Partnership Forum 2 nd September 2015 Andy Searle

Partnership Forum 2 nd September 2015

Andy Searle Interim Independent Chair Rochdale Borough Safeguarding Adults Board Welcome

What is the Partnership Forum? The Forum is organised by the Rochdale Borough Safeguarding Adults Board (RBSAB). There is a Forum meeting three times a year. The meetings have a different focus each time. They are open to EVERYONE with an interest in Adult Safeguarding. You don’t have to attend every meeting – you can just dip in and out when the subject interests you.

RBSAB Newsletter As well as the Partnership Forum, we also publish a quarterly newsletter, and we’re always happy to carry safeguarding information from other organisations.

Overview of today’s session Today’s meeting is to look at mental health services in the Rochdale borough. We have a series of presentations from a variety of agencies operating in the area.

Overview of today’s session We’ll be hearing from: Rochdale Boroughwide User Forum MIND Recovery Republic Samaritans Healthy Minds Pennine Care

Speed networking Introduce yourself to someone at your table you don’t know. Explain who you are, the organisation or group you are with, what it is your organisation does and your specific role within it. 60 seconds max. Then move on to another person and repeat the process.

Rachel Ginnelly Rochdale Boroughwide User Forum

Rochdale Boroughwide User Forum Mick Ayrton Voice Programme Coordinator Rachel Ginnelly Chief Officer

Rochdale Boroughwide User Forum “Our mission is to bring communities together from across the borough in a cooperative effort to ensure that, in every aspect of health and social care, the needs and views of people with mental health issues and their carers are taken into account by those who purchase or provide services. ” Key facts • Small local charity (5 staff) • Established in 2006 • Service User led

Collecting and representing the views of service users to service commissioners and providers Better Together Project Helping people to recover through volunteering, involvement and peer support

Listen to the experiences, views and comments of service users Inform and feedback to service users on service changes Improve Services for everyone Influence the design of services Talk to service commissioners and providers

Better Together Project • Adults with mental health issues will report feeling less isolation account of their engagement with monthly Open Forums • Adults with mental health issues will report improvements in self-confidence and general wellbeing through participation in Better Together Involvement groups. • Adults with mental health issues who become Better Together Project volunteers will improve their work-related skills

Involvement Groups • • Open Forum Planning Events Planning News Letter Website and Social Media Marketing and Publicity (MAPIG) Therapeutic gardening group Training and Development

Volunteering roles • • • Meeting Representatives Administration IT Support and social media Reception Outreach support Building maintenance

Peer Led Activity Groups • Poetry Appreciation Group • Crafts 4 Wellbeing • Wellbeing Group Chat • Jammin’ 4 Wellbeing • Therapeutic gardening group • Literacy

Rochdale Boroughwide User Forum Contact details Telephone: Email: Website: Address: 01706 521279 info@rbuf. org. uk www. rbuf. org. uk Rochdale Boroughwide User Forum 142 Drake Street Rochdale OL 16 1 PU

Any questions?

Penny Strickett Rochdale and District MIND

Rochdale & District Mind

Our History ØRochdale and District Mind is a user led Mental Health Charity which is affiliated to National Mind and was established in 1988. ØFrom humble beginnings, starting with a small Mental Health Advocacy service, we now employ over forty members of full time/ part time staff ØWe are one of the largest Local Mind Associations (LMA) in the North West. Our Values ØOpen - We reach out to anyone who needs us ØTogether - We're stronger in partnerships ØResponsive - We listen, we act ØIndependent - We speak out fearlessly ØUnstoppable - We never give up

Our Mission We provide advice and support to empower anyone experiencing a mental health problem. We campaign to improve services, raise awareness and promote understanding Our Vision We won’t give up until everyone experiencing a mental health problem gets both support and respect

The Mind Network

Outcome tools WEMWBS CORE Ø WEMWBS is an outcome tool which our organisation uses to measure the enhance wellbeing of our service users across our Community services. Ø Core is an outcome tool used by our Psychological services to monitor the progress of service users engaging with therapeutic interventions. Ø All people accessing our services (excluding Advocacy) are assigned a Wellbeing worker who will undertake an initial assessment regular reviews with all service users.

