Housing Care and Support · 2004 · 40 citations · 0 references
Family MedicineDisabilityEducationSocial ExclusionSocial Work PracticeMental HealthSocial InclusionDevelopmental DisabilitiesSocial SupportSocial WorkFamily SystemsComplex CarePrimary CareSocial HealthInclusive EducationHelping RelationshipMental Health CounselingComplex NeedsHealth Services ResearchHealth SciencesSocial CareIntegrated CareLow-resource SettingsNursingCommunity Mental HealthSocial Exclusion Unit
Many health and social care services fail to meet people’s complex needs, which encompass mental health problems, substance misuse, disability, learning disability, and social exclusion. The paper introduces a framework of “complex needs” to understand interlocking health and social issues and outlines a strategy to promote well‑being and inclusion. The authors propose connected care centres as a new delivery model, supported by reformed commissioning and a navigational role for social care workers, to promote well‑being and inclusion of people with complex needs.
Too many health and social care services are failing to meet people's complex needs. In this paper, ‘complex needs’ is presented as a framework to help understand multiple interlocking needs that span health and social issues. The concept encompasses mental health problems, combined with substance misuse and/or disability, including learning disability, as well as social exclusion. The paper outlines a strategy for promoting the well‐being and inclusion of people with complex needs. At the heart of this strategy is a new kind of delivery model: connected care centres, a type of bespoke social care service, a model which has been endorsed by the Social Exclusion Unit (SEU). In addition, the paper describes how new responses from existing services can promote better support for people with complex needs, such as a reformed commissioning process and a new ‘navigational’ role for the social care worker.