1. Feeling Good About Where You Live Aideen Silke 17 March 2010 South East London Housing Partnership

2. Health and Wellbeing Board Mental Health and Wellbeing Strategy Group Improving Health Cutting Inequalities Partnership Health, Wellbeing and built environment sub-group Healthy Urban Planning Framework Major estates regeneration Estates InterventionActive Environments Health, Wellbeing and Built Environment Structures

3. Why does feeling good about where you live matter? The environment can exert an influence at the individual, household, community or area level Not feeling good about where you live is associated with significantly poor mental health Having poor mental health is linked to poor physical health Poor mental health is one of the top 3 causes of poor quality of life in Greenwich Having poor mental health is a significant cause of health inequalities in Greenwich

4. Aims to pilot an integrated approach to delivering low cost physical and social interventions on an estate to improve mental health and wellbeing and to reduce the incidence of depression bought on through living conditions. To tackle loneliness and isolation on the estate to build an enhanced sense of community and engagement to provide causal evidence describing the relationships between physical and social aspects of residential environments and psychological well- being.

5. Initial research One of the first UK studies to date Postal survey to 1,600 households in 9 areas in Greenwich Response rate 38% Asked questions about the environment and about people’s mental health Identified the factors that influence mental wellbeing Highlighted need to intervene on both design and social features of residential areas to promote psychological health

6. Identified 13 Intervention factors Being dissatisfied or very dissatisfied with any of these factors meant 200% to 300% more likely to be in the lowest group for mental health* Damp Liking the look of the place Noise -street, neighbours & home Feeling overcrowded in the home Access to green spaces Feeling afraid to go out in the day and at night Needles and syringes left lying around Places to stop and chat Events to get people together Community facilities Transport and accessibility * After adjusting for income, age, sex etc

7. “ If your home environment is damp, cold, noisy and falling apart then there's not one place you feel safe and relaxed, it makes you feel miserable, depressed and trapped”

9. Fear of crime and harassment –especially in the day time

10. Cars dominate and take over pavements- nowhere to stop and chat

11. Well I would sit there for a while…

12. The research question: which relationships are causal?

13. Case-control study Three year study Two estates in Greenwich Selected to be similar on –Architectural features eg age, mix of dwellings –Decent Homes Status –Level of council tenancy –Ranking on the index of multiple deprivation –Other socioeconomic factors One estate receives environmental improvements, the other does not It is envisaged that the ‘control’ estate will receive interventions on completion of the follow up period

14. Current position Baseline survey has been completed on two estates - 810 responses (from 1500 households) Launch event held on 12 September in Abbey Wood Delivery partnerships with NHS Greenwich, Metropolitan Police, Greenwich Council, local schools established Ongoing programme of engagement activities and continuing to recruit residents to work with the project over the next 15 months Developing a sustainability strategy and ensuring activities are replicable elsewhere Strong steering group chaired by a Cabinet Member ensuring senior ownership and buy in

15. Six themes

16. Interventions Based on the 13 factors that influence mental wellbeing Aiming to make places more liveable Based on an estate engagement and problem solving model On going programme of community engagement and consultation Delivered through innovative uses of existing resources and existing mechanisms Replicable and low cost

17. Delivery Model

18. FGAWYL Steering Group [Cabinet Member, Health, Adults and Older People] Research Group Community Empowerment [Community participation] Residents Group Chair: Flowers Estate Resident [GC Resident liaison] Environmental Change [Community Safety] Individual level change [Tenancy] FGAWYL Delivery Structure

19. Ongoing activities Estate Gardening Sports classes in conjunction with the primary school Painting of communal areas Repairs audit of activities NHS Health Training Programme Ranger led walks programme Overt CCTV on main road Cookery Clubs Targeted work with households concerned by damp or noise Crime prevention work Graffiti cleaning demonstration at local school Community event

20. Anti graffiti work with local primary school

21. A few photos

22. What do we hope will come out of this? to improve mental health and wellbeing to reduce the incidence of depression bought on through living conditions. Understand what makes a difference to mental wellbeing of Greenwich residents That learning from this project will help inform future engagement with residents and delivery of services in Greenwich To add to international research evidence

23. For further information: Contact: Aideen Silke Project Co-ordinator NHS Greenwich/Greenwich Council Aideen.Silke@greenwich.gov.uk 020 8921 6752