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People Powered Recovery Social Action and Complex Needs
Findings from a call for evidence 22nd January 2018
#PeoplePoweredRecovery @APPGComplexNeed
A call for evidence
• Call for evidence: 1. How can social action improve the lives of people with
complex needs? 2. What are the challenges and barriers? 3. What economic evaluation evidence exists? 4. What are the critical enablers to grow social action in this
area? • Social action: Practical action in the service of others
– Peer support – Mutual aid – Employing people with lived experience
Benefits
1. Recovery 2. Improved employment prospects 3. Reducing stigma 4. Services that better meet people’s needs 5. Better use of resources
• Confidence and self-worth • Having a voice • Routine and structure • Living proof that change is possible • Counter to loneliness • Motivation and responsibility
Recovery
• Developing skills in a supportive environment • Paid roles enable people to take the next step
in a supportive environment and recognise unique contribution
• Progress towards the labour market but social action is also an end in itself
Employment
Stigma
• Peer led approaches - everyone’s been through it
• Valuing people’s insight • Breaking down barriers between staff and
clients
Better services
• Improved take-up and drop out rates • Alternative sources of support • Improved working practices
Cost effectiveness
• Quantifiable evidence of impact on health and wellbeing
• Better use of resources: – Freeing up professionals time – Bridging gaps between services
BUT • An ‘evidence trap’ of under-investment in
research into person and community centered approaches is leading to an immature evidence base that is in turn holding back implementation NESTA
Challenges
• Often reliant on key individuals • Take time to set up – short term funding • Additional costs of employing people with
lived experience • Prejudice • Risk of relapse / becoming unwell • A system wide focus on ‘hard outcomes’
Growing social action
• Leadership • Developing a stronger evidence base • Commissioning – social action embedded
within service specifications • Better use of the Social Value Act
"Our mission is to be an organisation of excellence with an ever changing and diverse range of activities and services that promote psychological and physical wellbeing, stimulate recovery and lead to social inclusion within mainstream society’’
‘Rochdale borough is the 25th most deprived borough in England, with significantly ageing and young communities which are ethnically diverse. Many of the characteristics of life within the borough have negative implications for health and this puts the promotion of better health and the reduction of health inequalities at the heart of all we do.’ Rochdale, Heywood, Middleton CCG
World Health Organisation 2014
Mental health is defined as a state of well-being in which every individual realises his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community
Recovery republic community assets are the citizens of the recovery republic. They are made up of volunteers who learn new skills, share their stories, their abilities , their beliefs and values whilst developing social skills and making friends. The Recovery republic challenge: Austerity, Poverty, Debt, Poor housing, Poor physical ill health, Mental ill health, Addictions, Family breakdown, and Worklessness.
Social prescribing in action – where there is a problem put in a solution that works
RECOVERY REPUBLIC OFFER: • Emotional wellbeing • Money management • Housing • Employment • Lifestyle behaviour change • Smoking cessation • Work related health support • Self help programmes • Targeted support groups • Education and Research
FLOURISHING • Asking the group as a whole what
they want to learn to enable them to take their next step to recovery
• A flexible course that evolves from week 1
• Timetable and content dictated by the technical experts NOT by the professionals
Outcomes • Increase in positive wellbeing
(WEMWBS) • Friendships and peer support
developed • Sharing of knowledge and skills
• CONTENT REQUESTED • What is mental illness? • Evolution of medication for
psychiatric illness and pain and how each medication works – Why was I prescribed this?
• Healthy eating food, mood • How to get heard by the
professionals, especially my GP, Community Psychiatric Nurse and psychiatrist
• How to listen to each other • Practical tips to calm down,
get better sleep and gain confidence
The Future Education RCGP accredited practical diploma in primary care mental health Managing complexity Learning Disabilities and Mental Health Wellbeing in the workplace Cultural competence Technical commissioning Social Prescribing
• Research • Social Prescribing and its impact • Experiences of people in primary
care • Research tools • Warwick and Edinburgh Measure
Wellbeing Score • Service-user Recovery Evaluation
(SeRvE) scale
www.mentalhealthdiplomas.com [email protected]
THE DIFFERENCE BETWEEN INVOLVEMENT AND
COMMITMENT IS LIKE A HAM AND EGGS
BREAKFAST. THE CHICKEN WAS
INVOLVED. THE PIG WAS COMMITTED.
KENSINGTON AND CHELSEA EALING
HAMMERSMITH & FULHAM NEWHAM
HILLINGDON HARROW
We currently provide peer-run
Mutual Aid Projects in
IF EVERYTHING SEEMS UNDER TOTAL
CONTROL YOU’RE JUST NOT
GOING FAST ENOUGH.
We have had almost two thousand service user volunteers in our short
history. In one peer run service we have more
than 700 individuals accessing between 14 – 15,000 times a year.
ANYTIME YOU SEE A TURTLE ON TOP OF A FENCE POST
YOU KNOW HE HAD HELP!
We follow no specific model of addiction or
recovery. We believe all are
equally valid.
WHEN WE TALK TO GOD WE ARE PRAYING.
WHEN HE TALKS TO US
WE ARE SCHIZOPHRENIC.
We have only ever employed our service managers from within our volunteer team.
50% of them have never worked before.
All are over 40 years old.
IT TAKES CONSIDERABLE
KNOWLEDGE TO RECOGNISE THE
EXTENT OF YOUR OWN IGNORANCE.
