Slide 2 By the end of the session: You should be able to: apply
Make Every Contact Count within your role ask people about their
lifestyle choices advise people of facts and tips to help change
unhealthy lifestyle behaviours be confident to deliver Brief Advice
(and Brief Interventions) refer people to appropriate help and
support record your contacts know where to go for more information
Slide 3 Making Every Contact Count Making Every Contact Count
focuses on short, one-to-one opportunities with service users to
advise and signpost to healthy lifestyle information on: stopping
smoking drinking alcohol within recommended limits eating a healthy
diet taking regular physical activity maintaining a healthy weight
mental health and wellbeing Slide 4 MECC approach MECC is about
encouraging people to make healthier choices to achieve positive
long-term behaviour change for better health and wellbeing among
patients / service users and staff themselves MECC involves:
Systematically promoting the benefits of healthy living across the
organisation Asking an individual about their lifestyle and if they
want to make a change Responding appropriately to the lifestyle
issue/s once raised Taking the appropriate action to either give
information, signpost or refer service users to the support they
need Slide 5 MECC pathway Slide 6 An example of MECC Impact In East
Midlands 288,000 staff Millions of patient contacts a year If staff
MECC with just ten people Less than one hour a year for each staff
member = 2.88 million opportunities to influence behaviour change.
Slide 7 Cost basis There are more than 5,500 alcohol related
hospital admissions and more than 2,000 alcohol related recorded
crimes a year in Bedfordshire. Research has shown that identifying
hazardous drinkers and giving them brief advice can reduce alcohol
consumption on average by a quarter. We want to encourage people to
make healthier lifestyle choices in areas such as smoking, alcohol,
diet and physical activityImproved health and better health
outcomes across all of these areas gives us an opportunity to make
savings up to 1.9 million over the next four years. Slide 8 Health
profile Bedford Slide 9 Health profile Luton Slide 10 Health
profile Central Beds Slide 11 What makes you who you are? Education
Culture Where you live Place of birth Community Family Religion
Income Interests and hobbies Work Transport Slide 12 Quiz ??????
?????? Slide 13 Smoking FACT: Stopping smoking is the single
biggest thing you can do to improve your health. TIPS: You are up
to 4 times more likely to quit with the support of NHS Stop Smoking
services and medication compared with going it alone. Slide 14
Smoking in pregnancy FACT: Increased risk of miscarriage and
stillbirth Increased chance of pre-term birth (premature babies)
and low-birth weight TIPS: Even if the pregnant woman / new mother
does not smoke, there may be partners or others in the household
who smoke? Second-hand smoke can still damage an unborn baby or a
new born baby. Slide 15 NHS Stop Smoking services Smokefree
Bedfordshire 0800 013 0553 www.smokefreebedfordshire.nhs.uk
Smokefree Luton 0800 013 0845 What do you think about stopping
smoking? Slide 16 Alcohol FACT: Men should not drink more than 3-4
units per day (1 pint of strong 5% beer or cider). Women should not
drink more than 2-3 units per day (1 standard 175ml 12% glass of
wine.) You should have at least 2 alcohol free days a week. TIPS:
Find out how many units are in your favourite drink. Have drinks
with mixers. Slide 17 Alcohol units Slide 18 Impacts on health:
Slide 19 Alcohol CALS (Community Alcohol Liaison Service) - Beds
07729 542381 or 07858 083944 JKP - Luton 01582 723434 Drinkline
national helpline 0800 917 8282 Can you tell me about how much
alcohol you drink each week? Slide 20 Healthy Eating FACT: You
should aim to eat at least 5 portions of varied fruit and
vegetables a day and cut back on sugar, salt and fat. Check the
label and swap higher levels for lower ones Swap it dont Stop it.
TIPS: Aim for one third of the food you eat to be starchy foods
like potatoes, cereal, pasta, rice and bread. Your 5-a-day can
include unsweetened fruit juice for one portion, and try adding a
handful of fresh, frozen or tinned veg into meals like pasta
sauces. Slide 21 Healthy Eating change4life 0300 123 4567
www.nhs.uk/change4life Weight Loss The only way to lose weight
healthily, and keep it off, is to reduce your calorie intake and
increase your physical activity. For more help ask your GP or
Practice Nurse. How do you feel about healthy eating and your diet?
