Asset based approach to improving Health & Wellbeing Promoting Health Engagement Team
Why I’m here? • Provide a brief overview of asset based approaches • Present information about the work we are doing across South Tyneside and why we are doing it • Share feedback from the work and emerging themes • Invite you to take part in future work
Asset based approach • A report by the Improvement & Development Agency ‘A Glass Half Full’ identified a number of asset based approaches, these include: – Asset Mapping – Asset Based Community Development (ABCD) – Appreciative Inquiry – Participatory Appraisal – Open Space Technology • These approaches share a common set of values of ‘discovering and mobilising what people have to offer’. They are not mutually exclusive and will often be used in combination with each other in asset based work. Jane Foot & Trevor Hopkins (2010) A glass half-full: how an asset approach can improve community health and well being. Improvement & Development Agency (IDeA) • http://www.local.gov.uk/c/document_library/get_file?uuid=fc927d14-e25d-4be7-920c-1add80bb1d4e&groupId=10171 •
Key Elements • Start with people’s energy, skills, interests, knowledge and life experience • Active involvement in decision making • Focus on local people’s perceptions • The asset based approach provides a way of identifying individual and community strengths and resources • Valuing resilience, strengthening community networks and recognising local expertise
Individuals, families and communities have deficiencies & needs Individuals, families and communities have skills and talents
Why we are doing this? Joint Strategic Needs • Traditionally the Joint Strategic Assessment Needs Assessment (JSNA) have been developed focusing on problems, needs or deficiencies in communities meaning that services are often designed to fill the gaps and fix the problems • There has been an increasing emphasis on the need to deliver rich and vibrant JSNAs which contain both quantitative and qualitative data (community voice) offering a strong picture of needs and strengths of communities.
• It has been identified that real gains can be made if health and wellbeing boards look beyond needs to examine how local assets, including the local community itself can be used to meet identified needs. • The information from the work were doing feeds into the JSNA and Health & Wellbeing Strategy to shape local services
How we did it? • Developed an action plan • Identified community organisations • Talk to people and collect information • Collate results, analyse and identify themes • Hold focus groups • Produce reports • Feedback to: Participants Community area forums Inform JSNA Obesity review Development of Integrated Wellness Model
Street Survey
H Forms What would help you? What would stop you? (facilitators) (barriers) WELLBEING Flexib Fl ible le Isola solation tion grou roups ps Child Ch d friendly Ill Hea Il l Healt lth What can be improved? pl plac aces Pos Posit itiv ive e out utloo look Bet etter er tran anspo port
• Graffiti wall WHAT DOES BEING HEALTHY MEAN TO YOU? o Post-it notes were used to record peoples thoughts and experiences
• Focus group(s) o Presentation o What's good about living in the area; what's not so good; what can be improved o H-forms were developed to feed back the themes from Graffiti Wall, focus discussion and capture additional comments and experiences o Prioritising o Evaluation On a scale of 1 being very poor and 6 excellent, participants are asked to rate the event: 1 2 3 4 5 6 0 0 0 0 0 0
Evaluation Jarrow & Boldon CAF • 607 individual responses (28 organisations & street survey) • Gender: 30% men (180); 54% women (327); unknown 16% (100) • Age range 5 – 93 years Evaluation Hebburn CAF • 430 individual responses (13 organisations & street survey) • Gender: 29% men (125); 67% women (228); unknown 4% (17) • Age range 4 – 90 years
Initial Analysis Riverside CAF Data • 556 individual responses and 1,076 comments • 30 organisations (so far) and two street survey’s • Ethnicity: BME 13% (n=72); White British 86% (n=477); Unknown 1% (n=7) • Gender: 30% men (n=169); 66% women (n=365); 4% (n=22) unknown • Age range 5 – 92 years: – Less than 19 years = 25% (n=137) – 20-39 years = 25% (n=139) – 40-59 years = 21% (n=118) – 60+ years = 24% (n=133) of which 40% (n=53) over 70years – Unknown = 5% (n=29)
Themes
• Evaluation of the work to date has identified that people value the experience • Gives an appreciation of strengths of individuals, how they keep themselves healthy • Understand community resources and how they provide for people’s well -being • Replies suggested that being free to share views and feeling involved in the process were key to the success
PHYSICAL ACTIVITY “I eat produce from the allotment and keep fit at the same time” (Female, 76 years) “Keep fit and line dancing” (Male, 75 years) “Going to Zumba” (Male, 22 years) “Cycling with daughter to school instead of car” (Female, age unknown) “Keeping fit, hill walking, cycling with friends” (Male, 41 years) “Walking help to keep blood pressure stable to promote healthy heart” (Female, 65 years) “Being able to do karate and jog is cool and very fun. Bike rides with my uncle are fab ” (Girl, 11 years) “Posters advertising gyms and classes” (Male, 25 years) “More Yoga or Pilates classes” (Female, 17 years) “Chair exercises” (Female, 81 years) “More swimming facilities” (Male, 38 years)
HEALTHY EATING “Healthy packed lunch for school kids” (Female, 67 years) “Eating lots of healthy things like apples, bananas, carrots and broccoli” (Male, 81 years) “Make sure you eat healthily and eat in moderation not live on junk food” (Female, 58 years) “Eating in moderation of 'treat' food” (Female, 40 years) “More cookery in schools for boys and girls” (Female, 65 years) “Subsidise playgroups to provide milk and fresh fruit instead of biscuits” (Female, 33 years) “Healthy cooking demonstrations” (Female, 34 years) “Less takeaways outlets in the area (Male, 58 years) “Better labeling on foods and fast foods” (Female, 67 years) “Less salt and better labeling” (Male, 81 years) “Don't eat from KFC, McDonald's and Burger King” (Boy, 12 years)
EMOTIONAL HEALTH & WELLBEING “Keep positive and happy” (Female, 60 years) “Positive thinking – mind and exercise” (Male, 48 years) “Living a long healthy, happy life with my children” (Female, 31 years) “Be alive, see and walk” (Male, 74 years) “Being able to do a hard day’s work” (Male, 53 years) “Hard work and being of use to others” (Male, 59) “Being out and having fun” (Boy, 12 years) “Being mentally alert” (Male, age unknown) “Ability and time to help others less fortunate as myself” (Male, 64 years) “Being friendly, helpful and kind” (Female, 51 years) “Spiritual peace” (Female, 69 years) “Feeling good about yourself” (Female, 22 years)
For additional information or to take part in future work contact me at: Tel: 0191 283 1155 E-mail sue.collins@sotw.nhs.uk
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