Monthly Newsletter of Camden Mental Health Consortium

ISSUE 91

March 2005

 

APPROPRIATE  RESPONSE

The increase in violence in psychiatric facilities can only be condemned and require action.  Hospitals need to be safe places for patients, staff and visitors.

 

There are important questions about the nature of the problem and the appropriateness of the response which is made to try and deal with it.  The experience in American schools to an altogether larger problem of violence by the use of metal detectors and armed guards has singularly failed.  The British experience is not so different.

 

A more effective approach would be to identify the ‘trigger points’ for violence and respond to these in an effective manner.  Some of this is about design and technology which would require expenditure; some of this is about attitude which would require training.  All of this is about seeking to improve security by methods which would not leave people feeling that they are living and working in a prison.

 

 

NO  BILL  YET

The government sent its Draft Mental Health Bill to a Joint Committee of both Houses of Parliament for Pre-Legislative Scrutiny.

The Joint Committee reported on 23 March (see: www.publications.parliament.uk/pa/jt/jtment.htm) and although it recognised there may be a need for a new Mental Health Act and some of the benefits which the Draft Bill offered, it felt that many of the features of the Draft Bill, including the open definition of mental illness and the possibilities of compulsory treatment, were unsatisfactory and would erode civil liberties.  There was concern that the bill would give powers similar to Anti Social Behaviour Orders (ASBOs) to be used against people with mental health problems.

The Committee also recognised that not enough money was being allocated to mental health care and the cost of the new proposals.  The investment in mental-health services in no way mirrors that in acute care.  This is something which campaigners have been saying for a very long time and which everyone involved in the system seems to acknowledge and accept, except perhaps PCT Commissioners locally.  The report is hailed as a victory for the mental health lobby and may mean that the seven-year battle against the Bill has been won

The report must cause the government to rethink its position, since it would require a fundamental redrafting of the current bill and there is some belief that the forthcoming election will see the bill dropped from the legislative calendar and the problems associated with mental illness and dangerousness will be decoupled in line with the truth that most people with mental ill-health are more  vulnerable than they are dangerous and that services should adequately meet their needs.  This would require greater investment in mental health services.

 

CMHC NEWS

THANKS

CMHC would like to thank the following Charitable Trusts for their generous response to our appeal for funds to establish the post of Part-time Co-ordinator for CMHC/CBUG

The City Parochial Foundation which has made a grant of £27 000 over three years.

The Hampstead Wells and Campden Trust which has made us a donation of £3 000.

CMHC’s Trustees decided to try and establish the post of part-time Co-ordinator for a number of reasons.  One of them being that this was a wish expressed by CBUG members to have a dedicated worker to support that group.  The post has been costed at £27 000 per year over three years and it was intended to establish it by April 2005.  Although we have been successful in some of our applications for funding others have failed.  We are now in the position of having some money to establish this post but not enough to do so at the level that we think is needed.  This is a dilemma with which the Trustees are currently wrestling and although CMHC does have further funding applications outstanding, we must begin to question whether this post is one that we will be able to create or will we be in the difficult position of having to return the money?

 

THE GROVE  UNIT

CMHC has received the following information about the naming of the new mental health unit in the Nurses Tower at The Royal Free Hospital:

Names for the new unit have been submitted, following publicity, from both users and staff.  Many thanks to all who contributed their ideas and energy to this.

A panel of Penny Abraham (representing users of the service ), Dr Anne Bird and Colin Plant, advised by George Platts, considered the many different options, including Australian indigenous trees, aromatic oils, literary greats (including Morrisey of the Smiths!) and famous Camden people.  It was decided that local place names would be the winning option.

The name chosen for the new unit is the Grove Centre.  The three wards names proposed are Solent, Fleet and Heath .  All these names are local place names, with the Fleet being the name of a local underground river.

NORTH  CAMDEN  USER  FORUM  (NCUF)

The March meeting of the North Camden User Forum decided to look at the Care Trust proposals for reducing the incidences of violence with dangerous weapons and the use of illicit drugs on inpatient wards.  This was predicted as being a lively meeting and it turned out to be just that.  Andy Smith, a former Superintendent in the Metropolitan Police, the Care Trust’s Criminal Justice Consultant came along to talk about the problem and some of the potential solutions which were being looked at by a reference group which included service users.

Among the issues raised were the possible use of metal detectors and breathalysers.  Service users expressed their concerns about the use of such devices and the effect that they would have on the inpatient environment.  There was also great concern about the use of random searches and the fact that they would be likely to be directed at a particular group.

This is a big topic and one of great concern to the service user.  It is to the credit of the Care Trust that it is currently having the debate.  It will be to its greater credit if the eventual response is one that does not make hospital wards seem like fortresses.

