Frequently asked questions

Q. What are the aims of the High Intensity Network?

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Q. What standards should we be trying to deliver when it comes to high intensity crisis patients?

This is a difficult question to answer, because there are no official standards out there for repeat users of services.
There is no standard of clinical or professional excellence.

So...do we have standards for mental health crisis care at all?
Yes. In 2014, around 20 national organisations and institutions across the UK (Police, NHS, Ambulance, Royal Colleges etc) all signed the Mental Health Crisis Care Concordat. Whilst this was not made law, every region in the UK formed strategic delivery groups and made a commitment to deliver the same core standards of care relating to:
- Access to support before crisis point
- Urgent and Emergency access to crisis care
- Quality of treatment and care whilst in crisis
- Recovery and staying well/preventing future crises

THE CONCORDAT DOCUMENT
https://s16878.pcdn.co/wp-content/uploads/2014/04/36353_Mental_Health_Crisis_accessible.pdf

What has been delivered locally in each region has varied greatly and because this programme was as much of a 'culture changer' as a 'service standards setter', some concordat boards have lost momentum and are no longer working with the same intensity anymore. This programme simply aimed to set basic minimum standards of crisis care across NHS providers and it has achieved a great deal. A review of the Concordat was written in 2016.

But when it comes to improving excellent crisis care for people experiencing crises regularly, there are no national standards. That is why we formed the High Intensity Network in 2016 to begin this work and have written our own '9 Standards of High Intensity Care' - these can be found in our Resources section.

Q. What type of models of care do we provide?

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Q. Why is a police mentor required in the SIM model of care?

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Q. Do we need SIM if we already have a Street Triage or Control Room Triage nurse?

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Q. Do we need SIM teams if we already operate multi-agency case meetings?

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Q. Does a SIM team need a police officer or could we use a member of police staff?

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Q. How does SIM deliver national strategy and recommendations?

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Q. Where and how does a SIM team operate?

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Q. How many service users can one SIM team support?

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Q. How can we set up a SIM team?

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Q. How much does it cost to set up a SIM team?

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Q. How long does it take to set up a SIM team?

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Q. Was SIM developed just to save money?

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Q. Can we share personal and clinical information?

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Q. Could SIM be used with children and young people?

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Q. If we are outside the UK, can we start a team?

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Q. We have a model of care that supports people with high frequency/intensity/impact behaviours. How do we know if it is similar to SIM?

We have developed a simple assessment framework making it easy to compare the characteristics of any crisis care model to the core characteristics of SIM - we call them the 8 SIM PRINCIPLES. We believe that the highest standards of crisis care are achieved by applying these principles and designing them into your local model.
For more information, contact us to guide you through this assessment.

Q. Can the SIM model be adapted to fit a community/neighbourhood policing model?

Whilst there are distinct advantages of employing dedicated officers in specialist SIM roles to support multiple clients, we recognise that many service users struggling with complex behaviours can live in remote parts of a county where it would not be cost effective to employ a full time team to support them. So we are now supporting teams to launch a community model where SIM skills can be taught to staff working in neighbourhood policing teams and more remote community mental health teams.
These police/NHS teams may only be supporting one service user.
Contact us for more information.

The High Intensity Network is supported by:

Wessex AHSN
NPCC
NHS
LEPH 2018
Wessex International Healthcare Consortium
Health Education England
UCL Partners