Slide 22 FACT: Adults should do at least 30 minutes of moderate
physical activity 5 times a week (150 minutes per week). Children
should do 60 minutes of moderate physical activity every day. TIPS:
Moderate activity is where you raise your heart rate, get warm or
break a sweat on a warm day Each 10 minutes counts towards your
daily target. Physical Activity Slide 23 If you have not undertaken
recent physical activity, it is best to start gradually. If in
doubt, check with your GP. Children: community is support available
through your childs school and your local council community
physical activity department. Adults: Activity for health 12 week
activity referral programme. Ask your GP or Practice Nurse.
change4life 0300 123 4567 www.nhs.uk/change4life What physical
activities do you do each day that raise your heart rate? Slide 24
Mental Health FACT: 1 in 4 people experience emotional,
psychological or mental wellbeing issues at some point in their
lives and 1 in 6 adults experience such problems at any one time
which can include stress, anxiety, panic attacks and depression.
TIPS: Talking to others, being active, helping others /
volunteering, learning something new and appreciating the things
around you can lead to better mental wellbeing. If you are worried
that someone is a danger to themselves or at risk then follow
safeguarding procedures. Slide 25 Mental Health Speak to your GP to
discuss any issues, who can recommend appropriate help and support.
Mind the national mental health charity, can provide practical
advice and links to local services 0300 123 3393 www.mind.org.uk
How do you feel about your mood day to day? Slide 26 Free NHS
Health Checks If any service users are aged between 40-74 years old
they may be eligible for a free NHS Health check to screen for
heart disease, stroke, diabetes or kidney disease risk, if they do
not already have a diagnosis. Please ask them to request one from
their GP. Slide 27 Activity in pairs What does MECC mean to me?
What does Making Every Contact Count mean to you in your role or at
home? How can you use it in your everyday contacts? Do you think
you already include MECC in your everyday work or home life, what
do you cover? Is there anyone or anywhere else you think you could
use it with? What issues particularly affect your user group /
family? What might motivate them to make a change? Do you have any
concerns? Slide 28 Health improvement Behavioural Change
Educational Approach Social Change Slide 29 The Behavioural Change
approach Aim: to help individuals adopt healthy behaviours Methods
used in this approach are targeted at the individual One-to-One
e.g. goal setting / action plans Education Slide 30 Brief Advice
Level 1 BRIEF ADVICE is pro-actively raising awareness of, and
assessing a persons willingness to engage in further discussion
about, healthy lifestyle issues. It is usually given
opportunistically. It normally takes between 30 seconds to 3
minutes Slide 31 What to do? Remember: Ask open questions. Advise
on how to make changes, ask service user to suggest how they might
make changes. Act help the service user to set their own goals or
access further help (signpost). Remember to think about the
environment privacy, comfort Slide 32 Considerations Time - it
might only take 30 seconds to ask a question. You need to start
from where the service user is, not where you think they are or
where they should be. You need to be open minded not critical or
judgemental. Brief advice is working with the individual on their
health goals. You are not lecturing them or telling them what to
do. You are providing simple, clear advice and signposting. You
cant always tell what is going on from outward appearances. You are
not expected to be a counsellor. Slide 33 Activity Where do you
live? Do you have children? What is your job? Can you tell me about
What do you think about How do you feel about What happened next
Why do you think that So what youre saying is Slide 34 Where to
start Ask use open questions How do you feel about your health and
wellbeing today? What could you change to make your lifestyle
healthier? On a scale of 1-10 how important is it for you to make
your lifestyle healthier? (1 being not important at all and 10
being very important) Listen to what the client tells you Reflect
back So what youre saying is, Can I just check Advise give a fact,
tip and know where to signpost to. If they are not interested dont
force the issue leave the door open. Slide 35 Spiral of Change
pre-contemplation contemplation decision action maintenance
termination Progression of change contemplation action maintenance
lapse/ relaps e Slide 36 Scaling 12345678910 How do you feel about
your health and wellbeing? Not good Very good 12345678910 How
important is it for you to make a change? Not importantVery
important 12345678910 How confident do you feel to make a change?
