Fulfilling Lives South East Project Fulfilling Lives The

Fulfilling Lives South East Project

Fulfilling Lives • The South East Project operates across Brighton & Hove, Eastbourne and Hastings and is one of 12 Projects nationally funded for 8 years by the Big Lottery 1. It will change lives 2. It will change systems 3. It will involve service users

What is multiple complex needs? • Mental ill health • Homelessness • Drug and alcohol misuse • Offending Sources: MEAM and Revolving Doors (2011) Turning the Tide: A vision paper for multiple needs and exclusions, MEAM/RDA, London, p. 4 MEAM (2009) A four-point manifesto for tackling multiple needs and exclusions, MEAM, London, p. 8

Team Structure

Changing Lives • Trauma Informed Care • Assertive Outreach • Case Co-ordination of care and support

Outcomes § § § Moving into and maintaining accommodation. Reducing drug and alcohol use, including obtaining methadone prescriptions and attending detox and rehab. Improved mental health. Increased confidence, self-esteem and self-worth. Improved physical health. Better self-care (for example being less likely to skip meals). Reduced offending. Securing benefits. A sense of purpose and identity. Positive aspirations for the future. Looking into education and training. Re-establishing contact with family.

Systems Change From the outset of the Programme being introduced, Systems Change was integral to achieve the long term outcomes the programme is aiming to achieve. To bring about a system/s that can achieve lasting positive impact on the lives of people with multiple and complex needs will require fundamental changes, many of which will be discovered over the lifetime of the project.

Systems Change

Systems Change • Improving access to recovery groups by providing satellites in other services (Eastbourne) • Improving awareness of services available by creating a homeless map and service directory (Eastbourne) • Reviewing the local implementation of Severe Weather Emergency protocols for rough sleepers (Hastings) • Workforce development – training on multiple and complex needs for ward staff in Millview Hospital (Brighton) • Information sharing and joint care planning between hostels and substance misuse services (Brighton)

Systems Change • • • Hospital discharge and admission Workforce development and Psychologically Informed Environments Data sharing and access to information Accommodation pathway in East Sussex Women leaving prison SU Involvement in recruitment Challenging Stigma Dual Diagnosis Case Coordination and effective partnership working

Service User Involvement • A pathway to employment • Representation within FL • Recruitment • External engagement and influence

Involvement Opportunities Pathway to Employment A Voice in decision making Peer Support to clients Involvement in Service Design and Commissioning

Looking forward • Effective service user involvement is included in local commissioning practice • Local systems change plan including methodologies and measurement • Growing the partnership • Maximising learning

Fulfilling Lives South East Project