2014 Build on Belief Impact Evaluation (154 Service Users Interviewed)
Average ‘friendliness’ rating for BoB services = 9/10
Average rating for supportiveness of the BoB volunteers =
8.8/10
Average rating for ‘feeling better’ on leaving BoB services = 8.6/10
Average safety rating for BoB services = 8.8/10
I’m a idealist. I don’t know where I’m going, but I’m
on my way.
We have MUSIC WORKSHOPS!
THE BEST THINGS IN LIFE
ARE NOT THINGS
Our Musician’s perform concerts!
FIRST THEY IGNORE YOU. THEN THEY LAUGH AT
YOU. THEN THEY FIGHT YOU.
THEN YOU WIN.
We undertake sponsored cycle rides to fund our
sporting activities!
NEVER DOUBT THAT A SMALL GROUP OF THOUGHTFUL,
COMMITTED CITIZENS CAN CHANGE THE WORLD.
INDEED IT IS THE ONLY THING
THAT EVER HAS.
We provide Yoga Classes!
THE WORLD IS MOVING SO FAST THESE DAYS THAT THE MAN WHO
SAYS IT CAN’T BE DONE IS USUALLY OVERTAKEN BY SOMEONE DOING IT!
We arrange picnics and social gatherings.
BEING ON THE TIGHT ROPE IS
LIVING EVERYTHING ELSE
IS WAITING
We believe recovery should be fun!
NEVER BE AFRAID TO TRY SOMETHING NEW.
REMEMBER AMATEURS BUILT
THE ARK.
PROFESSIONALS BUILT THE TITANIC.
We know a group hug can solve many
problems!
PEOPLE WHO DON’T TAKE RISKS GENERALLY MAKE
ABOUT TWO BIG MISTAKES A YEAR.
PEOPLE WHO DO TAKE RISKS
GENERALLY MAKE ABOUT TWO BIG MISTAKES A YEAR.
We create safe and social environments for
people in recovery.
ACT AS IF WHAT YOU DO MAKES A
DIFFERENCE.
IT DOES.
We have Art Workshops . . .
THE CURE FOR BOREDOM IS CURIOSITY.
THERE IS NO CURE FOR
CURIOSITY.
. . . and put on Art
Exhibitions!
TO SUCCEED IN LIFE YOU NEED THREE BONES.
A WISHBONE. A BACKBONE.
A FUNNY BONE.
We decorate entire buildings to hosts
service user parties!
LIFE IS LIKE A TEN SPEED BICYCLE.
MOST OF US HAVE
GEARS WE NEVER USE.
We believe in healthy eating . . . . and cake!
DON’T GO AROUND SAYING THE WORLD OWES YOU A
LIVING.
THE WORLD OWES YOU NOTHING.
IT WAS HERE FIRST.
We started off very small thirteen years
ago . . . .
LIFE IS LIKE A COIN.
YOU CAN SPEND IT ANY WAY YOU WANT.
BUT YOU CAN ONLY SPEND
IT ONCE.
. . . but we have got bigger!
PRESSURE
MAKES
DIAMONDS
We provide shiatsu at the weekend
FLYING IS SIMPLE.
YOU JUST THROW YOURSELF AT THE
GROUND AND MISS.
We work in partnership to open new services
THE MIND IS LIKE A PARACHUTE.
IT DOESN’T WORK UNLESS IT IS OPEN.
We provide baking classes . . .
. . . And eat the results while they’re hot!
AIM FOR THE MOON.
EVEN IF YOU MISS YOU WILL LAND AMONG
THE STARS.
We fall in love and have BoB babies!
I KEEP MY WORDS SOFT AND SWEET IN CASE I HAVE TO
EAT THEM.
We believe building strong family ties aids
recovery.
IF YOU WANT TO TRULY UNDERSTAND
SOMETHING TRY AND CHANGE IT.
We provide haircuts because self-esteem is
important!
IF YOU ONLY DO WHAT YOU KNOW YOU CAN
DO
YOU WILL NEVER DO VERY MUCH
We believe creativity can make all the
difference in recovery
IF YOU THINK YOU ARE TOO SMALL TO BE
EFFECTIVE YOU HAVE NEVER
BEEN IN BED WITH A MOSQUITO!
Not with BoB they aren’t!
SOME PEOPLE CHANGE WHEN THEY SEE THE
LIGHT
OTHERS WHEN THEY FEEL THE HEAT
A place in a community = successful recovery
THE DIFFERENCE BETWEEN A HELPING
HAND AND AN OUTSTRETCHED PALM
IS A TWIST OF THE WRIST
We build gardens
and grow our own
food
Don’t let yesterday take up too much of
today
We work as a team
but we live as a family
We are still masters of our fate.
We are still Captains of our souls.
We’ll take happiness
over a dress code any day!
You cannot plough a field by turning it over in your own mind.
We provide all of our volunteers with a wide range
of free training workshops
A society that gets rid of all its
troublemakers goes down hill.
We believe Recovery means ‘getting a life!’
IF OPPORTUNITY DOESN’T KNOCK
BUILD A
DOOR
We believe that no one is beyond help!
YOU CAN’T HAVE EVERYTHING.
WHERE WOULD YOU
PUT IT?
Website: www.buildonbelief.org.uk
Head Office 69 Warwick Road,
Earls Court, London SW5 9HB
E-mail: [email protected]
AND ONE LAST
THING . . .
This is a pound coin.
A pound can buy you these in Waitrose.
Or a pound can provide this individual with support, encouragement, advice, a
cup of tea and a slice of toast and a place to turn their life around with the help of
their peers.
BUILD ON BELIEF WE MAKE A POUND
SHOP LOOK EXPENSIVE