Serenity Integrated Mentoring (SIM) · Serenity Integrated Mentoring (SIM) Clinical behaviour...
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@WessexAHSN @SIMIntensive wessexahsn.org.uk What does a SIM Team look like? Isle of Wight Case Study Resources Top tips for implementation Adoption and spread Adoption and spread Enablers Contacts Specialist mental health and police teams, supporting high risk mental health service users e number of mental health crisis calls are increasing each year. Up to 40% of 999 calls, in each MH trust, are by the same patients; a small number of repeat callers who struggle to manage highly complex behavioural disorders, placing intensive demands on police, ambulance, ED departments and mental health teams. SIM is a model of care which integrates mental health care and policing in order to reduce crisis interventions. SIM results in better outcomes for individuals. A fusion of skills using a mentoring model that is integrated, personalised, consistent, resilient and supportive e first 4 HIUs utilised public services of £210,000 between 2011-2015 ● e High Intensity Network website provides lots of information about implementing SIM: highintensitynetwork.org ● Health Innovation Network London are implementing SIM across their geography. ey have produced a spread and adoption report, providing guidance, learning, and tips. Access the report here: healthinnovationnetwork.com/wp-content/uploads/2018/06/e-Implementation-of- SIM-London-Report.pdf ● Engagement and leadership of the relevant clinical lead is crucial ● Agree a project plan – set a time frame (3 – 4 months) to implement SIM ● Share templates and completed documents ● Use the library of governance documents available ● Map stakeholders and engage with them ● Resist the temptation to implement SIM with a big bang – use a staged approach ● Identify administrative support from the onset ● Set the launch date Public services utilisation of 4 HIUs between 2011-2015 ● 49 NHS assessments (s136) ● 140 ambulance deployments ● 210 A&E attendances ● 282 mental health bed days ● 23 bed days in acute hospital ● 374 police incidents Total value of resources for 4 HUI - £210,000 HIUs public services utilisation and total cost per year ● Boots on the ground ● Hold multi agency stakeholder meetings - coordinate and support one large monthly meeting. Coordinate, chair, and provide a central venue for these meetings. Joint meetings create a sense of wanting to be included. ● Attend local meetings - Ensure all project team roles are represented in the local project meetings and include service users and carers. ● Good communication is vital – communication should begin early. Opportunities for communication include Trust wide intranet announcements and Trust newsletters ● Listen to service user and carer feedback and respond to any concerns, they are your ambassadors. Supported by: ● Paul Jennings, National Programme Manager [email protected] ● Alison Griffiths, Mental Health Programme Manager, Wessex AHSN Alison.Griffi[email protected] ● Aileen Jackson, Head of Mental Health, Health Innovation Network South London [email protected] More information about SIM can be found at www.highintensitynetwork.org @SIMIntensive Serenity Integrated Mentoring (SIM) Clinical behaviour Medical risk Bio-medical treatment and advice consensual Mental Health Nurse Service User Police Officer Social behaviour Community risk Pyscho-social boundaries coercive COMPLEX CHAOTIC HIGH RISK Northumberland County Durham Tyne & Wear North Yorkshire West Yorkshire South Yorkshire Humberside Lincolnshire Norfolk Suffolk Essex Cambridgeshire Notts Derbyshire Staffordshire Chester Lancashire Shropshire Herefordshire Worcestershire Warwickshire Leicestershire Rutland Northants Hertfordshire Bedfordshire Gloucestershire Oxfordshire Bucks Surrey Greater London West Sussex East Sussex Kent Hampshire Dorset Wiltshire Somerset Devon Cornwall Cumbria Northamptonshire NHS Dorset Healthcare NHS Derbyshire Healthcare NHS Isle of Wight NHS Solent NHS Merseycare NHS 2gether NHS Lincolnshire Partnership NHS Lancashire Care