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There are so many gaps in MHS but one of the most egregious is crisis services where people’s needs are routinely unmet. Community crisis cafes only work for some ppl/situations & ‘24/7’ crisis lines often tick the supply box but not the demand one. 1/ https://twitter.com/clairecnwl/status/1361416925809549314
A&E may not be the right place for people in deep crisis but it is often the only place (& the messaging has been not to go). There seems to be a chasm between how crisis services are designed (& delivered)- & what people need. 2/
Appreciate the desire to move to a 365 days a year crisis support system including via NHS 111; but we seem to measuring the success of this via provision rather than what might be actually helpful. NHS 111 will not be that for +++ people. 3/
Working more closely with the VCSE to create community based crisis support sounds great, but not if it means commissioning services which can only be run through the heavy use of volunteers in order for cash-stripped orgs to win the tender. 4/
I don’t think creating effective crisis MHS is easy. I think it’s really hard, & it’s probably not cheap. But if we start by asking people what they need (rather than what we think they need, or deserve) that might get us there. 5/
None of the above is new or original. It’s what I hear & see every day, from friends, people on here, NSUN members. It’s not just that crisis MHS are not working- it’s that what’s in the LTP around crisis support might, inadvertently, make things worse. 6//
