Early Intervention and Prevention Seminar 30 th January 2013 Anne Pridgeon Senior Public Health Manager

Single biggest cause of disability in the UK 23% of total burden of ill health Life expectancy of people with severe mental illness is 20 years lower than the general population. Strong link with multiple deprivation Half of all mental illness (excluding dementias) starts by the age of 14. Mental Health and Emotional Wellbeing

Good mental health and wellbeing have been shown to result in health, social and economic benefits for individuals, communities and populations. Such benefits include: Better physical health Reductions in health-damaging behaviour Greater educational achievement Improved productivity Higher incomes Reduced absenteeism Less crime More participation in community life Improved overall functioning Reduced mortality.

AN EVIDENCE BASE APPROACH … MENTAL HEALTH EARLY INTERVENTION & PREVENTION

Areas for potential intervention (No health without mental health: The economic case for improving efficiency and quality in mental health 2011) 1.Early identification and intervention as soon as mental health problems emerge 2.The promotion or positive mental health and prevention of mental health problems in childhood and adolescence. 3.The promotion of positive mental health and prevention of mental health problems in adults; 4.Addressing the social determinants and consequences of mental health problems and 5.Improving the quality and efficiency of current services

1. Early identification and intervention as soon as mental disorder arises Conduct disorder – parenting interventions for families Early intervention for psychosis Early detection of psychosis Screening and brief intervention in primary care for alcohol misuse Early diagnosis and treatment of depression at work

2. Promotion of positive mental health and prevention of mental disorder in childhood and adolescence Health visitor interventions to reduce post natal depression Prevention of conduct disorder through social and emotional learning programmes School based violence prevention programmes School based interventions to reduce bullying

3. Promotion of positive mental health and prevention of mental disorder in adulthood Time banks and community navigators Work-based mental health promotion Suicide prevention

4. Addressing social determinants and consequences of mental health problems Debt advice services Befriending for older adults Reducing stigma and discrimination Targeted employment support for those recovering from mental health problems Housing support services Warm housing

5. Improving the quality and efficiency of current mental health services Improvements in the acute care pathway Reducing physical and mental comorbidity Early detection and treatment of depression in diabetes Early intervention for medically unexplained symptoms

Summary Mental ill-health costs England more than an estimated £105 billion each year. These costs include costs to: –The NHS –Reduced educational outcomes –Reduced employment and productivity –Increased crime –Reduced quality of life Evidence based interventions highlight the health and associated economic savings of intervening early as soon as mental illness has arisen, preventing mental illness and promoting mental health. Scope for redesign of services that support people who live with mental illness – more timely, more personalised and increasingly cost effective.