NHS Essex Partnership University NHS Sussex Partnership NHS Kent & Medway NHS Nottinghamshire Crisis Care Concordat Leicestershire Partnership NHS Surrey & Borders NHS Cambridgeshire & Peterborough NHS Norfolk & Suffolk Foundation Trust South & West Yorkshire MH NHS Trusts setting up teams 15 Trusts in discussion 15 Trusts with live teams 9 Independent integrated model 3 Cheshire & Wirral NHS Dudley & Walsall MH NHS Birmingham & Solihull NHS Coventry & Warwickshire NHS Norfolk Comm HealthCare NHS Rotherham, Doncaster & S Humber NHS Sheffield Health & Social Care NHS *ese figures include the 9 London MH Trusts (shown on a different map) Black Country Partnership NHS Cumbria Partnership NHS Hertfordshire Partnership University NHS Humber NHS Buckinghamshire CCG Berkshire Healthcare NHS Oxfordshire Healthcare NHS Trusts not yet on the network 16 NE & NORTH CUMBRIA GRT MANCHESTER NW COAST WEST MIDLANDS WEST OF ENGLAND OXFORD YORKSHIRE & HUMBER EAST MIDLANDS EASTERN KENT SURREY SUSSEX SOUTH WEST WESSEX Avon & Wiltshire NHS £0 £10,000 £20,000 £30,000 £40,000 £50,000 £60,000 £70,000 £80,000 £90,000 £100,000 0 50 100 150 200 250 300 350 400 450 500 2011 2012 2013 2014 2015 Police incidents NHS assessments (S136) Ambulance deployments A&E attendances Mental Health bed days Other NHS bed days Total costs Year person engaged with SIM Enfield Barnet Haringey Redbridge Havering Newham Greenwich Bexley Bromley Croyden Sutton Kingston Tower Hamlets Barking and Dagenham City Walham Forest Harrow Brent Ealing Hounslow Hillingdon Richmond Wandsworth Merton Lambeth Southwark Hammersmith Kensington and Chelsea Islington Camden Westminster Lewisham Hackney
Transcript of Serenity Integrated Mentoring (SIM) · Serenity Integrated Mentoring (SIM) Clinical behaviour...
@WessexAHSN @SIMIntensive
wessexahsn.org.uk
What does a SIM Team look like? Isle of Wight Case Study
Resources
Top tips for implementation
Adoption and spread Adoption and spread
Enablers
Contacts
Specialist mental health and police teams, supporting high risk mental health service usersThe number of mental health crisis calls are increasing each year. Up to 40% of 999 calls, in each MH trust, are by the same patients; a small number of repeat
callers who struggle to manage highly complex behavioural disorders, placing intensive demands on police, ambulance, ED departments and mental health teams.
SIM is a model of care which integrates mental health care and policing in order to reduce crisis interventions. SIM results in better outcomes for individuals.
A fusion of skills using a mentoring model that is integrated, personalised, consistent, resilient and supportive
The first 4 HIUs utilised public services of £210,000 between 2011-2015
● The High Intensity Network website provides lots of information about implementing SIM: highintensitynetwork.org
● Health Innovation Network London are implementing SIM across their geography. They have produced a spread and adoption report, providing guidance, learning, and tips. Access the report here: healthinnovationnetwork.com/wp-content/uploads/2018/06/The-Implementation-of- SIM-London-Report.pdf
● Engagement and leadership of the relevant clinical lead is crucial
● Agree a project plan – set a time frame (3 – 4 months) to implement SIM
● Share templates and completed documents
● Use the library of governance documents available
● Map stakeholders and engage with them
● Resist the temptation to implement SIM with a big bang – use a staged approach
● Identify administrative support from the onset
● Set the launch date
Public services utilisation of 4 HIUs between 2011-2015
● 49 NHS assessments (s136)
● 140 ambulance deployments
● 210 A&E attendances
● 282 mental health bed days
● 23 bed days in acute hospital
● 374 police incidents
Total value of resources for 4 HUI -
£210,000
HIUs public services utilisationand total cost per year
● Boots on the ground
● Hold multi agency stakeholder meetings - coordinate and support one large monthly meeting. Coordinate, chair, and provide a central venue for these meetings. Joint meetings create a sense of wanting to be included.
