Response 22808087

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3. Are you responding as an individual or an organisation?

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Perth and Kinross Council

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Questions

1. Our framework sets out 8 priorities for a new Mental Health Strategy that we think will transform mental health in Scotland over 10 years. Are these the most important priorities?

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If no, what priorities do you think will deliver this transformation?
Start Well, Live Well and Age Well – This broad framework reinforces the importance of good mental health and wellbeing at every stage of our life and the fact that it is integral our function – just as good physical health is. In terms of the specific priorities highlighted: 1. Focus on prevention and early intervention for pregnant women and new mothers. 2. Focus on prevention and early intervention for infants, children and young people. 3. Introduce new models of supporting mental health in primary care and across community based services and organisations. 4. Support people to manage their own mental health. 5. Improve access to mental health services and make them more efficient, effective and safe – which is also part of early intervention. 6. Improve the physical health of people with severe and enduring mental health problems to address premature mortality. 7. Focus on ‘All of Me’: Ensure parity between mental health and physical health. 8. Realise the human rights of people with mental health problems. 9. The evaluation of the Mental Health and Wellbeing Strategy within Perth and Kinross would indicate that there continues to be a priority around responding to people in emotional distress – ensure people can access help and support quickly and easily when they first start to feel unwell; or when they are in crisis resulting from deteriorating mental health or pressures arising from their life situation.

2. The table in Annex A sets out a number of early actions that we think will support improvements for mental health.

Are there any other actions that you think we need to take to improve mental health in Scotland?
The evaluation of the Mental Health and Wellbeing Strategy in Perth and Kinross would indicate there should be continued action on the following points: 2. Develop alternatives to Child and Adolescent Mental Health Services such as counselling and other talking therapies. Quick access to services is vital. Continued roll of Scottish Mental Health First Aid Young People. Educating young people in mental health and wellbeing, such as developing the equivalent of Scottish Mental Health First Aid for young people themselves. For those young people with mental health issues, enabling them to develop coping strategies and self-management techniques – local examples of projects include Mindspace Young People’s Recovery College and Scott Street Emotional Wellbeing Worker. Development of dedicated Mental Health Workers for young people within the voluntary or community based services who can respond to situations before they reach crisis point. 3. See above – this must also include community based services and organizations. Broaden out social prescribing approaches. Currently a reliance on GPs to ‘unlock’ services – widen this out to other agencies. 4. Develop Recovery College approach so that people have an understanding of what is affecting them and what they can do to self-manage, and how other people can support them. Continue roll out of Wellbeing Recovery Action Plan Training and use of care plans. Appetite within local communities for training on mental health – continue roll out of Scottish Mental Health First Aid Training. Aberdeenshire and Tayside have launched Suicide Apps which make use of Safety Plans – evaluate success of these and roll out if effective. Continue roll out of Scottish Mental Health First Aid Training within local communities. 5. Develop funded alternatives within voluntary sector – within Perth and Kinross, for example, high demand for counselling services offered by different organizations such as Mindspace, Rape and Sexual Abuse Centre, and Perthshire Women’s Aid. 6. Capture and roll out learning from programmes such as the Exercise Referral Scheme run by Perth and Kinross Live Active; and Perth and Kinross Social Prescribing Project. 7. Response to Distress – Capture learning from Distress Brief Interventions Pilot. Continued roll out of suicide prevention training such as safeTALK/ASIST. Develop non-clinical interventions for people in emotional distress open to self-referrals and referrals from non-clinical organizations.

3. The table in Annex A sets out some of the results we expect to see.

What do you want mental health services in Scotland to look like in 10 years' time?
• People are aware of their mental health and how to look after it. • People know how to access help if they or someone else has poor mental health. • People can access the service they need quickly, before a situation reaches crisis point. • There are a range of services available – talking therapies, opportunities to learn about self-help and self –management, as well as medication. • Services are flexible enough to respond to the fact that mental health and wellbeing fluctuates, and that sometimes a person may need to access services again quickly. • Recognition that mental health services only play a small part in a person’s recovery. A person’s recovery is linked to a holistic approach – and services should support a holistic approach.