Assignment: Transforming Care

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Assignment: Transforming Care

Assignment: Transforming Care

The Institute of Medicine’s report, The Future of Nursing: Leading Change, Advancing Health, addresses the need for nursing leadership; it discusses the potential for nursing to lead improvement and redesign the healthcare delivery system. Take a look at the video to see what some nurses have done to improve healthcare in their facilities. Based on your nursing experience, what change would you like to implement to improve care? What are the first steps you would take to implement the change?

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Access tools to help adult social care businesses recruit, develop, and lead their staff so they have the skills and knowledge they need to serve persons with learning disabilities and/or autistic people who exhibit or are at risk of exhibiting challenging behaviors.
Transforming care entails enhancing health and care services so that more persons with learning disabilities and/or autism can live in the community, with the proper assistance, and close to home. 
As result, fewer people will need to go to the hospital for treatment.


There is national plan called ‘Building the Right Support’ (October 2015) that outlines how to accomplish this, and there are 48 transforming care partnerships (TCPs) across England to help.


Changing the Way We Care


Autistic people are being let down by Transforming Care.


We hear disturbing stories about autistic persons being locked up in mental health facilities and being subjected to seclusion, constraint, and overmedication.


Under the Transforming Care program, NHS England pledged in 2015 to reducing the number of autistic persons and those with learning disability in mental health hospitals. 
Despite some progress in overall numbers, NHS estimates for the number of autistic people in mental health facilities – particularly those without learning disability – have increased rather than decreased throughout this time.


This is terrible, because it demonstrates that the Transforming Care initiative in England has failed autistic individuals.


The answer is


Autistic people should be able to access the mental health care they require in their local community whenever possible. 
If someone has crisis and needs to go to the hospital, it’s critical that they receive care from people who understand autism, in an environment that suits their requirements, and for as little time as possible.


Three things must occur.


1. Check to see if the community has enough services.


There are insufficient community services to address the requirements of autistic persons. 
As result, autistic people have more complex demands and are more likely to suffer mental health issues such as anxiety or depression. 
Many people reach point of crisis without mental health support from someone who understands autism. 
Other than being admitted to hospital, there is currently insufficient support provided at that point.


At five essential points, services are required:


Services that are preventative in nature


Support for mental health in general


Community-based crisis intervention


Services will transition from hospital to advice and assistance for families trying to get their loved ones out.


We believe that the NHS should establish specialised autism teams in every region, and that all health and care services should be staffed by autism experts.


2. Confirm that funds are available for community services.


Currently, if you are treated in mental health facility, the NHS pays for your treatment. 
If you move into community, the expense of your care is usually assumed by the local government. 
However, many local governments lack the necessary resources and services. 
This indicates that there is problem with how locations are now funded: moving someone from the wrong care to the proper care necessitates moving the financing along with them.


3. Ensure that mental health legislation takes autistic people’s needs into account.


The Mental Health Act of 1983 is used to hold the vast majority of patients under Transforming Care (90 percent). 
This Act defines autism as “mental disease,” which means that autistic people who do not have curable mental health illness can be imprisoned. 
As result, they are more likely to be over-medicated and subjected to restrictive procedures. 
As result of being in inappropriate situations, their behavior often escalates as result of their anguish, resulting in more restrictions.


We’ve been advocating for the NHS to take action, and in its Long Term Plan, it reiterates its commitment to reduce the number of autistic and learning disabled persons in mental health facilities.


However, in order for autistic people and their families to believe in this latest aim, the NHS and the government must back it up with immediate action. 
The necessary services must be in place for autistic people who require assistance, and the Government’s long-awaited Green Paper must address the crisis in social care funding.


Change the definition and the destination of the campaign.


In March 2019, we delivered almost 17,000 signatures on an open letter to Health Secretary Matt Hancock, requesting that the Mental Health Act’s definition of autism be changed. 
Autism and learning difficulties are not mental health issues. 
Despite this, they are classified as mental diseases under the Act. 
This means that autistic children and people with learning disabilities, especially those who exhibit problematic behavior, can be’sectioned’ and held even if they do not have treatable mental health illness.


Other recent advertising efforts




It’s Not Enough


Join us in our effort to improve autistic people’s support and services.


Find out more here.


More information about our campaign efforts


Right arrow about our campaign’s work


Changing the direction of the law arrow to the right


Other ways to participate


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Keep in contact with us to learn about our most recent campaigns and how you can participate. 
We’ll keep you up to speed through email on the most pressing issues affecting autistic people and their families, as well as how you can help bring about meaningful change.


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In England and Wales (269425), as well as Scotland, we are registered as charity (SC039427). 
The National Autistic Society is limited-by-guarantee company that is registered at Companies House (01205298). 
653370050 is the VAT registration number. 
The National Autistic Society in the Year 2022


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