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The Manchester Fire and Mental Health Liaison Project
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The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

May 23, 2020

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Page 1: The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

The Manchester Fire and Mental

Health Liaison Project

Page 2: The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

Key people involved in the project

Paula BreezeOccupational Therapist: Fire and Mental Health Liaison Officer (MMHSCT & GMFRS)

David MarsdenHead of Occupational Therapy. Manchester Mental Health and Social Care Trust (MMHSCT)

Warren PickstoneArea Commander. Greater Manchester Fire and Rescue Service (GMFRS)

Page 3: The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

Background to the project

Over 1/3 people killed in fire in Manchester known to mental health services

PartnershipManchester Mental Health and Social Care Trust Greater Manchester Fire and Rescue Service

Page 4: The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

Key elements of The Fire and Mental Health Liaison project

Joint funded

Occupational Therapist

Access to both systems

Link between the two organisations

Innovation

Page 5: The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

Project Aims:-

• Improve safety

• Home fire safety checks for high risk people

• Mental health awareness within GMFRS

• Fire safety awareness within MMHSCT

Page 6: The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

Why an Occupational Therapist?

Need a holistic approach to fire safety that includes:

Person

Environment

Occupation

Page 7: The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

Link between – Mental Health Fire Risk

Person, Environment and Occupation.

Roles & Routines

Fire and mental health link?

Page 8: The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

Need for partnership working?

Fire Safety

Choice andDignity

MMHSCT specialist skillsLearning points from incident reviewsPerson centred practice

Little fire safety awarenessGaps in risk assessment

Page 9: The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

Need for partnership working?

Choice and Dignity

GMFRS good at fire risk and fire safetyFree home fire safety checksPrevention, protection, response

Difficulty accessing ‘hard to reach’Little understanding of mental healthRisk driven not person centred

Fire Safety

Page 10: The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

Barriers faced by the fire service

Gaining accessUniform/fire engineFocused on environmentCommunication difficultiesDifficult to engageLow mood/apathy/anxiety/paranoia/hallucinationsLack of knowledge & skillsNo where to pass on risk information and concernsLack of timeMonitoring fire risk

Page 11: The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

What does the Fire and Mental Health Liaison Officer do?

Referrals from GMFRS

Referrals from MMHSCT

Coordination of joint home fire safety checks

Documentation of assessments, intervention and fire risk

Specialist OT assessments

Page 12: The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

Case study - Mr X

79 year old gentleman, living alone

Page 13: The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

• X

• (Scales)

Risk Assessment

Page 14: The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

Occupational therapy assessment and formulation

Identity V’s competence & impairment Impact of dementia

MotivationInsight

Habits, Unsafe smoking,

disorientated

Page 15: The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

Occupational therapy intervention

Page 16: The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

• X

• (Scales)

The outcomes of our work?

Page 17: The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

Project outcomes

•Referral process and pathway

•Sharing information protocol

•500 + referrals

•Joint fire safety interventions

•Mental health awareness for over 250 fire service personnel

•Fire safety awareness training for MH staff

Page 18: The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

Why does it work?

Joint funding

Senior level commitment

Information sharing

Occupational Therapist

Access to systems in both organisations

Transferable to other settings

Page 19: The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

Creating capable teams

Partnership agreementsReciprocal trainingWhat assessment’s/interventions can you

deliver?Fire safety championsReferral pathwaysData sharing protocolsMonitoring & evaluation

Page 20: The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

Latest update……..

Health and Social Care Services CoordinatorCentral support for all of GMFRSVulnerable person’s strategyVulnerable person’s databasePartnership model and referral pathwayContinued joint work with MMH&SCTSetting up partnershipsStakeholder event

Page 21: The Manchester Fire and Mental Health Liaison Project · The Manchester Fire and Mental Health Liaison Project . Key people involved in the project Paula Breeze Occupational Therapist:

Contact details

Paula BreezeHealth and Social Care Services CoordinatorGreater Manchester Fire and Rescue ServiceHeadquarters146 Swinton RoadManchesterM27 [email protected]: 0161 608 4287Mobile: 07973424543