2016/17 JSNA People with Mental Health Needs

Mental Health

1 in 10 of new mothers experiences postnatal depression.

Around half of people with long term mental health problems experience their first symptoms by the age of 14

There is a correlation between recorded mental health prevalence and deprivation across Milton Keynes.

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We are all at risk of poor mental health and 1 in 4 of us will experience a mental health problem in the course of a year.

The importance of good mental health and wellbeing shouldn’t be underestimated.  Positive mental health protects the body from the impact of life’s stresses and traumatic events, enabling the adoption of healthy lifestyles including the management of long term illness.   Mentally healthier individuals have better physical health, positive interpersonal relationships and lead to socially healthier societies, supporting people to achieve their potential, realise ambitions, cope with adversity, and work productively.

  • Mental illness in adults can be take the form of ‘common mental disorders’ (including anxiety, depression and obsessive compulsive disorder),  personality disorders, including psychoses and eating disorders or disorders related to substance misuse (alcohol and drugs).

  • The number of people anticipated to have different mental health disorders (based on predicted population increase) in Milton Keynes is expected to increase.
    Common mental health disorder will increase by more than 2500 individuals by 2030.

  • There appears to be a correlation between recorded mental health prevalence and deprivation across Milton Keynes.

  • Nationally around 28% of people who take their life by suicide have been in contact with mental health services in the 12 months prior to their death (Appleby 2016). The most recent suicide audit for Milton Keynes found 42% were known to psychiatric services.

  • Milton Keynes Clinical Commissioning Group and Milton Keynes Council jointly commission services for people with mental health problems.
  • The Mental Health Service in Milton Keynes comprises multi-disciplinary teams providing social care, rehabilitation, therapy and nursing interventions to users. The services are provided by Central and North West London Foundation NHS Trust (CNWL MK) and Milton Keynes Council working in partnership.
  • In addition to secondary mental health services CNWL MK is commissioned to deliver an Improving Access to Psychological Therapies (IAPT) service. This provides evidence-based psychological therapy services for people experiencing depression and anxiety disorders and currently treats more than 4000 people a year.
  • Voluntary sector organisations are commissioned to provide a range of services including supported housing, community support, advocacy and counselling and wellbeing services.
  • Significant improvements have been made to local mental health services including expansion of the hospital liaison team, development of a mental health triage service with Thames Valley Police and investment in Early Intervention in Psychosis Services.
  • The treatment options in primary care can be accessed via self referral or a GP to a stepped psychological care model provided by Improving Access to Psychological Therapies (IAPT), for those people with mild to moderate mental health difficulties such as Depression and Anxiety.
  • Local priorities for mental health services include: Encouraging early recognition of symptoms and easy access to information and support; Closing the gap in health outcomes between mental health and physical health services including investing in improved urgent and planned care for people with mental ill health and developing IAPT services for people with long term health conditions (LTC) and medically unexplained symptoms (MUS); Improving transitions for children and young people to adult mental health services. This includes developing an Autism Diagnosis Service for adults on the autistic spectrum who do not have learning disability; Implementing a new mental health service model in primary care for people experiencing a serious mental health problem as part of the stepped care approach to mental health care locally.

  • Promote positive mental wellbeing, early recognition of and support for mental health problems and ensure this information is easily accessible
  • Build the confidence of frontline staff and the community to recognise early symptoms of poor mental health and signpost/refer appropriately through initiatives such as Mental Health First Aid Training
  • Ensure people receive the right care at the right time and that there are clear care pathways where people can easily step up and down according to their needs
  • Ensure people have access to  support with social issues that are known to impact on of poor mental health including relationships, housing, unemployment and debt.
  • Embed the 5 ways to Wellbeing initiative, particularly the elements ‘Keep Active’, Take Notice (mindfulness and awareness),  Give and Connect. (to facilitate cohesion, community interaction and social isolation).
  • Specifically undertake work  to address  mental wellbeing in the workplace.
  • Ensure physical issues are considered for individuals with a mental health diagnosis in both commissioned mental health services and in primary care and the mental health needs of hose with long term health conditions are addressed.
  • Increase understanding of mental health and wellbeing and reduce stigma of mental ill health.

 

Further detail about 2016/17 JSNA People with Mental Health Needs can be accessed in Milton Keynes Council 2016/17 JSNA People with Mental Health Needs 

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