A Public Mental Health Programme Kent County Council Jessica Mookherjee Public Health Consultant, Kent County Council

A Systematic Public Mental Health ‘Parity of Esteem’ and reducing the Stigma of mental well being and illness is vital. Consequences of not acting: Suicide, sickness and poverty, low productivity, poor resilience against adversity, reliance on already stretched front line services, breakdown, disruption, risky behaviour and suffering Care Act and System Leadership Mental Well Being as basis of behaviour change

Public mental health straddles across all the three domains of public health practice Health Improvement Health Protection Healthcare Public Health 3

Health Improvement

Mental Health Promotion Public Health – with Districts and Local H&WBB Community Asset Building Publicity and 6 Ways to Well Being SHEDS Programme Community Library and WellBeing Hubs Mental Health First Aid Training Tackling Health Inequalities Reducing Stigma Building Resilient Communities Workplace Well Being Reducing social isolation: Befriending Support for Parents

Mental Illness Prevention: Early Help Public Health, KCC and CCGs Easily available information and clear signposting (Awareness at Primary Care) Quick Access to support Mental Health Awareness Training reducing stigma Employment and Occupation Domestic Violence Victim Support

Recovery, Treatment and Rehabilitation Public Health, Social Care and CCGs. Employment access. Support in Employment. Peer Support. Enhancing Networks. Quality of treatment Benefits Advice and Advocacy Access to Meaningful activities Building resilience Reducing Stigma Challenging Stigma Quick access to treatment

Children and Young People Intervening early reaps rewards Whole System Emotional Wellbeing Strategy Underway/ Parents Transitions: Getting this right has a positive impact on self harm Young Healthy Minds/ Early Help/Headstart Public Health: Family Nurse Partnerships/HOUSE/School Health service Horizon: Young People’s IAPT, Eating Disorder services

Example: Independent Domestic Violence Advisors (IDVAs) Kent Public Health currently invest £295,900 towards the funding of a IDVA service across Kent (this is the combination of two historic KCC funding routes £109,000 from community safety and £186,900 from public health) Kent Police, Kent Fire and Rescue, probation services and district councils also contribute funding IDVA’s work with victims of domestic abuse who have been assessed at “high risk of homicide or significant harm” Serving as the victim’s primary point of contact, IDVAs work with their clients from the point of crisis to reduce levels of risk, to develop safety plans, and work with other support services to help the victim onto a path to long term safety NICE estimate that for every 100 clients that IDVAs work with, they will generate total cost savings to public services of £4.7 million, including £0.3m savings in health costs IDVAs supported 1292 high risk victims in 2013/14

The Live It Well website is designed to support mental health and wellbeing. Latest and local news to support wellbeing on the website, Facebook and Twitter Searchable database of local resources and services. The Six Ways to Wellbeing Campaign – Simple messages about activities associated with healthy lifestyles: Be Active, Keep Learning, Give, Connect, Take Notice, Care. Sharing stories about residents in Kent as they put the Six Ways to Wellbeing into practice.

Programme KCC, via Public Health, have commissioned the South London and Maudsley NHS Foundation Trust to run the project as a pilot in a number of teams/services across KCC. The programme uses the Double Diamond Design process: Discover what’s impacting on well- being for KCC Staff Defining the key issues Design solutions Deliver – a programme of interventions at individual, team and organisational level

Working with Social Care and CCGs Primary Care Community Link Workers Collaboration between CCGs Public Health and seven CCGs Focus up to eight weeks short term interventions and sign posting service - GP facing Positive outcomes with reduction of GP visits reported Primary Care Mental Well Being and Recovery Core Offer

Kent Sheds Kent Sheds is a new initiative that looks to establish a number of Shed projects across Kent Opportunities for men to participate in practical group activities such as engineering projects, woodworking or gardening by working together ‘shoulder to shoulder’ support one another. A Shed is a network of relationships between the Shedders, coming together to work alongside each other, sharing skills and developing friendships. 14 SHEDS across Kent – Overwhelming response – More in Development. (including LIBOR funded Veteran SHEDS). Community Tool-kit and Inner Tool-Kit.

Health Care Public Mental Health High Quality Needs Assessments Medically Unexplained Symptoms Audits Health Checks for people with Serious Mental Illness Equity Audits of Psychological Therapy Services IAPT Better Access – Improved Pathways – working with Commissioners to improve service design Dual Diagnosis – system improvements

Health Protection Suicide Prevention – Strategic Leadership Serious Incidents and Look Backs Domestic Homicide Reviews Emergency Resilience (e.g floods)

Thank You