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Equally Well – StobsWELLbeing Improve community mental health and wellbeing

Equally Well – Improving Mental Wellbeing Social Prescribing Scheme – SOS (Sources of Support) Theresa Henry – Social Prescribing Link Worker. Equally Well – StobsWELLbeing Improve community mental health and wellbeing. Housed within the DHLI Working with public services

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Equally Well – StobsWELLbeing Improve community mental health and wellbeing

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  1. Equally Well – Improving Mental WellbeingSocial Prescribing Scheme – SOS (Sources of Support)Theresa Henry – Social Prescribing Link Worker

  2. Equally Well – StobsWELLbeingImprove community mental health and wellbeing • Housed within the DHLI • Working with public services • Delivering mental health literacy programmes • Pilot Social Prescribing scheme

  3. SOS - Sources of Support Maryfield Medical CentreWell evidenced mechanism for linking patients to sources of support126 referrals (March 2011 - June 2012)Emotional support – counselling, advocacy, befriendingAdvice services – money, debt, housing, employmentCommunity activities – volunteering, groupsSocial and learning activities

  4. Working with MarkPhoning, texting, writing, waiting…and waiting again…then meeting!Working with anxietyLinking with other agencies

  5. Working with TheresaPersistenceFeeling UnderstoodAsking my opinionAccompanying me to agenciesBearing with me

  6. “… It has been a life changing experience for me, I don’t know where I would be now, still sleeping rough, losing weight, my life being ruled by fear…” -Mark

  7. Equally Well – Improving Mental WellbeingSocial Prescribing Scheme – SOS (Sources of Support)Dr Frank Weber – GP, Maryfield Medical Centre, Dundee

  8. Who is Social prescribing for? • Mental wellbeing which is affected by social circumstances • Vulnerable and at risk groups • Mild to moderate depression and anxiety • Chronic physical and enduring mental health conditions • Frequent attenders in Primary care

  9. EVERYBODY …ALMOST • Patients experiencing acute crisis, acute psychosis or severe depression • Patients who are actively suicidal • Patients with substance misuse as the primary problem • Patients with a history of violence where there are ongoing concerns for the safety of the lone working link worker

  10. The “typical” patient • Situational upset/Adjustment disorder (psychiatry) • Maladaptive coping strategies (psychology) • Heartsink (GPs)

  11. “I think health can be very insular and there’s a lot of stuff sitting out in the community that could be utilised that isn’t utilised. Health services should be part of the whole health agenda, rather than be separate from it… A whole area based approach which I do feel is essential because we can’t cure people because a lot of their ills aren’t illnesses – they are dis-ease rather than disease.” -GP

  12. Clinician factors influencing Social prescribing uptake The depressed patient and the impact of the consultation style Bio-medical psycho-social • Low mood • Anhedonia • Anorexia • Insomnia • Social withdrawal • Suicidal ideation • PHQ 9 depression score • Family • Work history • Interests/Hobbies • Dreams/Aspirations • Achievements vs.

  13. Terminology

  14. Patient factors influencing Social prescribing uptake • Trust • Beliefs and Expectations • Confidence and Self Esteem

  15. “Talking to someone on a one-to-one has really helped me, it’s given me the motivation to look at my life and the changes that I can make. It’s given me that extra push, taking things one step at a time I’m moving myself forward.”

  16. Equally Well – Improving Mental WellbeingSocial Prescribing Scheme – SOS (Sources of Support)Maria Gracie – Social Prescribing Link Worker

  17. LINKING • Patients • Sources of Support • Community

  18. LINKING

  19. ENGAGEMENT Reaching Out

  20. CONSULTATIONS • Well Informed • Clear Boundaries • Realistic Expectations • Collaborative Relationship • Feeling in Control • Flexibility • Feeling Heard and Understood

  21. POWER OF CONVERSATION “Talking to someone on a one to one basis has really helped me, it’s given me the motivation to look at my life and the changes I can make. It’s given me that extra push, taking things one step at a time – I’m moving forward”

  22. FUTURE • Roll Out of the Test Site and Social Prescribing • Funded by NHS Tayside Endowment Funds • £200,000 for one year of Equally Well rollout • Training Organisations • Build on Successes • Continue to Learn

  23. Link for Social Prescribing Report http://www.dundeepartnership.co.uk/content/health-and-wellbeing

  24. QUESTIONS?

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