Mary Donaghy & Judith LeesManagers, Mental Health & Children Project, Health & Social Care Board,

Northern Ireland

Damien Kavanagh

Workshop A:Putting the SCIE Parental Mental Health & Child Welfare Guide recommendations into

practice and evaluating their impact in Northern Ireland

NORTHERN IRELAND NORTHERN IRELAND PILOT SITEPILOT SITE

Mary Donaghy and Judith Lees Mary Donaghy and Judith Lees 77thth July 2009 July 2009

THINK INDIVIDUAL, THINK FAMILY

MENTAL HEALTH & CHILDREN’S SERVICES PROJECT

• Background to Project

• Health & Social Care Structure

- Northern Ireland

• Structure of Project

• Progress to Date

• Carers Perspective

VISION

Improve outcomes for Parents with mental health issues and their children by establishing a

“Think Individual, Think Family”.

Model for planning and delivery of services

AIM

• Improve practice through enhanced collaborative working

• Better understanding of multi-disciplinary professionals’ roles and responsibilities

MinisterDHSS&PS

Agencies:Blood Transfusion Agency

Guardian Ad LitemSocial Care Council

Regional Quality Inspection Authority

5 Health & Social Care Trusts

1 Ambulance Service

7 Local Commissioning

Groups

Primary Care/GP/ other independent

Primary Care Providers

Public Health Agency

Patient &Client Council

Health and Social Care

Board

Patients&

Clients

Mental Health & Children’s Services Project(Think individual Think Family)

STRUCTURESTRUCTUREDHSSPS

Health & Social Care Board

Think Individual Think Family Project Board

Belfast LocalityProjectTeam

Southern LocalityProject Team

South EasternLocality Project

Team

Western Locality

Project Team Northern Locality

Project Team

Work Streams

Work Streams

Work Streams

Work Streams

Work Streams

PLANNING PROCESS

• LINKS

• REGIONAL LAUNCH 19/05/09

• WORKSHOPS

• PROJECT BOARD/INDUCTION WORKSHOP

OBJECTIVES 1-10

1. Establish Project Board: Project Plan, resources, communication, and processes for Project Board.

2. Complete benchmarking within mental health and children’s services where interface occurs.

3. Establish Project Locality teams within 5 Trusts and agree Terms of reference.

4. To develop communication strategy.

5. Develop a regional protocol to manage cases across the mental health and children’s services.

6. Ensure referral//screening processes routinely and reliably identify and record information about parents who have a mental health illness.

7. The 5 Trusts will adapt existing assessment procedures to take account of Think Individual, Think Family model.

8. The 5 Trusts will adapt how care is planned, reviewed and provided to take account of Think Individual, Think Family model.

9. Develop a strategic approach to maintain change to the review and implementation of policy and practice.

10. Training Strategy will be developed to meet training and staff development requirements to address Think Individual, Think Family model.

• Project Locality Teams/induction workshop

• Workstreams

“Familial Resilience”

A Son’s Perspective

Damien Kavanagh7th July 2009

A Carer …

• Partner• Sibling• Friend• Son• Daughter• You?• Two definitions – of equal importance

Family Role

• Assist in assessment and diagnosis by providing medical histories and family information

• Contribute to decisions about the suitability of treatment based on past experience

• Advocate on the person’s behalf • Provide a supportive network of relationships around

the person as he/she recovers• Provide practical, financial and emotional support

along the person’s journey through recovery

The impact on the familyEarly feelings• Feeling dazed• Confused• Angry• Ashamed• Guilty• AfraidHealthShame and stigma (Normalisation)Relationships in and beyond the familyWork and financeCompassion FatigueCollective and Individual Resilience

Confidentiality

“I need to know what you are trying to achieve for my son and how you are planning to do it. I need to understand the treatment that he is receiving so that I can play my part in his recovery programme.

What I do not need to know are the personal details of what takes place between him and the professionals concerned.”

What Carers want ….

• Respect• Humanity• Listening • Positive approach – Strengths and Resilience• Information – Age specific• Signposting• Carers Assessments / Grants

The Dilemmas

• Child Protection and Wellbeing

• Individual Recovery and Wellbeing

• Family Recovery and Wellbeing

• Paperwork and ‘Risk’

• Caseload

• Partnership and Stakeholder

Thank You

damien@cause.org.uk

90565450 / 07738988300

www.cause.org.uk