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Social Inclusion. Victoria Betton Associate Director - Partnerships & Inclusion. Defining inclusion. “Social inclusion must come down to somewhere to live, something to do and someone to love. It’s as simple – and as complicated – as that ” Charles Fraser In evidence to the MIND Enquiry
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Social Inclusion Victoria Betton Associate Director - Partnerships & Inclusion
Defining inclusion “Social inclusion must come down to somewhere to live, something to do and someone to love. It’s as simple – and as complicated – as that” Charles Fraser In evidence to the MIND Enquiry Creating Accepting Communities
Cross government Prevention Early intervention Tackling stigma All ages Personalised care Policy context
Proportion of adults in contact with secondary mental health services in employment Proportion of adults in contact with secondary mental health services in settled accommodation Policy context
prevention of illness and promotion of health and well-being early intervention for those who develop a health condition an improvement in the health of those out of work – so that everyone with the potential to work has the support they need to do so. Policy context
appropriate employment actively improves mental health and well-being people with mental health conditions can and do pursue successful careers most people with a mental health condition who are out of work would like to be in paid employment Policy context
Grow vocational support Encourage services to focus on employment Outlaw pre-employment health checks Public sector lead by example Mental health co-ordinators in Job Centre Plus Policy context
Co-production as a solution? “public services need to turned inside out, so that they can rediscover the human resources and remake the social networks that reduce demand on professionals and support public service interventions so succeed. We must unleash the huge wasted resources represented by recipients of services, and their families & neighbours” The Challenge of Co-production (New Economics Foundation, 2010)
A couple of local examples • Employment • Challenging stigma • Arts and creativity
Senior manager engagement Front line worker process mapping Senior manager sign up to priorities Improving the system A local exampleEmployment Pathways
Employment pathwaysWhat we found The number of assessments and different places to go is very stressful
Employment pathwaysour priorities • Single point of access for employment support providers to get advice about mental health • Single point of access to employment support • Single assessment process between agencies • Information sharing protocol and process • Case management model • Co-ordinate work with employers to improve mentally healthy workplaces
Get Moving A local exampleChallenging stigma
Researching Recovery from PsychosisRoyal College of Psychiatrists (2007) “Recovery means, what it means to me, well getting on the path where I am now, being able to go back to work, hold a job down, you know, carry on with other normal things what people can” “Just that I have got to get on with my life, getting married, getting a house, getting a job, to me that’s recovery” “I think I see it as learning that psychiatry is not the only way of looking at things... I think for most of us when we come to psychiatry we see it as a benign and helpful institution that is going to get us right. And when we have been in a little while we find that it confines us. It keeps us as mentally ill people for the rest of our lives, you know. So first of all you have to realise that there is life beyond mental illness”
Thank you Victoria.betton@leedspft.nhs.uk