Education Not Discrimination

(END)A Time to Change project, located in

Rethink

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Overview of the Time to Change Portfolio

o Consortium of three voluntary sector partners - Mind,

Rethink, Institute of Psychiatry.

o 2007-2011

o Local and national projects plus an evaluation

o Funded by Big Lottery Fund and Comic Relief

o Planned, evaluated and sustained programme to reduce

stigma and discrimination against people with mental

health

problems

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Portfolio Targets

o Create a 5% positive shift in public attitudes towards mental

health problems

o Achieve a 5% reduction in discrimination by 2012

o Increase the ability of 100,000 people with mental health

problems to address discrimination

o Engage over ¼ m people in physical activity

o Produce a powerful evidence base of ‘what works’.

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Education Not Discrimination- A project within Time to Change

Targets four key influential audiences:

• Medical schools

• Teacher training universities

• Head teachers, trainee head teachers, teachers with a pastoral

remit and SENCOs

• Staff in GP surgeries

These audiences are deemed to have a big impact on service users

and can be influential in leading change, both within their group but

also influencing other groups.

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Why these audiences?

These audiences are deemed to be important for their ability to influence and support positive change in attitudes towards mental health and to roll out key messages.

Further audiences are equally relevant

• The project began in 2007 and will run under current funding until 2011. In this time we will have trained in 9 universities (this may be more) to:– medical students – trainee teachers – School staff and related workers– Staff in primary care

• We have also trained 600 ‘Teach First’ trainees (accelerated PGCE)

• Staff in primary care• The method of delivery is different in all audiences

depending on need and audience requirements.• Approx 6000 beneficiaries to date

Audience 1

The medical students receive a lecture followed up some weeks later by an interactive role play with professional actors. This constructs a typically difficult scenario and the students have to participate, observe, feedback and suggest other approaches as well as saying what went well and why. Constructive feedback and discussion from the END team of Involvement Workers and staff is a key part of this.

This follows a format that the medical students are used to learning in.

cont

• They also hear personal testimonies from people with direct experience of mental health problems.

• Each student is given a DVD (produced by Rethink and King’s College London) of personal testimonies from people with direct experience and introduction and summary from Professor Graham Thornicroft of King’s College London.

Audience 2• The trainee teachers (PGCE) receive • a session on supporting young people and professioanls

with their mental health• a live interactive play (now a DVD) called ‘On The Edge’

about the onset of a first episode of psychosis in a seventeen year old boy. The play is a very powerful learning tool. It was developed originally for use in Devon schools.

• Further acted or DVD scenarios developing potential solutions

• personal testimonies from Involvement Workers(direct experience).

• Building a tool bag of resources and receiving a resource CD

cont There is an opportunity for further discussion

with Iws and END staff. This informal time has become a scheduled part of the session

The workshop session provides knowledge,

information, builds confidence in supporting students, suggests referral pathways and considers boundaries of the teacher role. Both the session and supporting materials can also help teachers with their own mental wellbeing.

cont Each student is given a teacher resource pack

containing a DVD of personal testimonies from people with direct experience (including an ex-headmaster) and information from Professor Graham Thornicroft of King’s College London and a CD with a great deal of information, referral pathways and support routes containing web links. This pack has been developed by the END project.

Audience 3

• This is a similar delivery to audience 2 except that the ‘On the Edge’ play is shown as a DVD. The issues raised by the play are then developed and explored through the character’s perspective in a training session. This session explores the possibilities around how to move forward from the point the play ends and the steps that can be taken to promote positive outcomes with other problems that young people may encounter.

• Workshops on more common mental health problems with emphasis on how to get and build this information

• The Teacher Resource pack, as outlined for audience 2, is provided for each school attending in audience 3.

Audience 4 – staff in GP surgeries and primary care settingsBasic session:• Information• Personal testimonies from people with direct

experience and Q&A• Role plays• Q&A• Discussion

• Has also been run as mini conference with speakers

Direct experience involvement and participation

All training is co-delivered with people who have direct experience of mental health problems, either personally or as a carer. These are trained and paid staff employed by Rethink as Involvement Workers.

The key principle that underpins END and Time to Change work is that social contact with those with this experience is the most powerful tool for change. It gives an opportunity to hear the difficulties, to empathise, and to relate to personal experiences. In doing this it demonstrates recovery and hope, thereby demystifying the issues and challenging many entrenched myths in society about lack of recovery and loss of meaningful lives.

IWs• Vast experience personally • Wealth of training experience• Other areas of expertise such as activism,

acting, programme development, curriculum development (TVU)

• Trained• Paid• Accreditation form Middlesex University

for many at HE4 or HE6 (30 CAT points)

The value of direct experience in training

• Susan Kennedy – Rethink Involvement Worker

• Adam Sayers – Rethink Involvement Worker

Evaluation

• END is evaluated by the Institute of Psychiatry. The individuals involved in all three audiences will be assessed for changes in their knowledge, attitudes and behaviour. This is done using, questionaires, surveys, focus groups and feedback.

• Reports fully in 2012• In addition to this, data is collected from involvement

workers and trainers to assess their experience of involvement in the programme.

• Recent IOP evaluation has been excellent

Summary of project resources:• Medical students DVD

– developed by King’s College and Rethink – personal testimonies, information and introduction and summary by Professor Graham Thornicroft from the Institute of Psychiatry at King’s College London

• Teachers DVD – developed by King’s College and Rethink – personal testimonies,

information and introduction and summary by Professor Graham Thornicroft from the Institute of Psychiatry at King’s College London

• Teacher Resource pack – Teachers DVD - developed by King’s College and Rethink – personal

testimonies, information and introduction and summary by Professor Graham Thornicroft from the Institute of Psychiatry at King’s College London

– CD containing information and web links– Information leaflet

Resources cont• Guided training pack

– The END training - designed to be used independently in school settings for staff (by an interested staff member) Contents include:

• DVD of ‘On the Edge• Memory stick of ppoint training• Guidance materials• Handouts, games etc• Lesson plan for PHSE KS4

– DVD interactive training resource - similar to above but user can take different journeys through varying scenarios

Themes that run through our training where and when relevant• Anti-stigma and discrimination• Broadening of explanatory models• personal meanings and stories• Broader thinking around support e.g. HVN

etc.• Critical thinking• Recovery principles – power and choice

How can we help?

• Commission us to run sessions• Use our resources – all available on the

rethink online shop• Invite our Involvement Workers to speak

Contacts:• Sally Gomme – Education Not

Discrimination manager: sally.gomme@rethink.org

• Alice Lundsten – Admin: alice.lundsten@rethink.org

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