Mental health strategy 2017-2027: first progress report

10 Actions:

12, 16, 18, 21, 22, 25, 29, 31, 38, 39

3 Actions:

1, 7, 35

26 Actions:

2, 3, 4, 5, 6, 8,9, 10, 11, 13, 14, 15, 17, 19, 20, 23, 24,26 27, 28, 30, 32, 33, 34, 36, 37

1 Action:

40

1 - Review Personal and Social Education ( PSE), the role of pastoral guidance in local authority schools and services for counselling for children and young people

• Phase 1 - a desk study of existing PSE guidance for education professionals - completed (Oct 17)
• Phase 2 of the Review – Thematic Inspection of PSE Delivery in 55 schools and early learning settings (May 18)
• Phase 3 – analysis of findings development of recommendations commenced at the end of June, with an engagement workshop with COSLA, ADES and local authorities (Aug 18).

2 - Roll out improved mental health training for those who support young people in educational settings

• Analysis of existing training programmes completed.
• Roll out of Borders wide SMFHA, Confidence to Learn and See Me What’s On Your Mind training across all secondary schools (6000 pupils) – involving pupils, teachers and wider sector – part of wider work commissioned by NHS Borders/Scottish Borders ( launched 23 Jun 18).

3 - Commission the development of a Matrix of evidence-based interventions to improve the mental health and wellbeing of children and young people

• Ministerial approval for NES proposal (Aug 17)
• The Executive Group has met monthly. The lines of reporting, terms of reference and outline of roles and responsibilities for the Design Team and Advisory Group have been established.
• Both the Design Team and Advisory Group have been recruited to, with representation across Health, Education, Social Care and the Third Sector.

4 - Complete the rollout of national implementation support for targeted parenting programmes for parents of 3 and 4 year olds with conduct disorder by 2019-20

• Since 2013, 22 CPP areas in total have adopted the PoPP model. 20 of these CPP areas are continuing to actively implement the PoPP plan, whilst the remaining two areas have chosen to pause their PoPP activity at this time.
• Since November 2017, 68 practitioners have completed the full suite of PoPP training in either the Incredible Years or Triple P programmes. This takes the overall total to 720 practitioners (461 IY; 259 TP) who have been trained to deliver these programmes since the PoPP implementation started in 2013.
• Overall 703 PoPP groups have now been delivered (or are currently being delivered) to 4,402 families (including 5,445 caregivers).

5 - Ensure the care pathway includes mental and emotional health and wellbeing, for young people on the edges of, and in, secure care

• The Secure Care Strategic Board had its first meeting on 6 October 2017 and has now met on four occasions.
• The board has now agreed the following working vision:-

“Our vision is of compassionate, nurturing, relational, rights based responses and supports within families, schools and communities; for all children and young people whenever there are concerns about significant harm to self and/or other people.”

6 - Determine and implement the additional support needed for practitioners assessing and managing complex needs among children who present a risk to themselves or others

• The Youth Justice Improvement Board held a national training event around responses and services to young people where there are high levels of concern about significant harm to self and/or others. This event was informed by progress/findings in work to develop the care pathway for young people on the edges of, and in, secure care.

7 - Support an increase in support for the mental health needs of young offenders, including on issues such as trauma and bereavement

• Community Safety colleagues funded Barnardos to deliver trauma, bereavement and loss ( TBL) projects in Polmont for 2 years (2016/17 and 2017/18). The project was to provide:
• o Provision of TBL service to young women in Polmont and associated staff training and development, with small scale evaluation
• o Pilot to explore support needs in relation to TBL for young people leaving Polmont, who have participated in the Here and Now Service
• o Responding earlier to young people’s experiences of TBL by working with identified children in schools, capacity building with parents and staff, with small scale evaluation
• All of the above initiatives have now been completed as planned and are awaiting the evaluation conducted by CYCJ (both the schools and Polmont women evaluations will report in Autumn 2018)

8 - Work with partners to develop systems and multi-agency pathways that work in a co-ordinated way to support children’s mental health and wellbeing.

