Mental health needs assessment for the adult population of Wandsworth - Coursework Example

?Unit F919 Care practice and provision Peter is a 42 year old male who lives with his wife, two children and his mother-in-law who has mild Alzheimer's disease. The area that is chosen from this case study is Wandsworth. 1.0 Activity 1 The area of Wandsworth is located in south-west London. The town is located on The River Thames on the south bank. The river Wandle flows into the Thames and this is where Wandsworth received its name. It is also the principle settlement in The "London Borough of Wandsworth" (Medics on the Move). It borders the Bouroughs of Lambeth to the east, Merton and the Royal Borough of Kingston Upon the Thames and others. It is surrounded by very wealthy Boroughs. The 2001 Census gave the population of Wandsworth as 260,000 with 78% of the population as White, 9.6% Afro-Caribbean and 6.9% as being South Asian. The list of 354 Districts of England showed that Wandsworth is ranked the largest by area and 24th by population. In population density it ranked 10th and by ethnic diversity it ranted 29th. Today, the projects for Wandsworth show that by the year 2018, there is projected to be 300,000 people in Wandsworth with slightly more women than men. The area is mostly comprised of younger people (47%) between the ages of 20 and 39 with the rest of the population being older (Greater London Authority). NHS Wandsworth shows that in 2009, 290,000 people were living in the Borough. The largest age group is between 20 and 44 while other ages make up the rest of the population. The population is intended to rise in the next five years. Currently, the White race is 78% of the population with "non-whites" making up 22% of the population (includes Black, Asian and those who consider themselves as "other"). The Bourough has a large deprivation within and between the various wards. Wandsworth is ranked 23/30 for deprivation within London PCT and 91/152 for London within PCT's naturally (NHS Wandsworth 6). 1.1 Deprivations The Wandsworth Community Empowerment Fund Project states that the unemployment rate in Wandsworth is currently 8.0%. The following chart shows the income deprivation as of 2007: Although many areas in the Borough show prosperity, household income by ward is a different story. The wealthiest Bourough is Northcote with a mean income of ?51,859 and Roehampton at substantially lower at ?31,141 ("Sustainable Community Strategy"). In terms of crime, Wandsworth has been a relatively safe place to live in 2006/07 but it has changed since then. Currently, the types of crime in this area include violence against the person, theft from motor vehicles, residential burglary and street crime ("Sustainable Community Strategy"). In 2007, there were 1,771 residential burglaries between April and December of that year. Burglary decreased within the last three years. There were 1,442 offenses for street crimes for the same period of time but street crime has also decreased. There were 3,954 offenses for crimes against the person during the same period which is approximately 14.1 offences per 1,000 residents ("Sustainable Community Strategy"). Education is another area for deprivation. There are approximately 51,889 young people and children living in the Borough between the ages of 0 and 19 which is 18% of the population. The 2007 census stated that the majority of children living in the Borough are ethnic minorities and primarily black children, which make up 17.9% of the population. In terms of support from the government, 1,628 children and young people were accessing help and 133 children and young people were registered on the Child Protection Register. The Borough also has 74 out of 174 "local super output areas (SOAs)" that are considered the worst 25% of all SOAs nationally which was only 64 in 2004. There are now 24 SOAs listed in the best 25% nationally for deprivation compared to 20 in 2004 ("Sustainable Community Strategy"). Healthcare in the Borough has some challenges because of the population. Because the majority of the Borough is aged 20 to 44, the younger people do not use doctors as much as older people. Wandsworth also has sharp contrasts inside the Borough because there are several wards that are in the most deprived areas and others living within the less deprived ("Sustainable Community Strategy"). There are five wards in the Borough that are considered the most deprived. These are Latchmere, Roehampton, Queenstown, Tooting and Graveney. In 2008, there were 4,325 lone parent benefit claims and 995 carer benefits in the ward (NHS Wandsworth "Our Borough"). Mental health issues are important to this area because Wandsworth's need for mental health care need is larger than many other in England. Common mental health needs are anxiety and depression to the point that they interfere with an individual's daily life. Other conditions such as neurotic disorder, phobias and obsessive compulsive disorders are also common in Wandsworth and are in need of treatment (Hunter and Cranston 2). Mental health also has a strong impact on physical health in that having a mental health problem increases the risk that a person will die prematurely. Experts suggest that death from infectious disease, circulatory problems, respiratory problems or digestive problems, can be attributed to adults who have severe mental conditions (Hunter and Cranston 2). There is a high incidence of teen pregnancy in Croydon, Lambeth and Merton wards. There is also limiting long-term illness in Lambeth and Merton wards, low life expectancy in Croydon and Merton and cardiovascular diseases is prevalent in Croydon (Regeneris Consulting 10). Living environment deprivation affects children and adults. In Wandsworth 41% of children live in low income families and a large majority of general deprivation happens in all of the wards in this area. There is an aging population in Croydon, Lambeth and Merton, and poor living environments in Croydon; there is also overcrowding in Lambeth (Regeneris Consulting 10). 