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Improving the system of care

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officer1A NEW agreement to improve the system of care and support for people in a mental health crisis has been signed by the Welsh Government, police forces, the NHS, councils and other agencies. The crisis care concordat commits the organisations which have signed up to work together to intervene early and, if possible, to reduce the likelihood of people posing a risk to themselves or others as a result of a mental health condition. A key part of this approach are new proposals to reduce the use of police custody for people suffering with mental health problems. People with suspected mental health issues who are detained under the Mental Health Act should be assessed within three hours and not be held in police custody for more than 12 hours.

All organisations which sign the concordat have made a commitment to find the most appropriate support needed for people in whatever situation and whichever service a person turns to, making sure that any intervention is carried out without any unnecessary or inappropriate placement; for example within police custody. Other commitments include: People under 18 who experience a mental health crisis should never be held in police custody unless in exceptional circumstances; Police vehicles will rarely be used to convey people in crisis, except the most violent of individuals and only in exceptional cases to transport people between NHS facilities; NHS transport or other health vehicles, but not necessarily an ambulance, should be commissioned to take people in a mental health crisis to hospital; If a young person under 18 is detained under section 135 or 136 of the Mental Health Act and taken to a police station for assessment, a case review will be held within seven days to determine whether this could have been avoided in order to learn from that incident; Monitoring groups within health boards will review every section 135 and 136 detention within police custody to determine its appropriateness.

Health and Social Services Minister, Mark Drakeford said: “This new agreement is about providing the most appropriate care and support to those facing a mental health crisis, whatever the time, every day of the year. “It is about all those who have signed up working closely together so we avoid people being wrongly kept in a police cell and instead being given access to the right treatment for them. I am delighted this deal has brought together so many organisations that have a vital role to play.” Jon Stratford, assistant chief constable, South Wales Police said: “Too many people end up in police cells when detained for their own or others’ safety under the Mental Health Act instead of receiving appropriate support and help. We welcome the development of the crisis care concordat. “The signing of today’s agreement is an important step in improving how all agencies work together to protect vulnerable people.” Sara Moseley, director of Mind Cymru and chair of the Wales Alliance on Mental Health, said: “When you are in crisis you are at your most vulnerable. You may be experiencing delusions or hallucinations, you might be suicidal or self-harming, it can be very frightening – you need the right help urgently.

“A police cell is a completely inappropriate environment in which to receive that care and support. Mind has been campaigning for action on reducing the use of police cells for people in crisis for many years. Bringing together so many agencies including the police, the NHS and the third sector is a great achievement and shows how determined we are to create change. “This is a crucial first step. There’s a lot more to do to make sure that anyone experiencing a mental health crisis gets the right care. We need to make sure that mental health services can cope with demand and get people the help they need early on to prevent them reaching crisis point in the first place. Great crisis care exists but we need to make sure it exists for anyone in Wales who needs it.” Dyfed-Powys Police and Crime Commissioner Christopher Salmon said: “I welcome this Concordat. “I raised this issue with Welsh Government two years ago and I’m glad that Dyfed-Powys Police and Hywel Dda University Health Board have led the way.”

Explaining how Dyfed Powys Police had taken steps to anticipate the Concordat, Mr Salmon continued: “I’m delighted that – a year after we launched our Street Triage scheme to help those in mental distress during police incidents – the Concordat will recognise the importance of treating mental illness as a health issue, not a police one. “The work of all those involved in delivering our local service is to be applauded; a huge amount of effort and expertise has resulted in a great new project.” Mr Salmon concluded: “In the past, many people have been locked in police cells when what they’ve really needed is health treatment. Across the Hywel Dda area – Carmarthenshire, Ceredigion and Pembrokeshire – they now get that treatment. “The Concordat has been a long time coming but will put clear responsibility on health services to treat mental health cases. The police will be there to help, not the other way round. It’s a great example of work between the police and the health board.”

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Antisocial behaviour falls as police operation continues

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POLICE said that they saw a reduction in antisocial behaviour involving young people in Carmarthenshire over the weekend, following weeks of increased activity.

Dyfed-Powys Police officers proactively patrolled areas which have recently become hot spots for teenagers to gather and drink alcohol as part of an ongoing operation.

A police presence was also maintained on trains between Llanelli and Carmarthen to identify how many youngsters were travelling in the area and where they were getting off.

Sergeant Gemma Davies said: “Over the weekend we continued our work to target, deter and deal with antisocial behaviour and underage drinking in hot spots identified primarily in Llanelli and Burry Port.

“Section 34 dispersal orders had been put in place ahead of the weekend, meaning we could move on anyone likely to cause antisocial behaviour, but thankfully they were not required. This is an improvement on previous weekends when we have had to exercise these powers.