• Discussions have taken place with Health Improvement Scotland who will develop a proposal for a Children and Young People’s Mental Health Collaborative. This Programme will involve children and young people, families, communities and service providers from all sectors working together to re-define, redesign and transform how we support mental health and wellbeing.

9 - Support the further development of "Think Positive" to ensure consistent support for students across Scotland

• Three year bid submitted to the Scottish Government, which would expand and develop the Think Positive project.
• For 2017-18 Record numbers of colleges and universities across Scotland have signed up to take part in the Think Positive Student Mental Health Agreement ( SMHA) project.

16 - Fund the introduction of a Managed Clinical Network to improve the recognition and treatment of perinatal mental health problems

• Perinatal Mental Health Managed Clinical Network ( MCN) established and core team appointed.
• 5-year workplan created following stakeholder strategy day.
• MCN concentrating on:

Mapping & gapping / service development.

Care pathway development.

Education & training.

Communication & engagement:.

17 - Fund improved provision of services to treat child and adolescent mental health problems

• We are now entering year 3 of the £54m package (2016-2020) of support to help boards improve their performance against waiting times targets by investing in workforce development, recruitment and retention, and service improvement support.
• The CAMHS workforce has increased from 993.5 WTE to 1014.4 WTE since this investment began (March 2016 to March 2018).
• £4.6 million was provided to Healthcare Improvement Scotland to establish a Mental Health Access Improvement Support Team ( MHAIST) which is working in partnership with Boards to improve access to mental health services.

18 - Commission an audit of CAMHS rejected referrals, and act upon its findings

• The audit has now taken place and a report and recommendations was published on 29 June 18.
• The Task Force chaired by Denise Coia was also announced on 29 June 18.

19 - Commission Lead Clinicians in CAMHS to help develop a protocol for admissions to non-specialist wards for young people with mental health problems

• Comments collected from Lead Clinician’s group regarding the Standards developed by the Royal College of Psychiatrists ( RCP).
• Permission given by RCP for the standards to be used and amended by NHS Scotland.
• Stakeholders meeting held January 18.

20 - Scope the required level of highly specialist mental health inpatient services for young people, and act on its findings

• The LD CAMHS inpatient needs assessment was published by the SG on in Nov 17 with support in principle for the main recommendation that a national LD CAMHS inpatient unit for Scotland should be established.
• Specialist Short Life Working Group in progress.

21 - Improve quality of anticipatory care planning approaches for children and young people leaving the mental health system entirely, and for children and young people transitioning from CAMHS to Adult Mental Health Services

• The Transition Care Plans, designed entirely by young people via the Scottish Youth Parliament, were officially launched on 29 August.

22 - Support development of a digital tool to support young people with eating disorders

• A national launch of the online platform for parents and carers: www.caredscotland.co.uk took place in February 2018 during Eating Disorder Awareness Week.

10 - Supports efforts through a refreshed Justice Strategy to help improve mental health outcomes for those in the justice system.

• Work underway to develop an enhanced national mental health pathway for those coming into contact with emergency services who are in mental health crisis or distress.

15 - Increase the workforce to give access to dedicated mental health professional to all A&Es, all GP practices, every police custody suite, and to our prisons. Over the next five years increasing additional investment to £35 million for 800 additional mental health workers in those key settings

• In late 2017, Scottish Ministers commissioned the Health & Justice Collaboration Improvement Board (H& JCIB) to consider how Action 15 might best be delivered.
• The H& JCIB asked that Integration Authorities ( IAs) each develop a plan setting out their goals for improving capacity in the settings outlined within Action 15 from 2018/19.
• The plans from IAs have been received, and a summary was provided for the H& JCIB for its meeting on 11 September 18.

