Abstract
Introduction: The Bevan Commission Initiative, now a pilot in Cwm Taf Morgannwg University Health Board (CTMUHB) and Cardiff and Vale University Health Board (CVUHB), integrating third sector organisation Adferiad Recovery into a multi-disciplinary team approach, providing person centred planning, around social care needs, utilising Adferiad’s Recovery Programme. The CSN provides early intervention, person lead action planning addressing social crisis of those, presenting to the Mental Health Crisis Pathways.
Through these pathways people access the Crisis Teams, Admission Ward (CTMUHB only) and the Crisis Resolution Unit (CVUHB only). Seeking support for a crisis regarding their mental wellbeing and or mental illness.
Additional services operate within Merthyr Tydfil’s County Borough Councils supporting those under 35, seeking housing, in social crisis. Nationally as a response to the Covid-19 Pandemic supporting the people of Wales in social crisis.
Aims, Objectives, Theory or Methods: The overall aim of the CSN is to support people experiencing poor mental health and wellbeing to identify and engage with the appropriate available service in the community. Reducing the reliance on mental health services, teaching communities of alternative options to address their needs with early, manageable interventions tackling, over medication, over diagnosis and over testing in line with the principles of Prudent Healthcare.
The CSN transitions into the community with a person leaving medical services, continuing to support their individual needs at the present time, developing skills to be able to manage, future similar circumstance. The optimum outcome being the empowerment of the individuals and preventing or reducing additional presentations to statutory services.
Achieving the empowerment of a person the CSN utilises two tools Adferiad’s Recovery Graph and Recovery Plan. The Recovery Graph allows the CSN to identify, individual’s main social care needs, while allowing people to lead on all goal setting and action planning regarding their social care. While supporting a person to be able to self-evaluate their current social care needs, through a scaling measure between 0 -10. This process is repeated through the use of the Recovery Plan to address progress and where progress may not have been achieved, to review the actions set to achieve an overall long term goal.
Highlights or Results or Key Findings: The highlights of the CSN aside from the support being provided offered to all the clients being offered by the co productive practices of the third sector and statutory services is the actual results being captured. Demonstrating the need for and the benefits of a Person Centred Approach, highlighting early interventions should be considered instead of reactive medical models where possible.
Through the CSN service we hope to demonstrate while there is an understandable need for the medical model. Reviewing and supporting the whole person can yield substantial benefits to clients, services and communities of people.
Conclusion: The conclusion has not yet been reached as our initial pilot will end in October 2022. However, through the expansion of the model now within two LHBs and adapted models working within other areas, generating results for people on a weekly basis. It is fair to say the service generates the desired beneficial outcomes working with people within their own communities in line with the Principles of Prudent Health Care.
Implications for applicability/transferability, sustainability, and limitations: To date the biggest and most challenging element of delivery has been the referrals being received are overloading the capacity of service delivery. Resulting in more specific referrers being required, to which I can only contribute to the amount of people accessing services currently in social crisis.