Signpost - A model of self-directed support and a framework for brokerage (Review)

摘要

Purpose - This paper aims to provide a review of the Signposts programme which facilitates individuals in developing self-directed support, and seeks to share learning from development of this programme across the mental health sector. Design/methodology/approach - Information for the review has been collected through anecdotal reports from individuals in receipt of Signpost services - this has included individuals who have used mental health services, their carers and professionals. The paper frames its work within the national context of government policy and research. Findings - The complexities of self assessment and self navigation within existing mental health systems are difficult for many individuals to overcome. Based on principles of control and choice, the Signpost system allows individuals to take control of their lives and purchase the care and support they need. It has been important to develop a bespoke quality framework to enable protection of the public purse as well as the individual; Signpost UK has achieved this with its Quality Brokerage Framework. Originality/value - This paper describes a highly innovative framework delivery of mental health self-directed support within the personalisation agenda. Through partnership working, the framework not only provides a bespoke provision for mental health clients, but also an adaptable programme across all client groups which enhances principles of choice and control.