23 - Test and evaluate the most effective and sustainable models of supporting mental health in primary care, by 2019.

• The Scottish Government is investing £110 million in the Primary Care Fund ( PCF) in 2018-19 to support implementation of the new GP contract and wider primary care reform. This includes several different funding lines, including the Primary Care Transformation fund and the Primary Care Mental Health Fund. To date, £10m has been invested via PCMHF to encourage the development of new models of care to ensure that people with mental health problems get the right treatment, in the right place, at the right time.
• In 2018/19, a further £5.5 million of funding will be released.

24 - Fund work to improve provision of psychological therapy services and help meet set treatment targets

• We are now entering year 3 of the £54m package (2016-2020) of support to help boards improve their performance against waiting times targets by investing in workforce development, recruitment and retention, and service improvement support. The number of all clinical Staff in psychological services has increased from 1079 WTE to 1157 WTE since this investment began (March 2016 to March 2018).
• A programme of work is being taken by SG in collaboration with partners in HIS/ ISD and NES to work collaboratively with Boards and IJBs to deliver sustainable improvement in access to services. We want partners to develop whole system solutions which address prevention, early intervention and pathways within and between services. A detailed plan of this work is being developed.

11 - Complete an evaluation of the Distress Brief Intervention ( DBI) by 2021 and implement the findings from that evaluation

• Lanarkshire DBI service commenced in June 17, with learning from controlled testing supporting roll out in Aberdeen, Inverness and Borders.
• Commissioning of DBI independent evaluation completed and contract awarded.
• The DBI programme has met its key landmarks with all four key front-line DBI Level 1 service pathways (Emergency Departments, Primary Care, Police Scotland and Scottish Ambulance Service) now ‘live’ in all four pilot site regions.

12 - Support the further development of the National Rural Mental Health Forum to reflect the unique challenges presented by rural isolation

• Rural Mental Health campaign launched (June 17).
• Announcement in May 18 of a further £50k funding (£100k in total).
• Membership of the forum has now grown to c. 50 organisations.

13 - Ensure unscheduled care takes full account of the needs of people with mental health problems and addresses the longer waits experienced by them

• Meeting with MH Service Lead, GRI General Manager and Clinical Lead MH Service Redesign to discuss plans for improving MH access in front door areas (July 17)
• Participation in NHS24 scoping exercise around redesign of their MH service (Aug 17).
• Mental Health Test of Change of Procedure across NHS Greater Glasgow and Clyde ( GGC) of placing Community Psychiatric Nurses ( CPN) in hospital Emergency Departments ( ED) overnight to facilitate Mental Health assessments of those presenting distress during the period 11 December 17 to 18 March 18.

14 - Work with NHS 24 to develop its unscheduled mental health services to complement locally-based services

• NHS 24 draft Strategy 2017-22 published and 5 year programme of Organisational Improvement commenced
• Discussions with Police Scotland to establish a possible mental health collaboration between NHS 24, SAS and Police Scotland

25 - Develop more accessible psychological self-help resources and support national rollout of computerised CBT with NHS 24, by 2018.

• Building on the success of the EU funded MasterMind project, funding was secured in 2016 through the Scottish Government's Technology Enabled Care ( TEC) Programme to make cCBT available in all 14 territorial health boards.
• cCBT services have been operating across all health board areas in Scotland since April 2018.

26 - Ensure the propagation of best practice for early interventions for first episode psychosis, according to clinical guidelines

• Healthcare Improvement Scotland ran a series of regional events discussing current priorities in relation to how Boards and the Scottish Patient Safety Programmes Mental Health team work together. These events included workshops on early intervention in psychosis.

27 - Test and learn from better assessment and referral arrangements in a range of settings for dual diagnosis for people with problem substance use and mental health diagnosis.

