Using data and co-production to improve community mental health 12/06/2019 Using data and co-production to improve community mental health Ed Davie

Ed Davie Lambeth Council Cabinet Member for Health and Adult Social Care South London and the Maudsley Governor Mental Health Foundation Communities Lead KCL Public Health Masters Student

70 years of research and action to improve mental health

Pan-London effort to improve pre-determinants

‘was successful because it incorporated religion, cultural beliefs, and community into the interventions’

Thrive LDN: Mental Health Foundation mental health inequalities map

Six Thrive LDN aspirations: A city free from mental health stigma and discrimination That maximises the potential of children and young people With a happy, healthy and productive workforce With services when and where needed Zero suicide

Londoners Said recommendations Train and support community champions Communicate effectively what’s available Support growth of non-clinical crisis centres Parenting support for underprivileged groups Mental health curriculum for schools Invest in after-school clubs/youth provision Train employers in good mental health practice

Mental Health Foundation solutions Peer Education Project PRESUME workplace training Health and Happiness community resilience training Thrive Thamesview community resilience pilot

Early feedback from public health teams on Community Conversation outcomes

Barking and Dagenham Targeted Thrive LDN-led work on Thames Ward New focus/structure for the borough Mental Health strategy

Southwark 1. A focus on mental health and wellbeing in our new Council Plan 2. Committed to providing mental health training for key staff and councillors 3. Revamped our staff health and wellbeing offer to include online courses on mental health and resilience 4. Are preparing to offer MH training to a number of our key community partners

Brent Helped gather momentum for our local campaign “are we ok, Brent?”. Added credibility to a focus on mental wellbeing rather than solely on mental health services

Lewisham Following on from the community conversation, we have since embarked on a specific piece of work relating to addressing BAME mental health inequalities through our HWBB. Issues around these inequalities were raised at the community conversation and through wider community engagement work in the borough.

Enfield The Conversation certainly fed into a growing awareness of the inadequacy of our current Joint Health and Wellbeing Strategy and it's successor contains specific action plans related to the maintenance of emotional health and wellbeing and the prevention of isolation.

Black Caribbean disproportionality 26% of people in Lambeth identify as Black But made up 67% of our residents in secure psychiatric units Black Caribbeans were 7% of the population registered with Lambeth GPs and yet accounted for 17% of people with serious mental illnesses

Intersectionality and social determinants Black Caribbean people are much more likely to live in poverty in poorer housing under achieve academically be excluded from school be a victim/perpetrator of crime suffer worse physical ill health have lower life expectancy

When people are not valued or empowered they get ill

Lambeth Black Health and Wellbeing Commission Prevention Access to appropriate treatment Improving patient experience Representative leadership and co-production

Prevention Improve housing - Lambeth Housing Standard) Education - Attainment of Black Caribbean pupils Decent jobs and training - Brixton BID, Living Wage Parenting support - Sure Start and LEAP Pride - Black Cultural Archive, Windrush Square, Black War Memorial, Mary Seacole Lifestyle education - risky behaviour

Access to appropriate services Perinatal CAMHS Talking therapy Training of community leaders Social prescribing –neighbourhood working More representative staff Open access Hub Mosaic Clubhouse Evening sanctuary

Better patient experience Minimise restraint and coercive practice Train police and health staff WITH black service-users Establish community links and control Co-produce services

Lambeth has: Retained 19 Children’s Centres - 95% of schools are ‘good’ or ‘outstanding’ with exam results in country’s top 10% Created most affordable homes Created more jobs and new businesses Reduced child obesity against trend London Living Wage employer with 9/1 pay ratio In pilot reduced adult in-patient MH admissions 60% Open access Hub has proportionate BME users

Keys to improvement Don’t be afraid of complexity and controversy Know, listen and empower your population Make sure they are represented in policy making, commissioning and delivery Work in partnership Address the social, environmental and behavourial as well as the healthcare elements

Contact Edward.davie@lambeth.gov.uk Edavie@lambeth.gov.uk 07805 942 095 @eddavie https://www.youtube.com/watch?v=jIdI64WFveQ