Upload
abbey-bugge
View
217
Download
0
Embed Size (px)
Citation preview
DEINSTITUTIONALISATION IN THE MENTAL HEALTH SYSTEM:
HOW FAR HAVE WE COME?
Focus Ireland Policy Conference
25th September 2014
Shari McDaid, Director
Our goal is for an Ireland where people with mental health difficulties can recover their well-being and
live a full life in their community.
UNITE – INFORM - ADVOCATE
RECOVERY = SOCIAL INCLUSION
Recovery is not just about becoming well - it’s about recovering your life.
€
RECOVERY = SOCIAL INCLUSION
“personal responsibility must be matched with social responsibility.”
Mary O’Hagan, Survivor Activist
MHR ADVOCATING FOR HOUSING SUPPORTS
National Disability Strategy Stakeholders Group Housing Strategy for People with Disabilities sub-
group on mental health MHR’s Homeless Sector Advisory Group Pre-budget submissions
Tenancy sustainment support Designated places for people transitioning from
HSE mental health service accommodation Protecting rent supplement
DEINSTITUTIONALISATION IN IRELAND
Year Number of inpatients
1956 21,720
1966 18,084
1976 14,473
1986 11,643
1996 5,212
2002 3,891
2006 3,389
2013 2,401
adapted from Health Research Board: Irish Psychiatric Units and Hospitals Census 2013 Bulletin
Inpatients in Irish psychiatric units and hospitals 1956-2013
WHERE DID PEOPLE WITH ENDURING MENTAL HEALTH DIFFICULTIES GO?
2,790 beds in HSE high, medium and low support accommodation in 2011
Rise in prison population 2.6% of sentenced prisons with severe/enduring
mental disorder 7.6% of remand prisoners Ireland commits over 300 people to prison each
year w/ six month prevalence of severe/enduring mental disorder
66% of homeless service users in Cork Simon Community have a mental health difficulty
Living with parents? Living in isolation in the community?
CURRENT ISSUES
Impact of the wider housing crisis Difficulties discharging people from inpatient
units Lack of appropriate accommodation Discharged into homeless hostels
Gaps in mental health support within homeless services Lack of in-house or on-tap mental health
expertise Difficulties accessing support in a crisis Difficulties accessing support for people with a
dual diagnosis (mental health and addiction)
POLICY ON HOUSING FOR PEOPLE WITH MENTAL HEALTH DIFFICULTIES
A Vision for Change Little to say Equal right to housing Housing for people with mental health difficulties
should be the responsibility of local authorities
HOUSING STRATEGY FOR PEOPLE WITH A DISABILITY 2011-2016
Strategic Aim 5:
“To address the specific housing needs of people with a mental health disability, including through the development of frameworks to facilitate housing in the community, for people with low and medium support needs moving from mental health facilities, in line with good practice.”
HOUSING STRATEGY FOR PEOPLE WITH A DISABILITY 2011-2016
Commitments:• Local authorities to include pwmhd in housing
plans• Framework for transition from HSE
accommodation to appropriate community settings
• Identify a funding stream for accommodation needs
• Examine potential for transfer of low and medium support residences to local authorities/VHAs
• Ensure HSE provides mental health supports• Examine potential of tapered, ‘Housing First’
supports
HOUSING STRATEGY FOR PEOPLE WITH A DISABILITY 2011-2016
Commitments (cont’d):• Guidance for local authorities and VHAs• National data system for homeless services• Effective discharge plans for people leaving
residential, acute or prison settings• Support befriending services• Mental health awareness training for local
authority staff• Etc.
ON MHR’S CURRENT PRE-BUDGET CAMPAIGN Campaign for €50m investment in community-based
mental health services and 24/7 crisis supports.
Target: 20,000 signatures. So far: 13,000. www.mentalhealthreform.ie/petition2014 #MentalHealthLifeSaver
www.mentalhealthreform.ie
Twitter - @MHReform
www.facebook.com/mentalhealthreform
Email: [email protected]
Tel: 01 874 9468
Coleraine House, Coleraine St., Dublin 7