Independent Advocacy We specialise in Independent Mental Health Advocacy (IMHA) in Rochdale and Bury Generic mental health advocacy for people on CPA in Rochdale and Bury Independent Mental Capacity Advocacy (IMCA) – Rochdale only Aims and objectives The aim of independent advocacy in all its forms is to ensure that people are not deprived of their rights through lack of information, lack of resources or lack of someone to speak up for them. We aim to empower people by supporting them to express their views and concerns, to access information and services, to defend their rights and to explore their choices and options. We aim to promote self advocacy through all of our work. Referrals are made direct to the Advocacy service

The Open Mind Team The Open Mind Service is the gateway to our organisation (Non-advocacy). Access routes across the borough Each person is assigned their own Wellbeing worker Tailored to meet the needs of that person. Plans are reviewed with the individual periodically. Referrals to the Open Mind Team can be made through professionals, partner agencies or by the person themselves. Open Mind outcomes are measured using WEMWBS during the initial assessment and throughout regular review meetings. This helps to measure the progress of the person and ensure that they are happy with their development whilst engaging with Rochdale and District Mind’s services.

Wellbeing Services Community Wellbeing Services offer a range of recovery focused services for people experiencing mental distress. These services are offered at the Mind centre and other venues in the borough and include: Facilitated Self Help Coping with Life Living Life to the Full Beating the Blues Issue specific support groups ( anxiety, depression, LGBTQ, BME, ) Wellbeing Activities Creative Writing Complimentary Therapies Tai Chi Relaxation Arts 4 Wellbeing Physical Activities Project Daylight Therapy

Information. Service Information Help Line. , Email To provide a single point of access for information on mental health and health related issues. Information outreach and folders To relieve the pressure on local services. To improve access and choice for people To increase awareness of and uptake of the services available A member of THA & MHHP. Telephone 01706 -752338 E-mail – infohelpline@rochdalemind. org. uk Online Directory of local, regional and national organisations supporting mental health and wellbeing. www. rochdalemind. org. uk www. wellbeingrochdale. info

BME Health & Wellbeing Team Our BME H&W Team works hard to promote cultural diversity, reduce stigma and prejudice especially for people experiencing mental distress in the BME Community. The BME team have many services which offer support to people from BME Communities. • BME Wellbeing Workers • Outreach work in the community • We hold a number of BME events each year • ROCAF Project • Shifa Family Link Dementia Project • Listen Up Project –children and young people • Media and Stigma Group-Campaigns i. e. PND • BME Health and Wellbeing Forum

Comple@t These projects aim to offer service users an opportunity to gain real work experience, training in preparation for them to move on into mainstream volunteering, work and education. Two internet Cafes in Middleton Town Centre, the Nye Bevan Centre in Rochdale. The projects offer skills and work based training opportunities. Along with this other areas of training is offered in such things as customer services, food safety and first aid. Average 6 -12 months on programme.

Growth Project Horticultural wellbeing project over 4 interconnecting allotment sites close to town centre. The project is run in partnership with Hourglass Ltd Skills, training in preparation for them to move on into mainstream volunteering, work and education. Social network/contact Improve physical health wellbeing Non stigmatising setting Runs Weds/Thurs

Psychological Services 2 part time staff - Psychological Services Co-ordinator one part time Counsellor and some admin support. Large team of volunteer Counsellors (approx 27) • BACP Accredited • Our Counsellors offer individual Person centred therapy. • Therapy groups • Range of languages within team i. e. Urdu, Bengali, Punjabi, Polish. • Sessions offered in Heywood and Middleton • Tuesday evening sessions Preferred provider with Salford University and Oldham College Our aim is to continue to provide a service that is committed to serving the needs of an ever changing community, that is fair, ethical and approachable.

Volunteering People who use the services we provide and others who give their time through volunteering are involved at every level through out the organisation including: • Admin support • Reception Duties • Board of Trustees • Peer Support initiatives including Literacy Champions and Peer Advocacy • Group Facilitation • Provision of specialist activities i. e. Tai Chi and Aromatherapy. • Volunteers can expect: • To be treated as an equal member of the staff team • Out of pocket expenses • Access to training opportunities • Regular supervision • Gain Experience • Use existing skills • Empowerment

Service User Involvement Policy developed with reference to good practice guidance: Implementation of the Policy: Involving service users and volunteers is at the heart of our organisation. The commitment requires all Trustees, staff and volunteers to encourage and support user involvement Rochdale and District Mind is committed to ensuring progress towards meaningful service user involvement in all aspects of our work. Discovery team Peer support Reward and Recognition- Payment of expenses

Thank you for your time. Any questions please?

Mental Capacity Act 2005 The Role of the Independent Mental Capacity Advocate (IMCA)

• The Mental capacity Act 2005 was implemented in 2007. It created the role of the Independent Mental Capacity Advocate (IMCA) • The aim of the IMCA service is to provide independent safeguards for people who lack capacity to make certain important decisions • The IMCA safeguard will provide the person with someone who is on their side so that there is never a closed relationship between the decision maker and the person who lacks capacity. (1 -287 MCA)

Eligibility 1. Does the person have an impairment that could affect their capacity? 2. Does this mean that the person is unable to make a specific decision when they need to? 3. The responsibility for determining the mental capacity of the person is that of the decision maker, not the IMCA (Mental Capacity Act 2005) 4. Where appropriate the IMCA can challenge the outcome of the capacity test.

