@WessexAHSN @SIMIntensive wessexahsn.org.uk What does a SIM Team look like? Isle of Wight Case Study Resources Top tips for implementation Adoption and spread Adoption and spread Enablers Contacts Specialist mental health and police teams, supporting high risk mental health service users e number of mental health crisis calls are increasing each year. Up to 40% of 999 calls, in each MH trust, are by the same patients; a small number of repeat callers who struggle to manage highly complex behavioural disorders, placing intensive demands on police, ambulance, ED departments and mental health teams. SIM is a model of care which integrates mental health care and policing in order to reduce crisis interventions. SIM results in better outcomes for individuals. A fusion of skills using a mentoring model that is integrated, personalised, consistent, resilient and supportive e first 4 HIUs utilised public services of £210,000 between 2011-2015 ● e High Intensity Network website provides lots of information about implementing SIM: highintensitynetwork.org ● Health Innovation Network London are implementing SIM across their geography. ey have produced a spread and adoption report, providing guidance, learning, and tips. Access the report here: healthinnovationnetwork.com/wp-content/uploads/2018/06/e-Implementation-of- SIM-London-Report.pdf ● Engagement and leadership of the relevant clinical lead is crucial ● Agree a project plan – set a time frame (3 – 4 months) to implement SIM ● Share templates and completed documents ● Use the library of governance documents available ● Map stakeholders and engage with them ● Resist the temptation to implement SIM with a big bang – use a staged approach ● Identify administrative support from the onset ● Set the launch date Public services utilisation of 4 HIUs between 2011-2015 ● 49 NHS assessments (s136) ● 140 ambulance deployments ● 210 A&E attendances ● 282 mental health bed days ● 23 bed days in acute hospital ● 374 police incidents Total value of resources for 4 HUI - £210,000 HIUs public services utilisation and total cost per year ● Boots on the ground ● Hold multi agency stakeholder meetings - coordinate and support one large monthly meeting. Coordinate, chair, and provide a central venue for these meetings. Joint meetings create a sense of wanting to be included. ● Attend local meetings - Ensure all project team roles are represented in the local project meetings and include service users and carers. ● Good communication is vital – communication should begin early. Opportunities for communication include Trust wide intranet announcements and Trust newsletters ● Listen to service user and carer feedback and respond to any concerns, they are your ambassadors. Supported by: ● Paul Jennings, National Programme Manager [email protected] ● Alison Griffiths, Mental Health Programme Manager, Wessex AHSN Alison.Griffi[email protected] ● Aileen Jackson, Head of Mental Health, Health Innovation Network South London [email protected] More information about SIM can be found at www.highintensitynetwork.org @SIMIntensive Serenity Integrated Mentoring (SIM) Clinical behaviour Medical risk Bio-medical treatment and advice consensual Mental Health Nurse Service User Police Officer Social behaviour Community risk Pyscho-social boundaries coercive COMPLEX CHAOTIC HIGH RISK Northumberland County Durham Tyne & Wear North Yorkshire West Yorkshire South Yorkshire Humberside Lincolnshire Norfolk Suffolk Essex Cambridgeshire Notts Derbyshire Staffordshire Chester Lancashire Shropshire Herefordshire Worcestershire Warwickshire Leicestershire Rutland Northants Hertfordshire Bedfordshire Gloucestershire Oxfordshire Bucks Surrey Greater London West Sussex East Sussex Kent Hampshire Dorset Wiltshire Somerset Devon Cornwall Cumbria Northamptonshire NHS Dorset Healthcare NHS Derbyshire Healthcare NHS Isle of Wight NHS Solent NHS Merseycare NHS 2gether NHS Lincolnshire Partnership NHS Lancashire Care NHS Essex Partnership University NHS Sussex Partnership NHS Kent & Medway NHS Nottinghamshire Crisis Care Concordat Leicestershire Partnership NHS Surrey & Borders NHS Cambridgeshire & Peterborough NHS Norfolk & Suffolk Foundation Trust South & West Yorkshire MH NHS Trusts setting up teams 15 Trusts in discussion 15 Trusts with live teams 9 Independent integrated model 3 Cheshire & Wirral NHS Dudley & Walsall MH NHS Birmingham & Solihull NHS Coventry & Warwickshire NHS Norfolk Comm HealthCare NHS Rotherham, Doncaster & S Humber NHS Sheffield Health & Social Care NHS *ese figures include the 9 London MH Trusts (shown on a different map) Black Country Partnership NHS Cumbria Partnership NHS Hertfordshire Partnership University NHS Humber NHS Buckinghamshire CCG Berkshire Healthcare NHS Oxfordshire Healthcare NHS Trusts not yet on the network 16 NE & NORTH CUMBRIA GRT MANCHESTER NW COAST WEST MIDLANDS WEST OF ENGLAND OXFORD YORKSHIRE & HUMBER EAST MIDLANDS EASTERN KENT SURREY SUSSEX SOUTH WEST WESSEX Avon & Wiltshire NHS £0 £10,000 £20,000 £30,000 £40,000 £50,000 £60,000 £70,000 £80,000 £90,000 £100,000 0 50 100 150 200 250 300 350 400 450 500 2011 2012 2013 2014 2015 Police incidents NHS assessments (S136) Ambulance deployments A&E attendances Mental Health bed days Other NHS bed days Total costs Year person engaged with SIM Enfield Barnet Haringey Redbridge Havering Newham Greenwich Bexley Bromley Croyden Sutton Kingston Tower Hamlets Barking and Dagenham City Walham Forest Harrow Brent Ealing Hounslow Hillingdon Richmond Wandsworth Merton Lambeth Southwark Hammersmith Kensington and Chelsea Islington Camden Westminster Lewisham Hackney