FORENSIC MENTAL HEALTH SERVICES MANAGED CARE NETWORK An

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 Mc. Fadden Andreana Adamson Chief Executive Dr Lindsay Thomson Medical Director (Local Authorities) NHS CHIEF EXEC COSLA & ADSW (Local Authorities) Mr George Hunter Assoc of Police Officers Ms Karen Williams SPS Dr Andrew Fraser SOLACE BRITISH PSYCH SOCIETY Dr John Mc. Ginley

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: Vivienne. gration@tsh. scot. nhs. uk Tel: 01555 842018