Transcript FORENSIC MENTAL HEALTH SERVICES MANAGED CARE …

FORENSIC MENTAL
HEALTH SERVICES
MANAGED CARE
NETWORK
An introduction
MEL 1999 (5) Health, Social
Work and Related Services
for Mentally Disordered
Offenders in Scotland
provides the basis for
Forensic Mental Health
Services in Scotland.
In May 2002 there was a
review of The State
Hospitals Board for
Scotland “The Right Place,
The Right Time.”
This resulted in a letter from Ian
Gordon, Director of Service
Policy and Planning, outlining
the need for a Forensic Network
Ian Gordon’s
Letter stated:
• “First requirement to improve
services must be the
establishment of a managed
care network.”
• “..review the process for
determining the right care for
mentally disordered
offenders.”
• “consider wider issues
surrounding patient pathways
.. including information
systems, education and
training, and strategic
planning.”
Scottish Ministers also
called for a new approach
to Forensic Mental Health
Services
“.. to bring a pan-Scotland
dimension to the planning
process for services .. to
support the development of
local services .. and to
secure protocols to ease
the management of patients
through the system”
Mary Mulligan
The Mental Health (Care
and Treatment) (Scotland)
Act 2003 will also impact
significantly on Forensic
Mental Health Services in
Scotland
As will the development of
Medium and Low secure
services
Current NHS Forensic Services In
Scotland
Newcraigs, Inverness
Blair Unit, Aberdeen
Murray Royal, Perth
The State Hospital
Leverndale, Glasgow
The Orchard Clinic
Special
Medium
Low
NHS Forensic Services In Scotland
Planned Developments
Newcraigs, Inverness
Blair Unit, Aberdeen
Murray Royal, Perth
North
The State Hospital
Leverndale, Glasgow
Stobhill, Glasgow
The Orchard Clinic
Planned MSU
Special
Medium
Low
Dykebar, West
Andreana Adamson,
Chief Executive of
The State Hospital
was invited, by
Ministers, to lead the
development of the
network
The Approach
• Establish Oversight
Group – Network
Advisory Board
• Develop Regional Multiagency structures with
links to NHS Regional
Planning Groups
• Commission Short Life
Working Groups where
national guidance is
required
• Develop The Forensic
School – Teaching,
training, research &
workforce planning
Advisory Board
A Forensic Network
Advisory Board has
been established with
representatives from key
stakeholder
organisations
Forensic Network Advisory
Board
FORENSIC
PSYCHIATRIST
Dr John Crichton
SCOTTISH
EXECUTIVE
USERS/CARERS
Mrs Mary Weir, NSF
Scotland
Dr Margaret
Morrison
SCOTTISH
PARTNERSHIP
FORUM
THE FORENSIC
NETWORK ADVISORY
BOARD
Geoff Huggins, Chair
Mr Colin Poolman
NURSING
Mr Willie McFadden
Andreana Adamson
Chief Executive
Dr Lindsay Thomson
Medical Director
SOLACE
(Local Authorities)
NHS CHIEF
EXEC
COSLA &
ADSW (Local
Authorities)
Mr George Hunter
Assoc of Police
Officers
Ms Karen Williams
SPS
Dr Andrew Fraser
BRITISH PSYCH
SOCIETY
Dr John McGinley
Regional Structure
A regional structure has
been established that is
linked to regional planning
groups, providing
communication links
between services
NHS Forensic Network
Regional Model
North – Grampian,
Highlands & Islands,
Tayside, Fife
Glasgow
West – Lanarkshire,
Ayrshire & Arran, Argyll &
Clyde and Dumfries &
Galloway
South & East –
Lothian, Forth
Valley & Borders
National Working Groups
A number of national working
groups have been established
to provide national guidance
where required. Phase I is
completed, Phase II and III
reports are currently in
consultation
Phase I (Completed)
• Levels of Security
• Services for Women
• Services for Learning
Disabled
Phase II & III (Completed)
•
•
•
•
•
Personality Disorder
Community Services
Children & Adolescents
Care Standards
Conflict Resolution
Phase IV (current)
• Critical Incident Review
• CPA Guidance for
Restricted Patients
• Psychological Therapies
Phase V (planned)
• Victims
• Complex needs
In Summary
• Advisory Board set up
• Developed communication links
across the whole system
• Stimulated wide interest
• Groups active and engaging key
practitioners
• Regional structure endorsed
• Progress with Forensic School
Next Steps
• National policy HDL (May 2006)
• Audit services against security
matrix and Care Standards
• Further development of regional
structures
• Development of Forensic School
The Forensic
Network Team are
happy to assist with
any queries. These
should be directed in
the first instance to:
[email protected]
Tel: 01555 842018