“Appropriate family or close friends” • “Willing” They want to be consulted • “Able” They are physically able to be consulted • “Acting in best interests” Unless there is evidence of behaviour to show otherwise. Not simply because they disagree with the decision (MCA COP 10. 79)

There are only 4 types of decisions that an IMCA can be involved in. These come under two categories…. .

Mandatory: • Serious medical treatment • Long term change in residence

Discretionary: • Adult protection cases • Care reviews

What types of serious medical treatment decisions? It is impossible to define a set of standards that serious medical treatment must adhere to in order to fall into the category, but a few examples are listed below; • • • Chemotherapy and surgery for cancer Electro-convulsive therapy Therapeutic sterilisation Major amputations Termination of pregnancy. (MCA Code of Practice)

Involving IMCA’s in adult protection cases • It is alleged that the person is or has been abused or neglected by another person. • It is alleged that the person is abusing or has abused another person. • In adult protection cases, access to IMCA’s is not restricted. People who lack capacity who do have family and friends are still entitled to have IMCA support.

What does the IMCA do? • Meet, support and represent the person in the decision making process. • Ascertain the person’s past and present wishes, feelings, values and beliefs where possible. • Evaluate information, including the right to access and copy relevant records and assessments • Ascertaining what alternative courses of action are available in relation to the person. • Obtaining a further medical opinion where treatment is proposed and the advocate thinks that one should be obtained. • Consult with others involved in the person’s life. (Mental Capacity Act 2005)

Continued… • Ensure the basic principles and best interest checklist in the Mental Capacity Act are being followed. • Prepare a report which the “decision maker” must consider when making the decision. • Challenge the decision on behalf of the person where necessary. • Resolve disputes locally as far as possible before making use of statutory procedures. • In certain cases the IMCA may want to apply to the Court of Protection. ( Mental Capacity Act 2005)

What does the IMCA not do: • We don’t assess capacity (but if we don’t agree with an assessment we can challenge). • Get involved in purely financial decisions, unless they are part of safeguarding measures. • Do not make decisions but do feed into the decision making process.

Please note: The IMCA service you use is the one based where the person is geographically located at the time of the referral. Except……. in Do. LS cases.

Deprivation of Liberty Safeguards (Do. LS) • The Deprivation of Liberty Safeguards (Do. LS) are part of the Mental Capacity Act 2005. • They aim to make sure that people in care homes, hospitals and supported living are looked after in a way that does not inappropriately restrict their freedom. (Alzheimer's Society)

The Acid Test 1. Is the person subject to continuous supervision and control? 2. Is the person free to leave? The person may not be saying this or acting on it, but the issue is about how staff would react if the person did try to leave.

Deprivation of Liberty Process Supervisory Body to arrange the following 6 assessments to take place which need to be met. 1. 18 and over 2. Suffering from a mental disorder 3. Lacking capacity for the decision to be accommodated in the hospital or care home. 4. No decision previously made to refuse treatment or care, or conflict relating to this such as LPA 5. Not ineligible for the Do. LS 6. The person needs to be deprived of their liberty, in their best interests.

Thank you Any Questions?

Carl Cruise Recovery Republic

Building Recovery in Communities Carl Cruise, Development Officer 2 nd September 2015

Recovery Republic

Inside the Recovery Republic

Aims of the Republic ¡ To improve the wellbeing of its citizens ¡ To have fun ¡ To be self sustaining

Social Prescribing? ¡ ¡ Social prescribing aims to help people with socially complex conditions e. g. depression, persistent pain and even failure to cope with life Professionals suggest people with these conditions visit Recovery Republic in the sound knowledge they are giving their clients a practical “hands up” It is believed that social prescribing has the potential to transform modern healthcare, it enables both clinical and social elements to be taken into account therefore not just treating the clinical origins but actually getting to the social roots of the problems.