At its meeting from 5.00 – 6.30 pm on Tuesday, 5th April in Room 20 on Level 2 at The Royal Free Hospital (near Psychiatry Out-patients) Mary O’Leary and her team from the Patients Advice and Liaison Service (PALS) will come along to talk about the work that they have been doing.  PALS has a good record for solving problems swiftly and painlessly. It will be interesting to see if their move from the St Pancras site to an office in Kentish Town has brought about any changes in the nature of their work and their relations with service users and the Care Trust.  This service has always made a point of relating to the wider service-user community through the North and South Camden User Forums and we are pleased to offer them that opportunity. 

One of the criticisms of in-patient care that seems to come up again and again is ‘nurses never talk to the patients’.  This is clearly an important point in terms of treatment regiemes and patient care and does not seem to have been addressed by the Care Trust.  In an attempt to obtain more detailed information on this point and in particular to try and ensure that the operational policy for the new Royal Free Unit addresses any deficiencies the May NCUF will look at ‘Nurses and Patients Taking’ when Roger Evans who is the Service Manager for the RFH in-patient wards and a nurse will come along with some other nurses to discuss this question and look for some solutions to the expressed problem.

 

NEWS  FROM  THE  VOLUNTARY  SECTOR

 

Aidan Moloney is the Co-ordinator of Camden & Islington Providers’ Forum (CIPF).  We include regular monthly contributions from Aidan telling people what is happening in the voluntary sector.  Aidan can be contacted by post at Camden & Islington Providers’ Forum, St. James’s House, 15 – 20 Bruges Place, Baynes Street, London, NW1 0TF; by ‘phone on 020 7428 5999, and by e-mail at cipf.office@virgin.net

Last June, the Black and Minority Ethnic Mental Health Strategy Group hosted a Community Engagement Event to ensure that BME service users were actively involved in the development of the BME mental health strategy for Camden and Islington.  This event stimulated very lively debate amongst the large audience that attended.

One year on, CIPF, in partnership with Camden and Islington Mental Health and Social Care Trust, and our two local Primary Care Trusts (PCTs), is hosting another event to examine what impact the strategy has had during the past twelve months and to allow service users, their families and carers, and interested members of the local community to voice their opinions on the subject of the quality of mental health services on offer to those from BME communities and to look at some innovative projects that are currently in operation.  In this way, we hope also to promote the mental health of those service users who are involved, through the process of being consulted and included in decisions which affect them.  This event will be held on Thursday 7th April from 6.00 – 8.30pm at the Resource Centre, Holloway Road, N7. 

A panel of invited speakers will represent service providers from the statutory and voluntary sectors along with users of local mental health services.  From Camden and Islington Mental Health and Social Care Trust Erville Millar, Chief Executive and Hari Sewell, Director of Social Care and Substance Misuse, have confirmed their participation.  There will be an opportunity for attendees to meet local providers of mental health services and to discover the range of services they provide. 

We particularly welcome users of mental health services with views on culturally specific mental health services and how these can be developed.  Service providers are invited to set up an exhibition stand to display details of their services.  We welcome also representatives from BME communities who have no direct experience of using mental health services, but have an interest in their development.

This event will be held on Thursday 7th April from 6.00 – 8.30pm at the Resource Centre, Holloway Road, N7.  If you wish to attend, please contact me on the above telephone number, email or postal address.

 

SOUTH  CAMDEN  USER  FORUM  (SCUF)

After long consideration the South Camden User Forum decided that falling attendance meant that it needed to change its format and if the people would not come to the Forum then the Forum must go to the people.

The SCUF on Tuesday, 22nd March was held at Jules Thorn Day Unit and facilitated by Penny Abraham.  The attendance was good – twelve people came.  The debate was lively and a number of issues which were relevant to the audience and to Jules Thorn clients in particular came up, among which were:

BEST VALUE REVIEW – Jules Thorn Patients’ Council would like to be represented on the Implementation Steering Group.  They know their service best.

ASSESSMENTS – people felt that they needed more information about what will happen next and that there needed to be more recognition of the variable nature of mental ill-health.

CRISIS TEAM – some felt that this was a rather inflexible service.  There needs to be better coverage at night and the possibility of female only workers for some patients.

CRISIS HOUSE – it was felt that there should be more service users on the steering group to work up the operational policy etc

NO SMOKING POLICY- there should be more service users on the newly formed steering group.   Concern was expressed about how people would negotiate exemptions.  The no smoking policy needed to be linked to wider issues of health living – such as more exercise for patients in Day Hospitals.

These are all issues which CMHC will be following up and the format is one that we will be developing further over the coming months.

The SCUF from 5.00 – 6.40 pm on Tuesday, 25th April at the St Pancras Conference Centre will bring along an old friend, Midge Clark, the Welfare Benefits adviser at The Peckwater Centre to give advice on Benefits.  Benefits are one of the most important issues to service users who often have no other source of income and regularly Midge has proved what a mine of information she is and has helped people with advice about benefits that they may not have known that they were entitled to, and in negotiating with the Department of Work and Pensions on the thorny issues of assessments and reviews.

