Mental Health at Scale Our priorities 2018 - 2020 Positive - - PowerPoint PPT Presentation

Mental Health at Scale

Good jobs and places to live, learn and play

Our priorities 2018 - 2020

Every child to have the best start in life

Better quality

• f life

through integrated health and care services

Mental Health at scale Our healthy workforce Excellent drug and alcohol service provision Positive behaviour change – smoking, activity and food

County Durham Partnership Priority

• Overall Prioritising Prevention agenda
• Four main areas
• Scaling Up Best Practice
• Maximising Funding
• Reducing the Demand for Services
• Prevention at Scale – Mental Health –

supported by the Local Government Association

LGA Prevention at Scale Programme

The offer

• Areas assigned a Support Manager and an LGA

Adviser for guidance

• Networking and masterclasses
• Areas will have up to 20 days expert support
• ‘Expertise’ can be as innovative as the LGA can

procure

• peer-led/learning from elsewhere
• provided by the Support Manager
• procured through the LGA e.g. Design Council,

Behavioural Insights; digital expertise

• External evaluation

Our approach

• Reducing deaths by suicide with a focus on workforce, anti-stigma and

discrimination

• Interventions build progressively from community level into work with

specific target groups.

Our Workforce

• Workforce Leads meeting held Autumn

2018

• Many public sector organisations included
• Explore current approaches to provision
• Co-operative approach to training to be shared
• Is there a County Durham toolkit?
• Using existing evidence and good practice e.g.

Public Health England

• Culture, policy, workforce development

Mapping training against competencies

Our workforce

Scope of work - workforce

• To be cogniscent of the distinct needs of the five workstreams
• Identify key stakeholders working in this field.
• To take into consideration any competency frameworks and

national policy guidance on mental health workforce development

• To review current best practice locally and nationally
• To review the range of current initiatives being taken forward

across the North East by partners in the public (and VCSE and private sector)

• To explore the potential to pool resources across partners.

Behavioural Insights

• Programme of reviewing the evidence locally and nationally, and

local insight through stakeholders and residents.

• 1:1 interviews with six key stakeholders
• Session with men’s groups (community group, public sector and

private sector workforce)

• Through schools (one SEND school, one YAM school and one

secondary school)

• Follow up 1:1s with GP, floating support and HR manager
• Wider community work – awaiting feedback from the initial

phase – will inform social movement and time for change

Early thoughts

• In addition to the ‘known’ risk factors, stakeholders

also suggest social isolation, interactivity, self image/pride (in both aspiring to be ‘someone’ and expectations of how ‘life has turned out’.)

• Hobbies that exacerbate social isolation e.g. gaming

and ‘surface level’ socialising at the pub rather than engaging in activities that foster meaningful networks / relationships.

• ‘Bad’ coping strategies, such as drinking too much, to

‘escape’ feelings.

Barriers

• Belief that only CAMHS / formal mental health services will help and

that anything else equates to being ‘fobbed off’.

• Stigma - for both groups and for population in general. Stigma not

confined to mental health problems - any sign of ‘weakness is stigmatised especially for employed men 40-49 or young people from particularly tough backgrounds.

• Mistrust and fear. For both target populations there is the issue of

whether they trust that seeking help will be treated in confidence.

Design Council workshop

Design council

Cree’s are built based on need and community development Grant giving No KPIs Networks Assets within communities to bring and share

8 Principles of Social Movement

Participatory budgeting Natural alliances Public Sector: accepting this as an approach Crees: reduce dependency Legitimacy

• f Cree

voice and participants are community Sharing toolbox Crees sharing back learning Network events Cross site learning Time to Change

Time to talk day

DCC is committed to changing the culture and stigma negatively associated with mental health and ensure that staff feel that can talk openly about mental health and access support:

• Chief Executive vlog. Elected member champion.
• Meeting agendas to include mental health – active

meetings

• Time for change champions promoted the day
• Internal communications
• Mental health awareness training launched.

Time to talk day

• Stamp it out – numerous activities across the

county (two schools, activities in Barnard Castle town centre, youth ‘club’ in Durham Dales)

• Wellbeing for life – coffee mornings
• PCP – time to talk lunch