MAKING THE BIG SOCIETY BIGGER
Download
1 / 32

MAKING THE BIG SOCIETY BIGGER working towards citizenship and ... - PowerPoint PPT Presentation


  • 115 Views
  • Uploaded on

MAKING THE BIG SOCIETY BIGGER working towards citizenship and connectedness for people with Mental illnesses. Anna Croucher (senior Occupational Therapist & service development lead) and Sarah Josefsberg (Senior Occupational Therapist). Overview of the workshop.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'MAKING THE BIG SOCIETY BIGGER working towards citizenship and ...' - daniel_millan


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

MAKING THE BIG SOCIETY BIGGER working towards citizenship and connectedness for people with Mental illnesses

Anna Croucher

(senior Occupational Therapist & service development lead)

and

Sarah Josefsberg

(Senior Occupational Therapist)


Overview of the workshop
Overview of the workshop

  • Explore the concept of social inclusion and social exclusion

  • Provide an overview of SHARP

  • Consider services in relation to a ‘traffic light model’

  • Practically use an activity to establish values


Aim of the sharp
Aim of the SHARP

  • Decrease distressing symptoms

  • Reduce relapse

  • Promote Healthy Living

  • Enable new and innovative practice

  • Increase Social Inclusion


So what is social inclusion
So what is SOCIAL INCLUSION ??

  • Its about lots of things!!

  • Physical and psychological involvement (Labonte 2004)

  • Connectedness, citizenship and belonging (Morgan et al 2007).

  • Temporal, relative and subjective (Le Boutiller and Croucher 2010)

  • The people and places (Hacking & Bates 2008)

  • The opposite of social exclusion?

  • But do people WANT Social lnclusion...


Social inclusion vs social exclusion
Social Inclusion Vs Social Exclusion

  • Exclusion relates to structural barriers that exclude an person:

    • Democratic and legal system

    • The labour Market

    • Welfare state system

    • Family and community system (Commins 1993)

  • Inclusion works on individual level

    • The extent to which people are accepted and feel that they belong to different social contexts (Secker 2009)


Sharp s definition of social inclusion
SHARP’s definition of social inclusion

To support individuals to explore participating in activities that are meaningful to them


THE INCLUSION WEB

Developed by NDTi

Captures the people and places that a service user has contact with in a two week period of time.

Voluntary work


But how socially included are we
But how socially included are we?

SI is underpinned by the assumption that ‘normal people’ are themselves socially included...

Activity:

Talk with your partner and with reference to The Web think about:

  • How socially included do you feel?

  • What areas do you feel you are socially included?

  • What would YOU do to become more socially included?


The web case study
The Web: Case Study

  • 28 year old man.

  • Living with family.

  • Has a history of depression since his teenage years.

  • Never been employed and has poor literacy skills.

  • Explains that he is shy and feels he lacks confidence, especially expressing his needs in one to one situations.

  • Likes art and is interested in computers.

SHARP Team


The Web

Outer circle is places and

Inner Circle is people

Services

Employment

Prison

CMHT

GP

GP

Sport & exercise

Care Co-coordinator

Education

SHARP

workers

Mother & Father

Brother

Mum’s house

Uncle

Volunteering

Grandmother

Family & neighbourhood

Used to go to galleries

Arts and Culture

Faith and cultural communities

 SHARP Team, 2007


The Web

Outer circle is places and

Inner Circle is people

Employment

Services

Gardening Crew-

Supported employment

CMHT

Prison

GP

Sport & exercise

Football

GP

Flaxman centre

School

Care Co-coordinator

Education

YMCA

Lambeth College

SHARP

workers

Garden crew

members

Wheels 4 wellbeing

Library- Learn Direct

Healthy Living

Group

Clapham Gym

Thrive Gardening course

Gym Group

BrixtonRecreation

Centre

Photography course

Mother & Father

VocationsMatters

Brother

Mum’s house

Uncle

Bookshop Volunteer

Option

Art Therapist

Grandmother

Family & neighbourhood

Bowling & cinema

Friends

Volunteering

Pub

Parks

Bowling

ComicShop

CaféCommon

Art Therapy

Art galleries

Faith and cultural communities

Museum

Arts and Culture/Leisure


Psychosis
Psychosis

  • Incidence of schizophrenia in Lambeth 4x higher than average (Garety and Rigg 2001)

  • Lambeth PCT spends £60m out of budget of £400m on mental health

  • Cost of relapse £8212 compared to £1899 if no relapse

  • 27% of clients who have engaged with us had a hospital admission or HTT contact in year before referral


What does this mean
What does this mean?

Working with people who have:

  • high relapse rates

  • Complex needs

  • Disrupted lives due to illness


How was sharp set up
How was SHARP set up?

