Www.lanarkshirementalhealth.org.uk FIN-LAN COLLABORATION

www.lanarkshirementalhealth.org.uk

FIN-LAN COLLABORATION


Kevin O’Neill, Public Mental Health & Well-being Development Manager

Welcome

Tervetuloa

Prevention

Promotion

Care

Treatment


Connecting the Pieces

• 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


It’s no Secret


It’s no Secret


It’s no Secret


It’s no Secret

• 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.


Towards & Mentally Flourishing

Scotland & Lanarkshire

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”


Towards & Mentally Flourishing Scotland

• 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

TAMF Scotland Priorities


High mental health (flourishing)

Low mental health (languishing)

High level of mental illness

Low level ofmental illness

A

B

C

D


Curing Illness Does Not Necessarily Result in Health(Pat Barker)

National outcomes

Children have best start

Longer healthier lives

Resilient communities

Tackled inequalities

Improved life chances

Improve mental wellbeing

(WEMWBS)

Reduce mental illness

High level outcomes

Improved healthy life expectancy

Reduce suicide

Increase quality of life

Intermediate outcomes

Increased Healthy behaviour

Increased learning &

development

Increased General health

Increased Participation

Stronger social networks

Greater social support

Increased Trust

Increased SafetyIncreased Equality

Increased Social inclusion

Decreased Discrimination

Increased Financial

security & less debt

Better Physical environment

Better Working life

Deceased Violence

Increased emotional

intelligence

Increased meaning &

purpose

Individual behaviours

Social, economic &

physical environments

Service delivery

outcomesShort-term outcomes related to service delivery

Activities


Outcome Triangle: Mental Health & Well-being


Illustrative Logic Model for Mental Health and Well-being

Linking TAMFL to wider goals for Lanarkshire:Community, Health Improvement & Council Plans,

South Lanarkshire :

Stronger together:•Successful/inclusive•Safe and healthy•Working and learning

Action for Health Improvement:•Smoking/Nutrition/ Alcohol/Physical activity/Mental health, •Environment/Life circumstances

Connect:•Housing/Older people•Environment/Transport•Schools modernisation

North Lanarkshire:

NLP Community Plan 2008-2012 (& SOA)•Health/wellbeing•Community safety•Environment•Regeneration• Lifelong learning

Council’s Corporate Plan: 2008-2012 •Health/wellbeing•Environment/Regeneration•Life-long learning•Developing the organisation

North Lanarkshire Partnership

Board

South Lanarkshire Community

Planning Partnerships

South Lanarkshire 4 localities

North Lanarkshire6 localities

Scottish Government

Age range (early years to older people), Settings (neighbourhoods, nurseries, schools, workplace), High risk groups (look after and

accommodated young people)

MH ImprovementAction Plan

Related policies, Priorities &

Frameworks


Scottish Government, Planning Partnerships, Local Delivery & Performance Management

Themed Groups

Themed Groups

• 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.

Facing the Challenge:

Linking Nationally: Acting Locally



• 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.

STIGMA &

DISCRIMINATION

SOCIAL JUSTICE

EQUALITY INCLUSION

JUSTICE

TAMF SCOTLAND

CHOOSE

LIFE

SEE ME

WELL-BEING

RECOVERY

HEALTH IMPROVEMENT

PROMOTIONPREVENTION TREATMENT

PLANNING DEVELOPMENT

EMPLOYERS INDIVIDUALS COMMUNITIES

Bigger Picture, Bigger Opportunities,Bigger Gains


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.


From Pledge to Action

• 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.

Understanding RecoveryWhat 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)


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



DVD

Health Promotion Programmes

(schools/workplaces)

Scottish Mental Health Arts & Film Festival

Integrate with strategic development

Work with local media

Support training & development

Publish recovery stories

Seminars, workshops & events

Locally branded promotional materials

Elament – website

LRN

Methods of Communication

• 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!

‘What Get’s Measured Gets Done’



On-line Support and Information






Latest News

• 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.

Increasing Access to Self-help, Information and Non-clinical Intervention


Documents

Www.lanarkshirementalhealth.org.uk FIN-LAN COLLABORATION