Lost in Crisis - Review Homeless Access to Mental Health Services, Manchester

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Summary of report content

Drastic rise in homelessness in Manchester, the demand for crisis mental health services and over use of Accident and Emergency Departments across 3 sites in Manchester. Severe shortage of community based services. Research discovered that online resources often incorrect, unclear, contradictory or hard to find.

Survey conducted with 2 centres the Booth Centre and the Men’s Room with 25 people interviewed. They reported: often felt stigmatised, stereotyped or not listened to and struggled to access mental health services when needed.

Mental health support system for homeless people in Manchester requires urgent improvement. It is fragmented, vastly complicated and difficult to navigate, creating barriers to access. Services are also under resourced, waiting lists are too long and staff often experience stress. Many services lack an understanding of the complex needs of homeless people, or fail to acknowledge their rights as patients.

Mixed methodology: a mapping exercise through online resources, direct contact with services, 25 face to face surveys

Recommendations

• Better access to mental health support services homeless people need including up-to-date information and signposting through the independent sector. Keep websites in sync and up-to-date.

• simpler referral pathways to the Mental Health Trust.

• Better coordination between statutory and voluntary services.

• Better resourced key services who make initial assessments.

• Homeless Pathway team to offer support and coordinate to all homeless people that require access to NHS mental health services.

• A joined up approach with access criteria clearly defined.

• Services Pathway Map to be kept up-to-date.

• Healthwatch Manchester will continue to update, produce and distribute our pocket

guide “Know Your Rights: A Guide to Accessing Health Services if you are Homeless in Manchester.”

• Urgent crisis support capacity to be improved within the community

• Provision of a single point of access within service.

• Gateway Service to be kept up-to-date and telephone service to be supported by trained clinicians.

• Realistic and timely targets for waiting times.

• Regular review of services available to homeless people.

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General details

Local Healthwatch
Healthwatch Manchester
Publication date
Date evidence capture began
Date evidence capture finished
Type of report
Report
Service Evaluation
Key themes
Access to services
Booking appointments
Communication with patients; treatment explanation; verbal advice
Consent, choice, user involvement and being listened to
Follow-on treatment and continuity of care
Building, Decor and Facilities, including health and safety
Health inequality
Written information, guidance and publicity
Integration of services and communication between professionals
Lifestyle and wellbeing; wider determinants of health
Medication, prescriptions and dispensing
Other
Caring, kindness, respect and dignity
Staffing - levels and training
Quality of treatment
Referrals
Service organisation, delivery, change and closure
Waiting times- punctuality and queuing on arrival
Waiting for appointments or treatment; waiting lists for treatment

Methodology and approach

Was the work undertaken in partnership with another organisation?
No
Primary research method used
Interviews
Survey
If an Enter and View methodology was applied, was the visit announced or unannounced?
N/A

Details of health and care services included in the report

Details of health and care services included in the report
Child and Adolescent Mental Health Services (CAMHS) and Targeted Mental Health in Schools Services (TaMHS)
Counselling/Psychotherapy/ Improving Access to Psychological Therapies (IAPT)
Community Mental Health Team (CMHT) and specialist MH services
Mental health crisis service
Other
District nurse and community nursing
Emergency department (inc A&E)
Ambulances and paramedics
NHS 111
Urgent primary care, including Urgent Treatment Centres, walk-in care, out of hours GP services, minor injury and treatment centres

Details of people who shared their views

Number of people who shared their views
25
Age group
All
Gender
All
Types of disabilities
Mental health condition
Does this report feature carers?
Yes
Seldom heard groups
People in stigmatised occupations (such as sex workers)
People with or recovering from addictions
People with limited family or social networks
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