● Attend local meetings - Ensure all project team roles are represented in the local project meetings and include service users and carers.
● Good communication is vital – communication should begin early. Opportunities for communication include Trust wide intranet announcements and Trust newsletters
● Listen to service user and carer feedback and respond to any concerns, they are your ambassadors.
Supported by:
● Paul Jennings, National Programme Manager [email protected]
● Alison Griffiths, Mental Health Programme Manager, Wessex AHSN [email protected]
● Aileen Jackson, Head of Mental Health, Health Innovation Network South London [email protected]
More information about SIM can be found at www.highintensitynetwork.org @SIMIntensive
Serenity Integrated Mentoring (SIM)
Clinical behaviourMedical risk
Bio-medical treatment and advice consensual
Mental Health Nurse Service User Police Officer
Social behaviourCommunity risk
Pyscho-social boundaries coercive
COMPLEX
CHAOTIC
HIGH RISK
Northumberland
County Durham
Tyne &Wear
North Yorkshire
West Yorkshire
SouthYorkshire
Humberside
Lincolnshire
Norfolk
Suffolk
Essex
Cambridgeshire
Notts
Derbyshire
Staffordshire
Chester
Lancashire
Shropshire
Herefordshire
WorcestershireWarwickshire
LeicestershireRutland
Northants
Hertfordshire
Bedfordshire
Gloucestershire
OxfordshireBucks
Surrey
GreaterLondon
West Sussex East Sussex
Kent
Hampshire
Dorset
Wiltshire
Somerset
Devon
Cornwall
Cumbria
Northamptonshire NHS
Dorset Healthcare NHS
Derbyshire Healthcare NHS
Isle of Wight NHS Solent NHS
Merseycare NHS
2gether NHS
Lincolnshire Partnership NHS
Lancashire Care NHS
Essex Partnership University NHS
Sussex Partnership NHS
Kent & Medway NHS
Nottinghamshire Crisis Care Concordat
Leicestershire Partnership NHS
Surrey & Borders NHS
Cambridgeshire & Peterborough NHSNorfolk & Suffolk Foundation Trust
South & West Yorkshire MH NHS
Trusts setting up teams15
Trusts in discussion15
Trusts with live teams9
Independent integrated model3
Cheshire & Wirral NHS
Dudley & Walsall MH NHSBirmingham & Solihull NHS
Coventry & Warwickshire NHS
Norfolk Comm HealthCare NHS
Rotherham, Doncaster & S Humber NHSShe�eld Health & Social Care NHS
*�ese figures include the 9 London MH Trusts (shown on a different map)
Black Country Partnership NHS
Cumbria Partnership NHS
Hertfordshire Partnership University NHS
Humber NHS
Buckinghamshire CCG
Berkshire Healthcare NHS
Oxfordshire Healthcare NHS
Trusts not yet on the network16
NE & NORTH CUMBRIAGRT MANCHESTER
NW COAST
WEST MIDLANDS
WEST OF ENGLAND
OXFORD
YORKSHIRE & HUMBER
EAST MIDLANDS
EASTERN
KENT SURREY SUSSEX
SOUTH WEST WESSEX
Avon & Wiltshire NHS
£0
£10,000
£20,000
£30,000
£40,000
£50,000
£60,000
£70,000
£80,000
£90,000
£100,000
0
50
100
150
200
250
300
350
400
450
500
2011 2012 2013 2014 2015
Police incidents NHS assessments (S136)
Ambulance deployments A&E attendances
Mental Health bed days Other NHS bed days
Total costs
Year person engaged with SIM
Enfield
Barnet
HaringeyRedbridge
Havering
Newham
Greenwich
Bexley
Bromley
CroydenSutton
Kingston
TowerHamlets
Barking andDagenham
City
Wal
ham
For
est
Harrow
Brent
Ealing
Hounslow
Hillingdon
RichmondWandsworth
Merton
Lambeth
Southwark
Ham
mersm
ithKensington
and Chelsea
Islington
CamdenW
estminster
Lewisham
Hackney