1.2 Demographics that Influence Assistance in this Area Paul is 42 years old and falls within the age group that is primarily a part of Wandsworth. The average is 29-44 which puts him at the higher end for this particular demographic. A second demographic is that Paul is male and he has children and an older family living in the home with Alzheimer's disease. He will need to have services for himself but also for his family. As the head of the household, he will want to be sure that he has the proper care. These two demographics are used. Men who live in the least deprived areas are expected to live six years longer than those men who are in the most deprived areas (NHS Wandsworth "Health Profile"). In Wandsworth, there were several health agencies that sent out questionnaires to people in the area to get their feedback about how they thought that healthcare could be improved. The community spoke out and indicated that they felt there were things they wanted. Two of these things were having access to healthcare both on the bus and by car that is opened late hours. The second was that they wanted GP's who could provide several services (NHS Wadsworth "Improving"). Generally speaking, the government will take surveys and rely on census data in order to decide where services are needed. 1.3 Two Services The two services that are chosen for this are health care and child care. In these two areas, the national standards address on of them in a general way. There are four standards that they have identified and the one that fits the first service is Health and well-being of the population. This is a broad category that covers promoting healthy living while helping people to understand ill health so that they can stay well and out of the care system. The other standard that may fit what Peter may be looking for is having a good patient/user experience which means that he would receive information about his needs and have a positive experience with carers whether he is going for himself or for his family. According to the standards, this is so that people will have more choice in where they go so the service is more consumer oriented (Department of Health). When planning for these services, the local community has an obligation to make sure that the following targets are met: PCTs are told to make sure that the plans they put into place meet several targets: are in line with the population needs of the area, that it delivers equity and is evidence based, and that it address gaps in the local service. They must also be developed in a partnerships with Las and NHS bodies and offer a good value for the money that people will pay out (Department of Health 11). When programs are created, the next step in the process after the community has been surveyed and ideas have come, is to make sure that stakeholders are developed who will back the program. This could be business people, other organizations, and people who have the money to help. The stakeholders are important because they are able to give advice and help when politics are involved in certain situations. A goal of having these standards is to make sure that discrimination is challenged (Department of Health). Relating this information to Pat, in South Wandsworth the polysystems that are being planned are to provide three polyclinics in the area. There will be one at St. George's hospital, and two polyclinics hubs at Balham Health Centre. 1.4 How Services are Organised Community Services Wandsworth are accessed through St. George's Healthcare Trust. They provide community healthcare services and are responsible for services at Queen Mary's Hospital, St. John's Therapy Centre and healthcare services at the Wandsworth prison (Wandsworth Borough Council).They are also responsible for some of the corporate functions that include "human resources, governance, nursing, professional leadership, and IT" (Wandsworth Borough Council 2). NHS Wandsworth partners with other agencies to do many of the services in the area. As an example, they partner with The Drug and Alcohol Team, work with client groups around disabilities (especially learning disabilities) and alcohol day services, and the Children's Trust to name a few. They also are in partnership with the Wandsworth Council who monitors the programs and makes recommendations from time to time about what is needed (Jones and Philpott 2). The partnership has as one of their objectives to "improve the health and well-being of people living and working in Wandsworth" (Jones and Philpott 3). NHS Wandsworth provides many services under one umbrella. They provide a website that gives all the services that they provide and how to get into them. Adult social services are also provided under this umbrella and through partnerships with other agencies. Disability services area also provided by NHS Wandsworth. Many of the services that are provided are contingent on funding. As budget cuts happen, it will be more difficult for people to gain the services they need. The areas that would be a priority would be those areas that needed the most service. In Wandsworth, that would be the areas that have been shown to be the most deprived: Latchmere, Roehampton, Queenstown, Tooting and Graveney. 