  • A feasibility study involving stake holders and service users in development

  • Funding from GSTT Charity & reconfigured existing team

  • Provide evidence-based interventions which help clients move on

  • No care coordination

  • Recovery ethos- Social Inclusion Hope and Recovery Project

  • Evaluation of interventions and service

  • Launched May 2007


What do sharp offer
What do SHARP offer?

  • Social Inclusion Therapy

  • CBT for Psychosis

  • Family Intervention

  • MI for substance abuse

  • Healthy Living/ Gym/ Football/ Aqua Groups

  • Gardening/ Creative writing

  • Mindfulness

  • ACT

  • Research activity


How is sharp different to other services
How is SHARP different to other services?

  • Easy telephone referral

  • Solution-focused assessment

  • Intervention based on client choice- An opt in service

  • Integrated psychological and social interventions

  • All interventions evaluated by outcome and the service is constantly evolving and improving based on findings i.e. Tea party

  • Recovery oriented: ‘A sense of hope and identity, where people belong and can make sense of their experiences’ (SHARP, 2010)


How do we achieve social inclusion
How do we achieve social inclusion?

  • National Development Team for inclusion- Peter Bates: Traffic light model, how socially inclusive are services?

‘Disability places’, with service users and staff

‘Ordinary places’, with service user-only groups

‘Shoulder to shoulder’, with general public


Ndti model views inclusion as
NDTi model views inclusion as

  • Access: Being able to utilise services and places in the community

  • Standard of living: That meets your needs maintains quality of life

  • Relationships: Having support, someone to share things with, knowing someone cares


Traffic light system
Traffic light system

  • Focus on impact of environment on S.I

    i.e. Café vs. Hospital

  • Increasing inclusiveness of settings, advocacy in combating stigma- 80% report as biggest barrier

    i.e. Offering training to staff at Brixton Rec

  • Increasing community links i.e. moving from red to amber

    i.e. Creative writing group in library


Case study
Case study

  • Janet is a 19 year old ex college student with a diagnosis of psychosis. She has spent the last 2 years withdrawing and isolating herself. She has been living at home with her mother and 2 younger siblings and has been virtually housebound due to constant paranoid thoughts that a gang in her local area are coming for her.


Case study continued
Case study continued

Attends SHARP groups

Linked in with community based groups

First contact with services

A&E

CMHT

SHARP

LAMBETH COLLEGE

SPORTS ACTION ZONE

GYM GROUP

HEALTHY LIVING GROUP


Activity
Activity:

  • Groups of 4-6 people

  • What services fit into RED/AMBER/GREEN?

  • What are the advantages and disadvantages of services at each level?

  • How do you support people to move on to the next level?


Activity1
Activity

  • Group Feedback


Putting the meaning back in meaningful activity!


Working out where to start
Working out where to start

  • Explore values

  • Address motivation for change

  • Choose achievable things

  • Problem solve

  • Advocate


Activity2
Activity

  • Exploring Values according to an ACT frame of reference



Activity continued

Values are ‘desired qualities of ongoing actions’. They are a compass that guide and give you direction and can help you stay on track.

Goals vs. Values: Marriage vs. Being Loving

Activity continued


Activity continued1
Activity continued are a compass that guide and give you direction and can help you stay on track.

  • Values are now/ Goals are in the future

  • Values never have to be justified

  • Values often need to be prioritised

  • Values are best held lightly

  • Values are freely chosen


Activity3

Complete PART 1: identifying values are a compass that guide and give you direction and can help you stay on track.

What do I stand for as a person?

What would they say about me at my eulogy?

Complete PART 2: making a commitment

Setting a short term goal

Taking your thoughts along for the ride

Activity


Questions
Questions? are a compass that guide and give you direction and can help you stay on track.


References
References are a compass that guide and give you direction and can help you stay on track.

  • Hacking, S., Bates, P., (2008) The inclusion Web: a tool for person centred planning and service evaluation. Mental health Review journal, 13 (2) 4-15.

  • Labonte, R. (2004) Social lnclusion/exclusion: dancing the dialectic. Health promotions international, 19 (9) 115-21

  • Le Boutiller, C., Croucher, A. (2010) Social lnclusion and mental health, British Journal of Occupational Therapy, 73 (3) 136-140.

  • Morgan, C., Burns, T., Fitzpatrick, R., Pinfold, V (2007) Social inclusion and mental health: conceptual and methodological review. British Journal of Psychiatry, 191 (6) 477-83.

  • Secker, J. (2009) Mental health, social exclusion and social inclusion, Mental health review 14 (4) 4-11.

  • Commins, P., (1993) Combating Exclusion in Ireland 1990-1994, A Midway report. Brussels: European commission.


ad