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Mental Health Day Services Review

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Department: Adult and Community <strong>Services</strong><br />

Pro-forma for initial Equality Impact Assessment<br />

Service Manager/Responsible<br />

officer: Tim Sanders<br />

Date of initial screening: October 2010<br />

Name – Linda Peacock<br />

Function/policy area to be assessed: Adult <strong>Mental</strong> <strong>Health</strong> <strong>Day</strong> <strong>Services</strong> <strong>Review</strong><br />

Is this existing or new<br />

function/policy?<br />

Existing<br />

New X<br />

1. Describe the aims, objectives or<br />

purpose of the function/policy.<br />

2. When this function/policy was<br />

last reviewed?<br />

3. Who monitors this<br />

function/policy?<br />

The Adult <strong>Mental</strong> <strong>Health</strong> <strong>Day</strong> <strong>Services</strong> <strong>Review</strong> aims to transform the provision of day services<br />

in order enable people with mental health issues to become fully involved in society so they<br />

can have access to the same opportunities as everyone else.<br />

The <strong>Review</strong> is focussed around the needs of working aged adults and there are separate<br />

strategies for older people (65+) and for children and young people (


5. Are there any concerns that the<br />

function/policy could have<br />

differential impact in terms of<br />

equality? If yes please indicate<br />

for each what they are or could<br />

be?<br />

6. Do your answers reveal there is<br />

potential adverse impact of this<br />

function/policy on any of the<br />

groups? If so, is this High (1),<br />

Medium (2) or Low (3).<br />

Briefly explain how.<br />

overall responsibility for approving activity which is commissioned by BMDC and the PCT.<br />

Age Disability Gender Race Religion Carers Sexual Socio-<br />

/Belief<br />

Orientation Economic<br />

Yes Yes Yes Yes Yes Yes Yes Yes<br />

<strong>Mental</strong> <strong>Health</strong> and Age<br />

Potential Adverse Impact: Medium (2)<br />

Whilst the <strong>Day</strong> Service <strong>Review</strong> and day service provsion are targeted at adults of working age<br />

those approaching the age of 65 would not be exited from services until such a time where<br />

their needs can be appropriate met by services commissioned for older people.<br />

During the course of the review it was identified that the current model of day service<br />

provision attracts an older client group primarily aged between 45 and 65 yrs. This has been<br />

identified as an area of further investigation within the Implementation Plan. As it is<br />

acknowledged that day service provision should be accessible to all ages (18-65yrs).<br />

The main impact of the implementation of the <strong>Review</strong> would be to ensure that provision is<br />

developed to meet the needs of and is accessible to young adults.<br />

<strong>Mental</strong> <strong>Health</strong> and Disability<br />

Potential Adverse Impact: (2)<br />

One of the main recommendations within the <strong>Day</strong> <strong>Services</strong> <strong>Review</strong> is the review of current<br />

estate. Part of this review will involve accessing against DDA and the general accessibility of<br />

both building and location.<br />

There are specialist commissioning strategies for both physical and learning disabilities.<br />

<strong>Mental</strong> <strong>Health</strong> and Gender<br />

Potential Adverse Impact: (1)<br />

There are currently a number for gender specific services within the day service portfolio<br />

however these are specifically targeted at females. The Implementation Plan makes allowance<br />

for female specific available services, however they is no such provision available for men<br />

within the day service portfolio (however, provision is available through a community<br />

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development organisation which works in partnership with day service providers). Males are<br />

over represented within mental health services and more specifically day service provision.<br />

Specific provision for males has been identified as an area of development.<br />

<strong>Mental</strong> <strong>Health</strong> and Race<br />

Potential Adverse Impact: (1)<br />

There is specific provision for South Asian females within the day service portfolio but no<br />

specialist provision for females of other ethnicities or for males. (As above, there is provision<br />

available for BME women and men via a community development organisation which works in<br />

partnership with day service providers).<br />

Specific provision for service users from BME communities has been identified as an area of<br />

development.<br />

The “SUNSHINE” outcomes monitoring framework has been development as part of DRE and<br />

aims to ensure provide a culturally appropriate way of measuring outcomes within mental<br />

health services which will inform the commissioning process.<br />

<strong>Mental</strong> <strong>Health</strong> and Religion/Belief<br />

Potential Adverse Impact: (3)<br />

The “SUNSHINE” framework identifies spirituality as a specific domain. In addition to this the<br />

estates review will take into account provision such as prayer rooms.<br />

<strong>Mental</strong> <strong>Health</strong> and Carers<br />

Potential Adverse Impact: (3)<br />

There is a specific commissioning strategy for carers however it is acknowledged that carers<br />

play an important role in caring for and supporting family members experiencing mental ill<br />

health. Carers as a client group may also suffer from mental ill health. There is a specific<br />

recommendation within the review which focuses on support for carers.<br />

7. Can this adverse impact be<br />

justified on the grounds of<br />

promoting equality for one group<br />

or any other reason?<br />

Age<br />

Yes<br />

Disability<br />

Gender<br />

Yes<br />

Race<br />

Yes<br />

Religion<br />

/Belief<br />

Carers<br />

Sexual<br />

Orientation<br />

Socio-<br />

Economic<br />

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8. Summary Findings:<br />

In summary the main outcome of the <strong>Day</strong> <strong>Services</strong> <strong>Review</strong> was to access current provision with the aim of transforming day service<br />

provision to ensure that it is socially inclusive. A number of barriers were identified as part of the review and completion of the<br />

Equality Impact Assessment has identified some areas which need further development. Whilst the recommendations promote a<br />

socially inclusion model of provision the implementation plan does not fully embrace the direction of travel identified within the<br />

recommendations.<br />

This assessment will trigger a review of the Implementation Plan in particular recommendation 1.3 which focuses on meeting diverse<br />

needs in:<br />

Specific provision for males<br />

Specific provision for those from BME communities<br />

9. Should this function/policy<br />

proceed to FULL IMPACT<br />

ASSESSMENT<br />

YES<br />

NO X<br />

Approved by Service Manager/Responsible Officer<br />

Name: Linda Peacock<br />

Signature: Linda Peacock<br />

Date: 26 th November 2010<br />

Approved by the Department Equality and Diversity Chair<br />

Name Jayne Hellowell<br />

Signature<br />

Date 18 th January 2011<br />

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