Transcript FORENSIC MENTAL HEALTH SERVICES MANAGED CARE NETWORK

FORENSIC MENTAL
HEALTH SERVICES
MANAGED CARE
NETWORK
An introduction
The Forensic Network
www.forensicnetwork.scot.nhs.uk
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.
The Forensic Network
www.forensicnetwork.scot.nhs.uk
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
The Forensic Network
www.forensicnetwork.scot.nhs.uk
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.”
The Forensic Network
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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 Forensic Network
www.forensicnetwork.scot.nhs.uk
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
The Forensic Network
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Current NHS Forensic Services In
Scotland
Newcraigs, Inverness
Blair Unit, Aberdeen
Murray Royal, Perth
Hartwood, Shotts
Leverndale, Glasgow
Rowanbank,
Glasgow
The Orchard Clinic
High
Medium
Low
The State Hospital
The Forensic Network
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NHS Forensic Services In Scotland
Planned Developments
Newcraigs, Inverness
Blair Unit, Aberdeen
Murray Royal, Perth
Rohallion,
Perth
Hartwood, Shotts
Leverndale, Glasgow
Rowanbank,
Glasgow
The Orchard Clinic
Planned MSU
High
The State Hospital
Medium
Low
The Forensic Network
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Andreana Adamson,
Chief Executive of
The State Hospital
was invited, by
Ministers, to lead the
development of the
network
The Forensic Network
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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
The Forensic Network
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Advisory Board
A Forensic Network
Advisory Board has
been established with
representatives from key
stakeholder
organisations
The Forensic Network
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Forensic Network Advisory
Board
FORENSIC
PSYCHIATRIST
Dr John Crichton
HOUSING
Mr Mike
Scott
SCOTTISH
EXECUTIVE
Dr Margaret
Morrison
USERS/CARERS
Mrs Mary Weir, NSF
Scotland
MEDICAL
DIRECTOR
Dr Lindsay
THE MANAGED CARE
Thomson
NETWORK BOARD
NHS CHIEF
EXEC
Geoff Huggins, Chair
SCOTTISH
PARTNERSHIP
FORUM
Andreana Adamson
Chief Exec
PSYCHOLOGY
Dr John McGinley
Colin Poolman
NURSING
Mr Willie McFadden
SPS
Dr Andrew Fraser
Assoc of Police
Officers
Ms Karen Williams
ADSW/COSLA
Mr George Hunter
The Forensic Network
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Regional Structure
A regional structure has
been established that is
linked to regional planning
groups, providing
communication links
between services
The Forensic Network
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NHS Forensic Network
Regional Model
North – Grampian,
Highlands & Islands,
Tayside, Fife
West – Glasgow & Clyde,
Lanarkshire, Ayrshire &
Arran and Dumfries &
Galloway
The Forensic Network
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South & East –
Lothian, Forth
Valley & Borders
National Working Groups
A number of national working
groups were established to
provide national guidance
where required.
HDL (2006) 48
These resulted in Scottish
Executive Policy Document,
Forensic Mental Health
Services issued in June 2006.
The Forensic Network
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HDL (2006) 48
Configuration of Forensic
Mental Health Services
National Overview of Patient
Flow
POLICY
•Care Standards
•Resolving Clinical Conflicts
•Security Liaison
GUIDANCE
•Definitions of Levels of
Security
•Services for Women
•Services for Learning
Disabilities
The Forensic Network
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SoFMH
School of
Forensic
Mental Health
School of Forensic
Mental Health
• SoFMH is in the early
stages of development with
completion of “New to
Forensic” Education
programme
• Plan now to establish
network of trainers/mentors
for delivery
• Working with Universities
and Further Education
Colleges on funding
arrangements
The Forensic Network
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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 School of Forensic
Mental Health
• Further policy (autumn 07)
The Forensic Network
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The Near Future
• Further HDL: CPA, Risk
Assessment & Clinical
Governance
• Audit services against security
matrix and Care Standards
• Psychological Therapies
• Further development of SoFMH
• New to Forensic Programme
• IAFMHS Conference 2009
The Forensic Network
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Network Conference
National Conference
“Reducing Risk,
Maintaining
Responsibility” on Friday
12 October 2007
Beardmore Hotel,
Clydebank
The Forensic Network
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The Network website is a
good resource for
keeping up to date.
Or contact the team,
happy to help.
www.forensicnetwork.scot.nhs.uk
[email protected]
Tel: 01555 842018
The Forensic Network
www.forensicnetwork.scot.nhs.uk