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Service Area: Mental health

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Client Group

Setting

Enablers

Integration Authority

Element of Framework

Aberdeen City - Granite Care Consortium

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Example of Good Practice

Granite Care Consortium

Client Group(s)

All Older adults

Setting(s)

All City Urban

Enabler(s)

All Technology Improvement capacity Management information Information sharing Aligned plans Well developed relationships Clarity of vision Collaborative leadership

Integration Authority

All Aberdeen City

Elements of Framework

All Reablement Live independently at home or in a homely setting
Aberdeen City - Social prescribing

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Example of Good Practice

Social prescribing

Client Group(s)

All Younger adults Children and young people Older adults

Setting(s)

All City

Enabler(s)

All

Integration Authority

All Aberdeen City

Elements of Framework

All Connect with communities Manage own care Teams aligned to general practice
Argyll and Bute - Attend Anywhere

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Example of Good Practice

Attend Anywhere

Client Group(s)

All Younger adults Children and young people Older adults

Setting(s)

All Remote and rural

Enabler(s)

All

Integration Authority

All Argyll and Bute

Elements of Framework

All Seamless working with acute care Live independently at home or in a homely setting
Clackmannanshire and Stirling - Commissioning consortium

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Example of Good Practice

Commissioning Consortium

Client Group(s)

All Younger adults Children and young people Older adults

Setting(s)

All Urban Remote and rural Corporate

Enabler(s)

All Improvement capacity Culture and values Well developed lead professional roles Management information Information sharing Team ethos Well developed relationships Clarity of vision Shared accountability Collaborative leadership

Integration Authority

All Clackmannanshire and Stirling

Elements of Framework

All Connect with communities
Dumfries and Galloway - Improving access to CAMHS

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Example of Good Practice

Improving access to CAMHS

Client Group(s)

All Children and young people

Setting(s)

All Remote and rural

Enabler(s)

All

Integration Authority

All Dumfries and Galloway

Elements of Framework

All Teams aligned to general practice
Dundee City - The ASPEN Project

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Example of Good Practice

The ASPEN Project: Embedding specialist trauma informed care and treatment within Dundee Women's Aid

Client Group(s)

All Younger adults

Setting(s)

All City

Enabler(s)

All Culture and values Team ethos Well developed relationships Clarity of vision Collaborative leadership

Integration Authority

All Dundee City

Elements of Framework

All First point of contact Connect with communities Short-term, targeted interventions to meet more complex needs
East Ayrshire - Collaborative commissioning with third sector partners

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Example of Good Practice

Collaborative commissioning with third sector partners

Client Group(s)

All Children and young people Older adults

Setting(s)

All Urban Remote and rural

Enabler(s)

All Culture and values Well developed relationships Clarity of vision

Integration Authority

All East Ayrshire

Elements of Framework

All Connect with communities
East Renfrewshire - Building the integrated environment

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Example of Good Practice

Building the integrated environment

Client Group(s)

All

Setting(s)

All Urban

Enabler(s)

All

Integration Authority

All East Renfrewshire

Elements of Framework

All Connect with communities Teams aligned to general practice Live independently at home or in a homely setting
East Renfrewshire - Healthier Minds

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Example of Good Practice

Healthier Minds

Client Group(s)

All Children and young people

Setting(s)

All Urban

Enabler(s)

All Technology Infrastructure Culture and values Well developed lead professional roles Management information Agile working Team ethos Well developed relationships Clarity of vision Collaborative leadership

Integration Authority

All East Renfrewshire

Elements of Framework

All First point of contact Connect with communities Short-term, targeted interventions to meet more complex needs
Edinburgh City - Three Conversations

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Example of Good Practice

Three Conversations

Client Group(s)

All Younger adults Older adults

Setting(s)

All City Urban

Enabler(s)

All Technology Infrastructure Improvement capacity Well developed lead professional roles Agile working Aligned plans Team ethos Clarity of vision Shared accountability Collaborative leadership

Integration Authority

All Edinburgh City

Elements of Framework

All Connect with communities Manage own care Assets based approach
Enhanced intermediate care, England

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Example of Good Practice

Enhanced intermediate care in Torbay and South Devon, England

Client Group(s)