Wellbeing and affective disorder: reciprocal relatives More of one is less of the other Disorders of mood Wellbeing Focus of treatment Focus of recovery

www. 5 w 2 w. org

Working in partnership Big Life, Rochdale and District Mind, Groundwork, Oldham and Rochdale, Let’s Talk partners ( Gaddum Centre, Communitea, Rochdale Women’s Welfare, Petrus Community, Rochdale Connections Trust, LGBT Youth NW), Heywood Job Centre Plus, Rochdale CVS, WEA (Workers Educational Association), RBH (Rochdale Borough Wide Housing), RMBC, Community Champions, IAPT (Improving Access To Psychological Therapies), RBUF (Rochdale Borough Wide User Forum), Music Street, Heywood Township, Alcohol and Narcotics Anonymous, SMART, Money Advice Service, Making Spaces (Heads Together), Veterans in community’s (VIC) and Heywood Children’s Charity: Little Monkeys.

Promoting Positive Mental Health in Heywood Do you suffer from mental health issues, Stress, Depression, Anxiety, Use Anti Depressants Rochdale & District Mind & Recovery Republic are working together to deliver mental health services in the Heywood community. If you would like to access these services Rochdale Mind can offer people with mental health issues an assessment locally at Recovery Republic or at another convenient community space in Heywood. If you feel you have mental health concerns you are welcome to speak to us. You can download a self referral form from our website at www. rochdalemind. org. uk or pick one up from the Recovery Republic reception at 63 -65 York Street. Heywood. Lancashire, OL 10 4 NR. Recovery Republic are running a variety of wellbeing activities in Heywood such as Art Therapy, Pilates, Cycling, Relaxation and Mindfullness for Stress Release, Gardening, Social Groups, Music Workshop, CBT, Courses, Call in at reception at 63 -65 York Street. Heywood. Lancashire, OL 10 4 NR to find out more. Or Ring Recovery Republic on 01706 622722 To refer to any Mind service in Heywood please contact: Open Mind Team Tel: 01706 752352 or The Recovery Republic, 63 -65 York St, Heywood Tel: 01706 622722 For further general information contact: Information in Mind Service Tel: 01706 752338 Email: info@rochdalemind. org. uk info@recoveryrepublic. co. uk

Social Café Connecting with people and being socially active is essential for our wellbeing. Are you feeling isolated from other people? Want to connect more with people in the community? Come and meet and have a chat with others who have similar experiences and issues. Volunteers at Recovery Republic run a social café every Wednesday from 12: 30 to 3: 30 pm Soup & bread £ 1. 50 Tea & Coffee FREE Interested? Please contact Recovery Republic on 01706 622722 or Alice on 07766 140 904 Or call in and talk to reception

Counselling and befriending services Let's Talk - a new wrap around support service across Rochdale, Heywood & Middleton Let's Talk - a new wrap around support service across

Big Life Centres Pathways Rochdale Pathways offers a confidential and personalised service to everybody within the Rochdale borough. We will do a full assessment with you and then agree the steps that we are going to take together to help you to manage and deal with your concerns. In travelling from substance misuse to recovery all the evidence shows that the more help you get, the more likely you are to succeed. You don’t need to make big leaps to tackle your worries. Small steps can lead to a great journey of rediscovery. We see people in Heywood, (here at the Recovery Republic), Middleton, Rochdale and the Pennines in a location that is convenient to you and respects your confidentiality. To access Pathways, please contact Renaissance. They will make an appointment to see you and then direct you into the Pathways service if it’s the right service for you.

Phil: “Most noticeable changes” ¡ Confidence ¡ Self-discipline ¡ Decisiveness ¡ Ambassadorial role ¡ Concern for others

Recovery Republic – next steps?

Tel: 01706 622722 ¡ E-mail: info@recoveryrepublic. co. u ¡ 63 -65 York Street, Heywood OL 10 4 NR ¡

Dr James Mc. Cready Rochdale, Oldham and District Samaritans

TALKING ABOUT SAMARITANS

OUR CALLERS 78% OF CALLERS ARE NOT SUICIDAL

Ajit Rughoo Healthy Minds

HMR Healthy Minds Main Rochdale Office: 01706 261940 www. penninecare. nhs. uk/healthymi nds

Quick introductions Ajit Rughoo: Service Lead Saiqa Naz: Cognitive Behavioural Therapist

Aims of the session To introduce you the Healthy Minds Service To discuss the different treatments we offer within the service To discuss our referral process

What is Healthy Minds Improving access to Psychological therapies In five years is now the most referred to service in for mental health in the Borough between 80 to 90% of all referrals at SPOE go to Healthy Minds This is a great achievement in a short space of time Specialised service to treat all those with mild to severe common mental health problems such as depression and different anxiety disorders.

