Reading Well for mental health

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Presentation transcript:

Reading Well for mental health Introduction Reading Well for mental health is a new public library scheme to support people living with mental health needs and carers using recommended self-help reading It is launching in public libraries in June 2018 The scheme builds on public libraries’ ever-increasing work around community health and wellbeing Part of the Reading Well Books on Prescription programme, a key part of the Public Library Universal Health Offer.

Reading Well for mental health Developed by the Society of Chief Librarians and The Reading Agency with funding from the Arts Council and Wellcome Endorsed by national health organisations Delivered by local library services working with public health Curated, quality assured self-help reading list Using a referral/self-referral model Universally available: Reading Well is in 98% of English public library authorities Reading Well for mental health represents an important new strand of the public library health offer It is responding to real need and delivering on local health priorities Developed and delivered by national charity, The Reading Agency, working in partnership with the Society of Chief Librarians, local library services and local and national health partners Funded at a national level by the Arts Council and the Wellcome Trust and locally by local library services working with health partners, mostly public health Uses the tried and tested Reading Well Books on Prescription model of a curated list to recommend quality assured self-help reading to support people in understanding and managing their mental health and wellbeing The core book list is accredited by health partners Books can be “recommended or prescribed” by health professionals, but they are also available on the open shelves for self referral Universal offer available in public libraries across England

The Need Approximately one in four people in the UK will experience a mental health problem each year Mental health problems represent the largest single cause of disability in the UK 26 percent of adults reported having been diagnosed with at least one mental health problem By 2030, it is estimated that there will be approximately two million more adults in the UK with mental health problems than there were in 2013 The total cost of mental health problems in England in 2009/10 was £105.2 billion People with severe and prolonged mental health needs are at risk of dying on average 15 to 20 years earlier than other people There is enormous need for quality assured health information and advice supporting people to understand and manage their mental health and wellbeing. Approximately one in four people in the UK will experience a mental health problem each year Mental health problems represent the largest single cause of disability in the UK 26 percent of adults reported having been diagnosed with at least one mental health problem By 2030, it is estimated that there will be approximately two million more adults in the UK with mental health problems than there were in 2013 The total cost of mental health problems in England in 2009/10 was £105.2 billion People with severe and prolonged mental health needs are at risk of dying on average 15 to 20 years earlier than other people Reading Well is a cost effective way of delivering community-based help and support for people living with mental health needs. The national cost average of the scheme works out at around £1 per person.

Can Reading Help? There is a strong evidence base around reading for health and wellbeing: readingagency.org.uk/readingwell/evidencebase Builds the key determinants of health: literacy, learning, resilience and empathy Delivers: Health information and advice Book-based therapy Mood-boosting fiction and poetry Social reading/reading groups There is evidence that reading can help. The evidence base for reading as a health and wellbeing tool can be found on The Reading Agency website. Research shows that reading builds the key determinants of health and wellbeing including literacy, learning, skills and empathy. For people with mental health needs, reading can deliver: Health information and advice which both encourages self-management and empowerment The provision of high quality health information is embedded within NICE guidelines for developing both care plans and condition-specific guidelines Self-help support for living with mental health needs The opportunity to explore life experiences through the lens of fiction or memoir The opportunity to engage in social reading communities such as reading groups and support groups

The following key assets underpin the public library health offer: Infographic representing SCL’s Universal Health Offer The Public Library Health Offer is a shared strategy to advocate the public library contribution to the health and wellbeing of their communities. The following key assets underpin the public library health offer: A network of trusted, neutral and non-stigmatised community spaces Assisted digital access which in turn allows people wider access to health information and online services Access to targeted communities and vulnerable groups A workforce in tune with the needs of their local community As well as an unrivalled service offer including: Health information and signposting National reading programmes Social and recreational activities such as reading groups and volunteering opportunities that keep people of all ages socially engaged.

2013 Common Mental Health Conditions List The new booklist replaces our first mental health scheme Launched in 2013 Common mental health conditions: anxiety, depression, sleep problems, some phobias It was non-fiction, self-help, CBT based The new scheme incorporates learning from our co-production process to widen the content of the booklist to include personal stories from people with lived experience Reading Well Books on Prescription for adult common mental health conditions was the first national list for England, and was launched in 2013 It covered common mental health conditions including anxiety, depression, sleep problems and some phobias, and following clinical guidelines on where CBT self-help has been found to be useful The titles on the first list were all non-fiction, self-help based titles As a result of learning from previous lists, the involvement of people with lived experience has also become integral to the development process. The development approach for each new booklist now includes commissioning an expert partner organisation to deliver an integrated co-production strand of work. This involves people with lived experience, including family and carers, supporting the development of the structure and content of the booklist as well as the design and marketing approaches of supporting materials.