All Younger adults Older adults

Setting(s)

All Remote and rural

Enabler(s)

All Information sharing Clinical and care governance Team ethos Well developed relationships

Integration Authority

All Other health and social care providers

Elements of Framework

All Reablement Manage own care Seamless working with acute care Live independently at home or in a homely setting Short-term, targeted interventions to meet more complex needs Fully integrated community teams
Fife - SAMH Sam's Cafe

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Example of Good Practice

SAMH Sam's Cafe

Client Group(s)

All Younger adults

Setting(s)

All Urban

Enabler(s)

All Culture and values Agile working Team ethos Well developed relationships Clarity of vision Shared accountability

Integration Authority

All Fife

Elements of Framework

All First point of contact Connect with communities Manage own care
Glasgow City - Complex Needs Service response to COVID-19

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Example of Good Practice

Complex Needs Service - response to COVID-19

Client Group(s)

All Younger adults

Setting(s)

All City

Enabler(s)

All Culture and values Information sharing Agile working Aligned plans Clinical and care governance Team ethos Well developed relationships Clarity of vision Shared accountability Collaborative leadership

Integration Authority

All Glasgow City

Elements of Framework

All First point of contact Connect with communities Short-term, targeted interventions to meet more complex needs
Glasgow City - Housing First Project

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Example of Good Practice

Housing First Project

Client Group(s)

All Younger adults

Setting(s)

All City

Enabler(s)

All Aligned plans Well developed relationships Collaborative leadership

Integration Authority

All Glasgow City

Elements of Framework

All Connect with communities Manage own care Live independently at home or in a homely setting
Glasgow City - Mental Health Assessment Units

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Example of Good Practice

Client Group(s)

All Younger adults Older adults

Setting(s)

All City Urban

Enabler(s)

All Information sharing Well developed relationships Clarity of vision

Integration Authority

All Glasgow City

Elements of Framework

All First point of contact Seamless working with acute care Short-term, targeted interventions to meet more complex needs
Highland - Developing flexible care in MacKenzie Centre

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Example of Good Practice

Developing flexible care in MacKenzie Centre

Client Group(s)

All Older adults

Setting(s)

All Remote and rural

Enabler(s)

All

Integration Authority

All Highland

Elements of Framework

All Connect with communities Assets based approach Live independently at home or in a homely setting
Integrated behavioural health, USA

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Example of Good Practice

Integrated behavioural health in California, USA

Client Group(s)

All Younger adults Older adults

Setting(s)

All City Urban Remote and rural

Enabler(s)

All Well developed lead professional roles Team ethos Well developed relationships

Integration Authority

All Other health and social care providers

Elements of Framework

All Manage own care Assets based approach Teams aligned to general practice
Integrated community care for older people, Canada

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Example of Good Practice

Integrated community care for older people in Toronto, Canada

Client Group(s)

All Older adults

Setting(s)

All City

Enabler(s)

All Infrastructure Clinical and care governance Well developed relationships Shared accountability

Integration Authority

All Other health and social care providers

Elements of Framework

All First point of contact Connect with communities Manage own care Seamless working with acute care Live independently at home or in a homely setting Short-term, targeted interventions to meet more complex needs Enhanced care in care homes and supported accommodation Fully integrated community teams
Inverclyde - Re-attenders at ED

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Example of Good Practice

Re-attenders at ED

Client Group(s)

All Younger adults Older adults

Setting(s)

All Urban

Enabler(s)

All

Integration Authority

All Inverclyde

Elements of Framework

All Connect with communities Seamless working with acute care Short-term, targeted interventions to meet more complex needs Fully integrated community teams
Local area coordination, England

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Example of Good Practice

Local area coordination in Derby and Isle of Wight

Client Group(s)

All Younger adults Older adults

Setting(s)

All City Remote and rural

Enabler(s)

All Culture and values Well developed relationships Collaborative leadership

Integration Authority

All Other health and social care providers

Elements of Framework

All First point of contact Connect with communities Manage own care Assets based approach Live independently at home or in a homely setting Short-term, targeted interventions to meet more complex needs
Midlothian - Mental Health Access Point

