1. Quality Education for a Healthier Scotland Co-producing meaning and purpose to help build resilient communities: health and care chaplains and faith groups involved in working with local people Ewan Kelly (Programme Director for Spiritual Care and Healthcare Chaplaincy, NES) Calum Strang (Community Development Worker, Faith in Community Scotland)

2. Quality Education for a Healthier Scotland Aims Explore how helping people find meaning and purpose individually and corporately helps promote wellbeing and builds resilient communities: Through sharing: insights from Community Chaplaincy Listening: service based in GP surgeries where healthcare chaplains help patients (re)discover their personal assets or inner resources to live with loss and transition a collaborative model of engagement developed by Faith in Community as they seek to work with local faith communities in the poorest areas of Glasgow

3. Quality Education for a Healthier Scotland Meaning and Purpose Chat to your neighbour and identify 3 aspects of your life that: make you get up in the morning raises your spiritsGIVE MEANING you fall back on when the chips are downAND PURPOSE make you feel alive

4. Quality Education for a Healthier Scotland Co-production and meaning and purpose Often relationships or being involved in activities which involve working together that contribute much to: meaning and purpose wellbeing hope resilience

5. Quality Education for a Healthier Scotland Spiritual care.... “.....is person centred care which seeks to help people (re)discover hope, resilience and inner strength in times of illness, injury, transition and loss.” NHS Education for Scotland

6. Quality Education for a Healthier Scotland

7. What is chaplaincy listening? What is unique about it? Focussed on helping patients explore existential questions and questions about personal identity in relation to loss and transition in their lives Why? Why me? What have I done to deserve this? If there is a God why does God allow this to happen? REFERRAL I haven’t been a bad person! It’s not fair! TRIGGERS I don’t know who I am any more….. Helping patients to (re)discover their personal assets or inner resources to live with these questions and the loss and transition in their lives

8. Quality Education for a Healthier Scotland Being with

9. Quality Education for a Healthier Scotland Community Chaplaincy Listening : the intervention NHS Chaplains in General Practice surgeries Patients referred to listening service by GPs (in the main) Patients seen for 50 mins each session by Chaplains: average number of sessions 2 Patients tell story and work through their concerns Chaplain provides active listening and guided support – focus on existential and identity questions

10. Quality Education for a Healthier Scotland Action Research Findings from CCL Phase 2 (2011-2012) 11 health boards, 16 healthcare chaplains, 250 patients Increased self-management, self-worth and confidence in decision-making Reduced GP time with such patients Normalisation of sadness, anxiety and loss of meaning during times of transition and lossFocussing of prescribing

11. Quality Education for a Healthier Scotland 23 GP Practices, 11 Health Boards involved in CCL 2 (2011 - autumn 2012) 5 3 3 4 1 1 1 1 2 1 1

12. Quality Education for a Healthier Scotland Community Chaplaincy Listening Phase 3 (Feb 2013-2015) - funded by Scottish Government, managed by NES and Univ of Aberdeen Expected outcomes Recruitment of further GP surgeries across Scotland Development of CCL in other health and social care contexts Cost benefit analysis of CCL Development of an ‘accredited’ training scheme for volunteer spiritual care listeners Use of specifically recruited, trained and supervised volunteers as spiritual care listeners as part of established CCL services Chaplains to provide training and supervision and continue to deal with complex existential issues

13. Quality Education for a Healthier Scotland Figurin’ The Joad Family Grapes of Wrath J Steinbeck

14. Quality Education for a Healthier Scotland You are bound to get idears, if you go thinking about stuff Reflection leads to change!

15. Quality Education for a Healthier Scotland Ony one thing in the world I’m sure of, an that’s I’m sure nobody got a right to mess with a fella’s life. He got to do it all by hisself. Help him maybe, but not tell him what to do… Assets Based Approach

16. Quality Education for a Healthier Scotland Maybe I oughtn to a talked like that- fella should maybe keep stuff like that in his head? Yes you should talk- sometimes a sad man can talk the sadness right out of his mouth…. p55 Talking and listening

17. Quality Education for a Healthier Scotland For more Information Ewan.Kelly@nes.scot.nhs.uk CCL Administrator jennifer.kelly@abdn.ac.uk