What’s planned • More CWMT workshops– Faculty Away Days and student-facing staff • Creating CWMT on-line materials (and promote CWMT self-directed learning) • Self-care and looking out for others – for all staff • ASIST (Applied Suicide Intervention Skills) training for Security, Wellbeing and Accommodation teams • Dedicated web landing page on wellbeing for staff and students • Wellbeing Strategy 2019-2021 Your ide as and thoughts - Previous roadshows - Contact Staff Development (staff.development@sunderland.ac.uk) or Health, Safety and Environment (hse@sunderland.ac.uk); - Conference feedback - Stress and Wellbeing Group (for staff) and/or Student Mental Wellbeing Group c wmt.o rg .uk
Personal S uppo rt fo r Sta ff • Silvercloud: https://sj.sunderland.ac.uk/wellbeing/silvercloud/ • University Occupational Health Service – including self referral • Telephone counselling, email and chat support through Education Support Partnership www.educationsupportpartnership.org.uk/services-individuals • Mindfulness Sessions – with Chaplaincy • HR Policies, Advice and Guidance Also: When to Refer https://sj.sunderland.ac.uk/gateway/whentorefer/staff/ To find out more https://services.sunderland.ac.uk/hr/forstaff/supportandwellbeing/stressandmentalwellbeing. Advice on: • Support to help you cope • How to identify stress • What can I do about stress? Stress and Wellbeing Group • • Personal Resilience • Charlie Waller Memorial Trust c wmt.o rg .uk
Suppo rting Stude nts’ Me nta l He a lth c wmt.o rg .uk b a rb a ra .la wto n@ c wmt.o rg
Outline fo r the se ssio n • T he spe c trum o f me nta l he a lth. • Co mmo n me nta l he a lth c o nditio ns. • Re spo nding to stude nts in distre ss. • Disc ussio n o f c a se ma te ria l • Use ful re so urc e s. c wmt.o rg .uk
K e e ping Me nta l He a lth in Mind: e -L e a rning Curre ntly 6 fre e e -le a rning se ssio ns a ime d a t no n-spe c ia list sta ff in HE se tting s Pe e r re vie we d with the se c to r with e vide nc e -b a se d c o nte nt I nte rna tio na l re c o g nitio n o f e xc e lle nc e , with ma ny institutio ns in the UK no w using the m a s ma nda to ry tra ining fo r no n-spe c ia list sta ff No w b e ing re -writte n fo r a n F E a udie nc e .
On line learning • These e learning modules are available to staff at the University of Sunderland. • http://learning.cwmt.org.uk/
What CWMT does for students • Give talks at student led events and conferences. • Run workshops for students on topics such as building resilience, managing anxiety, etc. • Train student union reps and peer mentors to appropriately support students experiencing mental health difficulties • Website for students on depression & mental health.
Stude nts Ag a inst De pre ssio n Free mental health resource for all students Averages around 10,000-15,000 unique visitors per month Information, signposting and free, downloadable resources to support self-care strategies
Supporting students https://www.studentsagainstdepression.org/
F undra ise fo r CWMT Fundraising for CWMT not only brings in money to help us continue our work – it also raises awareness of depression and what people can do to take care of their mental wellbeing. www.cwmt.org.uk/fundraise www.cwmt.org.uk/workplace-fundraising call: 01635 869754 or email: admin@cwmt.org
CWMT & Unive rsity o f Sunde rla nd b a rb a ra .la wto n@ c wmt.o rg emma.wilkins@sunderland.ac.uk c wmt.o rg .uk
Unive r sity of Sunde r la nd Stude nt Me nta l He a lth Sur ve y DR CAROL E CART E R SCHOOL OF PSYCHOL OGY UCU HE AL T H & SAF E T Y RE P (ST RE SS AND WE L L BE ING)
Ba c kg ro und to the study… The survey was developed as a result of An increase in the number of students accessing wellbeing services Increase in Mental Health (MH) problems among students nationally Universities UK call for all universities to ensure their provision of student MH support mechanisms meet the needs of their students
Aims o f the study: The overarching aim is to understand the MH issues our students face and to better tailor wellbeing support mechanisms: Identify the prevalence and nature of MH issues Identify the awareness and take-up of wellbeing services
During 2017-18 ………a q ue stio nna ire tha t inc lude d: Que stio ns o n: b a c kg ro und info rma tio n c urre nt MH a wa re ne ss o f a nd ta ke up o f Unive rsity we llb e ing se rvic e s K e ssle r 6 Psyc ho lo g ic a l distre ss (K e ssle r e t a l. 2002) Ge ne ra l he lp se e king q ue stio nna ire (Wilso n e t a l. 2005) Ac a de mic se lf-e ffic a c y sc a le (Che me rs e t a l. 2001)
Re sults (fro m 314 stude nts) T he K e ssle r 6 is use d to ide ntify no nspe c ific psyc ho lo g ic a l distre ss. Allo ws c la ssific a tio n to the le ve l psyc ho lo g ic a l distre ss Of o ur re spo nde nts: 24% we re in the no rma l ra ng e 37% we re in the mo de ra te ra ng e 39% we re in the se ve re ra ng e
Our da ta fo llo we d the usua l tre nd in te rms o f a hig he r pro po rtio n o f fe ma le s we re in the se ve re ra ng e (44% c o mpa re d to 26%) the inc ide nc e o f se ve re psyc ho lo g ic a l distre ss wa s hig he r in no n-he te ro se xua l stude nts