• The Lead Psychologists Addiction in Substance Misuse Services in Scotland ( LPASS) Report was published on 4 June 2018.
• The report provides national best practice guidance for the Delivery of Psychological Interventions in substance misuse services for both practitioners and IJB commissioners.
• NES will begin delivering LPASS seminars to those interested in the coming months, details on dates and venues are currently being developed.

28 - Offer opportunities to pilot improved arrangements for dual diagnosis for people with problem substance use and mental health diagnosis.

• The LPASS (Lead Psychologists in Addiction Services Scotland) report - see Action 27 – has been shared (4 June 2018) with integrated authorities as a basis for the promotion, assessment and review of local dual diagnosis joint working protocol offering peer and national support to improve quality of service delivery.

29 - Work with partners who provide smoking cessation programmes to target those programmes towards people with mental health problems

• IMPACT guidance now being introduced to other NHS Board areas around Scotland, having been piloted in NHS Lothian.
• Tobacco Control Action Plan published on 20 June – contains commitments and actions on rolling-out IMPACT and raising awareness amongst medical professionals and healthcare staff of the significant impact smoking has on mental health medications.

30 - Ensure equitable provision of screening programmes, so that the take up of physical health screening amongst people with a mental illness diagnosis is as good as the take up by people without mental illness diagnosis

• Screening Inequalities Fund Letter 2018/19 issued to NHS Health Boards and third sector organisations, including mental health stakeholders, to encourage bids for funding under the Cancer Strategy to tackle inequalities in access to screening services across Scotland.
• Two projects are currently being undertaken which specifically aim to address action 30 of the Mental Health Strategy. The first is by NHS Dumfries and Galloway ‘To improve the uptake of breast, cervical and bowel screening in people experiencing homelessness and or with mental health problems through gaining an understanding of the barriers and facilitators for accessing screening.
• The second by NHS Lanarkshire, ‘Review options to increase the uptake to cervical, bowel and breast screening services for the homeless population in Lanarkshire.’

31 - Support the physical activity programme developed by SAMH

• ALBA Fife’s third cohort referrals started November 2017 and completed in February 2018 with 23 participants recruited (target 32) with 10 participants completing the 16 weeks intervention with 3 more still actively engaged.
• ALBA North Ayrshire’s first cohort referrals started September 2017 and completed in December with 12 participants recruited (target 20) with 8 participants completing the 16 weeks intervention
• ALBA West Lothian’s first cohort referrals started September 2017 and completed in December with 22 participants recruited (target 20) with 15 participants completing the 16 weeks intervention.

36 - Work with employers on how they can act to protect and improve mental health, and support employees experiencing poor mental health

• Between January to June 2018, NHS Health Scotland Health and Work Directorate has delivered :
  • 43 one day course of Mentally Healthy Workplace ( MHW) for Managers (552 people trained)
  • 4 MHW Training for Trainers courses (28 people trained)
  • 8 workshops on Resilience and Wellbeing (97 people trained)
  • 3 Managers’ Competency Workshops (36 people trained)

38 - Develop a quality indicator profile in mental health which will include measures across six quality dimensions – person-centred, safe, effective, efficient, equitable and timely

• Draft mental health strategy framework completed by Public Health Registrar Colin Sumpter after engagement with multiple stakeholders. Sent to ISD and HSCA for feasibility testing in May 18.
• QI profile implementation date set as Sept 18.

39 - Establish a bi-annual form of stakeholders to help track progress on the actions in this strategy, and to help develop new actions in future years to help meet our ambitions

• Second biannual forum held 6 Dec 17
• Feed-back from biannual discussed with MH partnership and other stakeholders resulting in agreement to reduce frequency to annual and to focus work around 4 themes.

