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Improving Mental Health Crisis Care

Friday 28 April 2017
De Vere West One Conference Centre, London

Improving Mental Health Crisis Care
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“The Achieving Better Access to Mental Health Services programme has been developed by NHS England, the National Institute for Health and Care Excellence and the National Collaborating Centre for Mental Health to introduce standards for mental health care and ensure that these can be properly measured across the country. The aim? To begin a major national implementation programme to make sure people with mental health problems get prompt access to evidence-based NICE-recommended care, on a par with the care provided for physical health problems. Nowhere within mental health care is the issue of parity more important than in the provision of urgent and emergency care for people experiencing a mental health crisis. Proper funding for mental health crisis care and its full integration within NHS urgent and emergency care was one of the commitments made in the Five Year Forward View for Mental Health…… Never before has timely access to high quality mental health care been accepted as so necessary by the whole health and social care community. Now we, as commissioners, providers, health and social care workers and partners across the whole urgent and emergency care pathway, must rise to this challenge and meet these expectations.” Professor Tim Kendall National Clinical Director for Mental Health (Achieving Better Access to 24/7 Urgent and Emergency Mental Health Care – Part 2: Implementing the Evidence-based Treatment Pathway for Urgent and Emergency Liaison Mental Health Services for Adults and Older Adults – Guidance. First published: November 2016)

The Care Quality Commission recently found that “Many people found that help was not available when they needed it, care was not centred around their needs and staff did not always treat them with respect or compassion when they were in crisis.” CQC, State of Care 2015/16, October 2016

“In its recent review of crisis care, the Care Quality Commission found that only 14 per cent of adults surveyed felt they were provided with the right response when in crisis, and that only around half of community teams were able to offer an adequate 24/7 crisis service. Only a minority of hospital Accident & Emergency (A&E) departments has 24/7 cover from a liaison mental health service, even though the peak hours for mental health crisis presentations to A&E are between 11pm and 7am. Too often, people in mental health crisis are still accessing mental health care via contact with the police…People facing a crisis should have access to mental health care 7 days a week and 24 hours a day in the same way that they are able to get access to urgent physical health care. Getting the right care in the right place at the right time is vital. Failure to provide care early on means that the acute end of mental health care is under immense pressure. Better access to support was one of the top priorities identified by people in our engagement work. Early intervention services provided by dedicated teams are highly effective in improving outcomes and reducing costs… Improving the 7 day crisis response service across the NHS will help save lives as part of a major drive to reduce suicide by 10 per cent by 2020/21. Every area must develop a multi-agency suicide prevention plan that demonstrates how they will implement interventions targeting high risk locations and supporting high-risk groups within their population… At present only half of the country offers a 24/7 community-based mental health crisis service. New funding should be made available so by 2020/21 Crisis Resolution and Home Treatment Teams (CRHTTs) can offer intensive home treatment as an alternative to acute inpatient admission in each part of England.” Mental Health Taskforce Report, 15th February 2016

“Our thematic review Right here, right now concluded that far too many people in a mental health crisis have poor experiences of care and do not receive basic respect, warmth and compassion. This is unsafe and, when compared with the services available to people with physical health problems, unfair.” Care Quality Commission

This conference focuses on Improving Mental Health Crisis Care, delivering a new model of mental health crisis services, and meeting the ambitions of the Mental Health Crisis Concordat.

The conference will open with a national update from the Mental Health Crisis Concordat on the Achieving Better Access to 24/7 Urgent and Emergency Mental Health Care report followed by progress against NHS England’s commitments. The conference will then continue with case studies from the NHS, Police, and Ambulance Services, commissioners and perspectives from service users.

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