Response 55482127

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Lorna Fitzsimmons

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1. Our framework sets out 8 priorities for a new Mental Health Strategy that we think will transform mental health in Scotland over 10 years. Are these the most important priorities?

If no, what priorities do you think will deliver this transformation?
there needs to be an additional explicit focus given in the priorities to equality of access/provision for vulnerable and excluded groups -children and young people with learning disability (CYP with LD) are a high risk/vulnerable group of children frequently excluded from mental health services or fall between services- consideration should be given to these being specifically named in the strategy. -they are a vulnerable group, who often can’t advocate for themselves, and families are often too isolated and exhausted to do so; affected y high rates of poverty and abuse, and more likely to be looked after/accommodated -they experience very high rates of mental health/behavioural issues compared with general population (30% of CYP with LD, rising to 50% for those with moderate to profound LD) - they often have complex physical and mental health problems co-exisiting - such difficulties start in childhood and without intervention escalate throughout childhood and adolescence, contributing to severe problems into adulthood, - in CAMHS we shoud expect to see 15% of clinical population to also have a LD - LD CAMHS provision remains highly variable across country – very limited compared to Adult LD and mainstream CAMHS services Including CYP with LD as a group named in the strategy would reinforce non-discrimination, equality of access and service provision; there should be explicit actions to improve mental health services for CYP with LD to provide equity of access to CAMHS (by developing LD skills and awareness) and to specific LDCAMHS (specialsit and specifically trained LD practitioners) where required at each tier. The specifc needs of CYP (and adults) with LD should be considered and addressed in each priority as to -what is required in mental health services at each tier to enable access (such as learning disability training and awareness raising for all involved in staturory service priovision) and what specialist LD provision across the tiers is required (so CYP, and adults with LD, can access specialist trianed LD clinicians/ teams where required )

2. The table in Annex A sets out a number of early actions that we think will support improvements for mental health.

Are there any other actions that you think we need to take to improve mental health in Scotland?
in all of these attention should be paid to where the person (adult or child) has a learning disability and what this means in terms of equity of access and service provision- are the actions being taken appropriate across the population or are additional/ different/ adapted actions required where people have learning disbaility ? can this be accomodated in exisiting services or is there a specifc LD service component to this?

3. The table in Annex A sets out some of the results we expect to see.

What do you want mental health services in Scotland to look like in 10 years' time?
clear pathways from early intervention to responsive and accessible services in community and in patient - that are multi agnecy and systemic in delivery- that at each stage we ask the question 'and what if the person has a LD, how do we adapt to meet their needs /what else do we need in terms of specialist specific provision?'