R&D Report to SL&M Board 17 September 2002 Graham Thornicroft Director of Research & Development Gill Dale Research & Development Manager

The Institute of Psychiatry and SL&M have a joint purpose: ‘The Institute of Psychiatry and the South London & Maudsley NHS Trust work together to establish the best possible care for people who suffer from mental health problems. A key joint aim is promoting excellence in research, development and teaching in the sciences and treatment of mental disorders and related disorders of the brain. This knowledge and the skills thus gained will be applied to prevention of these disorders, finding the most effective treatments and developing the best service models for the community’

Modernisation of NHS R&D Funding NHS R&D funding is to be organised into two funding systems: NHS Support for Science NHS Priorities and Needs R&D funding Starting date not yet clear.

NHS Support for Science uNHS costs to support non-commercial externally funded research funded by approved bodies e.g. MRC uNHS contribution to science base, to be based on a formula reflecting no. of research active professionals (RAPs) and non-commercial research grants uDH still developing funding formula. SL&M’s Support for Science data submitted in Oct. 2001

NHS Priorities and Needs uTo replace responsive funding & DH commissioned research uStrategically driven, mix of centrally managed programmes & those managed by collaborative research groups across NHS & higher education u21 SL&M-led Priorities & Needs R&D Programmes proposed (July 2002)

Proposed Priorities & Needs R&D Programmes – SL&M (1-8) 1.Quality of life in people with dementia 2.Primary care - common mental health problems 3.Treating mental health problems in childhood 4.Social inclusion of people with mental disorder 5.Learning disabilities and mental health 6.Violence/self-harm - mentally disordered offenders 7.Effective therapies for psychosis 8.The care’s experience and needs

Proposed Priorities &Needs R&D Programmes – SL&M (9-16) 9.Psychological treatments of anxiety disorders 10.Effective therapies for eating disorders 11.Mental Health of diverse populations 12.Psychological aspects of cancer 13.Treatments for Chronic Fatigue Syndrome 14.Service Users Research Enterprise (SURE) 15.Effective therapies for additions 16.Modernising mental health services

Proposed Priorities &Needs R&D Programmes – SL&M (17-21) 17.Systematic reviews in mental health 18.Psychology and psychiatry of palliative care 19.Training for the mental health workforce 20.Improving quality of life - bipolar disorders 21.Perinatal psychiatric disorder.

OUR FIVE MAIN STRATEGIC RESEARCH OBJECTIVES 1Users and carers at the centre of our R&D work: Service User Research Enterprise (SURE) and Carers Research Network 2Extend active collaborations & partnerships into robust research networks to strengthen capacity to deliver high quality evidence relevant to policy and practice 3Fully implement local Research Governance Implementation Plan to ensure all research is of highest scientific and ethical standards

OUR FIVE MAIN STRATEGIC RESEARCH OBJECTIVES 4Build capacity by improving R&D skills for under-represented professions, e.g. social workers, nurses 5Strengthen translation of knowledge into practice

Research Governance ‘Research Governance is the means by which organisations ensure the R&D carried out in health and social care organisations is of a high scientific and ethical standard by allocating responsibilities for the setting and maintenance of standards.’ Department of Health Research Governance Framework 2001 SL&M has now developed its local implementation plan which sets out how we will fulfil the indicators set out in the Framework by May 2004.

Dissemination Strategy - Progress Appointment of web editor to develop a website for carers in collaboration with Rethink Advisory/editorial group convened and met Website design being developed, initial focus on severe mental illness Site: mentalhealthcare.info Carer special interest group to inform content

Mental Health Research Network of the National Institute for Mental Health in England (NIMHE) NIMHE will have four elements: oA small administrative centre oRegionally based Mental Health Development Centres oA National Mental Health Research Network oA series of time-limited programmes

Mental Health Research Network MHRN to provide the infrastructure to support high quality mental health and social care research, including: Randomised trials of interventions in mental health Large scale effectiveness trials Studies of service organisation and delivery, and Studies led by service users and their carers

CHI Report – Research & Effectiveness Good practice: clear local, national and international links, especially IoP and GKT works closely with IoP to develop guidelines to underpin practice Service Users Research Enterprise (SURE) and Consumers in Research Advisory Group (CRAG) = notable practice clear future direction for research and effectiveness; high calibre staff and excellent structured programmes

CHI Report – Research & Effectiveness Good practice continued: involve staff in all professions in research, including primary care good library support and internet access dissemination of research information (e.g. pharmacy guidelines = notable practice)

CHI Report – Research & Effectiveness Areas for action ensure that care pathways across the acute/ community boundary are strengthened; continue to develop methods for engaging black, ethnic minority groups and asylum seekers in research and effectiveness activity; make explicit how research and effectiveness is aligned and prioritised with service developments and bids for funding; action plans agreed for each area.