Touchstone Kirklees Integrated Mental Health …...1 Touchstone Kirklees Integrated Mental Health...
Transcript of Touchstone Kirklees Integrated Mental Health …...1 Touchstone Kirklees Integrated Mental Health...
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Touchstone Kirklees
Integrated Mental Health Advocacy
& IMHA Service
Annual Report 2015-16
NHS Greater Huddersfield Clinical Commissioning Group
and NHS North Kirklees Clinical Commissioning Group
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Introduction 2015-2016 has been by far the busiest year to date for Touchtone in Kirklees. We’ve
grown again and new teams have joined us in the Dewsbury Business Centre.
Throughout all of our exciting developments there is one thing that remains unchanged
and that is the passion and commitment we have for enabling mental health service
users to have a voice, get themselves heard and find solutions to improve their
wellbeing. From the humble beginnings of our original community advocacy service in
2011, we are proud to have built an exceptional reputation in Kirklees, leading on co-
production, empowerment and inclusion. The information over the next few pages gives
a flavour of our recent achievements and much more can be found on our website:
http://www.touchstonesupport.org.uk/
The Advocacy Service works with people who are
experiencing mental health difficulties to speak up for
themselves. Our team of experienced advocates support
people on wards and in the community, empowering
them to know their rights, have a voice and make
informed choices. We help people at important meetings,
to write letters and deal with issues over the phone. We
work with people of all ages (18+), including those living
with dementia.
The service took 442
new referrals in
2015-2016.
237 for Community
Advocacy and
205 for IMHA
The IMHA Service works with people in
hospital detained under the Mental Health Act,
or in the community on a treatment order. We
can explain how the law works, provide
information on rights and responsibilities and
help people to work out what they want. Our
service is completely free, confidential and
independent. We will ensure that the
professionals involved are aware of their
responsibilities and of the patients’ rights. We
will support people towards their recovery and
any other goals they have once they have been
discharged from hospital.
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Service Developments 2015-16 was our second full year of delivering the combined IMHA & community
advocacy contract and since successfully securing additional funding we have been able
to enhance our team and our service offer. We have recruited a fantastic new full time
community advocate, and as a result we have brought down our waiting list and waiting
times. The IMHA service continues to provide vital support to people detained in
hospital and we have seen referral numbers in this team grow by 18% on last year.
The Community Advocacy service is also growing
with a 17% increase of new referrals on last year. We are
proud to enable people through our seamless advocacy
service between hospital and home, and also through to
our Peer Led Brokerage Service too. We have reached a
more diverse audience than ever before and in particular
we are proud to have achieved our target of “working
toward becoming dementia friendly” status, being
awarded our recognition by Kirklees Dementia Action
Alliance early in 2016.
Our volunteers service is going from strength to strength with inductions and
training now being delivered locally by staff in Dewsbury, backed up by the knowledge
and experience of Touchstone’s Leeds-based Volunteers Project. Our peer translators
continue to help people on wards and at meetings in the community, giving people
greater access to their rights and to more effective support. Volunteers and peers play a
vital role in service design and delivery in every aspect of Touchstone’s work
“Words can’t express
how much of a positive
impact my volunteering
at Touchstone has on
my mental wellbeing!”
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Our biggest and proudest
achievement of 2015-16 has
to be the creation of the new
service user forum for
Kirklees. Through a huge
amount of effort, energy and
collaboration, Touchstone
has enabled a group of
people to completely redesign how service users can connect with each other and with
both statutory and community services across our locality. As the 2015-16 year comes
to close, this project is just about to go live, with our launch event planned and a
committed team of members who are brimming with ideas of how we might develop
into next year. Meeting of Minds has already been recognised by the Kirklees Mental
Health Partnership Board as
representing the future of service user
involvement; creating roles where
people can be leaders and have a very
real impact and influence on service
design and delivery.
Next year is going to be really exciting for Meeting of Minds so watch this space!
Touchstone organisation-wide has had another busy and successful year too. Here are
a few of our achievements in 2015-2016:
Would you like to connect
with other people using
mental health services in
Kirklees to share
information, experiences
and support?