K e ssle r L e ve l o f Distre ss b y le ve l o f study: K6 Group Foundation First Year Second Third Fourth Masters Year Year Year Year Level n (%) n (%) n (%) n (%) n (%) n (%) Normal 1 (5%) 22 (21%) 6 (11%) 22 (29%) 8 (57%) 17 (38%) Moderate 9 (45%) 36 (34%) 23 (42%) 28 (37%) 4 (29%) 16 (36%) Severe 10 (50%) 47 (45%) 26 (47%) 25 (33%) 2 (14%) 12 (27%) Total 20 105 55 75 14 45
Our ne w surve y invo lve s so me mo dific a tio n, inc luding I t will a sk a b o ut MH issue s e vide nt b e fo re c o ming to unive rsity (a nd if this ha s wo rse ne d whilst a t unive rsity) I t will e xplo re the impa c t o f MH pro b le ms o n stude nts’ a c a de mic e xpe rie nc e I t will inc o rpo ra te a me a sure o f ‘ b e lo ng ing ’ a nd a me a sure o f we llb e ing I t will re c ruit mo re pa rtic ipa nts!
THE IMPACT OF WORKING AND CARING COMMITMENTS ON STUDENT'S ACADEMIC PERFORMANCE AND WELLBEING Helder Costa (President: Wellbeing) Nicola Edwards (Representation Officer)
Pres esen entation on O Outline • Research Background: From School to University • Research Key Findings: The end of the “Traditional Student” • Recommendations: Developing a Leading University in the new Educational Environment • Next Steps
Re Research Ba Backgrou ound The University of Sunderland student body is, due to its background, specially threaten by financial and caring pressures .
DID YOU KNOW? 49% Have missed University due to work commitments
DID YOU KNOW? 55% 52% OF THE STUDENTS WORK WITH WORK OVER 16HRS IRREGULAR SHIFT A WEEK PATTERNS
Students Comments "IT IS DIFFICULT TO KEEP UP WITH EVERYTHING (...) MY MENTAL HEALTH SUFFERS DRAMATICALLY DUE TO CONSTANT STRESS." Students are failing to keep up with the demands of the academic and professional world and their mental health is being negatively affected! "THERE IS A LACK OF UNDERSTANDING WITHIN THE UNIVERSITY OF THE REALITY OF STUDENTS' LIVES." The "traditional" University student no longer exists. "I NEVER TOLD A LECTURE WHY I AM OFF BECAUSE I AM TOO SHY." The privacy of the student life must be kept at all times.
What can we do? Among others, we can: • Condensate the Timetable • Consistent Timetable throughout the Degree • Creation of a “Self-Certification” Policy • Abolish the 40% cap on reassessments • Rethink the Extension Policy
Words to t think a about “The world as we have created it is a process of our thinking. It cannot be changed without changing our thinking” Albert Einstein
Studen ent m men ental h heal alth & & wel ellbeing a at the e Uni niversi sity o of S Sund underl rland: c cha hallenges, s, response ses a s and a nd aspi pirations Oliver Pritchard, Deputy Director, Student Journey
University context The University: - 12420 “on campus” students Sunderland/London - 6771 “off campus” UK and Overseas - High % regional, local and WP students - Mixed cohort of 18 -21, “mature”, International, both on-campus and “commuters” University Student Support Services: - Wellbeing* - Disability Support - Student Support Fund - Student Financial Guidance
Challenges (1) Mental health – (some) facts and figures 50% who experience a mental health issue start before the age of 15 9.2% of the general population report generalised anxiety disorder or depression 90% of UK students report feeling anxiety 7.3% of the general population report self- harming 14% of students accessing Wellbeing 50.3% of UK students report self-harming 20.6% of the general population report 12% of students accessing wellbeing having suicidal thoughts Source: The Guardian 2017; Mind 2017; Insight Network/DIG IT 2018
Challenges (2) Number of Referrals for 1-1 Wellbeing Support 1400 1289 1200 1109 1000 884 800 666 600 484 465 400 200 0 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19 Number of referrals
Challenges (3) and Responses Concerns, risks and approaches In May 2019 Wellbeing Service reported on a “snapshot” of student risk: - 187 open/active student cases - 24% indicated a significant risk - 11% indicated a serious and imminent risk - 65% indicated no apparent or immediate risk Over the year 2018-19 - 12% “felt suicidal” at first referral - 28 students referred to the Crisis Team - 5 students taken to A&E for Psychiatric assessment - 4 students detained under the MH Act (Section 2)
A response model source:TeenMentalHealth.Org
Impacts
Environment Student Mental Health Support Wellbeing
Summary Principles/”Aspirations” - Acknowledge the media and policy focus on HE and HE students; but have a voice, be ready to challenge - Collect, understand, respond to our data: demand, risk and impact - Be confident and clear in our duty of care - Focus our resource on complexity and risk as/if needed - Nurture and embed emotional resilience and skills - Work closely and increasingly with NHS partners - Support our staff to support students, appropriately - Clearly communicate, positively, our support offer to students, their families and supporters.