Not confidentVery confident Slide 37 Challenges.... If the service
user is: Not interested leave the door open Aggressive or
confrontational Under the influence of drink or drugs Too emotional
Too ill or injured Consider privacy if the client is in a busy
waiting room they may be unwilling to engage. So think about when
and where you raise the issue. Slide 38 Dealing with resistance
What if the person doesnt want to talk? is defensive? is not fluent
in English? is tearful? is in a hurry? is not telling you the
truth? Slide 39 Time to have a go Slide 40 Activity - Elephants in
the room What issues might prevent your trainees from delivering
brief advice consider: Being a smoker Having a weight issue
Drinking above the recommended limits Being physically unfit
Experiencing mental health issues How would you address it? Slide
41 Brief Interventions Level 2 BRIEF INTERVENTIONS occur when a
person responds positively to proactive brief advice or
specifically asks for help with a health-related issue. Typically
between 10 minutes and 30 minutes and includes: Giving simple
opportunistic advice to change Assessing a persons commitment to
change Supplying self-help materials or resources Signpost to
specialist support Offering a follow-up appointment if appropriate
Recording the outcome of discussion Slide 42 Motivational
Interviewing Motivational interviewing is described as a process of
exploring a persons motivation to change through interview in order
to assist them towards a state of action. The techniques used are
adaptations of counselling skills and particular attention is paid
to the listening skills of the interviewer. Motivational
interviewing can be understood as an approach which can be adopted
for delivering a brief intervention. Slide 43 Pros and Cons
Identifying success behaviour: Can you think of a time in the past
where you set a goal and achieved it? (it doesnt have to be health
related) What made you successful what skills and techniques did
you use? How can you use these to achieve this new goal? Pros and
Cons What are some benefits of changing? Personal, financial What
are some drawbacks of staying the same? What are the benefits of
staying the same? What are the drawbacks of changing? Slide 44
SMART Goals If the client wants to work on goal setting, it can be
anything from making a phone call for a self-referral to losing
weight. You can help them set goals in a structured way to improve
their chances of success. Specific Measurable Achievable Relevant
Timely What if things go wrong? Slide 45 Time to have a go Think of
something you want to change Think of a previous time you achieved
a goal, what steps did you take, why was it a success? What are the
pros and cons of making a change vs. staying the same? Write down
your three main reasons for making a change? Is now a good time to
start? Make yourself a SMART goal related to starting to change.
Slide 46 Repeat quiz! To see what youve learned Slide 47 Summary
Brief advice is short, simple and factual. You are raising
awareness and motivating people to think about making a change. Ask
and Advise provide facts, tips and where to go for more help. If
someone isnt interested leave the door open. Brief interventions
build on brief advice to help equip service users to take action.
Act Eliciting service user to identify areas for change, their
readiness to change, and facilitating them to set their own goals
and a means to achieve them. This may include: scaling, SMART goal
setting and signposting to further support. Slide 48 We are all
different Slide 49 The 5 groups: Health Conscious Realists Balanced
Compensators Live for Today's Hedonistic Immortals Unconfident
Fatalists Slide 50 Health Conscious Realists Feel in control of
their loves and their health Tend not to take risks and take a
longer term view of life The least fatalistic about their health
Slide 51 Balanced Compensators Like to look and feel good about
themselves A healthy lifestyle is generally easy and enjoyable If
they take health risks they will use compensatory mechanisms to
make up for this Slide 52 Live for Todays Short term view of life
Believe in fate Leading a healthy lifestyle doesn't sound like much
fun, and think it would be difficult Slide 53 Hedonistic Immortals
Want to get the most from life Don't feel they will get ill anytime
soon Intend to live healthily Anything that is enjoyable cant be
all bad Slide 54 Unconfident Fatalists Fairly negative about
things, and don't feel good about themselves. A healthy lifestyle
is not easy nor are they in control They know there health is bad
and that they should do something about it but are demotivated.
Slide 55 Healthy Foundations55 Healthy Foundations55Healthy
Foundations55 High Motivation Low Motivation - ve Environment + ve
Environment FightingThriving DisengagedSurviving Segmentation-
Cluster Map Balanced Compensators (17%) Health Conscious Realists
(21%) Unconfident Fatalists (18%) Hedonistic Immortals (19%) Live
for Today (25%) Slide 56 East of England Slide 57 Activity Make
your own presentation from slides based on your trainee group Slide
58 Recording contacts Tell us who youve trained Submit a monthly
form Slide 59 Using MECC could Result in someone being grateful you
took the time to take an interest Help someone to make links
between their lifestyle and realising other life ambitions Make
someone feel able to take control of their health Mean that someone
could live a longer and healthier life as a result of what you did
Slide 60 Questions? ?????? ?????? Slide 61 We cant do it without
you Start Making Every Contact Count today. Further training: There
are options to take the training further such as Alcohol IBA
training, Smoking Brief Advice and stop smoking service level 2
training. On-going support: If you have any questions that arise
following todays training or want to feedback thoughts or
experiences please contact me by calling 01234 276875 or emailing
[email protected]
[email protected]
