Fulfilling Lives in Islington and CamdenFulfilling Lives in Islington & Camden (FLIC) is an eight-year Lottery funded learning programme closing in May 2022, designed to support people experiencing multiple disadvantage and affect system change to improve the experience and outcomes for people accessing services. Too often the voices of people experiencing multiple disadvantage aren't heard. Putting clients at the centre of everything we do is key to our work. Our support service is intensive, trauma-informed and led by the experiences and insights of our clients. We work in partnership with statutory and voluntary agencies across both boroughs to improve services for people with multiple needs and drive systemic change, influencing how services are designed and delivered. Home Our action plan Our work with clients Voices Learning and resources News Mental health The majority of people FLIC works with have long histories of untreated mental health issues, often rooted in past trauma and in many cases going back to early life and childhood. There is growing evidence that FLIC clients, who have complex psychological and emotional needs, face major challenges in accessing appropriate and effective support through existing mainstream services, including statutory community mental health and counselling services. As a result, their psychological needs remain unmet, resulting in coping strategies that are often seen as counter-productive and detrimental to their long-term wellbeing. These mental health issues are often accompanied by substance misuse – often described as a 'dual diagnosis' - which can lead to clients being excluded from service admission criteria or finding themselves stuck in a ‘revolving door’ of care. Cycles of offending may further compound the problem. Many of our clients remain undiagnosed or are not regarded as meeting the threshold for a diagnosis of enduring mental illness. To address our clients' unmet mental health needs, FLIC’S in-house psychologist is providing both 1-1 support and group therapeutic interventions. This has enabled clients to better access services, maintain accommodation, and live more fulfilling lives, demonstrating that highly specialised support is effective with people with complex needs. Clinical Practise Through flexible psychological interventions tailored to their individual needs, FLIC clients are beginning to have their mental health needs met, often for the first time. Community of Practise FLIC’s ’Access to Psychological Therapies’ Community of Practise (CoP) provides peer support and shared learning for therapeutic and psychological practitioners from the Fulfilling Lives programmes in Nottingham, Brighton, Eastbourne, Hove, Camden & Islington, whilst making the case for therapeutic interventions for people with experience of multiple disadvantage. The CoP is developing an evaluation framework to evidence the impact of psychological therapies on people experiencing multiple disadvantage. Dual Diagnosis Demonstration Pilot In early 2019 FLIC launched a Demonstration Pilot in partnership with Camden & Islington NHS Foundation Trust. The pilot will aim to tackle the challenges of supporting people with a dual diagnosis - that is, who are experiencing both mental ill health and substance misuse, and who have frequent presentations to hospital Accident & Emergency Departments. The pilot will be delivered at University College of London Hospital (UCLH) where a mental health practitioner will work with ‘frequent attenders’ at UCLH’s psychiatric liaison service to address their vulnerabilities, coordinate community-based support and reduce crisis presentations.