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FIN-LAN COLLABORATION www.lanarkshirementalhealth.org.uk Welcome Tervetuloa Kevin O’Neill, Public Mental Health & Well-being Development Manager www.lanarkshirementalhealth.org.uk Connecting the Pieces Promotion Prevention Treatment Care www.lanarkshirementalhealth.org.uk It’s no Secret • 25% of adults will experience a mental health problem (over 110,000 in Lanarkshire). • It’s not any 1 in 4 – – – – Material and relative deprivation Low educational attainment Unemployment Poor housing/ environment/ resources – Violence and adverse life events – Poor support networks Melzer et al 2004; Rogers & Pligrim 2003 www.lanarkshirementalhealth.org.uk Towards & Mentally Flourishing Scotland & Lanarkshire • Consultation ended March 2008. • Lanarkshire Mental Health Improvement Partnership Group established (June 08). • 45 senior colleagues complete MHI leadership training with Dr Lynne Friedli, WHO (May 09). • TAMFS published in May 09 – Lanarkshire launch event June 09. • Local action plan being progressed with an emphasis on imbedding within partnerships structures. www.lanarkshirementalhealth.org.uk Towards & Mentally Flourishing Scotland Vision, Principles, Context We wish to see a Lanarkshire where we all understand that there is no health without mental health, where we know how to support and improve our own and other’s mental health and well-being and act on that knowledge, and where our flourishing mental health and well-being contributes to a healthier, wealthier, fairer, smarter and safer Lanarkshire……people have capacity for change and are able to achieve productive change both in how they feel and how they live their lives. Key to this belief is that national and local government, NHS, partners and communities are able to set the context, conditions and opportunities for change” TAMF Scotland Priorities • Mentally Healthy Infants, Children and YP • Mentally Healthy Later Life • Mentally Healthy Communities • Mental Healthy Employment and Workplaces • Reducing the Prevalence of Suicide, Self-harm and Common Mental Health Problems • Improving Quality of Life of those Experiencing Mental Health Problems www.lanarkshirementalhealth.org.uk Curing Illness Does Not Necessarily Result in Health (Pat Barker) High mental health (flourishing) A C Low level of mental illness High level of mental illness B D Low mental health (languishing) Outcome Triangle: Mental Health & Well-being Resilient communities Children have best start Tackled inequalities Improved healthy life expectancy Improve mental wellbeing (WEMWBS) Increased Healthy behaviour Increased Equality Increased Financial security & less debt Increased General health Longer healthier lives Increase quality of life Reduce mental illness Increased learning & development High level outcomes Reduce suicide Increased meaning & purpose Increased emotional intelligence Increased Participation Increased Social inclusion Increased Safety Stronger social networks Decreased Discrimination Better Working life Greater social support Deceased Violence Better Physical environment Increased Trust Short-term outcomes related to service delivery Activities National outcomes Improved life chances Individual behaviours Intermediate outcomes Social, economic & physical environments Service delivery outcomes Illustrative Logic Model for Mental Health and Well-being www.lanarkshirementalhealth.org.uk Linking TAMFL to wider goals for Lanarkshire: Community, Health Improvement & Council Plans, South Lanarkshire : North Lanarkshire: Stronger together: •Successful/inclusive •Safe and healthy •Working and learning NLP Community Plan 2008-2012 (& SOA) •Health/wellbeing •Community safety •Environment •Regeneration • Lifelong learning Action for Health Improvement: •Smoking/Nutrition/ Alcohol/Physical activity/Mental health, •Environment/Life circumstances Connect: •Housing/Older people •Environment/Transport •Schools modernisation Council’s Corporate Plan: 2008-2012 •Health/wellbeing •Environment/Regeneration •Life-long learning •Developing the organisation Scottish Government, Planning Partnerships, Local Delivery & Performance Management Scottish Government North Lanarkshire Partnership Board South Lanarkshire Community Planning Partnerships MH Improvement Action Plan Related policies, Priorities & Frameworks Themed Groups North Lanarkshire 6 localities Themed Groups South Lanarkshire 4 localities Age range (early years to older people), Settings (neighbourhoods, nurseries, schools, workplace), High risk groups (look after and accommodated young people) www.lanarkshirementalhealth.org.uk Facing the Challenge: Linking Nationally: Acting Locally • National