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Leadership & Partnership in Policing and Mental Health

Leadership & Partnership in Policing and Mental Health. Supt. Paul Bartolomeo , Hampshire Constabulary Insp. Michael Brown, West Midlands Police. What is the scale of the problem?. 1 in 4 (x 4?) + 20-30%. Why is it important?. Lord Adebowale “core police business”

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Leadership & Partnership in Policing and Mental Health

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  1. Leadership & Partnership in Policing and Mental Health Supt. Paul Bartolomeo, Hampshire Constabulary Insp. Michael Brown, West Midlands Police

  2. What is the scale of the problem? 1 in 4 (x 4?) + 20-30%

  3. Why is it important? • Lord Adebowale “core police business” • Vulnerability – how to protect? • Resource - 20-25% of all police work • Demand – not reducing (23k s.136 detentions in 12/13) • Risk – IPCC, reputational • Crime – those who commit crime and have a mental health illness

  4. Governance • Police • CC Simon Cole (Leics) – ACPO lead • Regional Reps • North West: ACC Andy Rhodes (Lancs) • North East: DCC Michael Banks (Durham) • East Midlands: CC Simon Cole • West Midlands: ACC Garry Forsyth (WMP) • Eastern: ACC Tim Newcomb (Suffolk) • London & South East: Cmdr Christine Jones (Met) • South West: ACC Sharon TAYLOR (D&C) • Wales: DCC Matt Jukes (South Wales)

  5. The NHS…. • Health & Social Care Act 2012 • Strategic Health Authorities, Primary Care Trusts. • New Health & Wellbeing Boards, new Clinical Commissioning Groups. • Commissioners and Providers • Hampshire example • Was 1 x SHA and 1 x PCT • Now 4 x HWB and 8 x CCGs

  6. Plus…Local Authorities • Provide both Adult and Child Services which are essential in dealing with most mental health related demand. • Under 18’s – joint commissioning?

  7. How can you influence? • Representation on Health & Wellbeing Boards • Know your CCG MH lead and lead GP • Know your mental health provider, it is not just a public protection matter Michael Brown’s ‘Senior Officer Checklist”

  8. Policing and Mental Health • Two areas of business – • Policing and the Mental Health Act • Crime and Custody

  9. Policing and the Mental Health Act • Place of Safety operations – needed 23,000 times a year, (estimate). • Operation of informal exclusion criteria – drugs / alcohol / aggression … and children! • Lack of proper commissioning of PoS services. • Difficulties in data gathering – no-one is counting it properly! • Police use of the power – links to training of officers. • NHS integration of Ambulance and A&E into 136 pathways.

  10. Assessments, AWOLs and Conveyance • Section 135(1) MHA – the “warrant or not warrant debate” – misunderstanding by AMHPs about legalities / police powers. • AWOL patients account for over 10% of missing people – para 22.13 MHA CoP and NHS duties to recover patients. • The role of ambulance service in commissioned arrangements for conveyance – a role for CCGs to ensure provision.

  11. Crime and Custody • Research indicates 12-15% of those arrested are thought by the police to have mental health issues – we know this under-estimates the prevalence. • Comparing arrest data with patient date (Sussex) suggests that 40-50% of those arrested are secondary care patients. • We know that “diversion” is determined by MHA admission criteria – not by potential legal liability.

  12. Diversion Decision-Making • 10,000 custody records • 1,076 – “flagged” as involving mental ill-health • All seen by the FME in custody. • 512 – “flagged” by the FME for NHS assessment. • 415 – not requiring admission to hospital, but referral made: GP or CMHT. • 97 – requiring hospital admission.

  13. Admission criteria • 97 offenders for substantive offences requiring admission. • 8 admitted under s3 MHA – for treatment. • 17 admitted informally / voluntarily – for treatment / assessment. • 72 admitted under s2 MHA – for assessment / treatment. • Prosecutions / use of bail = ZERO. • What happened to these patients?

  14. Internally • Post incident procedure – what about predictive/preventative • Who is leading in your force? • How many of your staff/leaders are absent due to mental illness? • Return to work and ongoing support? • Time to change • How to talk to colleagues • How to support them back into the workplace • Role models to talk about their experiences

  15. In Hampshire • Medium sized force –1.9M pop, 3200 officers • Cost – at least £1.5M per year • Dedicated resource • Chief Constable chairs oversight board • PCC interest & priority • Mental Illness Liaison Officers • Autism Support Group • Joint Police/MH patrols • Control room

  16. Challenges • Get involved….partnership working • Allocate resources • Influence partners • Understand your demand • Training – both tactical and strategic • Manage upwards

  17. The result? • Less demand • Less risk & better risk assessment • More effective partnerships • Healthier workforce • Better outcomes for patients, police and the public.

  18. Thank you Paul Bartolomeo – 07880 783206 - @SuptPaul Michael Brown – 07890 540094 - @MentalHealthCop

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