“A significant number of young people were spoken to, with the vast majority being pleasant, not under the influence of alcohol, and not causing any trouble.

“Members of the public acknowledged the high police presence, as did the young people, and this might have deterred underage drinking.

“We are very pleased to have seen the change in attitudes and behaviour this weekend.”

The force received just one call reporting youngsters gathering at Burry Port harbour, with no offences or antisocial behaviour identified by attending officers.

Of the young people spoken two over the weekend, two were found with alcohol which was seized. Follow-up antisocial behaviour letters will be issued, and home visits will take place shortly.

Groups were also reminded of the dangers of swimming near the harbour and were encouraged to take their rubbish home.

Officers on the rail network removed one drunk adult from a train.

Sgt Davies said: “I would like to thank all officers involved in the operation over the weekend, as well as the young people who made sure they stayed within the law while enjoying the weather.

“We will be out and about again next weekend and throughout the summer, making sure the area is enjoyable for all who visit.”

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Lord Lieutenant visits Mass Vaccination Centre

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Her Majesty’s Lord Lieutenant of Dyfed, Miss Sarah Edwards, has paid tribute to all those involved in the COVID-19 vaccination programme during a visit to the Y Ffwrness Mass Vaccination Centre in Llanelli.

During the visit on Wednesday 9th June she was joined by the Vice Lord-Lieutenant, Lt Col David Mathias, and the High Sheriff of Dyfed, Mr.Jonathan Gravell. They met and spoke to the centre’s vaccinators, NHS staff, security staff and volunteers.

To date, the collective efforts of mass vaccination centres, GP practices and community pharmacies in Carmarthenshire, Ceredigion and Pembrokeshire, have resulted in the Hywel Dda University Health Board delivering over 431,850 vaccinations. This means 266,785 of the eligible population have now received a first vaccine, and 165,056 have received both doses.

The Lord-Lieutenant of Dyfed said: “It was wonderful to see first-hand the incredible work being undertaken by the vaccinators, NHS staff and volunteers. They have played a crucial role in the success of the vaccine rollout programme. I would also pay tribute to the public for their overwhelmingly positive response to getting vaccinated.”

Maria Battle, Chair of Hywel Dda University Health Board, added: “On behalf of the health board, I was delighted to welcome Her Majesty’s Lord-Lieutenant of Dyfed, Miss Sara Edwards, the Vice Lord-Lieutenant, Lt Col David Mathias, and the High Sheriff of Dyfed, Mr Jonathan Gravell. I am deeply proud of everyone involved in the vaccination programme and I’m glad they got to see for themselves the incredibly work being undertaken to help get us through this pandemic.”

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Alcohol seized and teenager arrested as police deal with antisocial behaviour

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POLICE seized large amounts of alcohol and arrested a teenager as they continued to deal with antisocial behaviour over the weekend.

Dyfed-Powys Police had proactive plans in place to deal with ongoing issues of groups of youngsters gathering in Carmarthenshire following rising reports of alcohol-related antisocial behaviour over the past two months.

Dispersal orders were in place across Llanelli and Burry Port, giving police the powers to move anyone believed to be causing a nuisance, harassment or distress out of the area.

Officers patrolling the rail network in Carmarthenshire on Saturday noticed a large amount of young people getting off the train at Ferryside, where an additional dispersal order was put in place and alcohol was seized.

Officers were also required to deal with children trespassing on the railway tracks.

Sergeant Gemma Davies said: “We had received reports of children with alcohol running across the tracks, which posed a huge danger to themselves and others, and had to be stopped as a priority.

“One boy who was detained became abusive towards officers and could not be reasoned with. Officers had no choice but to arrest him for his own safety and to prevent further offences from being committed.

“This incident goes to show that the kind of behaviour we are dealing with goes beyond groups of young people meeting to have a good time, and is putting people in highly dangerous situations.”

A 17-year-old boy was arrested on suspicion of trespassing on the railway and using threatening, abusive or insulting words or behaviour to cause harassment, alarm or distress.

He has been released under investigation pending further enquiries by British Transport Police.

Early intervention was taken in the Trostre area of Llanelli, where officers noticed groups of children meeting on Saturday.

Sgt Davies said: “More than 60 young people were moved on from both locations and a large amount of alcohol was seized.

“Out of these groups, four notices were issued to those causing the most trouble in the Trostre area which prevented them from returning, and each of these youngsters were taken home.

“This swift action was a deterrent to other young people who were planning on joining the groups and were still travelling to the area.”

“We will continue to put plans in place each weekend and over the summer holidays to deal with antisocial behaviour, using all powers available to us to put a stop to it.”

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