2.0 Activity 2 For this area I have chosen health care and social care. Peter would need the services of social care because he would need to help his wife find a place for her mother to go if they needed to do something without the mother-in-law if they could not leave her at home. There is an Access Team that would help him identify the services that he needed and provide him with the phone numbers and additional information that he may need. These Access providers would help him identify any personal needs as well. The service would be available to him from 9-5, Monday through Friday and it is housed at the Joan Bicknell Centre. Social services also provides a needs assessment to help residents find the services that they need. In terms of healthcare, the Borough does not factor out men from women. They provide family services which would probably be what Peter would use. NHS Wandsworth provides information about staying healthy as well as several programs of interest to families. They provide several programs in schools in their Go Health programme. If Peter had specific problems like alcoholism or mental health, they provide these services as well. Generally, the program will work through the GP for a referral to any of their programs. However, there are several ways to access the information through several websites. 2.1 Multi-disciplinary teams All of the healthcare programmes in Wandsworth seem to use a multi-disciplinary team approach. They separate the services into children and adults. There are no specific programs for men in health care. The teams are a collaboration of several agencies that work through one of the hospitals or in the polyclinics. All multi-disciplinary teams must understand basic medical terminology, the common illnesses and the disease patterns in the UK. This is important because each team has an obligation to give the best service possible. In health care, the multi-disciplinary team will depend on what the individual needs. The team may include a doctor, a nurse practitioner at the least and may include any specialists that need to be involved in helping with the service. All teams start with planning an individual's care. In Peter's case, they would look at his current needs for health care and then talk to him about his stressors and how he has dealt with his health in the past. They would want him to have general checkups for a man his age. The team approach makes sure that nothing he needs is missed. In either situation, the person in social care or health care would begin with an assessment of his needs and write these down on specific forms. The team would then develop strategies that were needed and discuss the different strategies with Peter that they had decided upon that would help him. Peter would then choose the options that were best for him. A written plan for each need would then be created and reviewed as needed (Dempsey 2011). The best way they could help Peter is to make sure that he is in the top health and to make sure that he has the other services he needs for his family. A major concern may be that they will have to prepare for Pat as she ages and has more challenges with Alzheimer's. He will need resources for each of his family members. The multi-disciplinary team should be able to connect the family with all the necessary resources so that Peter's life becomes less stressful. 3.0 Activity 3 Social work practice is an important aspect of Peter's treatment plan because he will need to help his mother-in-law as she ages and as Alzheimer's continues to go to other stages. Peter will may need social services to also create respite opportunities for the family if they need to go out and leave Pat at home by herself for any reason. Or, if they need a break from being a carer to Pat they will be able to access these types of services. Social work services also would provide a person to talk to for Peter if he needed advice about what he should do next in any situation that he might find himself dealing with regarding his family. Giles Wilmore the Director of System Management & Regulation for the Department of Health, states in a report that the purpose of regulation is to make sure that patients and staff are safe. Although all practitioners of social services practice under regulation, it is also important that the facilities they work within also have certain regulations they must follow. Regulation brings an assurance to the public, patients and others that the services are safe and that they will receive quality care. This also means that they will they will have services that are delivered in a respectful way. This gives the public confidence that they are choosing a service that cares about their well-being and that will help them as much as they can (9). Both healthcare and social care have been merged into one regulating body that is known as the Care Quality Commission. This body of knowledge and regulation will adhere to the Government’s Principles of Good Regulation which state that regulation should be proportionate and appropriate to the risk that the carers may be posed to take, it should be "transparent, consistent, accountable and target only when needed" (11). The Care Quality Commission was put into place to make sure that facilities and practitioners would offer the best service they can. It was the charge of the Commission to develop a set of regulations, taking into consideration the various agencies that had been single in the past. Their task was to create a document of regulations that all parties could live with. They took into consideration what consumers wanted as well as what the practitioners needed in order to do their job effectively. The priorities for the Commission are: 1. Making sure care is centred on people’s needs and protects their rights 2. Championing joined-up care 3. Acting swiftly to help eliminate poor quality care 4. Promoting high-quality care 5. Regulating effectively, in partnership (Care Quality Commission 28). Within this process, the Care Quality Commission used surveys and informal interviews to gain the information they needed to make sure they were getting the services that consumers wanted. For this task, it was important to evaluate quality assurance through the use of surveys because most health care facilities do informal surveys with consumers. Bibliography and Source List for Activity 3 Care Quality Commission. "Focused on Better Care." Annual Report 2009/2010. 