Sheffield Mental Health Strategy

Purpose of the strategy How do we make Sheffield a more mentally healthy city? Founded on a partnership approach – what can we do Clear forward plan not a reactive approach Based on analysis of need Context of local and national policy

Previous plan Developed in 2015 Priorities Promote mental well-being Built on preventative approaches Parity of esteem Appropriate response in a crisis Accessible care when needed Seamless integrated services

Mental Health Partnership Network – the role of the voluntary and community sector SACMHA provide discussion groups that address the black experience of Britain and how this impacts the mental health of black britains. SWCTS share specialist skills and knowledge in the field of trauma to deliver training which is open to the wider therapeutic community of practitioners. SAGE Greenfingers engage adults with complex mental and physical health conditions and provide activity promoting mental and physical wellbeing in a seamless fashion.

Mental Health Partnership Network – the role of the voluntary and community sector Sheffield Carers Centre provide information and advice to carers re planning for and responding to crises. Mental Health Partnership Network members work with a range of service users, ensuring their participation in the design, development and delivery of services. SYEDA collaborate with primary and secondary care to ensure smooth transition/step-down.

Since the last plan Lots has happened – Crisis Care Concordat; Integrated services; Personal budgets etc. Increasing demand – greater need? Better diagnosis? Complex presentations (personality disorder; autism; dual diagnosis) Need a plan that is up to date & gives a focus to future work

Sheffield Need Acorn: Ever had clinical depression – 9% More than usual difficulties – depression 21% Do not enjoy general happiness – 15% Isolation – do not feel belonging to neighbourhood 9%

Sheffield need – common mental disorders Public Health England Fingertips (England average in brackets): Prevalence of common mental disorders 16.1% (15.6%) % of registered patients with depression 9.5% (9.1%) % in patient survey with long term mental health problems 7.8% (5.7%)

Sheffield need – severe mental illness Public Health England Fingertips (England average in brackets): New cases of psychosis per 100,000 – 25.9 (18.1) Mental health admissions per 100,000 – 52.2 (69.8) People subject to Mental Health Act per 100,000 – 50.1 (40.1) Suicides per 100,000 – 9 (9.9)

Sheffield Mental Health Condition Incidence

Context for the strategy   National legislation/ policy City wide/ regional plans Mental health Dementia Learning disabilities Carers Action plan Action plan Action plan Action plan

Legislation Care Act 2014 Promotion of well-being Person centred care (personal budgets) Information & advice for all Integrated approach 2. Mental Health Act 2007 3. Mental Capacity Act 2005 4. Health & Social Care Act 2012 4. Human Rights Act 1998 5. Children Act 2004

National Policy Five year forward view 2014 – new models of care – key emphasis – personalisation, innovation, integration Five year forward view for mental health 2016; 3 priorities with a series of recommendations: 1. 7 day services 2. Integrated physical/ mental health 3. Promoting good mental health & preventing poor mental health Housing Economic Tackling poverty

Local Policy Sustainability & Transformation Plan By having a strong local focus on mental health and learning disabilities, we hope to remove the stigma around it and promote the healthy wellbeing – both physical and emotional – of everyone in South Yorkshire and Bassetlaw. Place based plan…. Crisis care concordat Suicide prevention plans Key links – children & young people, LD, autism, transitions, dementia, carers

Place based plan Our mission is simple: For the children, young people and adults of Sheffield to live long and healthy lives with affordable and quality support in place to help them do that.

Place based plan

Today’s session Where do we want to get to? What are the outcomes of a mentally healthy city What are our priorities to achieve those outcomes – why; what can we do?

Table discussion 1 What would the features of a mentally healthy Sheffield be? What would success look like? Discuss Choose top 5

Table discussion 2 Top outcomes: Part of mainstream (no wrong door) Prevention/ tacking stigma Social networks/ community – peer support; housing Access to services Whole person/ family Employment Education – what is healthy? (please note this is a quick snapshot of the group discussions all of which will be written up) What are our priorities to achieve these?

Next steps Keeping involved/ informed Circulate draft Visit forums Timescales 1st draft end April Focus on something we will use

Any queries? David.luck@sheffield.gov.uk Tel: 2734762