Rehabilitation Services In Scotland

1
Rehabilitation Services In Scotland

• Dr Fiona Clunie
• Consultant in Rehabilitation Psychiatry,
• Royal Edinburgh Hospital

2
Rehabilitation Services in Scotland

• Background
• Policy and legislation
• What we know about current services
• What is the future?

3
SCOTLAND
4
Policy Relevant Legislation

• Mental Health ( Scotland) Act 2003
• Adults with Incapacity Act
• Protecting Vulnerable Adults

5
Policy Delivering for Mental Health 2006
6
Targets

• Reduce the annual rate of defined daily dose per
  capita of antidepressant to zero (2009/10)
• Reduce suicide in Scotland by 20 (2013)
• Reduce the number of readmissions (within 1 year)
  for those that have had a hospital admission of
  over 7 days by 10 (end of 2009)

7
More Policy

• Scottish Recovery Network
• Rights, Relationships and Recovery
• Anti Stigma See Me
• Equal Minds Addressing Mental Health
  Inequalities in Scotland
• Choose Life

8
Mind/body split

• Living well with Long-Term Conditions
• Co-ordinated, integrated and fit for purpose. A
  delivery framework for adult rehabilitation in
  Scotland

9
Mental Health Benchmarking Project

• Limited and missing information on
  rehabilitation/continuing care services
• Different nomenclature in services
• Need to develop good enough recording and
  reporting systems

10
Current Services

• Reports from Consultant psychiatrists working in
  Rehabilitation services in Scotland ( Mountain)
• Different types of services in different areas
• Some common themes

11
Themes in Scottish Rehabilitation Services

• Some bed reductions
• Plans for better physical environment
• Patchy psychology provision
• Limited highly supported accommodation

12
Themes in Scottish Rehabilitation Services
Services

• Out of Area Treatment very rare
• Waiting lists/ accessing community placements
• Variable community teams

13
What is the future?

• No national policy on psychiatric rehabilitation.
• Policy on recovery, peer support workers, social
  inclusion, and diagnostic led ICPs
• Limited understanding by managers and
  politicians.