Mental Wellbeing

• Prevention and Community Development

Claudette Maharaj

Community Development Lead

NHS Berkshire READING East & South

Community Development Purpose : Improve Mental Health and Wellbeing in Vulnerable and Hard to Reach Groups. – Reducing Health Inequalities by: • Understanding the needs of these groups for eg: Nepali

• Promote key messages around health and mental health

• Addressing social and economic inequalities e.g Mapping

engaging, signpost

• Intervening early to tackle mental illness can prevent future health problems

• Breakdown Stigma to Improve Mental Health & Well Being

The Forgotten Gurkhas

Pakistani Community Centre

Local Delivery

TYPES OF DELIVERY

• Community Engagement

• Change Management

• Capacity Building

• Influence Strategy & Commissioning (e.g IAPT)

• Service Developer

HEALTH IMPROVEMENT

• Immunisations

• Breast Cancer

• Diabetes

• Cervical

• Hepatitis C

• Stroke Prevention

• CVD

• (Culturally Sensitive/

Tailored)

TRAINING

• Mental Health First Aid

• Stress Control

• Youth Mental Health First Aid

• Family Foundations Pre / Post natal Course

• Post Natal Depression

Mental health first aid

Claudette Maharaj NHS Berkshire

• An MHFA course will teach you to:

• •Spot the early signs of a mental health problem

• •Feel confident helping someone experiencing a problem

• •Provide help on a first aid basis

• •Help prevent someone from hurting themselves or others

• •Help stop a mental illness from getting worse

• •Help someone recover faster

• •Guide someone towards the right support

• •Reduce the stigma of mental health problems

MHFA “QUOTES”

• “I have experienced depression and come across many suffering mental disorders but did not know how to help. Having done the course I feel confident it will help in difficult situations when others in crisis.”

• “ A very informative course and will be helpful working with women from different cultural backgrounds and are dealing with lots of issues in this country

• “Brings the theory into reality and enabled me to relate”

• “I will use the information I have gained to help others who are unable to access this kind of information, to understand mental health.”

•

Make Every Day a Feel Good Friday Raising Awareness & Breaking Down Stigma to Improve

Health & Emotional Wellbeing

FGF helps Communities and Community Organisations to engage with health and other service providers. Supports communities that do not normally engage with services to overcome issues with confidence, language barriers, stigma, fear, poverty. Engages health services that have difficulty reaching those that are termed as “hard to reach”. Empowers community organisations to address health needs amongst their client group. Communities Delivered to

AFRO CARIBBEAN

ELDERS

PAKISTANI COMMUNITY

SIERRA LEONE

COMMUNITY

AFRO CARIBBEAN

MALES

HEXHAM ROAD

NEPALI WOMEN

BME WOMEN

Outcomes

• 450 people termed as “hard to reach” have received a variety of educational workshops Health Information, Prevention and awareness

• 350 BME Women have been taught how to check for the signs of Breast Cancer

• Referrals have been made to IAPT

• Sign ups to Health Trainer Service

• Signs up to Smoke free service

• 5 to 10 Full health checks per event (dependant on number of nurses)

• Financial Outlay per event £5.00 for Photocopying & CDL / Provider time

“Great, Very Informative More Please !!”.

“It has been a good opportunity to socialise and meet new people, which I would not normally come into contact with. It has been really benefitted me in the understanding of a healthy lifestyle. It has certainly improved my emotional wellbeing considerably, because there is not a lot that goes on in this area”.

N. Bennett Hexham Road

“Since attending the first Feel Good Friday Boxercise. It has encouraged me to take up joining the local gym

and also PA for Boxercise..within that time I have almost lost 2st.7lb "which

was well needed" and I am on my way to achieving my goal”

G. Matthews

“I have felt really low, I am retired my daughters don’t need me

anymore. I have felt suicidal on occasions. Since attending I have a purpose. It has encouraged me to

join new groups, volunteer and lose weight Staverton Road

FGF

FEEDBACK

“Thoughts on the Programme as a whole – An excellent programme which encompasses the many different aspects of health and

wellbeing. Provided an opportunity for the local community to be involved, both in terms of participating and volunteering, which was

good to see.” Owen Marples NHS

Some Communities worked with

• Pakistani Indian Nepali Tamil Sierra Leonne Tanzania Zimbabwean Ghana Turkish Chinese Japanese Portuguese Spanish Arab Jamaican Barbados Antiguan Grenadian St Vincentian Nigerian Irish Somalian Ethiopian British Afghanistan Egyptian Israeli Greek Polish Albanian Kenyan Sri Lankan Mixed Heritage Bangladeshi Guyanese Deaf Community Blind Community Learning Disability

Carers Gypsy and Travellers Iranian

Health Needs and Barriers identified through

Community Development

• South Reading Community

• Cultural Communities

• * BME ( Black & Minority Ethnic)

Understanding Local BME Needs

• Will not approach services early due to: Stigma, Fear, Past experience, Religious Beliefs, Language

• Depression • Social Isolation ( women 60+)

• Caring responsibilities • Fear of addiction to

Anti-depressants • Chew Tobacco (Nepali and

South Asian) • Hidden drinkers (Alcohol) &

hidden smokers • Dementia (Do not reach

services early)

• High Prevalence of:

• Diabetes ( Caribbean, Nepali, South Asian, Indian, African )

• High Blood Pressure • Stroke • Hep C (Pakistani Community) • Prostate Cancer (Caribbean

Males)

• Aggressive Breast Cancer (Caribbean females)

• Arthritis

South Reading Community Impacts on Health & Mental Health

• Low Income ( Working & Non Working)

• Debt

• Environment

• Smoking

• Depression

• Substance misuse

• Cannabis / Skunk

• Social Isolation particularly in the elderly

• Cardio Vascular Disease

• Mental Health issues (OCD Psychosis Anxiety)

• Lone Parenting

• Domestic Violence

• Depression in the 60+ (inc thoughts of suicide)

• Relationships

• Obesity

• Alcohol

• Diabetes

• Teenagers behaviour

Nepali Gurkha Community • Identify Health & Mental Health

Needs (Community Engagement & Questionnaire )

• Development of Culturally Sensitive CBT Wellbeing Programme

• Health & Wellbeing Programme being developed to address needs identified

• Developing Nepali Health Booklet

• Focus on Women's Health

HOW?

How can the Community Development Lead who

has direct contact, local intelligence and delivers

to Vulnerable and Hard to reach” Groups

A) Work with Patient Voice, Commissioners, CCG

and Local Authority to help them gain more of

an understanding of the needs of the local

community.

Any Questions ?

Claudette Maharaj

Community Development Lead

Mental Health& Wellbeing

READING East & South

Public Health Directorate

Tel: 075000 27358

Claudette.maharaj@berkshire.nhs.uk