Transcript Slide 1

Recovery, dual diagnosis
and complex need
Oliver Hilbery
Making Every Adult Matter
Intro to the workshop
• Brief introduction to MEAM
• Workshop: Create and sell your multiple needs
service
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What is MEAM?
• Four national membership organisations
• 1600 members
• Focussed on policy and practice change for
people with ‘multiple needs’
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What’s the history?
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Frontline agencies: see multiple needs
The sectors report on it: e.g. Elmore/HL (01/2)
The govt respond: SETF/ACE/PSA16 (07/08)
Four orgs: a common discourse? (07/08)
MEAM launch – In From the Margins (08)
Project Director starts at MEAM (May 09)
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Who has ‘multiple needs’?
• Discussed locally by name
• Well known to councils, homelessness services,
police, probation, prisons, CMHTs, drug and
alcohol teams and the public…
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MEAM definition
• People with multiple needs fit all three criteria:
• Experience a combination of issues that impact
adversely on their lives
• Are routinely excluded from effective contact
with the services they need
• Tend to lead chaotic lives that are costly to
society
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So what is MEAM doing?
• Policy work
“Getting multiple needs on the agenda”
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Policy work
• Aims to create a national
framework for local action
•Builds on work so far – but
clear that there is further to
go
•Has laid out a four-point
manifesto for next
parliament
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Policy work
(1) Define the group
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Locally
Using national guidance (NDT)
Focussing on those most at risk
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Policy work
(2) Recognise the social and economic case for
action
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Individuals/communities. Cost effectiveness
W’s costs:
In the past: At least £410,000 in government expenditure
Last year: £23,500
(excludes social costs)
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Policy work
(3) Commit to a national policy framework on
multiple needs and exclusions – and a
Green Paper to explore the options
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Define group
A duty of active cooperation
Local multiple needs strategies
Support commissioning of services
Train staff
Show results of working together
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Policy work
(4) Measure national progress
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Good tools for progress measurement
Chances for national comparisons
Opportunities to show each other ‘what works’
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So what is MEAM doing?
• Practice work
“Our promise - helping our members further
develop their responses”
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Practice work
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Our promise to government
Will support our national policy asks
And support our members
Scope, size and funding to be determined
Shaped by a series of visits
Potential for future pilots
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Practice work
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What do multiple needs services look like?
“Gap fillers”
“Brokers/
Coordinators”
Others?
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Practice work
Promote services that:
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Show a multi-agency commitment in their area
Define the group
Broker access / plug gaps
Track positive progress and show results
Create ‘system change’ locally
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Practice work
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Reduce stigma and discrimination
Promote recovery and social integration – staff
and organisational attitudes
Involve service users
Recognise the value of meaningful activity,
community, families and relationships
Move towards early intervention and crosssector knowledge
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The workshop
The situation:
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The town of Meamville wishes to commission
a recovery focussed service for people with
multiple needs.
Using the information provided, plan and
deliver your pitch to the Meamville
commissioners…
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Contact details
Thank you for participating
Oliver Hilbery
Project Director
07810 867 190
[email protected]
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