1. 1 Towards a Mentally Flourishing Lanarkshire Kevin O’Neill, Public Mental Health Development Manger John Logan, Consultant in Public Health Medicine August 2011 Improving mental health supports wider goals, embedding mental health supports wider reach, collective efforts support better outcomes

2. 2 Overview of presentation Key mental health improvement policies, strategies and action plans. Describe the structures and processes in place to progress mental health improvement in Lanarkshire. Progress made. Further information available. www.elament.org.uk

3. 3 Mental Health Landscape 70,000 adults and 6,500 young people will have experienced a mental health problem in the last week. 20% total impact of disease (WHO). Cost of £10.7 Billion per-year to Scotland (SAMH). Levels of well-being in Lanarkshire similar to national average despite socio-economic challenges.

4. 4 Material and relative deprivation. Low educational attainment. Unemployment. Environment: poor housing, poor resources, violence Adverse life events. Poor support networks. Poor physical health. (Melzer et al 2004; Rogers & Pilgrim 2003) Cycle of invisible barriers: Poverty of hope, self-worth, aspirations Preventing Mental Health Problems: Not Just Any 1 in 4 www.elament.org.uk

5. 5 Vision, Principles, Context We wish to see a North Lanarkshire where we all understand that there is no health without mental health, where we know how to support and improve our own and other’s mental health and well-being and act on that knowledge, and where our flourishing mental health and well-being contributes to a healthier, wealthier, fairer, smarter and safer Lanarkshire……people have capacity for change and are able to achieve productive change both in how they feel and how they live their lives. Key to this belief is that national and local government, NHS, partners and communities are able to set the context, conditions and opportunities for change” www.elament.org.uk

6. 6 Mentally healthy infants, children and YP Mentally healthy later life Mentally healthy communities Mentally healthy employment and workplaces Reducing the prevalence of suicide, self- harm and common mental health problems Improving quality of life of those experiencing mental health problems www.elament.org.uk

7. 7 Implementation: Principles & Structures Lanarkshire Mental Health Improvement Partnership Group Action & Implementation Plans. Embedding performance and delivery. Delivery through both mental health and health and well-being partnerships. Regional, national and international collaborations. Outcome focus across life span, settings and high risk groups. www.elament.org.uk

8. 8 GIRFEC & Support for Parenting Strategy. Ante-natal screening & support. Baby massage; community mothers – attachment. Play @ home; home learning environment Mental health curriculum delivered. Self-harm prevention protocols developed for schools; pupil support teachers trained. Increased access to school counselling. In & out of school progammes – meaning and purpose and reduced anti-social behaviour. Look after and accommodated young people. Young people in transitions. Intervene early when problems emerge. www.elament.org.uk Mentally Healthy Ante-natal, Infants & Children

9. 9 Dementia: - Strong policy framework. - Change fund and demonstrator site. - Improved diagnosis and support. - Reducing stigma and increasing public understanding. -Lanarkshire Dementia Strategy Implementation Group. Mental Health Improvement: - Reducing age discrimination, increasing participation, staying connected, improving physical health and reducing poverty. www.lanarkshirementalhealth.org.uk Mentally Healthy Later Life

10. 10 Promoting Healthy Working Lives (HWL). Promoting the mental health commendation award. Promoting mental health in the work place training. Embedding anti-stigma and choose life activities within the HWL programmes. Increasing access to employment. www.elament.org.uk Mentally Healthy Work Places

11. 11 A hub for working with communities and individuals across the spectrum of opportunities. Building social capital; inclusion, access, participation & cohesion. Community asset building; people, places, opportunities (i.e. faith leaders). Good places: Better Health; physical, natural and social environment. Engagement and involvement. Real change happens in the place where people live, work, learn and play. www.elament.org.uk Mentally Healthy Communities

12. 12 Preventing Common Mental Health Problems Building capacity. Increasing access for low level, high demand treatments, self-help, social prescribing, healthy reading and stress-less at tiers 0,1&2. Reducing inequalities, high risk groups. Choose Life National awareness campaign delivered locally. Public Awareness Campaign to Reduce Suicide ‘Suicide: don’t hide it, talk about it. National training programme over 5,000 people trained is suicide prevention training in Lanarkshire. HEAT 5 exceeded. Pathways for assessment and treatment for people presenting with suicidal ideas National telephone supports Breathing Space (50,000 calls per-year) and Samaritans. www.chooselife.net Preventing Common Mental Health Problem, Suicide and Self-harm

13. 13 Improving the Quality of Life for People with Mental Health Problems: Road to Recovery www.elament.org.uk 1 st level change (INDIVIDUAL) : Values, conditions and environments that support recovery. 2 nd level change (COMMUNITY): creating the conditions in community that maintain recovery including public attitudes, increasing access, reducing barriers and supporting connections.

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