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Social prescribing improving mental health discharge rates

Social prescribing improving mental health discharge rates
07 November 2016

Social prescribing improving mental health discharge rates 

People with mental health conditions are benefitting from being prescribed non-medical treatments by their doctors, according to a new report released today (Friday 4 November). 

The Rotherham Social Prescribing Mental Health Pilot was developed to help people with mental health conditions overcome the barriers which prevent discharge from secondary mental health care services. 

The 12-month pilot - which has now been extended to March 2017 - helps service users build and direct their own packages of support by encouraging them to access personalised services provided by local voluntary and community groups. 

The pilot was delivered in partnership by Rotherham, Doncaster and South Humber NHS Foundation Trust (RDaSH) and a group of local voluntary sector organisations led by Voluntary Action Rotherham on behalf of NHS Rotherham Clinical Commissioning Group (CCG). 

The evaluation of the pilot, carried out by Sheffield Hallam University's Centre for Regional Economic and Social Research (CRESR), found that it had helped increase the number of discharges from mental health services and improved social and emotional well-being of the service users. 

156 service users were referred to the pilot, with 136 (87 per cent) taking up one of the voluntary and community services available, such as sports groups, craft classes, cookery courses, swimming, learning programmes, employment skills, yoga, and therapeutic art groups. 

The research, which was measured against eight different wellbeing outcomes, showed that:

  • 93 per cent of service users made progress against at least one outcome
  • 64 per cent made progress against four or more of the outcomes
  • 39 service users were discharged from mental health services (out of 72 discharge review meetings) 

The evaluation also found a range of evidence about the wider social benefits of the pilot. This evidence showed that of the service users involved:

  • three had found employment
  • 24 had engaged in training or education
  • 14 had volunteered
  • 25 had taken up activity to improve their physical health
  • 40 had continued to engage in voluntary sector activity once their social prescription had ended 

As well as the positive impact on service users, the report also estimated that social prescribing services could save local NHS services £4,281 for each discharged service user per year.

The pilot followed on from the successful Rotherham Social Prescribing Service for people with long term health conditions which has been operating since 2012. 

Chris Dayson from CRESR said: "Following our comprehensive study of social prescribing for people with long term health conditions earlier this year, this latest research for social prescribing in mental health services has proved equally positive for service users and the local NHS. 

"The evaluation found a range of positive impacts on the well-being of mental health service users following their engagement with social prescribing, which is a very encouraging outcome for the model. 

"The personal stories we heard from service users reflected on how the service has had a tangible impact on vital aspects of people's lives, such as reducing isolation, encouraging healthy eating habits and improving self-esteem. 

"Ultimately we have seen evidence of successful discharge for service users who have been supported by mental health services for up to 20 years, which is a core aim of the service. In the longer term the outcomes from social prescribing could help the local NHS services realise substantial savings." 

Janet Wheatley, chief executive of Voluntary Action Rotherham, said: "This pilot demonstrates the real impact of voluntary and community support and interventions on the lives of our residents. 

"The Mental Health Social Prescribing Service has shown that once again by  working with local Voluntary and Community groups  in a planned, resourced and ongoing way we can make massive improvements to the lives of service users, their families and within services themselves. We can really put people at the heart of their own health and care and tackle not just what is ‘a matter’ with them but more fundamentally ‘what matters to them’" 

Dianne Graham, Rotherham Care Group Director for RDaSH, said: “This pilot project is yielding excellent results. We want the best outcome possible for our patients and this project is helping people gain extra confidence, re-enter education, find a job, take up volunteering or improve their physical health. It has also meant that some patients have been discharged from mental health services as a result of the way this project has helped them in their recovery.”   

The report is available here.