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DEVELOPING INTEGRATED SERVICES IN MANCHESTER MATT PATERSON Consultant Nurse

Manchester. Transient Population.High Psychiatric Morbidity.High levels of socio-economic deprivation.High levels of complex needs.One of highest numbers of MDO' s outside London.Pop: City 500K, Urban Area 3m, Region 7m.. PILOT 2007. Commissioned by NHS Manchester and Manchester DAST.A fact fi

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DEVELOPING INTEGRATED SERVICES IN MANCHESTER MATT PATERSON Consultant Nurse

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    1. DEVELOPING INTEGRATED SERVICES IN MANCHESTER MATT PATERSON Consultant Nurse

    2. Manchester Transient Population. High Psychiatric Morbidity. High levels of socio-economic deprivation. High levels of complex needs. One of highest numbers of MDO’ s outside London. Pop: City 500K, Urban Area 3m, Region 7m.

    3. PILOT 2007 Commissioned by NHS Manchester and Manchester DAST. A fact finding mission to identify need. Multi-disciplinary team. Multi speciality team. Demonstrated marked improvements in clinical domains.

    4. MO:DEL 2009 Single integrated CJLT. Neighbourhood Policing. Court Diversion/Mental Health Court. Prison Liaison Diversion Panels Custody Probation Support for other providers

    5. MO:DEL Male and female Aged over 16 In contact with CJS or likely to due to behaviour Not effectively engaged with current providers Evidence of mental health need Resident of the City of Manchester.

    6. Interventions Liaison Information Sharing Assessment Active Case management for 6 months Aim to engage with the service users and facilitate on referral to appropriate services

    7. Activity 2009/10 802 referrals across CJS. Main referrers CJS. 169 liaison only cases. A number on a Trajectory to MSU. Most cases historical contact with MH and SM services.

    8. Key Elements Stakeholder relationships. Partnership. Flexibility. Eclectic interventions. Rapid response to referrals. Shared information systems. Demonstrate efficiencies.

    9. Key Challenges. Interface between care and justice. Exclusion by criteria Accommodation. Balancing ‘recovery’ and public protection.

    10. Key Findings This client group is complex if not severe This complexity is not catered for effectively by existing services. This client group presents with overwhelming indicators of actuarial, clinical and contextual risk. These service users respond to assertive treatment and engagement. There is a gap in provision for a service to take care co-ordination responsibility for this client group. Engaging with this client group is not problematic if there is the will to do so.

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