Reading Well for mental health framework To support mental health and wellbeing, as well as friends and carers of people with mental health needs Providing information and advice, support for specific conditions and common difficult experiences, and personal stories Specific conditions covered include anxiety, depression, Obsessive Compulsive Disorder The new list also covers additional conditions including post-natal depression Range of reading levels and formats Signposting to professional support and other library wellbeing activities Reading Well for mental health is focused on providing high quality health information to support adult mental health and wellbeing, as well as friends and carers of people with mental health needs The scheme operates on both a self-referral and referral model, and supports a self-management model to encourage patients to take an active role in the decisions made around their health and wellbeing The scheme provides general information on mental health and wellbeing, condition-specific titles, support for common difficult experiences including bereavement and loss, and personal stories The list includes a range of different formats and reading levels to ensure it is accessible to a wide range of audiences The scheme promotes empowerment of mental health and wellbeing, supports living well and self-care and self-management models As a community intervention, it also allows for public services to work together to support the health and wellbeing of their communities As well as signposting to sources of professional help and support, it recommends other library wellbeing activities such as reading groups and volunteering opportunities.

Quality Assured Process Responding to need Delivering public health policy priorities Evidence based and working within clinical guidelines Developed with expert support Co-creation with people with lived experience Recognised by the Royal Society for Public Health as a Public Mental Health and Wellbeing Award finalist A robust and rigorous development process guarantees the delivery of quality assured evidence based community service provision for people living with mental health needs Delivers on key health priorities identified through extensive prevalence mapping, cost to the NHS and the wider economy, and priorities of key leading health bodies Delivers within clinical guidelines, within a clear and reliable evidence base Developed with expert support Co-created with people with lived experience Recognised by the Royal Society for Public Health as a Public Mental Health and Wellbeing Award finalist

Co-production with people with lived experience Co-produced with experts by experience in partnership with the Coalition for Collaborative Care Feedback on format and approach, language/terminology and design of materials. The development of Reading Well for mental health was supported by an extensive co-production programme by the Coalition for Collaborative Care This included the development of a programme of workshops with people with lived experience of mental health needs We have been working alongside the co-production group at the Coalition for Collaborative care on the range of conditions for inclusion, book selection, design, marketing and engagement and delivery strategies.

Reading Well National Evidence Reach: 778,000 people 100% increase in loans of common mental health conditions titles 346% increase in loans of dementia titles 6,500 prescribers using the scheme regularly 263% increase in loans of young people’s mental health titles Positive feedback on the scheme and the value of libraries’ health role The evidence from existing Reading Well Books on Prescription schemes proves the model works. Yearly evaluation demonstrates powerful evidence of reach and real value for users, the health sector and partners In four years, the scheme has reached over half a million people with quality assured, health expert endorsed information There has been a 100% increase in loans of titles on the common mental health conditions list, a 346% increase in the borrowing of dementia titles and a 263% increase in the young people’s titles 6,500 prescribers are using the scheme with positive feedback on its value for patients.

User Impact First mental health booklist (2013) 90% of users surveyed found books helpful 83% better understood their condition 68% said that symptoms had actually improved Dementia 96% found the scheme helpful 73% said it increased their knowledge of sources of help and support Young people 87% said it supported coping with pressures that could affect mental health and wellbeing There has been overwhelmingly positive feedback from users about using the Reading Well scheme. For example, for the 2013 adult mental health list: 90% of users surveyed found books helpful 83% better understood their condition 68% said that symptoms had actually improved For the dementia list: 96% found the scheme helpful 73% said it increased their knowledge of sources of help and support For the YP list: 87% said it supported coping with pressures that could affect mental health and wellbeing Reading Well for long term conditions will be evaluated for the first time in Summer 2018, and the new Reading Well for mental health list will be evaluated for the first time in Summer 2019.

Partnership Model: Delivering Value for Money 80% of library authorities work with health partners Funding for book collections, leaflets, events Support for partnership building and prescriber support Free digital resources and support for health professionals There is already a strong partnership model in place supporting Reading Well Around 80% of library services work with health partners - mostly public health, CCGs and primary care funders Provides support for libraries with partnership building and building prescriber support Includes funding partnerships for library book collections, purchase of leaflets and posters, and events The core book collection costs under £350 and leaflets £7.25 for a pack of 100

The Final Word ‘We know that better information leads to better choices about health and better self care. Innovative programmes like this, that align the health system with community services like libraries, could really improve the health and wellbeing of the general public.’ James Kingsland, President of National Association of Primary Care The final word from a GP and president of the National Association of Primary Care makes clear the value for health partners and the public of library health schemes such as Reading Well for mental health.

[Local contact details] www.reading-well.org.uk Insert local contact details