Forum Workshop 21 st May 2019
Agenda 1. Welcome & Introductions 2. Share & Learn i. Adverse Childhood Experiences (ACEs) – Beth Bennett-Britton & Paul Stephenson ii. Gloucestershire Partnerships – Our Work – Steve Olczak & Paul Nicholls iii. Suicide Prevention Transformation Programme – Vikki Cochran iv. Zero In-Patient Suicide – John Trevains 3. Other updates on sub-groups i. Sub-groups – Nicky Maunder ii. GP Lead – Dr Nicola Pockett iii. Tackling stigma & Steering Group – Beth Bennett-Britton 4. Networking
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What are ACEs? • ACEs are traumatic events occurring before the age of 18 and this short film explains in more detail: http://www.aces.me.uk/in-england/ • ACEs are prevalent across the population and recent studies have shown: Nearly half of people in England experience at least one ACE, with around 9% experiencing four or more ACEs (Blackburn & Darwen Study). Six ACEs can reduce your life expectancy by 20 years. 4
What are ACEs? • The ten ACEs are broken down into three areas: ABUSE NEGLECT HOUSEHOLD ADVERSITIES Physical Abuse Physical Neglect Mental Illness Sexual Abuse Emotional Neglect Substance Misuse Emotional Abuse Incarceration Parental Separation Domestic abuse 5
Why do they matter? • The link between ACEs and long term conditions and an increase in the use of health and care resources is detailed in the ACEs Pyramid: • Where ACEs occur in family settings, there is a risk of it being passed down by generation, perpetuating the cycle. 6
What are we doing? • In January 2018, the ACEs Panel was formed by the Health & Wellbeing Board and a county wide campaign, Action on ACEs Gloucestershire, began. • Its mission is… “to build resilient communities that are aware of ACEs, talk about ACEs and take action on ACEs. We will build a social movement that recognises the potential lifelong impacts of adversity in childhood and takes action to stop childhood harm” 7
What are we doing? • In November 2018 around 250 professionals and community representatives attended the More Than ACEs conference. 8
More than ACEs conference • The conference was aimed at promoting viral change, encouraging organisations to act on ACEs and to all become advocates for tackling ACEs in our personal and professional lives. • Presentations were given by representatives from across sectors, including the police, health, schools, housing and UNICEF representative Benjamin Perks. 9
More than ACEs conference • Delegates all contributed to a specially commissioned artwork (see next slide) which identified the priorities for everyone in the room – and how the positive change can be brought about. • The clear message is that we all have a part to play to help tackle ACEs and build resilience, breaking the cycle in the process. 10
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What next? • Using the learning from the conference, all attendees are working toward the common goal of driving the national agenda and pioneering the local approach. • Viral change occurs because of all of us. A new language of hope, compassion, kindness and resilience. • We can help to break the cycle by providing hope to adults and children alike in all of our day to day involvement with our communities. 12
What next? (cont ….) • ‘Resilience’ screenings have been held across the county with the next one being in Tewkesbury - 24 May. • The ACEs Panel have identified 7 objectives for 2019/20. • Objectives 3 is Partnership with Communities bringing together 3 projects : St Paul’s, Kingsholm, Education • ACEs is an identified priority in the Health & Wellbeing Strategy 13
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What is CBH doing? • Recent data showed that four areas of Cheltenham are living in poverty. • These are Hesters Way, Oakley, Spingbank and St. Paul’s - CBH has hubs in all of the areas. • In these areas, children are more at risk of being victims of crime as well as a higher rate of exclusion than other areas in the county. • We are committed to tackling these issues by providing a better future for families with safe, secure and affordable homes in resilient communities. 17
What is CBH doing? • We have added our support to the No Child Left Behind campaign, a year of action to tackle poverty. • We have recruited a dedicated Family Investment Officer. • We have developed an ACEs pilot within the St. Paul’s community to further tackle the issues we see on our doorstep . • Positive disruption – breaking the cycles. • Collaborative working across agencies to share expertise and knowledge. 18
Building resilience, providing hope 19
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Thank you. 21
Gloucestershire Partnerships Our Work Steve Olczak & Paul Nicholls
Working Internally and Externally • One size does not fit all. • Getting the right support to cater for our people’s needs - Claimants, Work Coaches and Partners. • Upskilling and engagement. • Continuously reviewing to provide a quality service as business needs evolve.
ABILITY Workshop
Feedback “It’s been brilliant and very informative” “Jane was a great help and it has a good atmosphere”
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Vikki Cochran Suicide Prevention Transformation Programme and Regional Mental Health Programme Team
John Trevains Zero In-Patient Suicide Ambition 2gether NHS Foundation Trust
Sub-groups WSPD planning • Discussing organising an event at Gloucester Royal Hospital’s chapel • Invited to 2gether Trusts/GHT’s event at Gloucester Royal Hospital’s atrium • Is your organisation organising an event?
Sub-groups Communications & Engagement Wellbeing information Signposting information Template wording Social media assets Statistical information Sensitive language information Training area
Sub-groups Frequently used locations • Focussed on highways • Representatives from Highways England & Highways Gloucestershire • Helpful discussions on use of signs, memorials, data sharing • Next meeting - waterways
GP Lead For Suicide Prevention Dr. Nicola Pockett
• Suicide prevention for frontline staff • Summarising guidelines for GPs on suicide prevention and assessment of risk • Plan to participate in audit on local deaths by suicide • Development of support pathway for those bereaved by suicide
Suicide prevention for frontline staff • Resource training package for suicide prevention for administration staff / support staff at surgeries • Awareness of risk factors (e.g. alcohol / drugs / life circumstances) • Signposting • Not being afraid to talk
Summarisation of guidelines for GPs
Development of support pathway for those bereaved by suicide
Development of support pathway for those bereaved by suicide Circumstances of the loss Emotional and physical reactions Post traumatic stress The survivors questions – “why?” and “what could I have done?” Stigma and isolation Family and community tensions Other prejudices Lack of privacy Investigations Practical concerns
Beth Bennett – Britton Tackling stigma & Steering Group Updates
GSPP Newsletter
Break, refreshments and networking
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