1. www.lanarkshirementalhealth.org.uk FIN-LAN COLLABORATION

2. www.lanarkshirementalhealth.org.uk Kevin O’Neill, Public Mental Health & Well-being Development Manager Welcome Tervetuloa

3. Prevention Promotion Care Treatment www.lanarkshirementalhealth.org.uk Connecting the Pieces

4. 25% of adults will experience a mental health problem (over 110,000 in Lanarkshire). It’s not any 1 in 4 –Material and relative deprivation –Low educational attainment –Unemployment –Poor housing/ environment/ resources –Violence and adverse life events –Poor support networks Melzer et al 2004; Rogers & Pligrim 2003 www.lanarkshirementalhealth.org.uk It’s no Secret www.lanarkshirementalhealth.org.uk It’s no Secret www.lanarkshirementalhealth.org.uk It’s no Secret www.lanarkshirementalhealth.org.uk It’s no Secret

5. Consultation ended March 2008. Lanarkshire Mental Health Improvement Partnership Group established (June 08). 45 senior colleagues complete MHI leadership training with Dr Lynne Friedli, WHO (May 09). TAMFS published in May 09 – Lanarkshire launch event June 09. Local action plan being progressed with an emphasis on imbedding within partnerships structures. www.lanarkshirementalhealth.org.uk Towards & Mentally Flourishing Scotland & Lanarkshire

6. Vision, Principles, Context We wish to see a 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.lanarkshirementalhealth.org.uk Towards & Mentally Flourishing Scotland

7. Mentally Healthy Infants, Children and YP Mentally Healthy Later Life Mentally Healthy Communities Mental 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 TAMF Scotland Priorities www.lanarkshirementalhealth.org.uk

8. High mental health (flourishing) Low mental health (languishing) High level of mental illness Low level of mental illness A B C D www.lanarkshirementalhealth.org.uk Curing Illness Does Not Necessarily Result in Health (Pat Barker)

9. National outcomes Children have best start Longer healthier lives Resilient communities Tackled inequalities Improved life chances Improve mental wellbeing (WEMWBS) Reduce mental illness High level outcomes Improved healthy life expectancy Reduce suicide Increase quality of life Intermediate outcomes Increased Healthy behaviour Increased learning & development Increased General health Increased Participation Stronger social networks Greater social support Increased Trust Increased Safety Increased Equality Increased Social inclusion Decreased Discrimination Increased Financial security & less debt Better Physical environment Better Working life Deceased Violence Increased emotional intelligence Increased meaning & purpose Individual behaviours Social, economic & physical environments Service delivery outcomes Short-term outcomes related to service delivery Activities www.lanarkshirementalhealth.org.uk Outcome Triangle: Mental Health & Well-being

10. www.lanarkshirementalhealth.org.uk Illustrative Logic Model for Mental Health and Well-being

11. Linking TAMFL to wider goals for Lanarkshire: Community, Health Improvement & Council Plans, South Lanarkshire : Stronger together: Successful/inclusive Safe and healthy Working and learning Action for Health Improvement: Smoking/Nutrition/ Alcohol/Physical activity/Mental health, Environment/Life circumstances Connect: Housing/Older people Environment/Transport Schools modernisation North Lanarkshire: NLP Community Plan 2008-2012 (& SOA) Health/wellbeing Community safety Environment Regeneration Lifelong learning Council’s Corporate Plan: 2008-2012 Health/wellbeing Environment/Regeneration Life-long learning Developing the organisation

12. North Lanarkshire Partnership Board South Lanarkshire Community Planning Partnerships South Lanarkshire 4 localities North Lanarkshire 6 localities Scottish Government Age range (early years to older people), Settings (neighbourhoods, nurseries, schools, workplace), High risk groups (look after and accommodated young people) MH Improvement Action Plan Related policies, Priorities & Frameworks www.lanarkshirementalhealth.org.uk Scottish Government, Planning Partnerships, Local Delivery & Performance Management Themed Groups

