Mental health - distress framework for collaboration: multi-agency partnership approach
The framework for collaboration has been developed by the Scottish Government, along with Partnership Delivery Group (PDG) members, sets out principles for a multi-agency collaborative approach to supporting individuals experiencing distress or crisis.
5. Principles
This Framework aims to promote a ‘no wrong door’ whole system approach to improving and responding to mental health distress.
The following principles provide more detail on what works in relation to delivering a person-centred approach that should underpin our joint approach to service delivery. We have shown their alignment, in the table below, to the three areas of focus from the Mental Health and Wellbeing Strategy: Promote; Prevent and Provide; and the four justice principles founded in equality and human rights; evidence based; embedded person centred and trauma informed practices; collaboration and partnership.
Principles |
MHW Strategic Priorities |
Justice Principles |
|---|---|---|
No Wrong Door Regardless of which service an individual contacts when in crisis, there should be no wrong door. Effective transfer of care should allow individuals to be better, and more quickly, connected to the support that meets their needs in the right settings. |
Provide |
Trauma Informed Equality and Human Rights Collaboration and Partnership |
Trauma Informed Time, Space, Compassion and Trauma informed principles will underpin how individuals experience care and support, first points of contact should always be compassionate, regardless of whether it is the ‘right’ service. |
Promote Provide Prevent |
Trauma Informed Equality and Human Rights |
Free from Stigma and Discrimination Stigma and discrimination in the health and justice systems can prevent people from accessing the information, support, and resources they need, creating mistrust and further exclusion. Services should work together to tackle stigma and discrimination so people with mental health conditions, including those with co-existing health conditions experience improved quality and length of life, free from stigma and discrimination. |
Promote |
Equality and Human Rights |
Getting it Right for Everyone Getting it right for every child (GIRFEC) is our commitment to provide all children, young people and their families with the right support at the right time. This is so that every child and young person in Scotland can reach their full potential. Linked to this a new person-centred working aimed at adults called Getting it Right for Everyone (GIRFE). This proposed multi-agency approach of support and services from young adulthood to end of life care. It will place the person at the centre of all the decision making that affects them, with a joined-up consistent approach regardless of the support needed at any stage of life. |
Provent Provide |
Person Centred |
Collaborative Service providers should work in partnership, to integrate service provision and thus improve the outcomes they achieve. This would mean individuals can be better, and more quickly, connected to the support that meets their needs in the right settings, promoting self-management and avoiding escalation. |
Promote Provide Prevent |
Collaboration and Partnership |
Alignment of Services The transfer of care should be seamless to avoid retraumatising individuals by asking them to repeatedly disclose information. |
Provide Prevent |
Trauma Informed |
Signposting and Referral Services will promote and provide access to information about national and local crisis support and services to help individuals access the right care. |
Promote |
Trauma Informed Person Centred |
Responsive People presenting in the Out of Hours period should have access to the full range of options available in hours, cognisant that some options may not be available immediately. |
Provide |
Equality and Human Rights |
Proportionate Response Emergency services should only be deployed to respond to an individual suspected to be vulnerable and/or in emotional distress and/or crisis when there is an immediate risk of significant harm to an individual or others. |
Provide Prevent |
Equality and Human Rights Person Centred Trauma Informed |
Data Sharing The duty to share information can be as important as the duty to protect patient confidentiality. |
Provide Prevent |
Collaboration and Partnership |
Positive Risk Taking Services will promote a positive risk-taking approach to supporting individuals in crisis that sees services making decisions in the best interest of the individual. Supporting positive risk taking requires the ability to effectively balance the benefits and positive outcomes against the potential negative outcomes of having measures in place that restrict or seek to avoid risk. |
Provide Prevent |
Trauma Informed Equality and Human Rights |
Continuously Improving Mechanisms for review and evaluation between partners will allow for continuous improvement. |
Prevent Provide |
Collaboration and Partnership |
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