self directed support cpa
DESCRIPTION
Self Directed Support under the Care Programme ApproachTRANSCRIPT
SELF DIRECTED SUPPORT
OPTIONS AND OPPORTUNITIES WITHIN CARE PLANNING
TRISH STOKOE
CSIP –SOCIAL INCLUSION
South West Regional Development Centre
07768421669
Sue attends the day centre and the clinic.She has 5 friends she sees at outpatients or the day centre.
Employment
Education
Volunteering
Arts and Culture
Faith communities
Family & neighbourhood
Sport & exercise
Services
People can become very isolated
Too many questions and not enough answers How can adults with mental health problems
secure the same opportunities for social participation and access to services as the general population ?
What more can be done to enable adults with mental health problems to enter and engage within community life ?
and so on …,
RecoveryWhat does ‘recovery’ mean for an
individual?
“…of changing one’s orientation and behaviour from a negative focus on a troubling event, condition or circumstance to the positive restoration, rebuilding, reclaiming or taking control of one’s life.”
NIMHE Guiding Statement on Recovery (January 2005)
What does recovery mean for a system designed to provide support to people?
Focus on people rather than services.Monitoring outcomes rather than performance.Emphasising strengths rather than deficits or dysfunction.Educating people who provide services, schools, employers, the media and the public to combat stigma.Fostering collaboration between those who need support and those who support them as an alternative to coercion.Enabling and supporting self-management, promoting autonomy and, as a result, decreasing the need for people to rely on formal services and professional supports.
NIMHE Guiding Statement on Recovery (January 2005)
Direct Payments are …,
Money given directly to people to meet their assessed social care needs
The result of campaigning by Disabled People for greater choice and control in their lives
Improving the life chances of disabled people Prime Minister’s Strategy Unit, DWP, DH, DfES, ODPM (2005) Improving the Life Chances of Disabled People – January London: Cabinet Office
A means to an end:Recovery and Independent Living or Enabling people to live their life as they would want
“Ultimately every locality should have a single community based support system focussed on the health and well being of the local population. Binding together local Government, primary care, community based health provision, public health, social care and the wider issues of housing, employment, benefits advice and education/training. This will not require structural changes, but organisations coming together to re-design local systems around the needs of citizens.” (“Putting People First 10th Dec 2007 Local Government Association, NHS, ADASS
Environment Home Hospital Intermediate Home + support
GOAL Reduce risk of admissionIncrease planning for
admission
Maximise focus on return to home
Maximise dignity & self-respect
Reduce risk of re-admission to hospital or care home
Increase rate of return to home
Reduce risk of re-admission
Maximise health & well-being
STRATEGIES Develop ‘passports’Involve family and friendsMaking plans transparentShare good information on
health and risk
Maximise recovery from shock - regain confidence and prepare for return to control
Maximise control - ward routine - mealtimes - patient participation - self-medication
Maximise relative contribution
Planning changes to home and support
District NursingVirtual budgetConstruct a person-centred
approachInformation on efficacyTherapy serviceslink to friends, neighboursenvironmental assessment
Support planning to stay well
Professional help to train family, friends and supporters
working with family and housing environment
crisis emergency planningMH capacity plan
LEVERS Practice-based commissioning
Local Area CoordinationSome people with
Individual Budgets already
NHS State funded... Payment by results
Increased focus on electives
Early clarification of community entitlements (including Individual Budgets)
Virtual Individual Budgets for health & therapy services -
Use of non-recurring budgets and grants
Environmental adaptationsTax, income solutions for
families
Individual BudgetContinuing Health Care
fundingPooled Budgets
The Challenge Ahead
Some areas for Action!
•A standard option within CPA
•Commissioning that facilitates this
•Pro-active approach from managers, based on the guidance, research and ministerial statements
•Well informed and well supported Care Co-ordinators
•Adequate Payments support services•Information and support to people eligible to use mental health services and carers