Towards a Mentally Flourishing Lanarkshire Linking Nationally: Acting Locally

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Towards a Mentally Flourishing Lanarkshire
Linking Nationally Acting Locally

• Colin Sloey,
• Executive Director of North
• Lanarkshire CHP

www.lanarkshirementalhealth.org.uk
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Its no Secret

• 25 of adults will experience a mental health
  problem (over 110,000 in Lanarkshire).
• Its 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
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Its no Secret

• Close relationship between physical health and
  mental health
• People experiencing SMI are at significant
  increased risk of premature death (10 years of
  life lost).
• Life style major contributing factor.
• Less likely to be offered health promotion
  intervention.
• Potential to increase life expectancy by 7.5
  years.

www.lanarkshirementalhealth.org.uk
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Case for Mental Health Improvement

• Mental health accounts for 1/3 of all morbidity
  and
• disability in Scotland.
• The cost to Scotland is 8.5 billion (not to
• mention human cost).
• Promoting well-being will reduce the prevalence
  of
• mental health problems and will improve
  clinical
• and social outcomes.
• Improving mental health will contribute to
  reducing
• inequalities and improving quality of life,
  life
• expectancy, physical health, economic
• productivity, social functioning and quality of
  life.

www.lanarkshirementalhealth.org.uk
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Facing the Challenge Linking Nationally Acting
Locally

• National support linked to local responsibility.
• 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.

www.lanarkshirementalhealth.org.uk
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Examples of Local Work
www.lanarkshirementalhealth.org.uk
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Vision, Principles, Context
Towards Mentally Flourishing Scotland

• 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 others 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 Lanarkshirepeople 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 and partners
  are able to set the context, conditions and
  opportunities for change

www.lanarkshirementalhealth.org.uk
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Outcome Triangle Mental Health Well-being
www.lanarkshirementalhealth.org.uk
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Illustrative Logic Model for Mental Health and
Well-being
www.lanarkshirementalhealth.org.uk
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Evidence Informed Actions

• Antenatal screening, supportive advice and
  information to promote
• well-being of parents and unborn child.
• early years play, pre-school development, home
  visits, parenting
• skills/ support programmes home learning
  environment (parents
• believing they can make a difference and
  being supported to do so).
• young people in schools h/p schools,
  anti-bullying, life, social,
• coping skills, participation, career advice,
  new horizons.
• young people in community settings gender
  identity, involvement,
• social support, restorative justice, one stop
  shops mentoring social
• capital.
• primary care social prescribing, brief
  interventions, self-help,
• volunteering, CBT, benefit uptake, social
  problems.
• workplace job control, effort-reward balance,
  social support, pre-
• retirement interventions, work-life balance,
  organisational justice

www.lanarkshirementalhealth.org.uk
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Evidence Informed Actions

• communities social capital inclusion, access,
  participation, influence escape facilities,
  stress workshops, arts and creativity,
  challenging norms of crime and violence,
  continuing education
• older people address age discrimination and
  barriers to participation (economic, social,
  physical) identify depression social support,
  daily hassles, exercise , transport
• people with mental health problems
  discrimination and exclusion quality of life,
  physical health care meaningful occupation,
  recovery approaches
• Environment reduce traffic density shared
  public spaces green space liveable streets
• From Dr Lynne Friedli Building Leadership for
  MHI in Lanarkshire

www.lanarkshirementalhealth.org.uk
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Linking TAMFL to wider goals for
LanarkshireCommunity, Health Improvement
Council Plans
www.lanarkshirementalhealth.org.uk
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SOA Linked to Local Outcomes

• National Outcome 6 We live longer and
  healthier lives
• Local Outcomes
• Reduce impact of smoking
• Reduce impact of alcohol and substance misuse
• Reduce suicide rates
• Reduce increase in DDD of anti-depressant
  prescribing
• Improve emotional well-being

www.lanarkshirementalhealth.org.uk
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None of us are as smart as all of us.
Japanese Proverb
www.lanarkshirementalhealth.org.uk