1. Better Together Event Friday 6th July Denise Elliott, Interim Head of Commissioning Gill O’Neill, Deputy Director Public Health

2. Content Mental health statistics Mental health governance
Mental health strategic plan
Mental health at scale
Mental health promotion, prevention and wellbeing model
Dementia

3. In County Durham:
Over 6,500 children and young people aged 5-16 are estimated to have a mental health disorders
Over 50,000 people have a common mental disorder
174 deaths from suicide and undetermined injury between 2014 and 2016
Over 121,000 people have a long-term health problem or disability

4. Facts about mental illness in children and young people

5. In County Durham we have…
Over 6,500 children and young people aged 5-16 are estimated to have a mental health disorders
Over 50,000 people have a common mental disorder
174 deaths from suicide and undetermined injury between 2014 and 2016

7. Mental health Plan on a page

8. Priorities Themed sub groups Cross Cutting themes
Children and Young People
Adults Health and Wellbeing
Crisis Care Concordat
Dementia
Suicide Prevention
Evidence based / intelligence led
Workforce
Good governance
Stigma / discrimination
Think Family

9. LGA Prevention at Scale Programme
The offer
14 national pilot sites
Areas assigned a Support Manager and an LGA Adviser
Networking and masterclasses
Areas will have up to 20 days expert support
‘Expertise’ can be as innovative as the LGA can procure
peer-led/learning from elsewhere
provided by the Support Manager
procured through the LGA e.g. Design Council, Behavioural Insights; digital expertise
External evaluation

10. Prevention at scale: Suicide Prevention
We are a national outlier with higher rates in males in the lowest socio-economic groups
Risks includes:
History of self harm
Men are at greatest risk
Social isolation, relationship breakdown, previous self-harm and depression
Small numbers but big impact on families and the local community: 6 – 100 people impacted
Opportunity to develop work across a number of settings and life course. Bring it all together

11. Mental Health at Scale
Reducing death by suicide with a focus on workforce, young people and anti-stigma and discrimination
Interventions build progressively from community level into work with specific target groups.
Community can be both geographical and demographic.
Behavioural insights: Inform interventions
Design Council: Reframe the problem

12. Mental Health promotion, prevention and wellbeing model
Key elements are:
A life course approach defined as ‘Starting Well’, ‘Developing Well’, ‘Living Well’ ‘Working Well’ and ‘Ageing Well’
Outcomes related to promotion, prevention, early intervention and recovery (5 Ways to Wellbeing)
Improved access -countywide hub and outreach model to deliver equitable access through community buildings, complemented by signposting and navigation along pathways to other services.

13. Mental Health Prevention Delivery Model and Pathways
Care
Recovery
Preventation
NETWORK
Recovery
Care
Early Intervention
Prevention
Resilience
Statutory/Specialist Mental Health Services
Improving living skills
Meaningful activities
Support with finances
Support with housing
Support with mental health and stressful life events
Specialist
Targeted services
Back to work/education
Learning and Personal Development
Primary Care Mental Health Services
Improving Access
to Psychological Therapies (IAPT)
Relationships and social networks
Staying Safe
Physical health/activity
Suicide Prevention
MENTAL HEALTH PROMOTION/PREVENTION
Countywide and local community services/opportunities
WELLBEING CENTRES
ONE POINT CENTRES
Connect
Give
GP and Primary Care referral
Self- Referral
Or referral by family, friend or carer
Other referring agencies
Be active
Learn
Take notice

14. Commissioning 1st stage 2nd stage
Reprocurement of Wellbeing for Life contract (completed)
2nd stage
Extension of current Adults/Public Health contracts until March 2019
Review/prioritisation required in 18/19 linked to recovery work e.g. exploring current service provision, DCC in-house services (e.g. Support and recovery/Community Floating Support)

15. Implementation 3rd stage
Wider workforce development- joint approach across the Mental Health Strategic Plan
Engagement
MH Provider and Stakeholder forum- continues to be a mechanism for engagement, networking and partnership working plus wider engagement through the Mental Health Strategic Partnership Board.

16. Dementia
The Dementia Advisor Service continues to be proactive in supporting the establishment and development of Dementia Friendly Communities and works closely with the Durham Dementia Action Alliance.
Dementia Friendly Communities across Co. Durham include: Barnard Castle, Bishop Auckland, Spennymoor, Shotley Bridge, Stanley, Sedgefield, Trimdon, Evenwood, West Rainton, Easington Colliery, Shotton, Murton, Haswell, Shildon and the recently launched Dementia Friendly Durham City.

17. Any Questions?