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012345678
Comparison of self assessment before & after receiving advocacy support
Before
After
Advocacy Outcomes
When we first meet people we ask them to score how they feel about 10 areas of their
life, where 1/10 is the worst that things could be and 10/10 is the best that things could
be. We then review these scores each quarter and agree the priority areas to direct our
support planning. The following chart illustrates the average scores people gave
themselves in 2015-16:
We are delighted to be able to demonstrate that our outcomes data for each of the 10
areas of support have improved significantly from 2014-15 to 2015-16. This is testament
to the teams hard work in both delivering our service and also in supporting clients to
recognise and celebrate their own achievements.
Outcomes - Social Networks
Evidence gathered during our service user forum consultation has informed us that
isolation and loneliness remain a significant factor in people’s health & wellbeing. In
2015-16 people’s self assessments have shown a 32.5% improvement in this area
after advocacy support. This figure has increased from 8% last year and represents one
of our biggest achievements in the community advocacy service.
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Outcomes – Housing
Housing (including benefits and
finance) remains one of the most
common areas of support that new
referrals are seeking. A growing area
of our work is in supporting people
to attend benefits assessments,
medical reviews for ESA and PIP /
DLA proceedings. For those on fixed
incomes, benefits are a lifeline and
there is a real challenge for people
who feel that this area of their life is
under threat. Whilst we are not
‘benefits experts’ there is a clear link
between this issue and people’s mental health. We work in partnership with specialist
organisations to get people the best access to the right support. This year people told us
that they had achieved a 38%improvement after receiving our help in this area.
Outcomes - Physical Health
Outcomes - Education & Training
Living with a mental health condition can mean that accessing training and employment
is a real struggle. Also, a growing area this year is that people are asking for support to
stay in work, or to challenge decisions that employers are making about them. Self
assessments showed an 18% improvement for people receiving our support.
“My advocate is a breath of fresh air
and my light at the end of the tunnel.
She has motivated me and helped
with difficult decisions I had to make
with KNH, choose’n’move, managing
my debts and making plans with my
everyday life. She understands about
my moods and also gives me
encouragement, support and
a listening ear”
It is well documented that mental and physical health
cannot be separated. At Touchstone we take a “make
every contact count” approach when we meet with
people. This means that we talk to people about their
physical health, diet, exercise, smoking and drinking
whilst we are working with them on other things. This
year we helped people towards a 25% improvement in
their self assessment of physical health.
“I didn't think I deserved help. Now I make a
valuable contribution to
society”
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“I will always have mental
health, however I now realise I
can have better control”
‘Self /peer advocacy’, ‘confidence’ and ‘speaking up
for myself’ continue to be the three most important
outcomes for the team because they are all about
our key area of work – helping people to achieve
their goals through being able to express their
wishes and opinions. Advocacy is never about speaking on behalf of others; its main
focus is to give people the space and time to figure out what they need or want and to
show them the tools they can use to achieve this for themselves. Our style of working
puts people in charge, shifts the power balance away from the professionals and
enables people to achieve something they often think is impossible. The service user
quotes here say it all…
The improvements and stories we hear directly from service users are a huge sense of
pride for the team and we have big plans for even more developments next year.
These skills are a big part of our IMHA work in
hospitals. Here we find people who can often be
frightened, confused, angry, or a mixture of all
three. We don’t advise, instruct or diagnose; we
listen and talk about what’s happening and what
the person wants to do next and they often tell
us it just feels like someone is ‘on their side’.
Outcomes-
Self / Peer Advocacy 25% Improvement
Confidence 47% Improvement
Speak Up For Myself 57% Improvement
“You have helped me realise my strengths and positive character - that I
haven’t lost myself or my wellbeing and that the previous building blocks I
built have not been in vain”
“My advocate has
enlightened me, not only
helping me see things
clearer but to settle me
into moving forward and
making my life better and
more comfortable for the
future”
“I stood my ground and
realised I really do have
a voice when needed
and expressing this has
increased 100% since my
advocate came on
board”
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Outcomes - Mental Wellbeing
Many of our referrals are from people wishing to
challenge decisions about their mental health support.
Our work helps them to feel more in control of their care
and support, ensuring that they are listened to and
involved in decision making. Our clients tell us that this
enables them to access the right services to help them
towards their recovery. Feeling empowered and in
control of things is very important to mental wellbeing
and we are proud to see a 34% improvement recorded
in this area.