18 April 2011-04-23 < http://www.cqc.org.uk/> This publication was used because it provided information about the regulatory board that was set up to take care of health care and social care. Care Quality Commission. "Voices into Action: How the Care Quality Commission is going to Involve People". 18 April 2011. < http://www.cqc.org.uk/_db/_ documents/A4_Report_2009_01.pdf> This resource was used because it gave an understanding how people were involved in regulator service. It gave information on surveys and observations that the public made in order to help the Commission make sure they had the information correct as to their needs. Wilmore, Giles. "The Future Regulation of Health and Adult Social Care in England: Response To Consultation." Department of Health. October 2007. 4 April 2011. < http://www.bps.org.uk/_publicationfiles/consultationresponses/Future%20Regulation% 20of%20Adult%20Health%20and%20Social%20Care%20- %20report%20on%20consultation.pdf> This resource was used because it gave a background of the regulation techniques that social care and health care use. Wilmore gives a comprehensive understanding of what regulation is and why it is important in the health care and social care areas. 4.0 Activity 4 The piece of legislation that was important is the Health and Social Care Bill 2010-11. The bill is currently in its second reading and was sent to the Public Bill Committee. If passed, this bill will affect everyone who is using health care. Basically, the bill will establish an independent NHS board to provide guidance to the Care Quality Commission and to allocate resources where needed. It will increase the role of the Care Quality Commission and it will make some cuts in the NHS body by one third so that administrative costs will be lowered (Department of Health "Health and Social Care"). The bill will impact social workers and health care providers because they will have to register in the UK and it will dissolve some of the professional organisations that have been in place in the past. In other words, it will restructure health care at the administrative level. For the service user, it helps them take more control of their own health care by being in charge of a health budget that allows them to say how they want the money to be spent. The Secretary of State would make these payments and this has been in a pilot stage prior to 2009 (Department of Health "Health Bill 2009"). The bill will impact service by providing comprehensive services in local clinics and polyclinics. Works Cited Dempsey, Mike. "The Care Planning Cycle". Quality Care Systems. 2011. 18 April 2011. < http://www.care-plan-management-system.co.uk/news/21/73/The-Care-Planning- Cycle/> Department of Health. "National Standards Local Action--Health and Social Care Standards and Planning Framework 2005/6-2007/8". 14 April 2011. Department of Health. "Health Bill 2009". 18 April 2011. Department of Health. "Health and Social Care Bill 2011". 2011. 18 April 2011. < http://www.dh.gov.uk/en/Publicationsandstatistics/Legislation/ Actsandbills/HealthandSocialCareBill2011/index.htm Health Professions Council. " Written Submission to the Health and Social Care Public Bill" Human Resource Management. "UK Unemployment: Labour Market Statistics." Hunter, Katie and Cranston, Amanda. "Mental Health Needs Assessment for the Adult Population of Wandsworth". 2009. 4 April 2011. Greater London Authority. "2008 Round demographic projections for the London Borough of Wandsworth". 2008. 21 April 2011. Internet. Jones, Gerald and Philpott, Amanda. " NHS Wandsworth and Wandsworth Borough Council: A statement of shared commitment to integration". 18 April 2011. < www.wandsworth.gov.uk/committ/.../mgConvert2PDF.aspx?ID..pdf> Medics on the Move. "The Area of Wandsworth". Internet. 21 April 2011. NHS Wandsworth. "Strategic Plan 2009 to 2014". 2010.Internet. 21 April 2011. NHS Wandsworth. "Our Borough". NHS Wandsworth. "Improving Health in South Wandsworth". 2009. 18 April 2011. < http://www.wandsworth-pct.nhs.uk/NHS%20Wandsworth%20documents/ Improving%20health%20in%20south%20Wandsworth%20- %20consultation%20document.pdf Regeneris Consulting. "South London Opportunity Zone-Stage 1: Baseline and Feasibility Report". 2010. 18 April 2011. < http://www.merton.gov.uk/community-living/areas- wards/otherboroughs/a614_-_report_-_south_london_opportunity_zone_-_stage_1__- _final.pdf> "Sustainable Community Strategy: The Story of a Place". 2008. 18 April 2011. http://www.batterseasociety.org.uk/docs/storyofplace.pdf Wandsworth Community Empowerment Fund Project. "WCEFN Resource Pack" 21 April 2011. < http://www.wcen.org.uk/site/sections/wcefn_info/wcefn_ docs/WCEFN_resource_pack.pdf> Wandsworth Bourough Council. "Adult Care And Health Overview And Scrutiny Committee – 3rd. November 2010." 14 April 2011. < http://www.wandsworth.gov.uk/committ/ %28S%28mmnhu4ih3qozyo45zsrk0ma4%29%29/mgConvert2PDF.aspx?ID=12079> Read More