad? Known to mental health services Care program approach Clear relapse signature Personal wellness, recovery action plan
Bad? Known offence Known offender Probation MAPPA / MASHnet
Bloodied? Head injury Lacerations and bleeding Intoxicated Self-poisoned
Sad? Vulnerable adult or child Life crisis Homeless Intellectual disability
Mad, Bad, Bloodied and Sad Nobodies business Who should lead Where should assessment and care be based How should they be transported safely
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
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
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
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
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 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
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