Outcomes - Community Participation
We continue to support and encourage people to
be involved in their local communities so that
they meet people, create opportunities and help
each other. Mental health difficulties can make it
hard for people to feel able to engage with
others. We work hard to reduce people’s
isolation, encouraging them to engage locally
with people other than support services and
professionals. This year we have helped people
to achieve a 42% improvement in this area.
Outcomes - Support Services
More and more, people are approaching the advocacy service with increasingly varied
support requirements and as a result our network of support partners continues to
grow. We enable people to access services and we support them when it feels like
services are not working in quite the right way. Our volunteers and peers help us to
continually build a list of local services based on their experiences of using them. Self
assessments in this area show a 31% improvement for people accessing our support; a
big increase on last year’s score of 17%, indicating another target exceeded by the team.
“My anti-depressants
made my self esteem
worse. I became
empty, like a shell of
myself. It took a lot of
time but Touchstone
didn’t give up on me;
I found my voice”
“I hope I could use these
skills to one day develop a
career in mental health. I
don’t currently know
what I would like to do
but am hopeful the skills I
am learning will become
invaluable and
transferable”
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59
9
32
0 0 0 0
Overall, what is your opinion of Touchstone?
64
9 18
0 0 9
0
How good is the support / service you get?
32 27
13 9
5 9
5
How well do we involve you in Touchstone?
45
18 18
5 0
14
0
How successful are we at getting it right first time?
41
23 23
5 0
4 4
How well do we promote and value diversity?
41 41
9 0 0
5 4
How well do our reception workers deal with your enquiries?
Touchstone 2015-2016 Service User Survey
Kirklees Advocacy Service Results
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Male 48% Female
52%
Gender - Advocacy
Male 51%
Female 49%
Gender - IMHA
10%
20%
19%
14%
15%
9%
6%
2%
5%
Age - IMHA
18-24
25-34
35-44
45-54
55-64
65-74
75-84
85+
Unknown
8%
15%
32%
19%
12%
5%
3%
1%
5%
Age - Advocacy
18-24
25-34
35-44
45-54
55-64
65-74
75-84
85+
Unknown
Kirklees Advocacy & IMHA Service Annual Statistics 2015/16
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59%
4%
19%
4%
3%
2% 9%
Ethnicity - IMHA
White British
White Other
Asian
Mixed
Black
Other
Not Stated
82%
4%
11% 3%
Service Expenditure
Staff /Vols
Travel
Office
Clients
73%
1%
4%
11%
5%
1%
5%
Ethnicity - Advocacy
White British
White Other
Mixed
Asian
Black
Other
Not Stated
Finance The total value of the advocacy contract for 2014-15 is £118,295, funded by Kirklees
Council, NHS Greater Huddersfield CCG and NHS North Kirklees CCG.
With 7172 hours of support
delivered by a team of 6
advocates, the Unit Cost in 2015-
16 is £16.49. This works out to a
cost of £10.29 per individual
supported per week.
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2015/16 Vision and Targets
We will enable Meeting of Minds to build on its positive beginnings and grow into
an established, structured, Kirklees-wide network. We will increase membership numbers and always offer participants a variety of access and involvement opportunities. As a result, MoM will grow to become an integral part of Mental Health strategy and service design in Kirklees.
We recognise that maintaining meaningful volunteer and peer roles is vital to the strength of our service offer and that we must be seen as leaders in this field to recruit and retain great people. The service will co-produce a full review of the current role profiles for advocacy volunteers, with the aim of giving service users opportunities to learn, develop, lead, influence and make positive change happen.
We will reduce waiting times and improve access to the service by undertaking a full review of the referral and assessment process.
We will continue working towards embedding group advocacy and awareness sessions into both the community and IMHA services.
We have listened to service user feedback and will undertake a review of how we advertise and publicise the advocacy service, bringing about improvement in people’s understanding of who we are and what we do.
We will always aim to be recognised as sector leaders in our approach to respecting and valuing equality and diversity; reducing discrimination and stigma and enabling service users to feel safe, respected and valued.
“Your support made me feel valued,
respected and calm, which ultimately
helped me focus on the task ahead”
“I still get pangs of distress,
worry and depression, but I
know I can learn to manage this
and move on with the help of
organisations like Touchstone”
“You know there are people there that not only have first hand experience
of your issues, but can help, assist and support you towards future
wellbeing and development”