1. The implications for Mental Health in the Social Services and Wellbeing Act (Wales) 2014 Dr Wulf Livingston Getting in on the Act -Conference 19-11-2014 Cardiff

2. Change - yet no change

3. The Obvious –(Explicit) New legal framework Legislative transition 2016 Changes to Safeguarding (procedure or Practice) Codes and guidance (two tranches) Implementing new law and policy guidance (core social work skill)

4. The BIG (implied) Change/s Service User Psychiatrist Social Worker HealthPoliceProbationGP Problem or Concern Service User Social Worker HealthFamilyProbationCommunityGP Person Centred Person Directed

5. (aspirational) Changes in practice (abc) Autonomous practitioners Consultant Social Workers Community Co-production Early prevention (robust) Health dialogues (more) integration Outcomes (not outputs) Peer-led provision Professional boundaries (less) Processing (more) Recovery (more) Research (more devolved ) Welsh less English Well-being

6. LeadershipOutcomes Inter- personal Biggest Change - Cultural (radical) New ways of doing things Shift – from short term dispatch box and performance monitoring targets to longitudinal based research establishing correlations to outcomes Organisational and professional boundaries Service user and carer DIRECTED (not centred) care Strengths (not deficit) based approaches Increased professional autonomy Change as opportunity and not threat Risk taking (non-blame) and learning cultures National Outcomes Framework – beyond % and PI (Ending Primary and Secondary Care –Health Divides)

7. No Change Working with people….. …..in situations of crisis, despair, fear, loneliness, need….. …..building empathic and trusting relationships …..in mutli-agency and multi-disciplinary contexts…(in shadow of health) …..from compulsory treatment to empowered recovery.