support linked to local responsibility. • Local information promotes accountability, ownership and action. • Carry the national materials, images, information, knowledge, influence and experience through to the local level. • Linking mental health improvement to the wider agendas. • Integrating with existing strategies and programmes. • Dedicated local champions supporting mental health improvement to be everyone's business. • It’s on a plate. www.lanarkshirementalhealth.org.uk • Used a strong human and personal message, supported by the consistently applied strap line ‘see me… I’m a person not a label’. • Supported people who have experienced stigma to become ‘media volunteers’. The ‘media volunteers’ have then bravely shared their real life experiences of stigma through newspapers, television, radio, DVD and presenting at local and nation events. • Tried to be direct, striking and involving, but without being shocking. • Involved people in anti-stigma activities across Scotland at national and local levels and across all sectors and communities of interest. • Alerted the public to the problem of stigma and sought to win support from across a broad spectrum of society. • Stigma Stop Watch • Used a mix of approaches to reduce stigma and discrimination. This has included television, radio and outdoor advertising, working with newspapers and television stations, interactive online activity, and building local partnerships. www.lanarkshirementalhealth.org.uk Bigger Picture, Bigger Opportunities, Bigger Gains SOCIAL JUSTICE TAMF SCOTLAND CHOOSE EQUALITY INCLUSION LIFE WELLBEING RECOVERY SEE ME JUSTICE STIGMA & DISCRIMINATION HEALTH IMPROVEMENT PLANNING DEVELOPMENT PREVENTION PROMOTION TREATMENT EMPLOYERS www.lanarkshirementalhealth.org.uk INDIVIDUALS COMMUNITIES From Pledge to Action Key lessons: • ‘see me’ pledge brings people together and provides a building block. • Provide support for those that wish to take action. • Key contact is vital. • • • • • Work with ‘win/win opportunities. Make a plan for action – focus on what you can do as an individual, employer and member of the community. It feels good to make a difference. It is not difficult to get involved. Record, evaluate, share and celebrate success. www.lanarkshirementalhealth.org.uk Understanding Recovery What matters in recovery is not whether we are using services or not using services; using medications or not using medications . What matters in terms of recovery is are we living the life we want to be living? Are we achieving our personal goals? Do we have friends? Do we have connections with the community? Are we contributing or giving back in some way? (Deegan.P Recovery: The lived experience of rehabilitation) www.lanarkshirementalhealth.org.uk Lanarkshire Recovery Network • Formally launched in June 08 following close working with the SRN since 2004. Hosted by Lanarkshire Links: Service User and Carer Involvement Organisation. Multi-partner steering group co-ordinates and supports action. A hub for action. Aims to – Link NATIONAL: Act LOCAL to: • • • – – – Raise awareness of recovery and the things that help and hinder Develop a better understanding of recovery Support and encourage local action towards recovery www.lanarkshirementalhealth.org.uk Methods of Communication Elament – website Locally branded promotional materials DVD Health Promotion Programmes (schools/workplaces) Seminars, workshops & events LRN Scottish Mental Health Arts & Film Festival Publish recovery stories Support training & development Integrate with strategic development Work with local media www.lanarkshirementalhealth.org.uk ‘What Get’s Measured Gets Done’ • National Indicator 15 – Improve Scotland’s wellbeing by 2011 • NHS Targets: – Reduce suicide (training) – Reduce readmissions – Stop increase in anti-depressant prescribing – Increase identification of dementia – Faster access to specialist CAMHS • Single Outcome Agreements! www.lanarkshirementalhealth.org.uk On-line Support and Information www.lanarkshirementalhealth.org.uk Latest News www.lanarkshirementalhealth.org.uk Increasing Access to Self-help, Information and Non-clinical Intervention • • • • • 200,000 wallet cards produced and distributed around primary care and wider services. 100,000 stress and depression self-help leaflets distributed to be given at point of contact with primary care. Further 12 leaflets accessible via elament. Information prescribing programme will be launched in winter 09, establishing a healthy reading resource in all 50 libraries across Lanarkshire, including books, CDs, DVDs and on-line support. Group established to develop social prescribing programmes such as exercise referral. Brief intervention.