Creating better futures by…. Improving access Offer more choice Least restrictive and enabling clients to recovery High volume service Time limited Early referral is key Promoting groups and workshops is key

2014/15

Sources of referrals

Referrals accepted

What we offer Offer choice of treatment options, most of which are available in the evenings. STRESS CLASS This workshop designed at teaching people techniques to recognise and manage stress. Duration : 6 weeks. Each sessions lasts 1 hour 30 mins MANAGING LOW MOOD Teaches people to manage low mood using CBT informed techniques Duration: 6 weeks. Each session lasts up to 2 hours

What we offer cont. . ANGER WORKSHOP Very brief workshop teaching people tools for managing their anger. There is a follow up session two weeks later. Duration: 2 sessions for 2. 5 hrs MINDFULNESS Mindfulness-based Cognitive therapy- for those who have experienced 3 or more episodes of depression, but currently feel okay. Duration: 8 weeks for 2 hrs Mindfulness-based stress reduction- for those with a range of problems including physical health issues and stress. Duration- 8 weeks for 2. 5 hrs

What we offer cont. . FEMALE SURVISORS GROUP- new group For those who have been sexually assaulted in childhood. Largely user led with facilitators present. Helps manage the impact of abuse on current lives and looks at coping strategies. Duration: 10 weeks 1 -2 -1 therapy Step 2 - Psychological Wellbeing practitioners. Face to face or telephone. Brief therapies pack sent to the client. 80% of the clients seen here Step 3 - CBT or Counselling Step 4 - Psychology

The Future – Continue to improve access and deliver social value Community Projects/Drop in sessions we have recently completed- § Petrus § Golden mosque § Groundwork § Rochdale sixth form College § Middleton college § Rochdale police § Deeplish Community Centre

How to refer Can be referred by GP/ other health professional. Referral sent to SPOE at Birch Hill Hospital. Introduced self referral pathway – patients can refer to the HMR Healthy Minds Service directly by submitting online referral at www. penninecare. nhs. uk/healthyminds By calling us on 01706 261940 Current waiting times before first contact- approximately 6 weeks

Any further questions?

Stan Boaler Pennine Care

COMMUNITY MENTAL HEALTH SERVICES 1) Community Mental Health Teams • Current model – 3 sectorised teams, 2 operating from Sudden Resource Centre and 1 from Hanson Corner (Heywood & Middleton). • Multi-disciplinary teams with staff from a range of professional backgrounds. • Focus on complex mental health needs and risks within serious/enduring mental disorder. • Offer holistic assessment of health and social care needs. • Formulations and delivery of individualised care plan with focus on Recovery and supporting optimum level of functioning. • Carers Assessments.

• Commitment towards meeting the social care agenda; personalisation to increase service user choice, social inclusion to improve wellbeing. • Physical health monitoring. • Employment/Education. • Redesigns necessary to address increasing demand make the best use of existing resources. • Principles – Assessment & Short term input, Active Care Co-ordination, Wellness & Recovery (working with 3 rd sector provision). • Township/neighbourhood aligned.

2) Early Intervention Team • 1 st episode psychosis (14 -35 years). • Multi-disciplinary approach. • Close liaison with schools, colleges, Children’s Services. • New Access targets to expand current provision for timely allocation and appropriate therapeutic input.

3) Criminal Justice Mental Health Team • Teams based in each of the 5 boroughs of Pennine Care footprint: • Offer mental health/forensic and risk assessments for those on periphery of offending or have committed offence. • Offer specialise advice in courts, Probation, CPS, prisons, MAPPA etc. • Ensure offenders with a mental disorder/vulnerability receive fair justice – diversion and liaison. • Joint working with CMHTs re management of high risk individuals.

Access/RAID and Home Treatment Team • Access Team – Hours: 8 a. m. – 9 p. m. seven days. Tel: 01706 676179. Offers a single point of access into mental health services. Screens all referrals daily and signposts to most relevant team. Dedicated Consultant Psychiatrist input. • Can provide same day/urgent or priority assessments. • RAID Team – 24/7 tel: 0161 778 2933 can accept direct referrals from emergency department triage for people presenting with mental health needs. Following assessment provides follow up or signposts to most relevant service. • Ward consultations for people post deliberate self harm attempts. • Street Triage – 24/7 telephone triage police/NWAS • Home Treatment Team – 8 a. m. – 9 p. m. seven days. Tel: 01706 676164. • Robust gatekeeping of all referrals into secondary care mental health services. • Can offer support in least restrictive way by offering interventions at home or in the community for people in mental health crisis. • Dedicated Consultant Psychiatrist input.

Questions?

Don’t forget to complete your evaluation forms please. The next Partnership Forum will be on 2 nd November. We will be focusing on Trafficking and Modern Slavery. Details will be on www. safeguarding 4 rochdale. com

Thanks for attending today Information on adult safeguarding can be found at www. safeguarding 4 rochdale. com