Mental health reform
- The recognition that the same ways of working in the past are not going to get us where we want and need to go.
- Improvement, doing things differently (not business improvement)
- Strengthening, amending, removing faults, and correcting abuses
- Doing something differently, or rapidly improving something
The Living Well domains (key areas of action)
1. Making it local means…
- Services and support is designed by communities for communities
- Services are provided where and when people need them (for example in schools, workplaces, community groups)
- That that the support we need for our own recovery is different for everyone
- That opportunities for care and support are needed where and when people need them.
2. Getting in earlier means….
- Building resilience in childhood
- Having a safe and healthy family life
- Getting in early at the first signs of distress, no matter what age
- Linking people to things that are supportive of good mental health like housing, employment and having something meaningful to do.
3. Putting people first means…
- People are experts in their own mental health and the services they need.
- People and their recovery journeys should guide all facets of designing and evaluating mental health programs, services and supports.
- Planning and priorities should be made in collaboration with people with a lived experience of mental health issues and caring, families and kinship groups.
- The needs of carers must also be a key part of planning for any service and cultural understandings of kinship.
- Putting people first means collaborating with people from diverse backgrounds.
4. Providing the right type of care means…
- Wrapping support around the person when and where they need it
- Hospital care is infrequent and provided only when it is really needed
- Stepped care is available for different levels of need
- Care is provided in workplaces, schools and communities, rather than at crisis point
- The full range of supports that a person needs to recover is available in the community.
5. Better responses means…
- Care is integrated; people do not have to shop around to access the support they need or turned away from services for not meeting “criteria”.
- Health and support services work together
- People have the best opportunity to have their care and support needs met at once
- People with other difficulties for example drug and alcohol issues or physical health issues are not denied services “no wrong door”
6. Care for all means…
- Services planning considers inequalities in mental health for different groups of people
- Care is tailored to the needs of different people and local communities
- People can access the same opportunities for mental health support, no matter where they live or what they can afford.