32 - Use a rights-based approach in the statutory guidance on the use of mental health legislation

• Interim guidance has been drawn up in consultation with stakeholders and published on the mental health law website

33 - Commission a review of whether the provisions in the Mental Health (Care and Treatment) (Scotland) Act 2003 Act fulfil the needs of people with learning disability and autism, taking forward new legislative measures if necessary

• Appointment of Review Groups finalised and includes people with lived experiences – this will ensure that all perspectives are covered equally for an inclusive and credible review

34 - Reform Adults With Incapacity ( AWI) legislation

• A consultation on proposed reforms to the AWI Act closed on 30th April. The results have been analysed and a stakeholder event was held on 28th June. This disseminated the results of the analysis and gave an indication of the way forward. 3 working groups will convene in the autumn to discuss deprivation of liberty, graded guardianship/forum and support and training for attorneys/guardians respectively.

35 - Work with key stakeholders to better understand Mental Health Officer capacity and demand, and to consider how pressures might be alleviated

• SSSC Mental Health Officers (Scotland) Report 2016 published (Aug 17)
• Social Work Scotland report ‘The Mental Health Officer: capacity, challenges, opportunities and achievements’ published (Oct 2017)
• National Health and Social Care Workforce Plan Part 2 co-published by SG and COSLA.
• Research commissioned on current training and development for qualified social workers – to feed into Framework in Practice development

37 - Explore innovative ways of connecting mental health, disability, and employment support in Scotland

• £2.5 million Employability Innovation and Integration Fund launched (June 18)

1 - Review Personal and Social Education ( PSE), the role of pastoral guidance in local authority schools and services for counselling for children and young people

• Further engagement with third sector organisations (Autumn 18)
• Publish report, containing recommendations, by the end of 2018.

2 - Roll out improved mental health training for those who support young people in educational settings

• Continued provision of SMFHA Young People training to participating local authorities ( July 18 onwards as part of two year roll out – led by Education Scotland)
• SMFHA trainer provision enabling a further cadre of available trainers to roll out training in educational settings (from October 18 to March 19 - led by Health Scotland)

3 - Commission the development of a Matrix of evidence-based interventions to improve the mental health and wellbeing of children and young people

• Prototype of the Framework to be completed, December 18.

4 - Complete the rollout of national implementation support for targeted parenting programmes for parents of 3 and 4 year olds with conduct disorder by 2019-20

• Support the ongoing implementation and sustainability of the Psychology of Parenting Project ( PoPP) in the mature PoPP sites so that at least 70 new PoPP groups are delivered, Dec 18

5 - Ensure the care pathway includes mental and emotional health and wellbeing, for young people on the edges of, and in, secure care

• Secure Care Strategic Board to consider draft pathway by end Nov 18.

6 - Determine and implement the additional support needed for practitioners assessing and managing complex needs among children who present a risk to themselves or others

• CYCJ are developing a comprehensive knowledge and skills development package for practitioners and managers in conjunction with SSSC in relation to high risk. This is due to be launched in 2019/20.

7 - Support an increase in support for the mental health needs of young offenders, including on issues such as trauma and bereavement

• The evaluation of trauma, bereavement and loss services in three Scottish schools will be published by end of Nov 18.
• The evaluation of trauma, bereavement and loss services for females in Polmont will be published by end of Nov 18.

8 - Work with partners to develop systems and multi-agency pathways that work in a co-ordinated way to support children’s mental health and wellbeing

• Agree final proposal from HIS on Transformation Collaborative - Autumn 18.

9 - Support the further development of "Think Positive" to ensure consistent support for students across Scotland

• Think Positive launch event in Autumn 18.

16 - Fund the introduction of a Managed Clinical Network to improve the recognition and treatment of perinatal mental health problems

• Publication of Mapping & Gapping Report on current service provision. End of December 18.
• Publication of Recommendations for Perinatal Mental Health Care Provision for Scotland. End of December 18.

