1. Promoting Wellbeing: Building Resilience and Helping Service Users to access Voluntary and Community Mental Health Services Duncan Craig, Chief Executive Officer, Survivors Manchester Linda Colgan, Interim Contracts Manager, Central Manchester CCG

2.  To consider how we can promote well-being for service users and build personal resilience  To identify how we can help service users to access voluntary and community mental health services in Manchester Aims

3.  ‘a state of mind in which an individual is able to realise his or her own abilities, can cope with the normal stresses of life, can work productively, and is able to make a contribution to his or her community.’  ‘Psychological well-being is about lives going well. It is the combination of feeling good and functioning effectively. Sustainable well-being does not require individuals to feel good all the time; the experience of painful emotions (e.g. disappointment, failure, grief) is a normal part of life, and being able to manage these negative or painful emotions is essential for long-term well-being’ (Huppert, 2009) W0rld Health Organisation – defines wellbeing as:

4. How can we promote wellbeing ?

5. Please take 5 minutes to identify how you maintain your wellbeing

6. ConnectBe active Take notice Keep learning Give Five Ways to Personal Wellbeing New Economics Foundation (2008)

7. Connect, with people around you: family, friends, colleagues, neighbours. Social relationships are critical for promoting wellbeing and acting as a buffer against mental ill-health, across all ages Be active, go for a walk, garden, walk up the stairs at work, cycle, dance, run. Regular physical exercise is associated with a greater sense of wellbeing and lower rates of depression and anxiety, across all ages

8. Take notice, on a familiar journey or walk, take time to notice something new. Slow down for a few minutes and focus on your surroundings and your feelings, use your senses Keep learning, set achievable challenges which you will enjoy; do something new. Give, share expertise with your team, participate in community activities. Give your time to a friend, a colleague or relative. Take time to listen, help some- one, share

9. Coping Life’s challenges Bouncing back Adapting to adversity Rebound Strength/ Flexibility

10.  ‘Resilience is the process of adapting well in the face of adversity, trauma, tragedy, threats or significant sources of stress — such as family and relationship problems, serious health problems or workplace and financial stressors. It means "bouncing back" from difficult experiences’ American Psychological Association

11.  Make connections. Good relationships with close family members, friends or others are important. Accepting help and support from those who care about you and will listen to you strengthens resilience.  Avoid seeing crises as insurmountable problems. You can't change the fact that highly stressful events happen, but you can change how you interpret and respond to these events  Accept that change is a part of living. Accepting circumstances that cannot be changed can help you focus on circumstances that you can alter. Building Resilience

12.  Move toward your goals. Develop some realistic goals. Do something regularly — even if it seems like a small accomplishment — that enables you to move toward your goals.  Exercise regularly. Taking care of yourself helps to keep your mind and body primed to deal with situations that require resilience. Building Resilience

13.  Take decisive actions. Act on adverse situations as much as you can. Take decisive actions, rather than detaching completely from problems and stresses and wishing they would just go away.  Look for opportunities for self-discovery. People often learn something about themselves and may find that they have grown in some respect as a result of their struggle with loss.  Nurture a positive view of yourself. Developing confidence in your ability to solve problems and trusting your instincts helps build resilience. Building Resilience

14.  Keep things in perspective. Even when facing very painful events, try to consider the stressful situation in a broader context and keep a long-term perspective. Avoid blowing the event out of proportion.  Maintain a hopeful outlook. An optimistic outlook enables you to expect that good things will happen in your life.  Take care of yourself. Pay attention to your own needs and feelings. Engage in activities that you enjoy Building Resilience

16. The Third Sector Duncan Craig Chief Executive Officer Survivors Manchester The Guardian Charity Trailblazer 2015

17. Manchester Third Sector

18. In 2011/12 there were 3093 voluntary and community organisations and social enterprises in Manchester. The total income of the sector was £477 million Medium and large organisations receive 95% of the total income 1987 organisations are 'micro' - i.e. have an annual income of under £10,000

19. Manchester Third Sector There are 94,300 volunteers working in the sector in the city. Volunteers give 370,000 hours each week. The contribution of these volunteers is valued at £332 million each year. The sector employs 12,400 full time equivalent paid staff.

20. Manchester Third Sector

21. Access Point? How we can help service users to access voluntary and community mental health services in Manchester

22. Knowledge We can only know what we know What is available? What is the referral criteria? Can I refer as a professional? Is it area specific? What’s the access point?

23. How do I Know? www.mhim.org.uk

24. Negative Relationship Client having disturbing thoughts Psychiatrist never returned calls CPN said he couldn’t discuss anything with us as a charity due to data protection GP unobtainable Police involvement unnecessary Increased risk to client mental health and wellbeing and client becomes isolated and distrusting

25. Positive Relationship Client call 999 and attend A&E 4/7 A&E Duty Psych call to Survivors Mcr Visit to ward supported by nurse Crisis Team involvement Dual diagnosis support Counselling at Survivors Manchester Case meeting, appropriate shared data when necessary Client risk reduction and support network positive

26. Working together means we share risk, share resources, share resilience and client gets needs met

27. THANK YOU