1. 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

2. 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

3. 70 years of research and action to improve mental health

4. Pan-London effort to improve pre-determinants

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

7. Thrive LDN: Mental Health Foundation mental health inequalities map

10. 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

13. 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

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

15. Early feedback from public health teams on Community Conversation outcomes

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

17. 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

18. 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

19. 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.

20. 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.

22. 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

23. 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

24. When people are not valued or empowered they get ill

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

26. 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

29. 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

30. 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

33. 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

34. 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

35. Contact Edward.davie@lambeth.gov.uk Edavie@lambeth.gov.uk
@eddavie