17 - Fund improved provision of services to treat child and adolescent mental health problems

• Review Improvement Plans submitted by the 4 poorest performing Boards on CAMHS and continue engagement to ensure that they stay on track with their performance trajectories. Report back on progress by Dec 18.
• Health Improvement Scotland ( HIS) to develop and deliver an improvement collaborative focusing on access to CAMHS which will enable teams to identify improvements to the quality of care and processes to improve access. Phase 1 to complete by May 19
• Health Improvement Scotland ( HIS) to develop and work with Boards on the implementation of a diagnostic assessment that will enable Boards to identify and plan to address strategic improvement priorities - implementation ongoing from July 18.

18 - Commission an audit of CAMHS rejected referrals, and act upon its findings

• Coia Taskforce to consider recommendations in the report and agree plan of action - October 18.

19 - Commission Lead Clinicians in CAMHS to help develop a protocol for admissions to non-specialist wards for young people with mental health

• The final draft of the standards and protocol for child admissions to adult wards will be completed and circulated end of Oct 18.

20 - Scope the required level of highly specialist mental health inpatient services for young people, and act on its findings

• LD CAMHS
  • SLWG concludes work (tbc late 18).
• Secure CAMHS
  • Site Option Appraisal, 19 Oct 18

21 - Improve quality of anticipatory care planning approaches for children and young people leaving the mental health system entirely, and for children and young people transitioning from CAMHS to Adult Mental Health Services

• Rollout of TCPs across Scotland to become standard practice (ongoing).

22 - Support development of a digital tool to support young people with eating disorders

• Full evaluation of project available Oct 18.

10 - Support efforts through a refreshed Justice Strategy to help improve mental health outcomes for those in the justice system

• Enhanced mental health pathway - project manager in place and to commence recruitment and training of mental health staff from 1 Oct 18.

15 - Increase the workforce to give access to dedicated mental health professional to all A&Es, all GP practices, every police custody suite, and to our prisons. Over the next five years increasing additional investment to £35 million for 800 additional mental health workers in those key settings.

• Enhanced mental health pathway – project manager in place and to commence recruitment and training of mental health staff – from 1 Oct 18.

23 - Test and evaluate the most effective and sustainable models of supporting mental health in primary care, by 2019

• Review of primary care improvement plans to ensure they demonstrate how additional funding is being used to re-design primary care services to ensure that those who need mental health support can access it when they need it – Dec 18.

24 - Fund work to improve provision of psychological therapy services and help meet set treatment targets

• Phase 1 of improvement collaborative to complete by May 19.
• Health Improvement Scotland ( HIS) to develop and work with Boards on the implementation of a diagnostic assessment that will enable Boards to identify and plan to address strategic improvement priorities - implementation ongoing from July 18.

11 - Complete an evaluation of the Distress Brief Intervention ( DBI) by 2021 and implement the findings from that evaluation

• Continue the controlled incremental delivery of DBI training across the four test sites and key staff groups, co-ordinated through the DBI training plans, ensuring that service demand does not exceed capacity to deliver DBI in-line with specification.

12 - Support the further development of the National Rural Mental Health Forum to reflect the unique challenges presented by rural isolation

• Forum members agree work priorities for the year ahead.

13 - Ensure unscheduled care takes full account of the needs of people with mental health problems and addresses the longer waits experienced by them

• Further recommendations developed relating to the approach to management (which is likely to suggest an assessment in parallel between emergency/acute medicine and mental health services). End of Nov 18.

14 - Work with NHS 24 to develop its unscheduled mental health services to complement locally-based services

• Commencement of test of change project within NHS 24.

25 - Develop more accessible psychological self-help resources and support national rollout of computerised CBT with NHS 24, by 2018

• cCBT services have been operating across all health board areas in Scotland since April 18 – the key deliverable has already been achieved.

26 - Ensure the propagation of best practice for early interventions for first episode psychosis, according to clinical guidelines

• Healthcare Improvement Scotland to discuss whether alternative strategies for engaging with Boards and identifying priorities relating to the detection and treatment of first episode psychosis are viable (Oct 18).