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Example of Good Practice

Mental Health Access Point

Client Group(s)

All Younger adults

Setting(s)

All Urban

Enabler(s)

All

Integration Authority

All Midlothian

Elements of Framework

All Connect with communities Manage own care
Moray - Integrated Mental Health Services

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Example of Good Practice

Integrated Mental Health Services

Client Group(s)

All Younger adults Older adults

Setting(s)

All Remote and rural

Enabler(s)

All

Integration Authority

All Moray

Elements of Framework

All Connect with communities Manage own care Assets based approach Fully integrated community teams
Moray - Outreach Service and third sector integration

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Example of Good Practice

Outreach Service and third sector integration

Client Group(s)

All Younger adults

Setting(s)

All Remote and rural

Enabler(s)

All

Integration Authority

All Moray

Elements of Framework

All Connect with communities Short-term, targeted interventions to meet more complex needs Fully integrated community teams
North Ayrshire - Trindlemoss Court and Warrix Avenue

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Example of Good Practice

Trindlemoss Court and Warrix Avenue

Client Group(s)

All Younger adults Older adults

Setting(s)

All Urban

Enabler(s)

All Technology Infrastructure Improvement capacity Culture and values Well developed lead professional roles Management information Information sharing Fit for purpose premises Aligned plans Clinical and care governance Team ethos Well developed relationships Clarity of vision Shared accountability Collaborative leadership

Integration Authority

All North Ayrshire

Elements of Framework

All Connect with communities Manage own care Assets based approach Seamless working with acute care Live independently at home or in a homely setting Enhanced care in care homes and supported accommodation Fully integrated community teams
North Lanarkshire - Care Academy

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Example of Good Practice

Care Academy

Client Group(s)

All Younger adults Children and young people Older adults

Setting(s)

All Corporate

Enabler(s)

All Improvement capacity Culture and values Management information Information sharing Aligned plans Team ethos Well developed relationships Clarity of vision Shared accountability Collaborative leadership

Integration Authority

All North Lanarkshire

Elements of Framework

All First point of contact Connect with communities
North Lanarkshire - Community Solutions Programme

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Example of Good Practice

Client Group(s)

All Younger adults Children and young people Older adults

Setting(s)

All Urban Remote and rural

Enabler(s)

All Infrastructure Improvement capacity Culture and values Information sharing Agile working Team ethos Well developed relationships Collaborative leadership

Integration Authority

All North Lanarkshire

Elements of Framework

All First point of contact Connect with communities Manage own care
North Lanarkshire - Primary Care Frailty MDTs: Facilitating a person-centred anticipatory care approach

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Example of Good Practice

Primary Care Frailty MDTs: Facilitating a person-centred anticipatory care approach

Client Group(s)

All Older adults

Setting(s)

All Urban

Enabler(s)

All Technology Improvement capacity Information sharing Aligned plans Team ethos Well developed relationships Clarity of vision Collaborative leadership

Integration Authority

All North Lanarkshire

Elements of Framework

All Anticipatory care planning Connect with communities Assets based approach Teams aligned to general practice Seamless working with acute care Live independently at home or in a homely setting Fully integrated community teams
Renfrewshire - Mental Health and Addictions Recovery Hub

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Example of Good Practice

Renfrewshire Mental Health and Addictions Recovery Hub

Client Group(s)

All Younger adults Children and young people Older adults

Setting(s)

All Urban

Enabler(s)

All Technology Infrastructure Culture and values Information sharing Agile working Fit for purpose premises Aligned plans Team ethos Well developed relationships Clarity of vision Shared accountability Collaborative leadership

Integration Authority

All Renfrewshire

Elements of Framework

All Connect with communities Manage own care Assets based approach
Scottish Borders - Care Home and Community Assessment Team

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Example of Good Practice

Care Home and Community Assessment Team

Client Group(s)

All Older adults

Setting(s)

All Remote and rural

Enabler(s)

All

Integration Authority

All Scottish Borders

Elements of Framework

All Enhanced care in care homes and supported accommodation Fully integrated community teams
Scottish Borders - Renew Service

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Example of Good Practice

Renew Service

Client Group(s)

All Younger adults

Setting(s)