Thank You
University Mental Health Conference 23/10/19 Partnerships & pathways – best practice and opportunities
Gail Kay Project Director: Mental Health Work stream North East and North Cumbria Integrated Care System (ICS)
Aims Provide an overview of the North East and North Cumbria ICS mental health work stream Update on our joint working arrangements to support student health and wellbeing
ICS Mental Health Work stream The ICS mental health work stream arrangements have provided a governance framework to support the successful development of the regional work plan by; Ensuring that best practice and learning is shared across agencies Duplication is lessened Resources are shared to improve efficiency and effectiveness Impact is monitored Our Vision: Sustainable, joined up high quality health and care services that maximise the mental health and well-being of the local population
Why is change needed? Unequal distribution of wealth, good housing and good jobs drives inequalities in health and wellbeing and the region suffers disproportionately from poverty The North East has some of the highest rates of mental illness in England Half of mental health problems are established by the age of 14, 75% by 24 years 1 in 4 adults are diagnosed with mental ill health at some stage in their life There is a significant inequality gap within communities across our localities, more people from our deprived communities die younger and their quality of life is worse than what it should be when compared to the local, regional and English averages.
Why is change needed? This inequality increases for those with mental illness, life expectancy is 20-30% less than the rest of the population, the gap in the North East and North Cumbria is higher than the national average There is an ageing population in North East and North Cumbria - in people over 65 years 7% have dementia, 28% have depression - the rate of depression is higher than the England average Suicide is the leading cause of death for men aged 15 – 49, among women aged 20-34, suicide is the most common cause of death Only 8% of people on CPA are in employment Poor mental health can drive a 50% increase in physical care costs.
Mental Health ICS Priorities Mental Health Priorities The 7 priority work streams are: The socioeconomic and human costs Child health associated with mental ill health are well Zero suicide ambition publicised and the priorities identified by the Employment mental health work stream focus on Optimising Health Services addressing health inequalities and Long term conditions and persistent physical symptoms Older people delivering parity of esteem to prevent Improving the physical health of people in receipt of illness, promote wellbeing and improve the treatment for a mental health or learning disability outcomes for people who experience mental condition ill health. Evidence and Evaluation Group
Our Delivery Plan
Scoping joint working opportunities Building on work and relationships already in place between the University and our local and regional services Develop pathways into secondary or tertiary care for Links with senior Liaison - appointing a students with mental health member of the trust to difficulties whose needs cannot university staff / Senior Needs led models of care be adequately met by the have responsibility NHS staff university for student mental health Psychoeducation - identify ways Different university provisions Relationships to work together on for student mental health the content and/or delivery of a offered within the north-east Establish operational programme of psychoeducation points of contact Mapping Closer links with Therapies existing Training Clinic (PTTC) and provisions NHS Staff training - Identify training Funding opportunities which could be opportunities led by NHS staff and delivered to the university Public Health links Clear referral pathways for e.g. around common sense different issues confidentiality and Shared objectives zero suicide ambition
Practical considerations Communication between NHS and University. How do we raise concerns and pass on recommendations? How do we promote and facilitate early help seeking behaviours and also promote a positive culture re mental wellbeing? Transition between services/joint working between services in “home town” and “university town” Fitness to study; implementation of positive practice e.g. HEOPS guidelines for fitness to study with an eating disorder Fitness to practise issues; confidentiality and boundaries University as an employer : responsibility for staff / staff welfare
Ideas to action Regional meeting – jointly informed action plan Complex needs definition Crisis definition Supporting students who do not seek help Fitness or support to study policy Positive practice framework Information sharing NHS reporting arrangements – is student status / university contacts captured? Support for staff
Implementation Sub regional working groups / Allocation of tasks Named SPOC to progress locality joint working arrangements MDT approach Cultural aspects / relationship building System links and awareness raising Review and update of draft action plan; locality focus Sharing developments Reviewing progress / challenges to progress
Impact Evaluation arrangements Research opportunities Regional progress review / learning event
Summary Successful implementation Informed and engaged service users and other stakeholders Informed, secure and engaged workforce Effective system leadership People find practical People inform purpose solutions Relational infrastructure Clear vision and plan
Thank you
gail.kay@ntw.nhs.uk https://nhsjoinourjourney.org.uk/
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