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MENTAL HEALTH & LEARNING DISABILITY SERVICE. DELIVERING FOR MENTAL HEALTH IN LANARKSHIRE. Dr Alastair Cook, Associate Medical Director, Mental Health & Learning Disability Service. Outline. A brief history Where are we now ? Where are we going ?. Brief History.
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MENTAL HEALTH & LEARNING DISABILITY SERVICE DELIVERING FOR MENTAL HEALTH IN LANARKSHIRE Dr Alastair Cook, Associate Medical Director, Mental Health & Learning Disability Service
Outline • A brief history • Where are we now ? • Where are we going ?
Brief History • 1895 – opening of Hartwood hospital • 1950’s 2500 beds • 1970’s – 90’s reduction and early community services • 2000 – Mental Health Strategy introduces Resource Networks • 2000 -2011 – community investments • 2011 – closure of Hartwoodhill
Beckford Lodge, Caird Street Glencairn, Coathill
Where are we now? • Complex range of specialist services • Networks involve different agencies delivering care in localities • Less use of inpatient units (80% occupancy)
The Overall Mental Health Strategy CAMHS Substance Misuse Adult Complex Needs OAP Psychological Therapies CMHT Liaison Forensic EMHT OOH/Crisis In-Patient In-Patient IPCU • The Service Model • The Workforce Plans • Estates Issues • Financial Framework
Where are we going ? • Quality Strategy • Person centred care • Clinical effectiveness • Patient safety • Ageing population • Shifting the balance of care • Further community development