27 - Test and learn from better assessment and referral arrangements in a range of settings for dual diagnosis for people with problem substance use and mental health diagnosis

• Seminars aimed at commissioners, managers, trainers and practitioners across all sectors of substance misuse services. Aim of the seminars is to introduce participants to the LPASS report and explore strategies for implementation (Autumn 18).

28 - Offer opportunities to pilot improved arrangements for dual diagnosis for people with problem substance use and mental health diagnosis

• Already completed, The LPASS report was published June 18.

29 - Work with partners who provide smoking cessation programmes to target those programmes towards people with mental health problems

• Legislation to make it an offence to smoke within 15 metres of hospital buildings including psychiatric units and hospitals will be laid in the Scottish Parliament in Oct 18.
• Tobacco is being removed from all prisons in Scotland on 30 Nov 18.

30 - Ensure equitable provision of screening programmes, so that the take up of physical health screening amongst people with a mental illness diagnosis is as good as the take up by people without mental illness diagnosis

• 3 bids received for 2018/19 screening inequalities funding for projects working on inequalities in access to screening for individuals with mental health problems. The bids are currently being considered and if successful will receive funding late September – early October.
• A progress update on existing mental health projects funded by the 17/18 screening inequalities fund is due in October
• The Scottish Screening Committee is holding a screening inequalities event on the 4th October and are keen to encourage mental health stakeholders to attend.
• Work is ongoing to identify a Chair for the Screening Inequalities Network. We are also looking for a mental health representative for the network and would welcome nominees/volunteers. We hope to have the network established by the end of 2018.

31 - Support the physical activity programme developed by SAMH

• Finish support with all long term clients for Fife at the end of Dec 18.
• Target of 1500 physical activity staff and volunteers trained in Mental Health Awareness and/or Behaviour Change Elearning.in the next 6 - 12 months

36 - Work with employers on how they can act to protect and improve mental health, and support employees experiencing poor mental health

• Health and Safety Executive Health Summit with mentally healthy workplace as key strand – 1 Nov 18
• Roundtable discussion of key stakeholders to facilitate mental health workplace standard concept – Autumn 18.
• Ongoing provision of workplace mental health training
• Guidance on suicide awareness – Dec 18.

38 - Develop a quality indicator profile in mental health which will include measures across six quality dimensions – person-centred, safe, effective, efficient, equitable and timely

• Quality Indicator profile and Mental Health framework launch by end Sept 18.

39 - Establish a bi-annual form of stakeholders to help track progress on the actions in this strategy, and to help develop new actions in future years to help meet our ambitions

• Annual report to Parliament – Sept 18.
• Next Annual forum - Dec 18.

32 - Use a rights-based approach in the statutory guidance on the use of mental health legislation

• Policy development for revision of the code, and scoping of the best way to incorporate a rights-based approach in the Code of Practice, to be completed by Jan 19.
• Targeted consultation initially with specific key stakeholders to enable targeted policy development before public consultation. Following that there will be a public consultation and a user-testing exercise. To be completed by Jan 19.

33 - Commission a review of whether the provisions in the Mental Health (Care and Treatment) (Scotland) Act 2003 Act fulfil the needs of people with learning disability and autism, taking forward new legislative measures if necessary

• The review is stakeholder driven and evidence led. There will be 3 public engagement phases to this review, running until Nov 18.

34 - Reform Adults with Incapacity ( AWI) legislation

• Over the next 6 months the messages received from the consultation will be distilled down into draft policy that can be tested with stakeholder groups.

35 - Work with key stakeholders to better understand Mental Health Officer capacity and demand, and to consider how pressures might be alleviated

• Development of a Framework in Practice for Social Work - completion of initial research phase and engagement with stakeholders – Dec 18.

37 - Explore innovative ways of connecting mental health, disability, and employment support in Scotland

• Three projects receiving funding from the Employability Innovation and Integration Fund will continue to support people with mental health issues. Funding for the projects will end on 31 March 19.