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Services for Adults with Mental Health Conditions

Within Adult Mental Health Social Care our vision is to promote recovery, to enable people's independence and wellbeing, through personalised care and support that focuses upon their strengths, the outcomes they want to achieve and enables choice and control.

Aims of Service

The team provides a needs-led (Care Act Section 9(4)) adult mental health social care service for people with a severe and enduring mental health condition. This service:

  • gives advice and guidance to people experiencing mental health problems
  • works alongside partner agencies tom provide a seamless and integrated service so that you and carers receive flexible, holistic and responsive care
  • eliminates any inequalities/differential outcomes experienced as a result of race, disability, gender, age, religious belief or faith or sexual orientation
  • promotes social inclusion and recovery for all with a focus on strength-based practice
  • delivers choice throughout your social care pathway, including signposting/accessing primary care services, secondary care assessment, treatment and care and inpatient care
  • improves joint working between health and social care services

The Dudley social care market supporting people with severe and enduring mental health needs is largely the same market that supports people with learning disabilities and or Autism.

Mental health spend for Nursing Care is £1.5M per year and £1M per year for residential care.

There are 13 supported living contracts that provide support to people with complex mental health needs at an annual cost of approximately £1.9M.

People in Dudley aged 18-64 predicted to have a mental health problem, projected to 2040

2020 2025 2030 2035 2040
People aged 18-64 predicted to have a common mental disorder 35,528 36,145 36,418 36,716 37,202
People aged 18-64 predicted to have a borderline personality disorder 4,511 4,589 4,623 4,661 4,722
People aged 18-64 predicted to have an antisocial personality disorder 6,238 6,320 6,398 6,398 6,477
People aged 18-64 predicted to have psychotic disorder 1,312 1,333 1,352 1,352 1,370
People aged 18-64 predicted to have two or more psychiatric disorders 13,501 13,720 13,925 13,925 14,106

Table produced on 03/04/23 from version 14.2

The above table is based on ONS population and prevalence rates identified in Adult Psychiatric Morbidity Survey: Survey of Mental Health and Wellbeing, England, 2014 (2016), NHS Digital. This does not take into account any changes in demand that may have occurred as a result of the pandemic and cost of living crisis.

% males % females
Common mental disorder 14.7 23.1
Borderline personality disorder 1.9 2.9
Antisocial personality disorder 4.9 1.8
Psychotic disorder 0.7 0.7
Two or more psychiatric disorders 6.9 7.5

The prevalence rates have been applied to ONS population projections for the 18-64 population to give estimated numbers predicted to have a mental health problem, projected to 2040.

In 2021/2022 there were 234 adults with a mental health need eligible for a service from Dudley Council (2021/22 SALT data).

People in Dudley with Care Act Eligible Funding with a Primary Support Reason of Mental Health

Housing Accommodation Type Number of People Share of Total (%)
Mainstream Housing 168 72%
Supported Living (self-contained) 39 17%
Residential Care 13 6%
Nursing Care 14 6%
Total 234 100%

Approximately 17% of people eligible for social care funding are supported in supported living schemes versus 12% of people that are placed in residential and nursing care. Most people (72%) however receive a package of support and continue to live in mainstream housing.

The current market has a few providers who specifically focus their services to support people with complex and enduring mental health needs, however demand for services has frequently led to increased out of area placements and this risks people losing connections with their local support networks.

Experience over recent years has shown that shared accommodation models for people with mental health needs have not been as effective or efficient as models where there is self-contained accommodation.

Our vision is to ensure that people have appropriate support and care that meets their needs, ideally providing early support and advice with an emphasis on prevention. We want services that are focused on delivering support that enable people to achieve individual outcomes, working in partnership with other agencies and services ensuring a coordinated approach to facilitating recovery, promoting independence and reducing reliance on paid care.

Woodside Day Service

Woodside day service works to promote recovery, aiming to provide high quality services for people who are experiencing mental health issues or emotional distress.

The team will work with people who are managing their Mental Health at home but would find it helpful to get more support or to have opportunities to meet other people in similar situations.

Individuals might use the Woodside day service alongside other support, for example, from their GP, Community Health team, crisis team or social care team.

Woodside will represent Dudley Borough Vision 2030:

Woodside will be part of the transforming health and well-being care services through multi-speciality community providers.

  • It will reduce isolation and loneliness
  • Maximise quality of life of those affected by ill health
  • Promote longer, healthier, and safer lives for all

Commissioning Intentions

  • Reduce out of area placements working with providers and housing associations on service development within the Dudley area, especially for people with complex needs in self-contained accommodation
  • Supported living framework will be formally competitively tendered in 2024
  • Dudley Council will formally competitively procure all existing supported living provision via the new framework once established, to align with outcome measures and expectations within the next 2 years and ensure compliance with REACH standards and current best practice
  • Explore and consider pilots for the development and introduction of individual service funds in Dudley
  • Explore potential models with health partners across the Black Country in relation to step down provision
  • Actively promote the development of the PA market and increased take up of Direct payments and personal budgets, including personal health budgets

Messages for the Market

  • We want services that prevent, reduce, and delay the need for care and support. This will reduce dependency on services and increase independence, control and choice for people. We will do this by using recovery and asset-based approaches that promote social inclusion and citizens' community assets
  • We want to work with providers to ensure the sustainability of the provider market, delivering services that meet individual outcomes, embrace innovations and are flexible to changing need and demands
  • We want to work with providers to develop recovery focused services ensuring we can measure the impact of services and support
  • Increase availability of support that avoids the placement of young people in out of area services and unnecessary residential or nursing services