Support Model for Sanctuary Enfield Crisis Café - Services and Structure

Sanctuary Enfield Crisis Caf

Support Model Model constructed following extensive review of delivery in other areas (MiEB, other LMA s and Safe Haven) and feedback from local stakeholders Designed to support maximum drop in and referral/ engagement Mixture of structured and unstructured sessions Structured: Up to 4 sessions. Identifying current challenges; exploring coping mechanisms and techniques; co-developing wellbeing plans; identifying social determinants that are currently impacting e.g. housing, finance, isolation etc; identifying referral and signposting opportunities Unstructured: safe space to be; opportunity to talk with support workers, volunteers and other clients; group activities (social); group activities (structured such a 5 ways to wellbeing, courses, exercise, focused support groups etc) Helpline: Active throughout shift for self referrals, and professional queries/ advice including blue light services and crisis teams

Shift Structure 5-10 weekdays, 12-5 weekends 5-5.30: New referrals processed and next steps agreed 5.30-6.30: Structured support sessions with support workers (30 mins each). 5.30-6.30: New referrals followed up, triaged and booked in for same day drop in, support session, or referred. Capacity of shift confirmed and risk or concerns escalated to referrers, crisis team etc. 6.30- 9: Booked drop in, triage, and group activity. Depending on capacity on the day there may be some availability for walk in. These will be assessed as they present and provided access on day, or assessment and booked follow up. 9-10: Case handover, feedback (to referrers) and escalation. Team de-brief

Referrals Develop/ enhance current referral pathways to ensure maximum reach/ engagement Referrals from professionals can be sent via Egress secure mail using referral form to sanctuaryenfield@mindeb.org.uk Active helpline can be used for self referral, and professional enquiries/ advice: 0208 906 7509 Referrer update forms will be created outlining the outcome in terms of contact made and engagement. Level of detail may be determined by client consent (excluding high risk/ safeguarding) Risk feedback/ escalation: risk reports will be included in feedback if required.

Eligibility Age 18 plus experiencing emotional distress, and/or feeling overwhelmed due to personal circumstances, and would benefit from support to prevent crisis escalation. Identified need for additional support out of hours including drop in, face to face support, safe space to be , place to socialise and create links, workshops, as well as wellbeing calls (for those that cannot physically attend) Risk Factors & Mitigations Suicidal Ideation & self harm: There is a high level of presentation of suicidal thoughts and ideation within the community. In order to ensure access to immediate support and prevent escalation of risk staff are trained in suicide prevention, and will explore protective and risk factors, constructing immediate and long term safety plans alongside clients. High level risk including active plans, means and timescales will be escalated immediately to Crisis Team or blue light services in line with Safeguarding policy and protocol. Drugs and alcohol: clients who use drugs and alcohol can be referred but cannot attend/ engage if intoxicated upon presentation Service dependence: Clients who have used the service previously can be re-referred. We will undertake a review of current presentation and risk, work previously carried out, and create plan according to new referral Lack of engagement: There is a risk that certain communities will not access/ engage in the service due to lack of awareness and/or concerns around appropriateness of the offer. MiEB is reviewing current access rates to inform strategic outreach and engagement plan. This will be assessed on an ongoing basis. Feedback on service offer will be taken on board and changes or additions to support on offer made if appropriate

Onward Referrals/ Discharge Support will focus on goals from the start to ensure that the work remains outcome focused rather than open ended All clients will co-create short and long term wellbeing/ recovery plan that will include onward referral and engagement opportunities Clients will be made of service boundaries and limitations from the start Client engagement in unstructured support will be monitored by staff (as it is booked in advance and/ or recorded) and if there is repeated presentation or emerging reliance upon the service then support workers will actively explore reasons for high use; identify other similar community offers/ activities; work with other community groups (via VCS MH Network) to identify gaps and development ops; and encourage development of peer support groups outside of service e.g. domino meet up in caf in evenings. Information on gaps in services will also be shared within steering group and relevant stakeholders

Onward Referrals/ Discharge MiEB has an extensive network of organisations and services that it already links into, and has undertaken a community mapping exercise to ensure that these links remain functional and current Internal: -Enfield Wellbeing Network: up to 12 weeks support and buddying to improve management of long term conditions. Step down offer for those with ongoing support needs -Advocacy & Advice: support with housing, finances, access sto services etc -IAPT counselling -Covid recovery Inreach: Interest has been expressed by several orgs to have presence within the caf to enhance engagement e.g. Working Well Trust

Developing the offer The offer will developed alongside service users as well as professional stakeholders to ensure that it meets the needs and expectations of the community. It will flex according to emerging need A working/ focus group to be set up to establish particular cultural needs that may need to be taken into account including activities on offer etc Currently developing a questionnaire to get feedback from current service users (all MiEB and partners) into what people may wish to access/ needs The service will endeavour to respond to demand in terms of unstructured support offer, developing specific support if required/ appropriate and achievable. Access rates review has been undertaken to review current community engagement and inform outreach program. This included BAME access, points of referral, rates of ongoing engagement etc. 44% BAME access, majority self referral (signposted from GP and Crisis Teams). Access rates will be measured from the launch of the face to face service to assess community engagement, and identify gaps where active outreach and promotion may be required

Key Dates Soft Launch: 16/7/22 New team on board undergoing induction and training Face to face from 19/7/22 (staff on site, process training, helpline & booked structured support available) Hard launch: 25/7/22 (booked structured and unstructured support available, Helpline active) Active outreach and promotion ongoing