13. National support linked to local responsibility. Local information promotes accountability, ownership and action. Carry the national materials, images, information, knowledge, influence and experience through to the local level. Linking mental health improvement to the wider agendas. Integrating with existing strategies and programmes. Dedicated local champions supporting mental health improvement to be everyone's business. It’s on a plate. Facing the Challenge: Linking Nationally: Acting Locally www.lanarkshirementalhealth.org.uk

14. Used a strong human and personal message, supported by the consistently applied strap line ‘see me… I’m a person not a label’. Supported people who have experienced stigma to become ‘media volunteers’. The ‘media volunteers’ have then bravely shared their real life experiences of stigma through newspapers, television, radio, DVD and presenting at local and nation events. Tried to be direct, striking and involving, but without being shocking. Involved people in anti-stigma activities across Scotland at national and local levels and across all sectors and communities of interest. Alerted the public to the problem of stigma and sought to win support from across a broad spectrum of society. Stigma Stop Watch Used a mix of approaches to reduce stigma and discrimination. This has included television, radio and outdoor advertising, working with newspapers and television stations, interactive online activity, and building local partnerships.

15. STIGMA & DISCRIMINATION SOCIAL JUSTICE EQUALITYINCLUSION JUSTICE TAMF SCOTLAND CHOOSE LIFE SEE ME WELL- BEING RECOVERY HEALTH IMPROVEMENT PROMOTIONPREVENTIONTREATMENT PLANNING DEVELOPMENT EMPLOYERSINDIVIDUALSCOMMUNITIES Bigger Picture, Bigger Opportunities, Bigger Gains www.lanarkshirementalhealth.org.uk

16. Key lessons: ‘see me’ pledge brings people together and provides a building block. Provide support for those that wish to take action. Key contact is vital. www.lanarkshirementalhealth.org.uk From Pledge to Action Work with ‘win/win opportunities. Make a plan for action – focus on what you can do as an individual, employer and member of the community. It feels good to make a difference. It is not difficult to get involved. Record, evaluate, share and celebrate success.

18. Understanding Recovery What matters in recovery is not whether we are using services or not using services; using medications or not using medications. What matters in terms of recovery is are we living the life we want to be living? Are we achieving our personal goals? Do we have friends? Do we have connections with the community? Are we contributing or giving back in some way? (Deegan.P Recovery: The lived experience of rehabilitation) www.lanarkshirementalhealth.org.uk

19. Lanarkshire Recovery Network Formally launched in June 08 following close working with the SRN since 2004. Hosted by Lanarkshire Links: Service User and Carer Involvement Organisation. Multi-partner steering group co-ordinates and supports action. A hub for action. Aims to – Link NATIONAL: Act LOCAL to: –Raise awareness of recovery and the things that help and hinder –Develop a better understanding of recovery –Support and encourage local action towards recovery www.lanarkshirementalhealth.org.uk

20. LRN Elament – website Locally branded promotional materials Seminars, workshops & events Publish recovery stories Support training & development Work with local media Integrate with strategic development Scottish Mental Health Arts & Film Festival Health Promotion Programmes (schools/workplaces) DVD Methods of Communication

21. National Indicator 15 – Improve Scotland’s wellbeing by 2011 NHS Targets: –Reduce suicide (training) –Reduce readmissions –Stop increase in anti-depressant prescribing –Increase identification of dementia –Faster access to specialist CAMHS Single Outcome Agreements! ‘What Get’s Measured Gets Done’ www.lanarkshirementalhealth.org.uk

22. On-line Support and Information www.lanarkshirementalhealth.org.uk On-line Support and Information www.lanarkshirementalhealth.org.uk On-line Support and Information

23. www.lanarkshirementalhealth.org.uk Latest News

24. 200,000 wallet cards produced and distributed around primary care and wider services. 100,000 stress and depression self-help leaflets distributed to be given at point of contact with primary care. Further 12 leaflets accessible via elament. Information prescribing programme will be launched in winter 09, establishing a healthy reading resource in all 50 libraries across Lanarkshire, including books, CDs, DVDs and on-line support. Group established to develop social prescribing programmes such as exercise referral. Brief intervention. Increasing Access to Self-help, Information and Non-clinical Intervention www.lanarkshirementalhealth.org.uk