Implementing personalisation for people with mental health problems: a comparative case study of four local authorities in England.

Research output: Contribution to journalArticlepeer-review

Authors

  • John Larsen
  • Emily Ainsworth
  • Claire Harrop
  • Sue Patterson
  • Sarah Hamilton
  • Paulina Szymczynska
  • Jill Manthorpe
  • Vanessa Pinfold

Abstract

BACKGROUND:
Enhancing choice and control for people using services is a mental health and social-care service priority in England. Personalisation is a new policy and practice for delivery of social-care services where eligible adults are allocated a personal budget to spend to meet their agreed support needs.
AIMS:
To describe approaches to introducing personal budgets to people with severe and enduring mental health needs, and to identify facilitators or barriers encountered.
METHOD:
Within four English local authority (LA) areas, purposively selected to provide maximum variation, semi-structured interviews were undertaken with 58 participants from LAs, NHS trusts and third-sector organisations. An Interpretive Framework analysis considered within- and across-site insights.
RESULTS:
Issues arising from the implementation of personalisation for people with mental health needs are presented under two general themes: "responsibility and power" and "vision and leadership". Key challenges identified were complexities of working across NHS and LAs, the importance of effective leadership and engagement with service user representatives.
CONCLUSIONS:
Implementing personal budgets in mental health requires effective engagement of health and social-care systems. Change processes need strong leadership, clear vision and personal commitment, with ownership by all key stakeholders, including front-line practitioners.

Details

Original languageEnglish
Pages (from-to)174-182
Number of pages9
JournalJournal of Mental Health
Volume22
Issue number2
Publication statusPublished - 2013

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