All Remote and rural

Enabler(s)

All Well developed lead professional roles Information sharing Well developed relationships Clarity of vision

Integration Authority

All Scottish Borders

Elements of Framework

All Manage own care Teams aligned to general practice Short-term, targeted interventions to meet more complex needs
Shetland - Compassionate Distress Response Service and DBI

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Example of Good Practice

Compassionate Disress Response Service and DBI

Client Group(s)

All Younger adults

Setting(s)

All Remote and rural

Enabler(s)

All Infrastructure Culture and values Information sharing Agile working Aligned plans Clinical and care governance Team ethos Well developed relationships Clarity of vision Shared accountability Collaborative leadership

Integration Authority

All Shetland

Elements of Framework

All Manage own care Short-term, targeted interventions to meet more complex needs
Shetland - Post diagnostic support in primary care

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Example of Good Practice

Post diagnostic support in primary care

Client Group(s)

All Older adults

Setting(s)

All Remote and rural

Enabler(s)

All

Integration Authority

All Shetland

Elements of Framework

All Anticipatory care planning Assets based approach
South Lanarkshire - CAReS Community Addictions Recovery Service

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Example of Good Practice

CAReS: Community Addictions Recovery Service

Client Group(s)

All Younger adults Older adults

Setting(s)

All Urban Remote and rural

Enabler(s)

All Culture and values Aligned plans Team ethos Well developed relationships Clarity of vision Shared accountability Collaborative leadership

Integration Authority

All South Lanarkshire

Elements of Framework

All Manage own care Assets based approach Short-term, targeted interventions to meet more complex needs Fully integrated community teams
South Lanarkshire - Implementation of Near Me

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Example of Good Practice

Client Group(s)

All Younger adults Children and young people Older adults

Setting(s)

All Urban Remote and rural

Enabler(s)

All Technology Well developed lead professional roles Information sharing Agile working Aligned plans Clinical and care governance Team ethos Well developed relationships Shared accountability Collaborative leadership

Integration Authority

All South Lanarkshire

Elements of Framework

All Teams aligned to general practice Live independently at home or in a homely setting Fully integrated community teams
South Lanarkshire - Rapid telecare alarm rollout through COVID-19

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Example of Good Practice

Client Group(s)

All Younger adults Older adults

Setting(s)

All Urban Remote and rural

Enabler(s)

All Technology Well developed lead professional roles Information sharing Aligned plans Clinical and care governance Team ethos Well developed relationships Clarity of vision Shared accountability Collaborative leadership

Integration Authority

All South Lanarkshire

Elements of Framework

All Live independently at home or in a homely setting
Transforming together with community health workers, Brazil

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Example of Good Practice

Transforming together with community health workers in Brazil

Client Group(s)

All Younger adults Children and young people Older adults

Setting(s)

All Urban Remote and rural

Enabler(s)

All Information sharing Team ethos Well developed relationships Shared accountability

Integration Authority

All Other health and social care providers

Elements of Framework

All Connect with communities Manage own care Assets based approach Teams aligned to general practice Fully integrated community teams
West Lothian - Community Wellbeing Hubs

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Example of Good Practice

Community Wellbeing Hubs

Client Group(s)

All Younger adults

Setting(s)

All Urban

Enabler(s)

All

Integration Authority

All West Lothian

Elements of Framework

All Connect with communities Manage own care Teams aligned to general practice Fully integrated community teams
Western Isles - Barra and Vatersay Integrated Social Care Services

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Example of Good Practice

Barra and Vatersay Integrated Social Care Services

Client Group(s)

All Younger adults Older adults

Setting(s)

All Remote and rural

Enabler(s)

All Team ethos Well developed relationships Shared accountability Collaborative leadership

Integration Authority

All Western Isles

Elements of Framework

All Live independently at home or in a homely setting Enhanced care in care homes and supported accommodation
Western Isles - Supporting people with dementia

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Example of Good Practice

Supporting people with dementia

Client Group(s)

All Older adults

Setting(s)

All Remote and rural

Enabler(s)

All

Integration Authority

All Western Isles

Elements of Framework

All Seamless working with acute care Live independently at home or in a homely setting Fully integrated community teams