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Public Mental Health Strategy
October 2015
Why do we need a publicmental health strategy?
Department of Health (2015) Achieving Better Access to Mental Health Services by 2020
Leading cause of sickness absence in the UK, accounting for 70 million sick days in 2013.
MI costs UK economy £70-100 billion per year; 4.5% of GDP.
People with mental illness die on average 15-20 years earlier than those without, often from avoidable causes.
What is public mental health?
At a population level:
Vision & AimsCollaborating with a wide range of partners, this strategy will work to improve PMH with the aim of achieving:
1. Common understanding of what it means to improve public mental health.
2. Maximise opportunities to promote MH and prevent MI within Cambridgeshire through:
– Taking a life course approach to promoting MH– Promoting a more holistic approach to physical and MH– Integrating mental health into all aspects of our work – Developing a wider environment that supports mental health
including tackling stigma.
National data (1)
Image produced by Warwickshire County Council in the Warwickshire Public Mental Health and Wellbeing Strategy 2014-16
National data (2)
Image produced by Warwickshire County Council in the Warwickshire Public Mental Health and Wellbeing Strategy 2014-16
Local data (1)19,000 children and young
people (≤17y) who may experience mental health
problems in need of mental health support
Est. 63,000 adults aged 18-64 years with a common mental health disorder
21% of boys and 36% of girls responded that they feel afraid to be in school
because of bullying at least ‘sometimes’
6.2% (44,058) of adults aged over 18 years had
depression in 2013/14
There were 474 self-harm hospital admissions in
people aged 10-24 years in 2012/13
6,784 patients registered in Cambridgeshire have a serious mental illness
Local data (2)4.2% (810) of 16-18 year
olds were not in employment, education or
training in 2013
In 2013/14 there were 610 households that were statutory homeless
In 2012 there were an estimated 7,500 people with
dementia. This is expected to increase to over 12,000 by
2026
13.1% of children live in poverty
(14,110 children)(England average 20.6%)
6% of pupils responded that they are a ‘young carer’. 13% said they ‘don’t know’ if they
are (HRBS)
0.25% of the working age population are long term unemployed
(1,030 people)(England average 0.73%)
Risk & protective factors
What people say:Comments from social care users – Keeping well:•“Work. Having supportive employment enables me to feel valued, earns me money which pays the bills, and fosters a sense of independence.”•“The most useful things I do to keep well are to be creative. I sing with community singing groups which benefits my posture breathing is also sociable”
Themes from wider stakeholder consultation work:•Carers need more support to cope with their caring role•The need for access to information/ signposting•Enabling people to get work and to stay in work.
Return on Investment
£7 saved Early interventions for
parents of children with conduct disorder (6
years onwards)
£3 saved Debt advice services
(years 2-5)
£10 saved Work-based mental health promotion
(after 1 year)
£14 saved School-based
interventions to reduce bullying (6 years
onwards)
£5 saved Early diagnosis and
treatment of depression at work (6
years onwards)
£1
INVESTMENT IN SERVICE
RETURN
ThemesLife Course Approach to Promoting Mental Health
– Children & Young People – Social Isolation
Developing a Wider Environment that Supports Mental Health– Mental Health & Work– Mental Health Promotion in the Community
Physical and Mental Health– The Mental Health of People with Long Term Conditions – The Physical Health of those with Mental Illness
A life course approach to promoting mental health – What works?
Children & Young People•Identifying and treating maternal mental illness in pregnancy and first year of life•Parenting programmes•Focus on early Years (0-5)•Anti-bullying interventions•Mental health promotion in schools
Social Isolation•Promising approaches
A life course approach to promoting mental health
A- Universal Interventions Children & Young PeopleAnti-bullying strategyWhole school approaches & reducing stigmaEY workforce & mental health
Social Isolation & LonelinessExpansion of the Time Credits SchemeEngage communities in in increasing community resilience – ‘Fenland Fund’
B- Targeted prevention/Early InterventionChildren & Young PeopleEvidence based parenting programmesInterventions in pregnancy and first year of birth
Social Isolation & LonelinessUtilise existing services in contact with people that may be isolateDigital inclusion strategy
Developing a Wider Environment that Supports Mental Health -
What works?
Mental Health & Work•Organisational and individual measures•Measures that increase control e.g. flexible working•Management - style, ability to identify/respond•Support for people returning to work following leave
Mental Health Promotion in the Community
Developing a Wider Environment that Supports Mental Health
A- Universal Interventions
Workplace standardAnti-stigma campaigns (workplaces/schools )Support evaluated projects that build communities with greater understanding of mental health
B- Targeted prevention/Early InterventionSupport poverty strategy including support for parents to get back into workMHFA for frontline staffIncrease workplace health activity
C- Physical and Mental HealthContinue to support initiatives aiming to get people with MI back into workUtilise e.g. HTs to identify clients with mental health needs
Physical and Mental Health – What works?
The Physical Health of People with LTCs•Effective identification•Psychological interventions•Pharmacological interventions•Exercise•Rehabilitation and support programmes
The Physical Health of those with Mental Illness•Physical health assessments•Physical activity•Social prescribing (variety of evidence that needs to be developed)
Physical and Mental Health
B- Targeted prevention/Early Intervention
Identify clients with a LTCDepression - timely offer of an appropriate psychological intervention Antidepressant therapy in the management depression with a LTCTimely access to multicomponent rehabilitation or support programme.
C- Physical and Mental HealthSmoking cessation training in community mental health teamsIncrease referrals to stop smoking service from secondary care mental health settingsCoordinated /consistent approach to health improvement interventions for those with SMI Contribute to evidence base for
social prescribing and promote wider awareness of community provisions
Implementation• Action plan for first year attached to strategy• Multi-agency implementation• Strategy approved as final version by Health
Committee in May 2015. Health Committee will monitor progress.
• First update to Health Committee will be in December 2015.
http://www.cambridgeshire.gov.uk/
site/custom_scripts/cons_details.aspx?ref=361
Contacts
Emma de ZoeteConsultant in Public Health01223 699117 [email protected]
Holly Gilbert Public Health Manager – Mental Health & Community Safety01223 [email protected]
