wellness in mind nottingham city mental health and wellbeing strategy homelessness strategy group...
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Wellness in MindNottingham City Mental Health and Wellbeing Strategy
Homelessness Strategy GroupNov 2014
Liz Pierce, Public Health, Nottingham City Council
Mental Health is a strategic priority for Nottingham
Nottingham has high levels of risk factors for poor mental health
• High unemployment
• Low educational attainment
• High levels of deprivation
• Physical health problems
• Children in care
• Violence
• Homelessness
• We measure wellbeing each year in Nottingham as part of the Citizens Survey using WEMWBS
• ONS measures of personal wellbeing: fewer people score highly on life satisfaction and feeling worthwhile than in the UK
• ?? How is wellbeing measured in the homeless/ vulnerably housed population of Nottingham
.
Mental wellbeing in Nottingham
• Up to 1 in 2 of the citizens of Nottingham will have problems with their mental health at some point in their life
• Most families will be affected• Estimate over 51,000 adults and 3,400 school
age children affected at any time in Nottingham• Half of out of work disability benefits are due to
mental health problems
Mental health problems are very common
Long term mental health problems
• A cause as well as a consequence of inequality
• Stigma/ discrimination is an important factor• There can be economic, relationships,
housing impact• Carers / family and friends issues• Recovery approach. ‘hope, control and
opportunity’
Links between mental health and physical health
King’s Fund, Centre for Mental Health
Death rates of people known to mental health services compared to the wider population
Local calculations show death rates approximately 3.5 times higher than the wider population.
Majority of deaths respiratory, circulatory and cancer
The Health and Wellbeing Board has agreed to:
• ‘Parity of Esteem’ valuing mental health equally with physical health
• Mental health champions in all member organisations to steer the strategy
• All board papers need to include reference to the mental health aspects
Wellness in MindThe Mental Health and Wellbeing Strategy
Approved by the Health and Wellbeing Board in August 2014
Priority 5 – Improving the wellbeing and physical health of those with mental health problems
Priority 1 – Promoting mental resilience and preventing mental health problems
Priority 2 – Identifying problems early and supporting effective interventions
Priority 3 – Improving outcomes through effective treatment and relapse prevention
Priority 4 – Ensuring adequate support for those with mental health problems
Priorities for Nottingham
Nottingham Mental Health Strategy Strategic priorities
Whole community approach
People with mental health
problems
Higher risk groups
People with long term
mental health problems
Mental Health and Wellbeing Steering Group
Wellness in Mind Wellness in Mind Prevention and Prevention and
Improvement Group Improvement Group (Priorities 1 and 2)(Priorities 1 and 2)
Mental Health Joint Mental Health Joint Commissioning GroupCommissioning Group
(Priorities 3 and 4)(Priorities 3 and 4)
Wellness in Mind Physical Wellness in Mind Physical Health GroupHealth Group
(Priority 5(Priority 5)
Existing strategic groups working
on the wider determinants eg
housing and employment
Health and Wellbeing Board
Nottingham Mental Health and Wellbeing NetworkNottingham Mental Health and Wellbeing Network
Suicide Suicide Prevention Prevention StrategyStrategy
Housing and homelessness as a cross cutting theme.•‘Home’ as part of building resilience•Homelessness can be a cause and consequence of mental health problems•How do housing and homelessness services
– promote mental wellbeing?– measure mental wellbeing?– Link with primary and secondary mental health services?– challenge stigma?– Promote social inclusion?– Promote physical health of those with mental health
problems?
