Community Champions Training Session Mental Health: Self-Care and Signposting Wendy Lofthouse Mental Health Commissioning Manager 1
Session Objectives • To be able to explain what self-care is , in order to communicate this to BAME and other local communities • To know where self-care support can be accessed from in the three boroughs, in order to share this information with BAME and other local communities . • To know where to sign-post those who need to speak about their mental health across the three boroughs, including IAPT ( Improving access to psychological therapy) services, with the aim to increase the proportion of people accessing IAPT services aged 65+ and improving the recovery rates of the BAME community • To support other ‘seldom heard’ and/or vulnerable groups in the same way as laid out above, including LGBTQ and homeless groups. 2
Key facts about BAME groups and access to healthcare • Once in contact with mental health services, rates of access to hospital services were higher for all minority groups (except Any Other ethnic group) than for the White British Group. • Caribbean, African and Other Black groups’ rates were roughly double those of the White British group after age and gender had been taken into account. • Less than 40% of White British and Irish inpatients were subject to detention under the Mental Health Act, but over 60% of inpatients from the Mixed White and Black African, Caribbean, African and Any Other Black backgrounds were subject to compulsion . • Census data from 2011 on the ethnicity of the population suggests that rates of access to secondary care mental health services generally for BME groups are lower than previously thought. Source: Mental Health Bulletin for 2011-12 (Health and Social Care Information Centre, 2013) 3
Why is this? Barriers for BAME communities • Lack of information and awareness of mental health system, and how to access it. • Different cultural frames of reference and understanding of mental health. • Individuals and families may hold off from seeking support for as long as possible due to community taboos, faith based healing, or fear. • Language difference may make it harder to access mental health services both practically and emotionally. • Experiences of racism both in the wider community and in mental health services may make people mistrustful of help. The barrier to be focussed on in today’s session is the lack of information and awareness of mental heath help available. 4
What is Self-Care? Self- care is… about having the confidence, support and information to take control of your own health and wellbeing. Self- care is not… about managing entirely on your own with no help. Lots of self -care support is available through the NHS. 1. Have a well stocked medicine cabinet at home 5. Fresh air 2. Stay and well, eat exercise well Self Care Tips • Connect • Be active 5 steps to • Keep 3. Self Care Learning mental 4. Wellbeing is for the • Give to wellbeing matters whole others family • Be mindful 5
Key messages to help people stay well Encourage people • To talk about their feelings • Keep active – body and mind • Eat well • Drink sensibly • Keep in touch with friends and family who are positive influences on their lives • Ask for help if needed 6
Hammersmith and Fulham 7
Self-care resources in Hammersmith and Fulham MEND – Mind, Exercise, Nutrition…Do It! Fresh air Mytime Active offers a range of fun, practical healthy and lifestyle courses for residents of Hammersmith and exercise Fulham. Practical advice, guidance and tips can be found on eating well and moving more. Families can self-refer or find out more information by emailing info@mytimeactive.co.uk, calling 020 3795 9346 or visiting www.mytimeactive.co.uk There are a wide range of free apps available to support people to stay well for example: • Five ways to wellbeing • Wellmind • Headspace • Silvercloud 8
Signposting: How to help someone in gaining mental health support through the NHS We all have mental health, and approximately 1 in 4 people will experience mental ill-health in their lifetime. This can be a one-off occurrence, e.g. bereavement, or a common mental illness, e.g. anxiety or depression. If you know someone who is not coping, or if for longer than a few days they seem very sad, anxious, angry, upset, or stressed, you can advise them to: • Speak to their GP • To call Back on Track , provided by West London Mental Health Trust. They are NHS counsellors who provide services for those who are stressed, anxious or struggling to sleep. Phone: 030 0123 1156 9:30am-4:30pm Mon-Fri Website: www.backontrack.nhs.uk • To contact the 24/7 helpline , providing out-of-hours care for people in crisis 24 hours a day, 7 days a week, 365 days a year. In an emergency, the SPA aims to respond within four hours, and within 24 hours in urgent cases, any time of day or night – these are the same response times for acute NHS services. Phone: 0300 1234 244 9
• To self refer to NHS IAPT Support , for clinical NHS support. IAPT (improving access to psychological therapies) is the primary care service to support people with their emotional and mental health. To find your local IAPT service, search IAPT and your home borough on www.nhs.uk . It is a self-referral service. • To speak or email Mind, a local charity provides a wide range of local services and support to people with mental health conditions Phone: 020 7471 0580 Email: enquiries@hfmind.org.uk • To call SANE Line , a free telephone support service. Phone: 0300 304 7000 between 4.30pm and 10:30pm daily For emergencies: If you are worried about someone close to you, call West London Mental Health Trust on: 030 0123 4244 (24hrs) Or you can call the SPA service (specialist mental health line) on: Phone: 0800 0234 650 (24hrs) Email: cnw-tr.SPA@nhs.net Or if the GP surgery is closed, you can also advise someone to go to their nearest A&E and speak with the duty psychiatrist. 10
Helpful tactics when supporting someone with mental health issues You can help someone you care about by recognizing the signs of mental health problems. In order to encourage someone you are worried about to get treatment: • Offer to go to a GP appointment with them/ wait outside the surgery. If someone you are worried about does not want to get help you could try to: • Talk to them about how they feel • Ask them why they do not want to get help • Explain you are worried about them • Explain what kind of help they could get. • Watch for reactions during the discussion and slow down or back up if the person becomes confused or looked upset. 11
Kensington and Chelsea 12
Primary Care Mental Health WLCCG Support is provided through Community Living Well (CLW), a • partnership of NHS and Voluntary Sector organisations. Wellbeing Services Employment: Support to gain or retain paid employment, and • improve employability skills through volunteering, training or education. Navigation: Practical support with a range of issues including • benefits, debt , housing options, access to health and social care services and support to access specialist advice and information. Peer Support: A range of group and 1-2-1 support to • improve social and emotional skill and resilience, by people with lived experience.
Clinical Services Psychological Therapies: A range of talking therapies for people • who are stressed, worried or low in mood. Can also help individuals who are adjusting to having a new baby or those who need help to live with long term conditions Mother Tongue Counselling: 1-2-1 counselling, wellbeing groups • and workshops around mental health in Arabic and Farsi. Primary Care Liaison Nurse : Specialist support from mental health • nurses with access to Primary Care Psychiatry (*GP or healthcare professionals Referrals only ) • Self Help Leaflets, booklets and online self help resources are • available on the CLW website.
Self Care Managed by Kensington and Chelsea Social Council (KCSC)and • offers access to 8 projects run by voluntary sector organisations including activities such as massage, LGBT Advocacy, befriending etc. Full details of all the projects will be available online soon. Programs will run for a year from 1 st April 2018. • Accessed through self and professional referrals through KCSC. •
Who is eligible for CLW? • people over 16 for Wellbeing Services and 18+ for Clinical Services • who are registered with a GP in Kensington and Chelsea, Queen's Park or Paddington areas of Westminster • With stable mental health needs that are or can be looked after in primary care. • or to the carers of those who satisfy the above How to refer to CLW? GP referrals via SystmOne • Other professionals via email cnw-tr.clw@nhs.net • Self Referral via the website • For more info visit communitylivingwell.co.uk •
Secondary Care Mental Health Secondary Care Services for WLCCG are provided by • CNWL. For advice or to make a referral contact the Single • Point of Access (SPA) which is open 24 hours a day on: Phone : 0800 0234 650 Email : cnw-tr.SPA@nhs.net
Westminster 18
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Question and Answer 23
What resources and additional information might be needed? 24
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