WM Partnerships and ‘ACTIVITY’ 2 Improve Mental Health and Well-Being

1. WM Partnerships and ‘ACTIVITY’ 2 Improve Mental Health and Well-Being Kate O’Hara Mental Health Promotion Programme Lead, CSIP West Midlands ‘The Feel Good Factor’ Physical Activity and Mental health 20th October 2008

2. My ‘feel good factor’

3. Rugby Pilot – PHEW taster sessions Brian participated in flat green bowling and horse riding. He really enjoyed both but had no transport, he purchased a scooter and attended horse riding regularly paying for his sessions. He also regularly went bowling and again payed for his own sessions. He was much more confident and enjoyed the activities Roger attended scuba diving, horse riding and flat green bowls. He enjoyed all the activities and continued with the bowling. He motivated others to joinin and even providedmany with door to doortransport. Paul attended horse riding and enjoyed it so muchthat he offered to help with mucking out and gardening, he was very well thought of by the riding stable owners. He also attended rock climbing, found this stimulating and challenging, his tutor was really motivating and encouraging. He cycled the 3 miles to the activities.

4. ENHANCING CONTROL Self belief, sense of control, belief in own capabilities INCREASING RESILIENCE Emotional well-being self esteem, self worth, confidence, optimism, life satisfaction ability to solve problems, make decisions or participate in social situation, Access to green space PARTICIPATION Activities that bring people together, connecting with others through groups, clubs, events. Volunteering and opportunities to get involved. Transport PROMOTING INCLUSION Practical support to enable inclusion Mental Well-being Impact Assessment http://www.westmidlands.csip.org.uk/mental-health/mental-health/mental-health-and-wellbeing/mental-wellbeing-impact-assessment-.html

5. “Once I got my diagnosis that was all they saw. I was just a woman who was depressed and anxious & any concern about my health was just a symptom of my illness or my awkwardness with professionals.” “The physical health and well-being of the people I work with is of concern to them and therefore is of concern to me. It will impact on their mental health and vice versa and everything about my training related to treating the whole person. So that is who I intend to work with.” Mental Health Nurse

6. “Equal Treatment: Closing the gap” • Disability Rights Commission 2006 • People with serious mental health problems were: • more likely to experience major illnesses, to develop • them younger and to die of them sooner than other citizens. • less likely to receive evidence based treatments and • checks, and faced barriers to accessing services • Recommended that: • Effective targeted health promotion should be undertaken and involve both patients and staff • The physical health needs of people with mental health difficulties should be analysed to track monitoring trends in morbidity, survival rates and diagnosis.

7. Time to Change National campaign to end the discrimination faces by people who experience mental health problems as well as improve the nation’s well-being Get Moving -WMHD 2008 One World One City Birmingham 'Walk & Talk' Rugby Walk for Mental Health Telford and Wrekin Guided walks WMHD 2008 Walsall Springfield Mind Wellbeing Exchange www.time-to-change.org.uk www.getmovingweek.org.uk

8. Regional Health Partnership West Midlands Health and Well-being Strategy Jan 2008 Culture Leisure and Health – Action Plan To reduce the number of adults in the region doing less than 30 minutes of physical activity, sport and active recreation per week and contribute to exceeding the target for a 1% year on year increase in physical activity levels in the population Advocate for interventions/ policy, which increase participation in sport and active recreation across the region and in particular target vulnerable and at risk groups

9. Delivery of Physical Activity action through Partnership working • County Sports Partnerships • Workforce development plans, sub regional strategic lead for sport and active recreation development PAN-WM Events, resources, training, influencing national agendas, supporting localities West Midlands Play Partnership Play4Life pilot Well Being Partnerships 29 projects funded by the Big Lottery to improve the health and well being of people living in the West Midlands School Sports Partnerships PESSYP programme delivery CSN’s/CSPAN’s 75 CIF programmes funded by Sport England e.g. Health Fit programme in Staffordshire Dudley Walk Zone 14 Exercise Referral Schemes in the region 2012 Health & Physical Activity Legacy Task Group Writing the Region’s 2012 Health & Physical Activity Legacy Plan

10. Partnership Programme BIG Lottery funded programme supported by the West Midlands Regional Assembly delivering 29 innovative health and wellbeing projects across 14 West Midland’s locations Priority Outcomes Mental Health 3.4 Physical Activity 3.0 Healthy eating 2.2

11. Figure 1: Distribution of Living Well projects across Thematic areas PHYSICAL ACTIVITY MENTAL HEALTH HEALTHY EATING

12. Birmingham bwell communities Coventry Body and Mind Staffordshire Sharing Spaces Feeling Good Walsall Living Well Herefordshire Shropshire indoors and Shropshire outdoors Dudley Park Life

13. Mental Health and Physical Activity Research Project Partnership project between Staffs Uni, Staffs CSP, Haregate EstateWalking Programme and Stafford Age Concern “Staying Active” project An investigation into the mental health aspects of sport and physical activity, using social marketing approaches in community settings Outcomes – testing WEMWBS, indicative mental health benefit messages/recommendations, inform national development on mental health, physical activity and sport and make recommendations for further research

14. “Rise in GPs prescribing exercise for Depression” Mental Health Foundation 22% GP’s now prescribe compared to 5% 3yrs ago Almost 2/3’s (61%) GP’s now believe a supervised programmed to be ‘very effective’/ ‘quite effective’ in treating mild to moderate depression compared to 41% 2/3’s GP’s who currently don’t have access to an exercise referral scheme say they would use one if it were available 1 in 6 GP’s (16%) have noticed an increase in the number of people asking whether exercise would be suitable treatment for their depression

15. www.mentalhealth.org.uk

16. West Midlands regional mapping of exercise referral schemes 2006 14 schemes responded to the study: 85.7% of them target people with mental health conditions within referral criteria. 46.1% of schemes receive referrals from mental health professionals 28.5% of schemes receive referrals from Community Psychiatric nurses All schemes accept referrals for anxiety, stress, depression with 1 scheme offering a separate programme for those with mental health conditions. 5 schemes (36%) accept referrals for substance misuse

17. What is being monitored

18. Exercise Referral and Physical Activity Projects Successes • Partnership working across professional groups • Mental Health Awareness raising and training to breakdown prejudices and allay fears • Mainstreaming schemes/Programmes and extending referrers • Promoting access to mainstream PA/leisure services • Success breeds success – easier to demonstrate benefits • Improved mental health outcomes • Challenges • Limited funding = limited referral no’s • Anxieties about working with the client group • Clarity on roles and responsibilities • Agreed assessment processes/referral criteria and tools for measuring MH outcomes across PA programmes

19. Partnerships are key to achieving the best outcomes Good mental health is good for us all! the poorest and most deprived we must maximise the potential contribution that physical activity can play in improving the public’s mental health

20. Kate.O’Hara@csip.org.uk Mental Health Promotion Programme Lead, CSIP West Midlands www.csip.org.uk