 

CARE  TRUST  NEWS

Robert Jones, the Social Care & Inclusion Development Manager, provides a review of the month’s events within Camden & Islington Mental Health & Social Care Trust. Robert can be contacted at Care Trust Headquarters, 2nd floor, East Wing, St Pancras Hospital, London NW1 OPE, by telephone on 020 7445 8554 or by e-mail robert.jones@candi.nhs.uk

 

Where Are We Now? – Black and Minority Ethnic Community Event at the Resource Centre, 356 Hollway Road, N7 6PA on the 7th April 2005 from 6 – 8.30pm

Last year a number of organisations including The Care Trust hosted a Community Engagement Event to ensure that Black and Minority Ethnic Communities were involved in the development of the BME Mental Health Strategy for Camden and Islington.  This event will examine what impact the Strategy has had during the past twelve months and will provide an opportunity for the audience to voice their opinions on the quality of mental health services on offer to the BME communities.  For further information, contact Aidan Moloney on 020 7428 5999

 

2005 Service User Survey

The deadline for your questionnaire to be returned has been extended to the 1st April 2005.  Don’t miss this opportunity to have your views taken on board in this year’s survey.  If you have been sent a questionnaire but have lost it ring the freephone number for another copy 0800 783 1775.

 

Mental Health and Ethnicity Census

The Care Trust is counting down to ‘Count me in’, the first ever Mental Heath ethnicity survey that will be taking place across all in-patient wards on the 31st March.  Results of the Survey will be published in June’s edition of The Camden Bugle.

 

Work Experience for the Unemployed

The Care Trust has joined forces with North Central London Strategic Health Authority to develop a work experience project for local unemployed people within Camden and Islington; helping people including those who have used mental health services into Health and Social Care work.  The project provides 1-2-1 advice and guidance, help in identifying skills, career planning, training and a suitable work placement where you can get up to 12 weeks practical hands-on experience and receive on going support from a workplace buddy/mentor. If you are interested contact Ruth Gaunt on 020 7878-2512.

Service User Involvement within the Care Trust

If you have experienced mental health services either directly or as a carer and would like to influence the way Mental health services are run, then we would like to hear from you. Within the Care Trust we have established a service user involvement bank, people who have used mental health services and who are now available to support the Care Trust in monitoring and improving services.  For more information contact Robert Jones on 020 7445-8554.

 

A User’s Guide to Mental Health Act Assessments

This half day course is being held at St Lukes Hospital on the 14th April 2005. If you want to find out more about the Mental Health Act and Code of Practice and what you should expect from Mental Health Act Assessments ring the Care Trust Training Unit on 020-8219-1882 to book a place.

 

Should the Care Trust introduce sniffer dogs and metal detectors on wards?  Have your say.

Although the majority of people in hospital with a mental health problem do not use illegal drugs or weapons, unfortunately some do.  To deal with this growing problem, a group has been established their brief is to consult widely, consider the options and present recommendations to the Care Trust Board.  This group would like to hear from you.  Send your views to Robert Jones at the above address.

 

New Education & Employment Courses at Hanley Road

The following courses are starting from April 2005 at Hanley Road Education and Employment Centre; Maintenance, Catering, Literacy, Numeracy, ESOL, Healthy Eating, Citizenship, I.T. Taster and I.T. CLAIT Course.  For more information ring 020 7281 6221.

 

Exhibition ‘You are not ready my child’

Paintings and Sculptures by St. Gillian McCormick will be on view at Highgate Mental Health Centre, Dartmouth Park Hill, N19 from the 12th April 2005.

 

Mental Health Needs of Refugees

The Sante Mental Health Access Project are holding a launch event on the 30th March 2005 from 2.30 till 5pm at Kentish Town Community Centre, 17 Busby place, NW5.  For more information contact Ruth Appleton on 020 7482 2903

 

Events & Diary

DATE / TIME

VENUE

EVENT

TUESDAY
05 April
5:00 - 6:30 pm
Room 20
Psychotherapy Corridor
 Level 2
The Royal Free Hospital
CMHC
NORTH CAMDEN USER FORUM
PALS
(Patient Advice & Liaison Service)

FRIDAY

08 April

1:00 - 4:00 pm

The Council Chamber

Hampstead Town Hall

 213 Haverstock Hill

London NW3

CMHC - CBUG

OPEN MEETING

TUESDAY

26 April

5:00 - 6:30 pm

The Conference Centre

St Pancras Hospital

4 St Pancras Way

London NW 1

CMHC

SOUTH CAMDEN USER FORUM

Midge Clark
will talk about

WELFARE BENEFITS

TUESDAY

10 May

5:00 - 6:30 pm

Room 20

Psychotherapy Corridor
 Level 2
The Royal Free Hospital

CMHC

NORTH CAMDEN USER FORUM
Roger Evans
will talk about
'NURSES AND PATIENTS TALKING'

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